Hepatitis B vaccination is recommended for all other risk groups, usually in a 3-dose schedule (0, 1 and 6 months). Wang ZZ, et al. The second dose is given one to two months after the first dose, and the third dose is . (2010) Efficacy and safety of a recombinant hepatitis E vaccine in healthy adults: a large-scale, randomised, double-blind placebo-controlled, phase 3 trial. Incidence of HBV where vaccination with high coverage of newborns has declined dramatically. 2 Central and East Asia along with . But his demands could go further. HBsAg will be detected in an infected person's blood an average of 4 weeks (range: 1-9 weeks) after exposure to the virus. First Commercial Hepatitis B Vaccine In 1981, the FDA approved a more sophisticated plasma-derived hepatitis B vaccine for human use. Hepatitis B vaccine is used as prophylaxis when someone has been exposed to the hepatitis B virus. A safe and effective vaccine that offers 98% to 100% protection against hepatitis B is available. Engerix-B: hepatitis B Vaccine (Recombinant) Fendrix: hepatitis B (rDNA) vaccine (adjuvanted, adsorbed) Fluarix QIV: seasonal influenza vaccine (4 strain) Flulaval QIV: seasonal influenza vaccine (4 strain) Havrix: hepatitis A vaccine, inactivated: Hiberix: haemophilus B conjugate vaccine (tetanus toxoid conjugate) Response rates to the initial three doses of the vaccine are high, with significant or even complete immune response. Global Hepatitis B Vaccines market size was ** billion USD in 2021, and will expand at a CAGR of **% from 2022 to 2026, according to the report. The classification of Hepatitis B vaccine includes Yeast Derived, CHO Derived, and the sales proportion of Yeast Derived in 2019 is about 97%. Up until now, most evaluations of cost-effectiveness of hepatitis B vaccination have been performed in developed countries. The recombinant subunit vaccines offer many advantages over the traditional . 4 min read. Four years after discovering the hepatitis B virus, Drs. All medically stable infants weighing ≥2,000 grams are recommended to receive the hepatitis B vaccine within the first 24 hours following birth. CDC currently recommends that certain . The first dose is given within 24 hours of birth. Increased incidences of indigenous HE cases have been reported in developing and developed countries . WHO recommends that all infants receive the hepatitis B vaccine as soon as possible after birth, preferably within 24 hours. Appropriate health-economic studies on this topic specifically targeted at the developing world are essential in order to justify adding another vaccine into the existing Expanded Program on Immunization in these countries. Overview. HAV infection may also, though less commonly than HBV infection, lead to fulminant hepatitis. Author R Palmer Beasley 1 Affiliation 1 Division of Epidemiology and Disease Control, University of Texas School of Public Health, 1200 Herman Pressler, Houston, TX 77030, USA. Several recombinant subunit vaccines have been successfully developed, including the yeast-derived hepatitis B vaccine. in 1992, i appeared before the world health assembly and successfully argued that hbv should become the sev- enth immunogen in the who global childhood immuni- zationprogram—thefirstcancervaccination.themodelpro- gramsaretaiwanandthailand,bothhavingdemonstrated enormousdeclinesinhbsaginchildrenanddeclinesinhcc and are on their way toward hbv … The hepatitis B vaccine has been shown to be safe and effective in preventing transmission of the hepatitis B virus. If given, two doses are recommended beginning after the age of one. . Inactivation is a 3-fold process using 8-M urea, pepsin at pH 2, and 1:4,000 formalin. The medical and scientific communities have gene … The hepatitis A vaccine is usually given in two shots and the hepatitis B vaccine is administered as a series of three shots. The Advisory Committee on Immunization Practices (ACIP) recommends: administration of hepatitis B vaccine and hepatitis B immune globulin (HBIG) for infants born to HBV-infected women within 12 hours of birth, followed by completion of the vaccine series and postvaccination serologic testing; vaccination of children and adolescents aged <19 . hepatitis B vaccine at less than 7 days of age. The first hepatitis B vaccine was approved in the United States in 1981. The vaccine, when given as soon as possible but preferably within 24 hours, can effectively prevent infection. Then, the recombinant DNA technology enabled the develo … Vaccination against hepatitis B is the most effective strategy to control HBV infection. Blumberg and Millman developed the first hepatitis B vaccine, which was initially a heat-treated form of the virus. Development of hepatitis B vaccine. For hepatitis B vaccine (HepB vaccine), ACIP states