The Swiss Federal Office of Public Health and the Advisory Board on Im
munisation recommended that all adolescents aged 11 to 15 should be va
ccinated against hepatitis B in December 1997. The introduction of uni
versal immunisation is justified for epidemiological and economical re
asons. Universal immunisation in no way excludes the immunisation of a
ll persons exposed to a specific risk and the prenatal screening and i
mmunisation of exposed new-borns. Hepatitis B vaccines are safe and hi
ghly effective. The main reasons for this recommendation are summarise
d in the article.