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ARTICLE |

Inadequate Immune Response Among Public Safety Workers Receiving Intradermal Vaccination Against Hepatitis B—United States, 1990-1991

JAMA. 1991;266(10):1338-1339. doi:10.1001/jama.1991.03470100030011.
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ACIP.  Protection against viral hepatitis: recommendations of the Immunization Practices Advisory Committee (ACIP). MMWR 1990;39(no. (RR-3) ):5-22.
Hadler SC.  Hepatitis B virus infection and health care workers. Vaccine 1990;8( (suppl) ):S24-8.
Link to Article[[XSLOpenURL/10.1016/0264-410X(90)90211-4]]
CDC.  Guidelines for prevention of transmission of human immunodeficiency virus and hepatitis B virus to health-care and public-safety workers. MMWR 1989;38(no. (S-6) ):9-10,12.
US Department of Labor, Occupational Safety and Health Administration.  Occupational exposure to bloodborne pathogens: proposed rule and notice of hearing. Federal Register 1989;54:23042-139.
Zuckerman AJ.  Appraisal of intradermal immunisation against hepatitis B. Lancet 1987;1:435-6.
Link to Article[[XSLOpenURL/10.1016/S0140-6736(87)90130-9]]
Gonzales ML, Usandizaga M, Alomar P, et al.  Intradermal and intramuscular route for vaccination against hepatitis B. Vaccine 1990;8:402-5.
Link to Article[[XSLOpenURL/10.1016/0264-410X(90)90102-R]]
Wistrom J, Settergren B, Gustafsson A, Juto P, Norrby RS.  Intradermal vs. intramuscular hepatitis B vaccinations (Letter). JAMA 1990;264:181-2.
Link to Article[[XSLOpenURL/10.1001/jama.1990.03450020033013]]
Bryan JP, Sjogren M, Iqbal M, et al.  Comparative trial of low-dose, intradermal, recombinant- and plasma-derived hepatitis B vaccines. J Infect Dis 1990;162:789-93.
Link to Article[[XSLOpenURL/10.1093/infdis/162.4.789]]
Parish DC, Muecke HW, Joiner TA, Pope WT, Hadler SC.  Immunogenicity of low-dose intradermal recombinant DNA hepatitis B vaccine. South Med J 1991;84:387-94.
Link to Article[[XSLOpenURL/10.1097/00007611-199104000-00004]]
Morris CA, Oliver PR, Reynolds F, Selkon JB.  Intradermal hepatitis B immunization with yeast-derived vaccine: serological response by sex and age. Epidemiol Infect 1989;103:402-5.
For the private contractors used in reports 1-4, the specific laboratory testing methods and the definition of adequate antibody response are not known.

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