Hepatitis B childhood immunization data: Alabama

ALABAMA CONTACT THE STAFF COORDINATOR:

ADDRESS:

Tracey England, RN, BSN Email: tracey.england@adph.state.al.us Phone: 334-206-2047 Fax: 334-206-2044

Immunization Division Alabama Dept. of Public Health State Immunization Division 201 Monroe Street, Suite 1460 PO Box 303017 Montgomery, AL 36130-3017

To see a list of the Perinatal Hepatitis B Coordinators for each region of Alabama, go to: http://www.adph.org/Immunization/assets/PerinatalHepBCoordinatorMap.pdf

SCREENING REQUIREMENTS Does the jurisdiction require screening of pregnant women for hepatitis B infection or hepatitis B surface antigen (HBsAg)?

Does the jurisdiction specifically require reporting of positive HBsAg status in pregnant women?

Yes - Ala. Admin. Code § 22-11A-16

No

COMPLETION OF HEPATITIS B VACCINATION SERIES 3 or more doses among children 19-35 months of age

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Percentage of children 19-35 months of age receiving 3 or more doses

Rank among other states

U.S. National Average

#1 ranked state and coverage

60.8 ± 7.4% 81.0 ± 4.7% 85.9 ± 3.8% 86.3 ± 3.7% 90.7 ± 3.4% 91.2 ± 3.1% 91.2 ± 2.8% 91.7 ± 3.2% 93.6 ± 3.3% 93.6 ± 3.8% 94.4 ± 2.9% 95.2 ± 2.8% 95.1 ± 2.9% 91.0 ± 4.2% 92.9 ± 4.1% 89.9 ± 3.8% 91.2 ± 3.5% 90.4 ± 3.9%

34 26 19 31 17 17 12 19 17 24 15 14 13 47 24 40 26 24

67.9 ± 1.3% 81.8 ± 0.9% 83.6 ± 0.8% 87.0 ± 0.7% 88.1 ± 0.7% 90.3 ± 0.6% 88.9 ± 0.7% 89.9 ± 0.7% 92.4 ± 0.6% 92.4 ± 0.6% 92.9 ± 0.6% 93.3 ± 0.6% 92.7 ± 0.7% 93.5 ± 0.7% 92.4 ± 0.7% 91.8 ± 1.5% 91.1 ± 0.7% 89.7 ± 0.9%

88.5 ± 5.4% (South Carolina) 95.8 ± 2.2% (South Carolina) 91.6 ± 4.2% (New Jersey) 94.1 ± 2.7% (South Carolina) 94.0 ± 3.1% (Rhode Island) 96.4 ± 1.9% (Rhode Island) 95.8 ± 2.2% (Rhode Island) 97.0 ± 2.0% (Rhode Island) 98.2 ± 1.4% (Connecticut) 96.8 ± 1.7% (Florida) 97.9 ± 2.0% (Massachusetts) 97.8 ± 1.6% (Rhode Island) 98.6 ± 1.5% (New Hampshire) 98.1 ± 1.6% (Connecticut) 98.8 ± 1.5% (Rhode Island) 98.3 ± 1.5% (North Dakota) 97.1 ± 1.7% (Louisiana) 96.3 ± 3.0% (Georgia)

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Data compiled by the ALC from National Immunization Surveys, 1995-2012 , http://www.cdc.gov/vaccines/imz-managers/coverage/nis/child/index.html

GRAPH:

Percentage of Children 19-35 Months of Age Receiving 3 or More Doses of Hepatitis B Vaccine 100.0% Percentage of children vaccinated

95.0% 90.0% 85.0% Alabama

80.0% 75.0%

US National Average

70.0% 65.0% 60.0% 55.0% 50.0% 1995

1997

1999

2001

2003

2005

2007

2009

2011 1

Data compiled by the ALC from National Immunization Surveys, 1995-2012 http://www.cdc.gov/vaccines/imz-managers/coverage/nis/child/index.html

HEPATITIS B BIRTH DOSE VACCINATION COVERAGE 1 or more dose among infants within 3 days of birth Percentage of infants receiving

2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

1 dose within 1 day of birth*

1 dose within 2 days of birth

59.1 ± 7.4% 54.4 ± 7.4% 55.1 ± 6.2% 60.6 ± 7.2% 59.2 ± 6.1% 68.1 ± 6.4% 77.7 ± 5.5%

49.4 ± 6.3% 61.4 ± 6.5% 59.4 ± 7.2% 68.2 ± 7.2% 67.1 ± 6.9% 66.0 ± 5.9% 67.1 ± 7.0% 68.8 ± 5.6% 74.6 ± 5.8% 81.7 ± 5.2%

Rank among other states according to

1 dose within 3 days of birth*

1 dose within 1 day of birth

1 dose within 2 days of birth

1 dose within 3 days of birth

69.1 ± 7.2% 68.6 ± 6.9% 66.5 ± 5.8% 68.1 ± 7.0% 70.7 ± 5.5% 75.3 ± 5.8% 83.8 ± 4.9%

N/A N/A N/A 11 20 20 16 26 16 2

25 20 17 9 12 12 16 17 14 4

N/A N/A N/A 12 14 19 18 17 14 2

*No data available 2003-2005

2012 U.S. NATIONAL AVERAGE Day 1: 63.2 ± 1.4% Day 2: 70.0 ± 1.4% Day 3: 73.6 ± 1.4%

2012 HIGHEST BIRTH DOSE COVERAGE Day 1: 78.5 ± 6.8% (Arkansas) Day 2: 85.9 ± 5.3% (Georgia) Day 3: 87.6 ± 5.1% (Georgia) 1

Data compiled by the ALC from National Immunization Surveys, 1995-2012 , http://www.cdc.gov/vaccines/imz-managers/coverage/nis/child/index.html

GRAPH:

Estimated Vaccination Coverage for Hepatitis B Vaccine among Children from Birth to 3 Days of Age in Alabama 90.0%

Percentage of infants vaccinated

80.0% 70.0% 60.0% 50.0%

1 dose of HBV vaccine within 1 day of birth*

40.0%

1 dose of HBV vaccine within 2 days of birth

30.0%

1 dose of HBV vaccine within 3 days of birth*

20.0% 10.0% 0.0% 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

*no data available for 2003-2005 1

Data compiled by the ALC from National Immunization Surveys, 1995-2012 http://www.cdc.gov/vaccines/imz-managers/coverage/nis/child/index.html

GRAPH:

Percentage of Infants Receiving 1 Dose of Hepatitis B Vaccine within 2 Days of Birth

Percentage of infants vaccinated

90.0%

81.7% 74.6%

80.0% 68.2% 67.1% 66.0% 67.1% 68.8%

70.0% 60.0%

61.4% 59.4%

70.0%

49.4%

58.9%

50.0% 40.0% 41.5%

46.0%

47.9%

51.4%

62.5%

66.7% Alabama

53.7%

48.5%

US National Average

30.0% 20.0% 10.0% 0.0% 2003

2004

2005

2006

2007

2008

2009

2010

2011

2012 1

Data compiled by the ALC from National Immunization Surveys, 1995-2012 http://www.cdc.gov/vaccines/imz-managers/coverage/nis/child/index.html

1

The data from the National Immunization Surveys constitute a composite of data from children who were 19-35 months of age at the time of the survey. Therefore, the data might reflect a different estimate from the states’ own birth cohort data.