Viral hepatitis is among the most common infections worldwide. Previou
sly, in the absence of specific therapy, management was confined to pr
evention by improving standards of health and hygiene in underdevelope
d countries or by provoking passive immunization using immune globulin
either prophylactically or within hours of infection. in the 1980s, f
irst plasma-derived, then recombinant hepatitis B vaccines were introd
uced. In 1991 an inactivated hepatitis A vaccine was licensed in Europ
e. This latter vaccine has recently been approved by the Food and Drug
Administration for use in the United States. Hepatitis C, because of
its heterogeneity and tendency to escape immune pressure by forming qu
asispecies, has thus far eluded attempts at developing an effective va
ccine. Nevertheless, intense research continues in pursuit of both vac
cine development and improved vaccination strategies for ail types of
viral hepatitis.