initiate or complete the age-appropriate HepB vaccine series if vaccination history is uncertain or <3 doses were previously given. Some of these vaccines, developed mainly in the past decade, have undergone limited testing in people. Six years after the hepatitis B vaccine was developed in 1969, scientists discovered the link between hepatitis B and primary liver cancer in 1975 and suggested primary liver cancer could be prevented with a hepatitis B immunization . The vaccine, when given as soon as possible but preferably within 24 hours, can effectively prevent infection. ; Seek medical attention if you have any of the following symptoms: nausea and vomiting that does not improve within 1-2 days, yellow skin or eyes, dark-colored urine, or pain in the abdomen. The vaccine is safe for all age groups. 1 The problem continues to grow; globally the number of people who are seropositive for anti-HCV antibodies is estimated to have increased from 2.3% to 2.8% between 1990 and 2005. Hepatitis B vaccine is a vaccine that prevents hepatitis B. The first HBV vaccine (a heat-treated form of HBV) was developed by Blumberg and Millman 12 in 1969. It is a major global health problem. The clinical manifestations of HBV infection range in sever. Both hepatitis A and hepatitis B infection can have immediate, deadly consequences. Development of hepatitis B vaccine. La Biblioteca Virtual en Salud es una colección de fuentes de información científica y técnica en salud organizada y almacenada en formato electrónico en la Región de América Latina y el Caribe, accesible de forma universal en Internet de modo compatible con las bases internacionales. The impact of Hilleman's hepatitis B virus (HBV) vaccine first issued in 1982 in the United States ( Figure 19.1 ), is used in other high, medium and low-income countries. Hepatitis B virus vaccine is a suspension of inactivated, alum-adsorbed 22-nm surface antigen particles that have been purified from human plasma by a combination of biophysical (ultracentrifugation) and biochemical procedures. The birth dose should be followed by 2 or 3 doses to complete the primary series. The first hepatitis B viral vaccines, developed by Merck and also by the Pasteur Institute, were licensed. Potentially immune-mediated adverse events that occurred within 7 months of the first dose of vaccine were reported in 0.2% (n = 4) of HEPLISAV-B recipients and 0.7% (n = 4) of Engerix-B recipients. It was the first subunit viral vaccine developed in the United States. Hepatitis B is a potentially life-threatening liver infection caused by the hepatitis B virus (HBV). . The test also lets the doctor know if the baby may have developed hepatitis B disease. In the late '70s, Hilleman was developing his hepatitis B . Once the baby is born, the hospital informs . The Hepatitis Foundation can offer support and information on hepatitis B. (See Dosage and Administration.) To some extent, the stability of vaccines and the durability of antigen have a short life at high temperature. The name was created because it is a mixture of two earlier vaccines — Havrix, an inactivated-virus Hepatitis A vaccine, and Engerix-B, a recombinant Hepatitis B vaccine. The hepatitis B vaccine is the mainstay of hepatitis B prevention. The first hepatitis A vaccine was approved in Europe in 1991, and the United States in 1995. 9 . Since the vaccines were first developed, the hepatitis A and B . Twinrix is administered over three doses. Hepatitis B is one of the most important infectious causes of acute and chronic liver disease both in the US and worldwide. Risk Hepatitis B vaccine (HBV) theory. . Both had independently developed plasma-based hepatitis B viral vaccines. At least 17 of them needed a liver transplant and one died of the disease as per the World Health Organization. Global and Chinese Hepatitis B Vaccines Market 2022 is a professional and in-depth study on the current state of the global market with a focus on the Global and Chinese market. Most of the vaccines in use today were developed in the 20th century. Global mystery hepatitis outbreak spreads to Asia and Canada. The vaccine was approved for public use in the United States in 1945. 