ArticleFrontiers in public health2026
Population immunity to hepatitis B virus and infection marker seroprevalence in Belgrade, Serbia.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Despite global progress in hepatitis B (HB) control, assessing herd immunity and the hidden burden of infection remains critical. Aim: This study aimed to comprehensively evaluate immunity to hepatitis B virus and HB marker prevalence in the Belgradian population (Serbia) based on infection/vaccination status and socio-demographic characteristics. Materials and methods: A cross-sectional study was conducted in Belgrade in May 2024, involving 2,533 individuals. Serological markers (HBsAg, anti-HBc, anti-HBs) were evaluated using ELISA. Statistical analysis included the calculation of 95% confidence intervals, the χ Results: The overall HBsAg prevalence was 1.0% (25/2,533), classifying Serbia as a low-endemicity region. The seroprevalence of anti-HBc and anti-HBs was 8.7% (220/2,533) and 21.6% (547/2,533), respectively. A clear age-dependent trend was observed. Markers of infection (HBsAg, anti-HBc) increased significantly with age ( Conclusion: The study confirms the success of the universal child vaccination program in Serbia, which has led to the formation of a protected younger generation. However, a significant susceptible stratum persists among the adult population, alongside a high rate of undiagnosed infections, particularly in the older adults. These findings underscore the necessity of implementing targeted adult screening programs and optimizing vaccination strategies to achieve HB elimination.
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