Controversy and Strategies Exploration in Blocking Mother-to-Child Transmission of Hepatitis B.
Hepatitis B, a serious infectious disease caused by the hepatitis B virus (HBV), remains a worldwide social and public health problem. Hepatitis B has a particularly high incidence rate in the world, whereas approximately 35-50% HBV carriers are infected through vertical transmission. Even after newborn immunoprophylaxis, vertical transmission still accounts for 5-10% in China according to plenty of literature in Chinese language. For these reasons, it is important to determine how to effectively intervene in mother-to-child transmission (MTCT). To date, though, intervention methods and measures remain controversial. In order to understand the mechanism of MTCT intervention further and develop effective preventions and interventions, a comprehensive analysis and presentation on some of its more controversial issues will be given in this paper. And eventually we conclude three measures and strategies for these issues: (1) emancipate the mind and seek truth from facts to understand the controversial issues pertaining to MTCT of HBV; (2) treat the basic rules and changing characteristics of MTCT blocking process of hepatitis B with holistic medical thought dialectically and (3) further explore the interaction of genetic susceptibility and environmental factors of MTCT of hepatitis B.
a School of Public Health, Tongji Medical College , Huazhong University of Science and Technology , Hangkong , P. R. China.
Yali
Y
Ren
a School of Public Health, Tongji Medical College , Huazhong University of Science and Technology , Hangkong , P. R. China.
Yiyang
Y
Guo
a School of Public Health, Tongji Medical College , Huazhong University of Science and Technology , Hangkong , P. R. China.
Li
L
Feng
a School of Public Health, Tongji Medical College , Huazhong University of Science and Technology , Hangkong , P. R. China.
Tongyang
T
Li
a School of Public Health, Tongji Medical College , Huazhong University of Science and Technology , Hangkong , P. R. China.
Yukai
Y
Du
D000818:Animals; D002648:Child; D002681:China; D005260:Female; D059647:Gene-Environment Interaction; D006509:Hepatitis B / Q000276:immunology / Q000635:transmission*; D006515:Hepatitis B virus / Q000276:immunology* / Q000472:pathogenicity; D006801:Humans; D018445:Infectious Disease Transmission, Vertical; D010353:Patient Education as Topic
controversial issues; countermeasure; hepatitis B virus; mother-to-child transmission; strategy exploration