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 predominantlyby fecaloral transmission and cause acute self-limiteddisease.1,2 The others hepatitis B virus (HBV), hepatitisdelta virus (HDV), and hepatitis C virus (HCV) are envelopedviruses with various tendencies to cause persistent infection,chronic hepatitis, and, in the case of HBV and HCV, hepatocellularcarcinoma.3,4,5 Fecaloral transmission does not occurwith these viruses, because their lipid envelopes preclude thepassage 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.
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