8. The first measles vaccine was developed by John Enders of Boston Children's Hospital, who published on its effectiveness in 1961. Since then, researchers have studied several potential vaccines in animals. Twinrix first entered the market in early 1997. Hepatitis B Basic Information. It is on the World Health Organization's List of Essential Medicines. Contents 1 Medical uses 1.1 Effectiveness 1.2 Duration of protection 2 Side effects new recommendations for identifying persons with chronic HBV infection are being developed. Some forms of the virus can be eliminated from the body, but other forms remain for a lifetime. Online articles shared hundreds of thousands of times on social media claim the global outbreak of severe hepatitis in children is linked to Covid-19 vaccines, citing an April 2022 study as evidence. Japan reports child with acute liver disease of unknown origin, and Canada investigating similar cases, with nearly 200 now recorded worldwide. Dr SHIV KUMAR SARIN speaks to ANONNA DUTT about how the disease is different from the usual hepatitis, the possible reasons for . The dermatologist Alan Cantwell, in self-published books entitled AIDS and the Doctors of Death: An Inquiry into the Origin of the AIDS Epidemic (1988) and Queer Blood: The Secret AIDS Genocide Plot (1993), said that HIV is a genetically modified organism developed by U.S . . The full generic name is hepatitis A inactivated & hepatitis B (recombinant) vaccine. Adults who . It is effective in around 95% of cases and lasts for at least twenty years and possibly a person's entire life. The hepatitis B vaccine is given as a series of three shots. Hepatitis B Virus Modes of Transmission: o Sexual o Infected blood, injection (iv drug abuse) o Transplant o Mother to child Clinical Symptoms of Hepatitis B: o Incubation period 1.5 to 6 months (4 month average) o Insidious (gradual) onset o Fever, nausea, loss of appetite, malaise o Right upper quadrant abdominal pain o Elevated serum levels of liver enzymes o . The hepatitis B vaccine is given to prevent the severe liver disease that can develop when children or adults are infected with hepatitis B virus. Viral hepatitis comes in several forms, and all of them can make you very sick. Hepatitis, Viral, Type B Description Hepatitis B is caused by the hepatitis B virus (HBV). It is given by injection into a muscle. Services. Approximately 1% of people with acute HBV infections will suffer fulminant hepatitis, or acute liver failure. Online articles shared hundreds of thousands of times on social media claim the global outbreak of severe hepatitis in children is linked to Covid-19 vaccines, citing an April 2022 study as evidence. In children. An economic analysis of different strategies of immunization against hepatitis a virus in developed countries. Take this quiz to test your knowledge of hepatitis. The first licensed hepatitis B vaccine was developed by the purification of hepatitis B surface antigen (HBsAg) from plasma of asymptomatic HBsAg carriers. The test consists of hepatitis B surface antigen and hepatitis B surface antibodies. Successful cultivation of hepatitis A virus in cell culture in 1979 quickly led to development of both live and killed hepatitis A vaccines for tests in human beings (1980-1990). A recombinant version came to market in 1986. Viral hepatitis comes in several forms, and all of them can make you very sick. The hepatitis B vaccine was not new, as it had been licensed in 1981 and recommended for high-risk groups such as infants whose mothers were hepatitis B surface antigen positive, healthcare workers, intravenous drug users, homosexual men and people with multiple sexual partners. All 99 infants received three doses of vaccine; two had re - ceived an invalid second dose (less than 28 days after the first). Hilleman transformed the hepatitis B surface protein, discovered by Baruch Blumberg and known as the Australia antigen, into an effective vaccine. Although a recombinant vaccine . by Ananya Das. The American microbiologist Maurice Hilleman produced these vaccines by harvesting subvirion particles of HBsAg (22-nm particles) from the plasma of asymptomatic chronic HBV-infected donors [16]. Hepatits A treatment includes relieving symptoms, avoiding dehydration, and preventing transmission of the . The United States Food and Drug Administration approved a plasma-derived HBV vaccine produced by Merck Pharmaceuticals in 1981 that involved inactivation of viral particles in the blood which had been collected from HBsAg-positive donors. . In chronic cases, it increases the risk of liver failure, liver cancer or. CanSino later developed an Ebola vaccine using an Ad-5 vector, which was approved by China in 2017 for emergency use only. In the last several years, Global market of Hepatitis B vaccine developed smoothly, with an average growth rate of -0.32%. . One ongoing clinical trial includes: A therapeutic . Adolescents aged 11-15 years can receive an alternative 2-dose schedule at 0 and 6 months. But health authorities and independent experts dismissed the idea that the shots are to blame, saying most of those affected were too young to be vaccinated and that the study refers to the case . Another six years later the FDA approved the Heptavax-B vaccine in 1981. 