TABLE 6.
Evolving strategy of the ACIP to eliminate HBV transmission in the United States
| Strategy | Yr first rec-ommended |
|---|---|
| Preexposure prophylaxis | |
| Vaccination of high-risk groups | 1982 |
| Routine vaccination of high-risk infants and childrena | 1986 |
| Routine vaccination of all infants | 1992 |
| Routine vaccination of adolescents at 11–12 yr of age | 1995 |
| Vaccination of high-risk children born after 1983a | 1995 |
| Catch-up vaccination of all children and adolescents | 1997 |
| Postexposure prophylaxis | |
| Accidental or percutaneous exposure to blood | 1982 |
| Sexual partners of persons with acute infection | 1982 |
| Infants born to HBsAg-positive women | 1982 |
| Household contacts of persons with chronic HBV infection | 1982 |
| Universal HBsAg screening of all pregnant women | 1988 |
a
Children born to first-generation immigrants from countries where HBV infection is of high or intermediate endemicity.