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Review Article
Drug Therapy
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Volume 336:196-204 January 16, 1997 Number 3
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Vaccines to Prevent Viral Hepatitis
Stanley M. Lemon, M.D., and David L. Thomas, M.D., M.P.H.

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At least five different viruses cause hepatitis in humans. Two — hepatitis A virus (HAV) and hepatitis E virus (HEV) — are nonenveloped RNA viruses that are spread predominantly by fecal–oral transmission and cause acute self-limited disease.1,2 The others — hepatitis B virus (HBV), hepatitis delta virus (HDV), and hepatitis C virus (HCV) — are enveloped viruses with various tendencies to cause persistent infection, chronic hepatitis, and, in the case of HBV and HCV, hepatocellular carcinoma.3,4,5 Fecal–oral transmission does not occur with these viruses, because their lipid envelopes preclude the passage of viable virus from the liver through the biliary . . . [Full Text of this Article]

Hepatitis B Vaccine

Biology

Vaccine Formulations

Adverse Events

Immunogenicity

Efficacy

Recommended Use

Problems

Hepatitis A Vaccine

Biology

Vaccine Formulations

Adverse Events

Immunogenicity

Efficacy

Recommended Use

Problems

Vaccines for Other Hepatitis Viruses: HCV, HDV, and HEV

Conclusions


Source Information

From the Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill (S.M.L.), and the Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore (D.L.T.).

Address reprint requests to Dr. Lemon at CB#7030, 547 Burnett-Womack, University of North Carolina, Chapel Hill, NC 27599-7030.

References


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