Robust Hepatitis A Vaccination Response Within the United States Veterans Health Administration in the Wake of State Outbreaks.

Am J Public Health

Andrew M. Moon is with the Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill. Joleen A. Borgerding and Elliott Lowy are with Health Services Research & Development, Veterans Affairs Puget Sound Healthcare System, Seattle, WA. Ronald G. Hauser is with the Pathology and Laboratory Medicine Department, Veterans Affairs Connecticut Healthcare, New Haven. Maggie Chartier is with the Office of Specialty Care Services, VA HIV, Hepatitis, and Related Conditions Program, Washington, DC. Marissa M. Maier is with the Division of Infectious Diseases, Department of Medicine at Oregon Health and Sciences University, Portland. Timothy Morgan is with the Gastroenterology Section, VA Long Beach Healthcare System, Long Beach, CA. Adam Ruege is with Community Solutions, New York, NY. Jillian Weber is with the Homeless Program Office, US Department of Veterans Affairs, Veterans Health Administration, Washington, DC. Lauren A. Beste is with the Division of General Internal Medicine, Veterans Affairs Puget Sound Healthcare System.

Published: July 2022

We assessed hepatitis A (HepA) vaccine receipt among susceptible individuals in outbreak and matched nonoutbreak states. Difference-in-differences models and multivariable logistic regression were used to compare HepA vaccination rates in these states. In the postoutbreak year, there was a 112% increase in HepA vaccinations in outbreak states versus a 6% decrease in nonoutbreak states. Differences persisted in our multivariable model (adjusted odds ratio = 2.53; 95% confidence interval = 2.45, 2.61). HepA vaccination rates increased dramatically in outbreak states, but many individuals susceptible to hepatitis A virus remain unvaccinated. (. 2022;112(7):990-994. https://doi.org/10.2105/AJPH.2022.306845).

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9222460PMC
http://dx.doi.org/10.2105/AJPH.2022.306845DOI Listing

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