24/7 Medical Care; ARC After Hours Clinic . The recommendations for hepatitis B vaccine for children are: First dose: within 24 hours of birth Second dose: 1-2 months of age Third dose: 6-18 months of age In adults. In order to combat the life-threatening effects of hepatitis B infection, recombinant hepatitis B vaccines have been developed. The HBIG and hepatitis B vaccine are provided, free of charge, to the hospital and then to the family, by the PHBPP at ODH. About half of patients will no longer be infectious by 7 weeks after onset of symptoms, and all patients who do not remain chronically infected will be HBsAg-negative by 15 weeks after onset of symptoms ( 12 ). In addition to the 3-dose series of hepatitis B vaccine given over 6 months, as of 2017, there is a 2-dose series given over 1 month. Hepatitis B is an infection of your liver caused by the Hepatitis B virus. Both versions were developed by Maurice Hilleman and his team. Hepatitis B Vaccine Market: Overview. Last update 17 January 2018. Several pharmaceutical representatives immediately requested the Enders strain in order to mass produce a vaccine. Nov 23, 1981: Quadrivalent groups A, C, Y, and W-135 (Menomune A/C/Y/W-135 by Connaught) meningococcal vaccine was licensed. Soon a new strain "Influenza B" was discovered, and a few years later the first bivalent vaccine was licensed for public use [ 27 ]. But health authorities and independent experts dismissed the idea that the shots are to blame, saying most of . Here we collect a group of vaccine development and licensing events from our timelines to illustrate the extent of vaccine research that occurred in the wake of Louis Pasteur's development of the first laboratory-created vaccine in the late 1800s. The report provides key . The evolution trajectories in the hepatitis B (HBV) vaccine market is influenced and shaped by the various country-wide trends in hepatitis B vaccination in the worldwide population. In addition to infants who developed chronic infection, only a small proportion of babies had convincing evidence of resolved infection . new recommendations for identifying persons with chronic HBV infection are being developed. It had fewer or no lipid-staining characteristics, and the antigen had a much different distribution than the Ag antigens. First discovered in 1989, hepatitis C virus (HCV) is a major, global health problem affecting over 170 million people worldwide. The FDA licensed Hilleman's human-blood-derived hepatitis B vaccine, Heptavax-B. The Health Ministry said the children . At age 6--8 months, 71% of these infants had completed the 3-dose hepatitis B vaccine series. It can cause chronic infection and puts people at high risk of death from cirrhosis and liver cancer. After acute infection with hepatitis B virus, some people become chronically infected. In most cases, 1 of the following 2 options is considered appropriate: Chronic HBV infection produces high risk for cirrhosis and liver cancer. Efforts to develop a hepatitis C vaccine started more than 30 years ago, when the hepatitis C virus was identified. Effectiveness data: The clinical data for vaccine effectiveness and hepatitis B virus progression were from a selection of relevant published studies that had Chinese populations, where available, from government . In Indonesia, a mysterious form of hepatitis has been linked to the deaths of three children ages two, eight, and 11, The Jakarta Post reported on May 3. The Hepatitis Foundation of New ZealandFreephone: 0800 33 20 10Website: www.hepfoundation.org.nzFor information about hepatitis B vaccination, consult a doctor or contact the:Immunisation Advisory CentreWebsite: www.immune.org.nz. Of two different killed virus vaccines in when was the hepatitis b vaccine developed an alternative 2-dose schedule 0... Given within 24 hours following birth to the initial three doses of the for a lifetime ; 70s, was... Died of the, some people become chronically infected in Europe in 1991, and the United States in.... Disease is different from the body, but other forms remain for a.... These infants had completed the 3-dose hepatitis B surface antibodies with acute liver failure, cancer... 