Evidence map›Paper›PMID 37498531›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2023

Toward reaching hepatitis B goals: hepatitis B epidemiology and the impact of two decades of vaccination, Georgia, 2021.

Nino Khetsuriani, Amiran Gamkrelidze, Shaun Shadaker, Maia Tsereteli, Maia Alkhazashvili, Nazibrola Chitadze, Irina Tskhomelidze, Lia Gvinjilia, Francisco Averhoff, Gavin Cloherty and 6 more

Open access · diamondAbstract read
In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 2 countries.

Nino KhetsurianiGlobal Immunization Division, Centers for Disease Control and Prevention (CDC), Atlanta, United States.
Amiran GamkrelidzeNational Center for Disease Control and Public Health of Georgia (NCDC), Tbilisi, Georgia.
Shaun ShadakerDivision of Viral Hepatitis, Centers for Disease Control and Prevention (CDC), Atlanta, United States.
Maia TsereteliNational Center for Disease Control and Public Health of Georgia (NCDC), Tbilisi, Georgia.
Maia AlkhazashviliNational Center for Disease Control and Public Health of Georgia (NCDC), Tbilisi, Georgia.
Nazibrola ChitadzeNational Center for Disease Control and Public Health of Georgia (NCDC), Tbilisi, Georgia.
Irina TskhomelidzeThe Task Force for Global Health, Tbilisi, Georgia.
Lia GvinjiliaEastern Europe and Central Asia Regional Office, Centers for Disease Control and Prevention (CDC), Tbilisi, Georgia.
Francisco AverhoffAbbott Pandemic Defense Coalition, Abbott Park, IL, United States.
Gavin ClohertyAbbott Pandemic Defense Coalition, Abbott Park, IL, United States.
Qian AnGlobal Immunization Division, Centers for Disease Control and Prevention (CDC), Atlanta, United States.
Giorgi ChakhunashviliNational Center for Disease Control and Public Health of Georgia (NCDC), Tbilisi, Georgia.
Jan DrobeniucDivision of Viral Hepatitis, Centers for Disease Control and Prevention (CDC), Atlanta, United States.
Paata ImnadzeNational Center for Disease Control and Public Health of Georgia (NCDC), Tbilisi, Georgia.
Khatuna ZakhashviliNational Center for Disease Control and Public Health of Georgia (NCDC), Tbilisi, Georgia.
Paige A ArmstrongDivision of Viral Hepatitis, Centers for Disease Control and Prevention (CDC), Atlanta, United States.
National Center for Disease Control and Public Health · GECenters for Disease Control and Prevention · USAbbott (United States) · USThe Task Force for Global Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundGeorgia has adopted the World Health Organization European Region's and global goals to eliminate viral hepatitis. A nationwide serosurvey among adults in 2015 showed 2.9% prevalence for hepatitis B virus (HBV) surface antigen (HBsAg) and 25.9% for antibodies against HBV core antigen (anti-HBc). HBV infection prevalence among children had previously not been assessed.AimWe aimed to assess HBV infection prevalence among children and update estimates for adults in Georgia.MethodsThis nationwide cross-sectional serosurvey conducted in 2021 among persons aged ≥ 5 years used multi-stage stratified cluster design. Participants aged 5-20 years were eligible for hepatitis B vaccination as infants. Blood samples were tested for anti-HBc and, if positive, for HBsAg. Weighted proportions and 95% confidence intervals (CI) were calculated for both markers.ResultsAmong 5-17 year-olds (n = 1,473), 0.03% (95% CI: 0-0.19) were HBsAg-positive and 0.7% (95% CI: 0.3-1.6) were anti-HBc-positive. Among adults (n = 7,237), 2.7% (95% CI: 2.3-3.4) were HBsAg-positive and 21.7% (95% CI: 20.4-23.2) anti-HBc-positive; HBsAg prevalence was lowest (0.2%; 95% CI: 0.0-1.5) among 18-23-year-olds and highest (8.6%; 95% CI: 6.1-12.1) among 35-39-year-olds.ConclusionsHepatitis B vaccination in Georgia had remarkable impact. In 2021, HBsAg prevalence among children was well below the 0.5% hepatitis B control target of the European Region and met the ≤ 0.1% HBsAg seroprevalence target for elimination of mother-to-child transmission of HBV. Chronic HBV infection remains a problem among adults born before vaccine introduction. Screening, treatment and preventive interventions among adults, and sustained high immunisation coverage among children, can help eliminate hepatitis B in Georgia by 2030.

Indexed as

Hepatitis BHepatitis B Surface AntigensHepatitis B VaccinesAdolescentAdultChildChild, PreschoolCross-Sectional StudiesFemaleGeorgiaHepatitis B AntibodiesHepatitis B virusHumansMaleMiddle AgedSeroepidemiologic StudiesHepatitis B AntibodiesHepatitis B Surface AntigensHepatitis B VaccinesGeorgiaHepatitis BHepatitis B vaccineprevalenceserosurvey

Identifiers

PMID37498531
PMCPMC10375835
OpenAlexW4385295404

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.