Hepatitis B childhood immunization data: California

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CALIFORNIA CONTACT THE STAFF COORDINATOR:

ADDRESS:

Carol Sparks Email: Carol.Sparks@cdph.ca.gov Phone: 510-620-3728 Fax: 510-620-3949

California DHS Immunization Program 850 Marina Bay Pkwy Building P, 2nd Floor Richmond, CA, 94804-6403

For a list of CA County Hepatitis B Prevention Program Coordinators: http://www.cdph.ca.gov/HealthInfo/discond/Documents/CAPHPPCoordinators.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 - Cal. Health & Safety Code § 125080 and Cal. Health & Safety Code § 125085

Yes - Cal. Health & Safety Code § 125085

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

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

73.0 ± 5.2% 80.3 ± 3.5% 81.2 ± 3.4% 87.1 ± 2.9% 87.9 ± 2.8% 90.8 ± 2.3% 88.8 ± 2.8% 88.2 ± 3.0% 90.4 ± 2.8% 90.4 ± 2.6% 92.6 ± 2.3% 95.0 ± 1.7% 91.6 ± 3.2% 94.7 ± 2.5% 90.3 ± 3.7%

14 29 40 26 30 23 28 40 35 41 27 16 41 15 36

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%

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)

Data compiled by the ALC from National Immunization Surveys, 1995-20091, http://www.cdc.gov/vaccines/stats-surv/nis/default.htm#nis


GRAPH:

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

Percentage of children vaccinated

100.0% 95.0% 90.0% 85.0%

California

80.0%

US National Average

75.0% 70.0% 65.0% 60.0% 1995

1997

1999

2001

2003

2005

2007

2009

Data compiled by the ALC from National Immunization Surveys, 1995-20091 http://www.cdc.gov/vaccines/stats-surv/nis/default.htm#nis

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

1 dose within 1 day of birth*

1 dose within 2 days of birth

29.0 ± 4.3% 30.3 ± 5.9% 32.1 ± 4.8% 43.2 ± 6.3%

20.3 ± 3.4% 22.3 ± 3.6% 29.4 ± 4.7% 30.9 ± 4.4% 33.6 ± 6.0% 34.9 ± 4.9% 46.9 ± 6.3%

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

31.3 ± 4.4% 34.8 ± 6.0% 36.3 ± 5.0% 49.8 ± 6.3%

N/A N/A N/A 40 40 43 42

47 46 44 42 42 45 44

N/A N/A N/A 44 43 45 41

*No data available 2003-2005

2009 U.S. NATIONAL AVERAGE Day 1: 52.7 ± 1.4% Day 2: 58.9 ± 1.3% Day 3: 60.8 ± 1.3%

2009 HIGHEST BIRTH DOSE COVERAGE Day 1: 74.2 ± 6.6% (Utah) Day 2: 78.6 ± 6.2% (Michigan) Day 3: 80.7 ± 6.1% (Michigan)

Data compiled by the ALC from National Immunization Surveys, 1995-20091, http://www.cdc.gov/vaccines/stats-surv/nis/default.htm#nis


GRAPH:

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

Percentage of infants vaccinated

60.0% 50.0% 1 dose of HBV vaccine within 1 day of birth* 1 dose of HBV vaccine within 2 days of birth 1 dose of HBV vaccine within 3 days of birth*

40.0% 30.0% 20.0% 10.0% 0.0% 2003

2004

2005

2006

2007

2008

2009

* no data available for 2003‐2005

Data compiled by the ALC from National Immunization Surveys, 1995-20091 http://www.cdc.gov/vaccines/stats-surv/nis/default.htm#nis

GRAPH:

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

Percentage of infants vaccinated

70.0% 58.9%

60.0% 50.0%

46.0%

47.9%

48.5%

51.4%

53.7%

41.5%

46.9%

40.0% 30.0% 20.0%

20.3%

22.3%

2003

2004

29.4%

30.9%

33.6%

2005

2006

2007

California US National Average

34.9%

10.0% 0.0% 2008

2009

Data compiled by the ALC from National Immunization Surveys, 1995-20091 http://www.cdc.gov/vaccines/stats-surv/nis/default.htm#nis

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.


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