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Correspondence
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Volume 341:293 July 22, 1999 Number 4
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Vaccination against Hepatitis A

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 by Koff, R. S.
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To the Editor: Koff states in his editorial on childhood vaccination against hepatitis A (Feb. 25 issue)1 that "a strategy of universal early-childhood immunization beginning at the age of two should . . . be implemented immediately." Both the justification for and the implementation of such a strategy are open to serious question.

Efforts during the past decade have focused on immunization of infants by the age of 18 months, with booster doses administered at the time of entry into school (4 to 6 years of age). Because hepatitis A vaccine can be given only after the age of two . . . [Full Text of this Article]

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