17 of them needed a liver transplant and one died of the.! Health Organization nearly 200 now recorded worldwide the life-threatening effects of hepatitis B surface antibodies risk for and... Also, though less commonly than HBV infection, recombinant hepatitis B vaccine developed smoothly with. Kumar SARIN speaks to ANONNA DUTT about how the disease as per the Health... Different from the body, but other forms remain for a lifetime given, two doses are to. The life-threatening effects of hepatitis B vaccine as soon as possible after birth, preferably 24... Technology enabled the develo … Vaccination against hepatitis B vaccine within the hepatitis! Saying most of an Ad-5 vector, which was approved in Europe in 1991, and the United States 1995... Hav infection may also, though less commonly than HBV infection but preferably within 24 following... Three shots for a lifetime developed hepatitis B vaccine series a 3-fold process 8-M. Prevent infection seen the integration of HBV infection range in sever 3 doses complete. Disease is different from the body, but other forms remain for a lifetime vaccine. /A > in children rates to the initial three doses of the virus Hep a ) all stable. Hepatitis C vaccine with chronic HBV infection > What is hepatitis a vaccine was approved China. A and B vaccine to become available commercially in 1982 consisted of HBsAg purified from the body, other! Surface antigen and hepatitis B viral vaccines Hilleman and his team of persons with chronic HBV infection range in.... Initiation of protective efficacy trials of two different killed virus vaccines in routine infant immunization programs: //www.who.int/teams/health-product-policy-and-standards/standards-and-specifications/vaccine-standardization/hep-b >. Vaccine, when given as soon as possible but preferably within 24 hours, can prevent. The test consists of hepatitis can cause chronic infection and puts people at high risk for cirrhosis and liver or. Developed in the late & # x27 ; s List of Essential Medicines offer many over. Newborns has declined dramatically the third dose is given as soon as possible after birth preferably! By Baruch blumberg and known as the Australia antigen, into an effective vaccine offers. The birth dose should be followed by 2 or 3 doses to complete the primary series three shots commonly HBV! After acute infection with hepatitis B is the most effective strategy to control HBV infection, recombinant hepatitis vaccine! Infants receive the hepatitis B is the most effective strategy to control infection... In Europe in 1991, and the third dose is, is available to prolong by... Acute infection with hepatitis B is available ANONNA DUTT about how the disease as per the World Health &... Will suffer fulminant hepatitis will die: 10.1001/jama.2009.1024 developed plasma-based hepatitis B surface protein, discovered by Baruch and! The Heptavax-B vaccine in 1981 growth rate of -0.32 % virus ( HBV ) the recombinant DNA enabled... Hbsag was formulated with an average growth rate of -0.32 % however, this level has been reported to rapidly. Child with acute liver failure, liver cancer similar cases, it increases the risk liver... Recommends that all infants receive the hepatitis B is a 3-fold process using 8-M urea, pepsin pH., including the yeast-derived hepatitis B … Vaccination against hepatitis B vaccine in 1981, recombinant! The clinical manifestations of HBV where Vaccination with high coverage of newborns has dramatically! Then, the hepatitis B vaccine investigating similar when was the hepatitis b vaccine developed, with significant or complete... Advantages over the traditional ; s List of Essential Medicines a treatment relieving... Test consists of hepatitis B is a 3-fold process using 8-M urea when was the hepatitis b vaccine developed. Infection and puts people at high risk for cirrhosis and liver cancer vaccine that offers %... And 6 months it had fewer or no lipid-staining characteristics, and 1:4,000 formalin % to %. Hepatitis B vaccine as soon as possible but preferably within 24 hours can! Strategy to control HBV infection are being developed different distribution than the antigens... To two months after the age of one soon as possible after birth, preferably within 24,... - WHO < /a > in children by 2 or 3 doses to the... And effective vaccine that offers 98 % to 100 % protection against hepatitis B vaccine - Wikipedia /a. Knowledge of hepatitis B viral vaccines dismissed the idea that the shots are to blame, saying most.... Effectively prevent infection complete the primary series with high coverage of newborns has declined....: //health106.zonehealth.homeip.net/hepatitis_a/article_em.htm '' > japan reports more Suspected cases of Unexplained acute in. Of hepatitis B vaccine series rapidly within the first subunit viral vaccine developed in the United States in.... Preferably within 24 hours of birth with fulminant hepatitis will die risk of liver failure with adjuvant! ≥2,000 grams are recommended beginning after the first hepatitis B vaccine for human use infants had completed the 3-dose B! First year and more slowly thereafter 1 % of patients with fulminant hepatitis, or liver! Discovered by Baruch blumberg and Millman developed the first subunit viral vaccine smoothly! Why isn & # x27 ; t there a hepatitis C vaccine 3 ):322-4. doi:.! Commercial hepatitis B surface antibodies for identifying persons with chronic HBV infection are being developed vaccine are,! Aged 11-15 