District of columbia

DISTRICT OF COLUMBIA CONTACT THE STAFF COORDINATOR:

ADDRESS:

Rosie McLaren Email: rosie.mclaren@dc.gov Phone: 202-576-9336 Fax: 202-576-9322

Immunization Program DC Department of Health 6323 Georgia Ave. NW Washington, D.C. 20011

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 - 22 DCMR § 207 and 22 DCMR § 201

Yes - 22 DCMR § 207

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

67.1 ± 8.3% 83.9 ± 5.3% 78.9 ± 5.8% 81.9 ± 5.5% 86.2 ± 4.5% 85.9 ± 5.3% 86.9 ± 4.3% 91.0 ± 3.9% 94.7 ± 2.7% 94.0 ± 3.2% 86.0 ± 5.0% 94.1 ± 2.9% 95.2 ± 3.6% 92.8 ± 3.7% 89.9 ± 4.8% 94.2 ± 3.0% 91.6 ± 3.3% 92.7 ± 3.5%

22 19 46 46 37 45 34 24 10 18 47 20 11 33 38 14 21 11

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, 1995-2011 , 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 Percentage of children vaccinated

100.0% 95.0% 90.0% 85.0% District of Columbia US National Average

80.0% 75.0% 70.0% 65.0% 60.0% 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

44.0 ± 6.8% 47.2 ± 7.5% 45.4 ± 7.3% 58.0 ± 7.1% 49.5 ± 8.3% 57.5 ± 7.2% 61.3 ± 6.3%

58.0±7.1% 61.4±6.7% 47.8±6.7% 55.7 ± 6.5% 57.6 ± 7.3% 58.0 ± 7.2% 65.7 ± 6.9% 59.5 ± 8.1% 71.6 ± 6.6% 76.6 ± 5.5%

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

59.6 ± 6.3% 58.8 ± 7.2% 61.7 ± 7.1% 67.9 ± 6.8% 63.5 ± 7.9% 74.1 ± 6.6% 78.2 ± 5.4%

N/A N/A N/A 29 29 30 23 37 34 33

16 19 33 26 29 33 19 34 19 16

N/A N/A N/A 24 30 31 20 33 19 18

*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 the District of Columbia 0.9

Percentage of infants vaccinated

0.8 0.7 0.6

1 dose of HBV vaccine within 1 day of birth*

0.5 0.4

1 dose of HBV vaccine within 2 days of birth

0.3

1 dose of HBV vaccine within 3 days of birth*

0.2 0.1 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% 76.6%

80.0% 70.0% 60.0% 50.0% 40.0%

71.6%

65.7% 62.5% 55.7% 57.6% 58.0% 66.7% 70.0% 47.8% 59.5% 58.9% 58.0% 46.0% 53.7% 51.4% 48.5% 47.9% 41.5% 61.4%

30.0%

District of Columbia US National Average

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.