Evidence map›Paper›PMID 39862544›Full record

ArticleVaccine2025

Prevalence of chronic hepatitis B virus infection among children in Uzbekistan: Impact of vaccination.

Nino Khetsuriani, Dilorom Tursunova, Rano Kasimova, Saidkhon Sharapov, Brock Stewart, Mansurbek Matyakubov, Renat Latipov, Liudmila Mosina, Bakhodir Yusupaliyev, Erkin Musabaev

Abstract read
In one paragraph

Article in Vaccine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Nino KhetsurianiCenters for Disease Control and Prevention, Atlanta, USA. Electronic address: nck7@cdc.gov.
Dilorom TursunovaService for Sanitary-Epidemiological Welfare and Public Health, Ministry of Health, Tashkent, Uzbekistan.
Rano KasimovaInstitute of Virology, Tashkent, Uzbekistan; Central Asian University, Tashkent, Uzbekistan.
Saidkhon SharapovInstitute of Virology, Tashkent, Uzbekistan.
Brock StewartCenters for Disease Control and Prevention, Atlanta, USA.
Mansurbek MatyakubovInstitute of Virology, Tashkent, Uzbekistan; Republican Specialized Scientific and Practical Medical Center of Epidemiology, Microbiology, Infectious and Parasitic Diseases, Tashkent, Uzbekistan.
Renat LatipovWorld Health Organization Uzbekistan Country Office, Tashkent, Uzbekistan.
Liudmila MosinaWorld Health Organization Regional Office for Europe, Copenhagen, Denmark.
Bakhodir YusupaliyevService for Sanitary-Epidemiological Welfare and Public Health, Ministry of Health, Tashkent, Uzbekistan.
Erkin MusabaevInstitute of Virology, Tashkent, Uzbekistan.

Funding

CDC HHS GH002145Intramural CDC HHS CC999999World Health Organization 001
6 · The paper itself

Abstract

backgroundUzbekistan, a highly endemic country for hepatitis B virus (HBV), introduced infant vaccination with hepatitis B vaccine (HepB) in 2001. Since 2002, it had ≥90 % reported immunization coverage for ≥3 doses of HepB (HepB3) and the birth dose (HepB-BD). However, the impact of HepB vaccination and the progress towards achieving the regional hepatitis B control and global viral hepatitis B elimination goals had not been assessed.

methodsTo determine current HBsAg prevalence among children in Uzbekistan, in 2022, we conducted a nationwide serosurvey among schoolchildren (grades 1-3) using a stratified, multi-stage cluster design. Participants' basic demographics and HepB immunization information were obtained. Blood specimens were tested for HBsAg using a WHO-prequalified rapid test (Bioline HBsAg WB, Abbott Diagnostics). Samples with positive and indeterminate results were tested for HBsAg by ELISA (Murex HBsAg Version3, Diasorine). Weighted proportions and adjusted 95 % confidence intervals (CI) were calculated.

resultsOf 4119 children enrolled in 148 schools, blood was collected from 3753 (91.1 %) and immunization data were available for 3833 (93.3 %). National HBsAg prevalence was 0.20 % (adjusted 95 % CI, 0.09 %-0.38 %). Among children with available immunization data, 97.7 % (97.2 %-98.1 %) received ≥3 HepB doses and 94.9 % (94.1 %-95.5 %) received HepB-BD, including timely HepB-BD in 93.7 % (92.9 %-94.5 %).

conclusionsThe survey demonstrated that Uzbekistan has met the <0.5 % European regional HBsAg seroprevalence target and has made substantial progress towards meeting the <0.1 % HBsAg seroprevalence target for the elimination of HBV mother to-child transmission (MTCT). Based on these findings and ≥ 90 % HepB-BD and HepB3 coverage, in 2023, Uzbekistan was validated as having achieved the regional hepatitis B control goal. To achieve the elimination of MTCT of HBV, additional interventions, including improving antenatal screening for HBsAg, providing antiviral treatment of eligible HBsAg-positive pregnant women and hepatitis B immunoglobulin to infants born to HBsAg-positive mothers, should be considered.

Indexed as

Hepatitis B, ChronicHepatitis B VaccinesAdolescentChildFemaleHepatitis B Surface AntigensHepatitis B virusHumansMalePrevalenceSeroepidemiologic StudiesUzbekistanVaccinationHepatitis B Surface AntigensHepatitis B VaccinesHBsAg prevalenceHepatitis BHepatitis B vaccinationSerosurveyUzbekistanViral hepatitisViral hepatitis elimination

Identifiers

PMID39862544
PMCPMC12875403

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Registered trials

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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.