The higher incidence of Hepatitis B infection reported in
adults diagnosed with diabetes had set the Hepatitis Vaccines Work Group of the
Advisory Committee on Immunization Practices (ACIP) into action to evaluate the
risk for infection in adults diagnosed with diabetes.
An analysis of 865 cases of acute
hepatitis B virus (HBV) infection had indicated that the diabetic patients
between 23 and 59 years of age were 2.1 times more prone to HBV infection than
those without diabetes.
This finding was further supported by a survey conducted
in United States, which reported that 60% of the diabetic patients had been
infected with HBV.
The committee had also assessed
the mortality rate of the infection and found that the adults with diabetes
had twice the risk of chronic infection and liver cell cancer as compared to
those without diabetes.
The negligence to follow the
guidelines and other precautionary steps in hospitals and other health centers
while monitoring and treating diabetic patients was found to pave the way for
easy transmission of the highly infectious HBV through the contaminated
equipments.
Hence, a strict adherence to the
infection control-measures and vaccination of the health care personnel against
HBV infection was highly recommended by the committee.
The protective mechanism of
the vaccination was reported to decrease significantly in diabetic adults over
40 years of age.
The committee has proposed economic models for vaccinating
diabetic persons in the age group of 20 to 59 that could prevent 130 deaths per
year due to infection.
After analyzing the risk factors
for HBV infection and the economic impact of the intervention in adults
diagnosed with diabetes, the Advisory committee has recommended the following:
People aged between 19 and 59 years should be
immediately vaccinated against Hepatitis B, on being diagnosed with diabetes
mellitus.
Those older than 60 years may consult their doctors
before considering vaccination.
Reference: Use of Hepatitis B Vaccination for Adults With Diabetes Mellitus; Mark H. Sawyer et al; Morbidity and Mortality Weekly report.
Source-Medindia