Taiwan is an area endemic for hepatitis B virus (HBV) infection, nearly
90% of the general population had been infected by the virus and the HBV
carrier rate was as high as 15% to 20%, one of the highest in the world.
This has resulted in chronic hepatitis cirrhosis and hepatocellular
carcinoma (HCC) in HBV carriers. The liver cancer is so common that it
has ranked the first among cancer mortality in men and second in women
since the early 1980's. In addition, chronic hepatitis and liver
cirrhosis rank the sixth in causes of death. It was estimated that
6-7,000 people died of liver cirrhosis and HCC in 1987. In about half of
the Taiwanese chronic HBV carriers, the infection is attributed to
perinatal transmission of virus from mothers to infants. To control this
serious public health problem in Taiwan, a mass immunization program
against hepatitis B was launched on july 1 in 1984, one of the earliest
national programs in the world. To reinforce the nationwide control of
HBV infection, Hepatitis Research Center (HRC) of the National Taiwan
University Hospital (NTUH) was therefore established since October 1
1987.