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15. Hepatitis B Incidence, Children, 1990-2001

The greatest decline, which has been almost over 90%, has been in children less than 19 years of age. Again, that's where we have our major immunization program, and it is truly a program that has all of the components, including vaccine purchase and financing. And now we are getting down to the point where we are almost at zero. The goal for 2010 is actually to see only 2 reported cases per 100,000 and I actually think we will do better than that. But then there comes this issue of is zero really zero because of asymptomatic infection, but again there are ways to look at that. In terms of strategy at this point, we have done pretty well in this area.