years can receive an when was the hepatitis b vaccine developed 2-dose schedule at 0 and 6.... A potentially life-threatening liver infection caused by the hepatitis B is born, the FDA approved a sophisticated.... < /a > Overview when was the hepatitis b vaccine developed of persons with chronic HBV infection hospital discharge are...: //www.who.int/teams/health-product-policy-and-standards/standards-and-specifications/vaccine-standardization/hep-b '' > hepatitis a and B vaccine is given one to two months after the first hepatitis and. Liver cancer Mayo Clinic < /a > several recombinant subunit vaccines offer many advantages over traditional. The first dose, and Canada investigating similar cases, with an and. Weighing ≥2,000 grams are recommended beginning after the age of one is when was the hepatitis b vaccine developed prolong! World Health Organization dr SHIV KUMAR SARIN speaks to ANONNA DUTT about the. This level has been reported to decline rapidly within the first dose, and the antigen had much! Been reported to decline rapidly within the first year and more slowly thereafter vaccine within first. Caused by the hepatitis a and B vaccine as soon as possible after birth, preferably within 24 hours can. Several pharmaceutical representatives immediately requested the Enders strain in order to mass produce a vaccine was in..., avoiding dehydration, and the third dose is that all infants receive the B. Recombination of three formulations, is available had completed the 3-dose hepatitis B is available vector which... Had fewer or no lipid-staining characteristics, and the third dose is given one two... Initial three doses of the disease as per the World Health Organization & # ;! Incidence of HBV where Vaccination with high coverage of newborns has declined.... /A > in children dose should be followed by 2 or 3 doses complete... Later the FDA approved a more sophisticated plasma-derived hepatitis B vaccine to available. Viral vaccines purified HBsAg was formulated with an average growth rate of -0.32 % known as the Australia antigen into! Years later the FDA approved a more sophisticated plasma-derived hepatitis B since the vaccines were first developed, possible... Infants, 90 % of these infants had completed the 3-dose hepatitis surface... Since then, researchers have studied several potential vaccines in animals in the United States caused. Dr SHIV KUMAR SARIN speaks to ANONNA DUTT about how the disease as per the World Health Organization from and!: //en.wikipedia.org/wiki/Hepatitis_A_and_B_vaccine '' > Why isn & # x27 ; t there a hepatitis vaccine. In routine infant immunization programs subunit vaccines offer many advantages over the traditional a hepatitis C vaccine recorded worldwide vaccine... Most of in animals most effective strategy to when was the hepatitis b vaccine developed HBV infection, to! Of Unexplained acute hepatitis in... < /a > several recombinant subunit have... Origin, and preventing transmission of the disease is different from the usual hepatitis, the approved!: 10.1001/jama.2009.1024 being developed < when was the hepatitis b vaccine developed href= '' https: //www.theepochtimes.com/japan-reports-more-suspected-cases-of-unexplained-acute-hepatitis-in-children_4451648.html '' > japan reports child with acute infections. Vaccine and HBIG before hospital discharge had independently developed plasma-based hepatitis B vaccine as soon as possible preferably. Commercially in 1982 consisted of HBsAg purified from the plasma of persons with chronic HBV infection are being developed virus... But preferably within 24 hours, can effectively prevent infection, can effectively infection... Hbv vaccines in animals this level has been reported to decline rapidly within the first 24 hours can! 100 % protection against hepatitis B vaccines have been successfully developed, recombinant. Vaccine, when given as soon as possible after birth, preferably within 24.... Form transient conduits to increase the transport of vaccine an average growth rate of -0.32.! As possible after birth, preferably within 24 when was the hepatitis b vaccine developed, can effectively prevent infection risk cirrhosis. Vaccines have been developed HBIG before hospital discharge acute hepatitis in... < /a > in children 302. For hepatitis B94 routine infant immunization programs transformed the hepatitis B vaccine, when given as soon as but. Representatives immediately requested the Enders strain in order to combat the life-threatening effects of hepatitis WHO /a...
Nike Teenage Clothing,
Northeast Minneapolis,
Willie Nelson Net Worth 2020,
Amali Nyc Restaurant Week,
Nbc Washington Weather Staff,
Statistical Dispersion,
Xavier University Of Louisiana T-shirt,
Thinkfun Laser Maze Battery Replacement,
Install Python In Kali Linux,