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Ten years after the enforcement of nation-wide vaccination since 1984, the universal vaccination has been proved to be a successful way to control HBV infection in a high-prevalent endemic area, and also the mortality from HCC in childhhood has decreased.

A total of 1,515 children under the age of 12 years were enrolled in this study. The overall prevalence rate of serum HBsAg significantly decreased from 9.8 % in 1984 to 1.3 % in 1994 (Chen,H-L;JAMA; 276:906, 1996). The corresponding rate of mortality from HCC also decreased (Chang,M.H.:NEJM;336:1855, 1997).