China’s hepatitis B virus (HBV) prevention policy has been evaluated through nationally representative serologic surveys conducted in 1992 and 2006. We report results of a 2014 serologic survey and reanalysis of the 1992 and 2006 surveys in the context of program policy. The 2014 survey used a 2-stage sample strategy in which townships were selected from 160 longstanding, nationally representative, county-level disease surveillance points, and persons 1–29 years of age were invited to participate. The 2014 sample size was 31,713; the response rate was 83.3%. Compared with the 1992 pre–recombinant vaccine survey, HBV surface antigen prevalence declined 46% by 2006 and by 52% by 2014. Among children <5 years of age, the decline was 97%. China’s HBV prevention program, targeted toward interrupting perinatal transmission, has been highly successful and increasingly effective. However, this progress must be sustained for decades to come, and elimination of HBV transmission will require augmented strategies.

In real-world applications of natural language generation, there are often constraints on the target sentences in addition to fluency and naturalness requirements. Existing language generation techniques are usually based on recurrent neural networks (RNNs). However, it is non-trivial to impose constraints on RNNs while maintaining generation quality, since RNNs generate sentences sequentially (or with beam search) from the first word to the last. In this paper, we propose CGMH, a novel approach using Metropolis-Hastings sampling for constrained sentence generation. CGMH allows complicated constraints such as the occurrence of multiple keywords in the target sentences, which cannot be handled in traditional RNN-based approaches. Moreover, CGMH works in the inference stage, and does not require parallel corpora for training. We evaluate our method on a variety of tasks, including keywords-to-sentence generation, unsupervised sentence paraphrasing, and unsupervised sentence error correction. CGMH achieves high performance compared with previous supervised methods for sentence generation. Our code is released at https://github.com

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Efficiently building an adversarial attacker for natural language processing (NLP) tasks is a real challenge. Firstly, as the sentence space is discrete, it is difficult to make small perturbations along the direction of gradients. Secondly, the fluency of the generated examples cannot be guaranteed. In this paper, we propose MHA, which addresses both problems by performing Metropolis-Hastings sampling, whose proposal is designed with the guidance of gradients. Experiments on IMDB and SNLI show that our proposed MHA outperforms the baseline model on attacking capability. Adversarial training with MHA also leads to better robustness and performance.

The EQ-5D-5L was more suitable than the EQ-5D-3L in the patients with hepatitis B in China.

Objectives Nation-wide hepatitis B vaccination coverage among healthcare workers (HCWs) is not well researched in China. This study aims to investigate the self-reported hepatitis B vaccination status among HCWs in China. Methods We conducted a cross-sectional survey of health_care workers’ vaccination statuses in 120 hospitals in China by collecting demographic and vaccination data. Univariate and multivariate logistic regression analysis were used to assess factors associated with hepatitis B vaccination coverage. Results Eighty-six percent (2,666/3,104) of respondents reported having received at least one dose of the hepatitis B vaccination and 60% (1,853/3,104) reported having completed ≥3 doses of the hepatitis B vaccination. Factors associated with completing ≥3 doses of the hepatitis B vaccination included workplaces offering free hepatitis B vaccination with vaccination management, age, medical occupation, hospital level, acceptable hepatitis B knowledge and having received training on hepatitis B. HCWs in workplaces offering a free hepatitis B vaccine with vaccination management were 1.4 times more likely (OR = 1.4, 95% CI : 1.1–1.8) to complete their hepatitis B vaccination compared to HCWs in workplaces that did not offer a free hepatitis B vaccine. Either the possession of acceptable hepatitis B knowledge or an age of 30–39 years increased the odds of complete hepatitis B vaccination by 1.3-fold ( 95% CIs : 1.1–1.5 and 1.1–1.7, respectively) over their referent category. The receipt of training on hepatitis B was also associated with a higher percentage of completing the hepatitis B vaccination (OR = 1.5, 95% CI : 1.2–1.8). The main self-reported reason for incomplete hepatitis B vaccination was “forgot to complete follow-up doses” among 43% (234/547) of respondents. Among those who never received any hepatitis B vaccination, only 30% (131/438) intended to be vaccinated. Obtaining immunity from work (40%) and hospitals that did not provide hepatitis B vaccination activities (40%) were the top reasons mentioned for refusing hepatitis B vaccination. Conclusions The complete hepatitis B vaccination rate among HCWs in China is low, and the desire of HCWs for vaccination is indifferent; therefore, education campaigns are needed. In addition, a free national hepatitis B vaccination policy for HCWs that includes vaccination management should be prioritized to improve hepatitis B coverage among HCWs who are at-risk for HBV infection.

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