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. 2023 Aug 15;15(8):4971–4983.

Table 2.

Hesitancy to hepatitis B vaccine. Africa, Asia, Europe and Oceania

Country Year Comment Ref
Australia 2017 HBV VH of the birth dose because of perception of low risk for their infants and instead risk of administration of a vaccine at birth. [69,70]
China 2014 In 2013, two media reported infant deaths after the administration of the HBV vaccine. Questionnaires on the impact of this information led to 30% VH at the peak of the event. [71]
2013-2016 In 2016, a second event was linked to illegal vaccines private sale. Up to 79.2% VH on a private sale, just after the event. [72]
France 2013 Although most of the surveyed population recognized and were aware of the risk of HBV infection, more than half of them expressed fears about vaccine’s adverse effect. [73]
2014 General practitioners were less prone to recommend HBV vaccination to their patients than to vaccinate their children. [74-76]
2016 VH for several viral vaccines was over 40%, while the effective refusal of a vaccine was lower than 30%. In general, VH for the hepatitis B vaccine was higher than for other viral vaccines. [77]
2017 High VH in France, with up to 30% VH for the HBV vaccine. [78]
2017-2018 Low self-vaccination acceptance for most recommended vaccines, and high VH among the general population, particularly hepatitis B. [79]
Israel 2013-2017 High HBV VH for children [40% during the whole period]. No correlation with social media traffic as for other vaccines. [80]
2014-2016 One of the reasons for HBV VH was the perception of a lack of risk of infection for newborns. [81]
Turkey 2011-2020 HBV VH increased with the COVID-19 pandemic, because of fears of adverse effects. [82]
Uganda 2020 High HBV VH among pregnant women, is related to lower education level and knowledge of infection risks. [83]
Vietnam 2017 Almost 40% of HCWs expressed non confidence in the safety of the HBV vaccine. [84]

HBV: Hepatitis B virus. VH: Vaccine hesitancy. HCWs: Health Care Workers.