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over one-third of people receiving medical care for HIV infection have not been hepatitis B and only one in ten of these vaccination candidates receives a dose of hepatitis B vaccine during one year of ongoing HIV care HIV negatively affects all phases of hepatitis B infection and liver related mortality in which hepatitis B plays a central role is the leading cause of non AIDS related deaths among people with HIV in addition the incidence of acute hepatitis B infection in this population is about a hundred times higher than in the general population more than twenty years after the recommendation to vaccinate everyone who has HIV infection for hepatitis B the initial decreases in hepatitis B cases and an end-stage liver disease among HIV patients have plateaued the Department of Health and Human Services has outlined strategies for achieving a 60 percent reduction in new hepatitis B cases by 2020 the measured progress towards this goal we needed to know the percentage of HIV patients

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