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根據統計，國內近2年來通報A型肝炎患者，約一成為40歲以上的愛滋感染者，為有效降低A型肝炎疫情，疾管署今（3月22日）表示，將自2017年3月1日起取消公費提供1劑A肝疫苗的年齡限制，只要是愛滋感染者就可免費接種1劑A型肝炎疫苗，間隔半年至一年內再前往醫療院所自費接受第2劑接種。

Figures show that in the past two years about 10% of all reported Hepatitis A patients in Taiwan are people with HIV/AIDS who are above 40 years old. In order to contain the Hepatitis A epidemic, Centers for Disease Control (CDC) released a statement on March 22, saying that starting from March 1^st 2017, there is no long an age limit for publically funded vaccines. All those living with HIV/AIDS are entitled to a vaccine of Hepatitis A, and 6 months to 1 year later, they can receive the second vaccine. They have to pay for the second vaccine.

疾管署原本是自2016年10月1日起，針對確診HIV感染者或新通報的梅毒、淋病患者，且為1977年以後出生的民眾，提供1劑公費A型肝炎疫苗，2017年3月起則再針對HIV感染者部分進一步放寬年齡限制，試辦至今年12月31日止。

Originally, CDC only offered one publically funded vaccine to people who are diagnosed with AIDS or people who are newly reported to be gonorrhea and syphilis patients, and only if they were born after 1977. In March 2017, they relaxed the age limit for those living with HIV. The trial period is till December 31^st.

疾管署副署長羅一鈞表示，之所以取消年齡限制，主要考量國內近2年以來的A型肝炎疫情，約1成皆為40歲以上的HIV感染者，而一旦HIV感染者得到A肝，因扺抗力弱，不僅病情較嚴重、易住院，且因排病毒需時較久，傳染力較高，為有效降低A 型肝炎疫情因此決定該族群放寬為全年齡可免費接種1劑。

疾管署預估，試辦擴大之後，可受惠人數約有9,500人。而在接種完第1劑A肝疫苗之後，間隔半年到一年內，民眾則須自費1,500至2,000元接種第2劑。

Deputy director of CDC, Mr. Luo, said that the reason they lifted the age limit, considering the epidemic condition for the past two years. About 10% of Hepatitis A patients are also HIV patients who are above 40 years old. Besides, there is a higher chance of contracting Hepatitis A when you are already HIV positive. Because HIV patients have weaker immunity, their condition might be more serious, and they will be more prone to hospitalization. The treatment also takes longer. Therefore, in order to effectively combat the Hepatitis A epidemic, CDC decided to lift the age limit for the publically funded vaccines. However, 6 months to 1 year later, people will have to pay for the second vaccine, which costs $NTD1500~2000.

Q：哪些感染者朋友符合資格？
A：2017年3月1日起取消公費提供1劑A肝疫苗的年齡限制，只要是愛滋感染者就可免費接種1劑A型肝炎疫苗，間隔半年至一年內再前往醫療院所自費接受第2劑接種。

Q: Who qualifies?

A: Starting from March 1^st, there is no longer the age limit for the publically funded vaccines. As long as you are an AIDS patient, you are entitled to one free Hepatitis A vaccine. 6 months to 1 year later, you will have to pay to get the second vaccine.

Q：費用為多少呢？
A：掛號費及診察費依各醫院為主，（同時回診領藥或抽血才無診察費）。

建議：回診領藥或開抽血單時順便打疫苗最省錢。補充：病人要負擔的除掛號費外，還有一筆35元到50元左右的注射費（視醫院而定）。

Q: How much is the second vaccine?

A: Fees for registration and examination will vary from hospital to hospital. Sometimes, there will be a fee of injection, which is about $NTD35~50.

Q：請問已經自費打第一劑A肝疫苗的，第二劑可以施打疾管局署的公費A肝疫苗嗎？

A：公費疫苗施打時間為105/10/01-106/12/31，只補助1劑（但是是那一劑皆可），打之前需查有無抗體及NIIS系統。

Q: If I have already paid for the first vaccination, can my second vaccination be counted as the publically funded vaccination?

A: The publically funded vaccination period is from October 1^st 2016 to December 31^st 2017. Only one of your two vaccinations will be publically funded. Either one is fine.

Q：施打公費疫苗前,我該做什麼？

A：要先檢查有無A肝抗體。

建議：不用「自費」驗，有抽血時順便檢驗即可。

Q: What do I need to do before getting the vaccination?

A: You need to get tested to see if you already have the antibody to Hepatitis A. You can get that done whenever you have your blood drawn.