All the following are at-risk groups meriting Hepatitis B vaccination in low endemic areas except -

Ans. is 'b' i.e., Diabetes on insulin Indications of hepatitis B Vaccineo Neonates ofHbsAg positive mothers.o All neonatesUniversal vaccination ofall newborns regardless of maternal HBsAg status is necessary for global eradication of HB V infection.Experience in the united states demonstrated that vaccination programs targeted at high risk groups had very little impact on the incidence of HBV infection.o Catch up vaccinationCatch up vaccination refer to vaccination of children who were born before universal neonatal vaccination was implemented.All unvaccinated children and adolescents < 19 years shoidd receive the HBV vaccination.Other high risk groupso Sexually active individuals with multiple sex partners and homosexual or bisexual males.o Household contacts of patients with hepatitis B.o Intravenous drug userso Health care workerso Patients on chronic hemodialysiso Patients with chronic liver diseaseo All unvaccinated persons travelling to areas with intermediate to high levels of endemic HBV infection.