Hepatitis B childhood immunization data: Massachusetts

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MASSACHUSETTS CONTACT THE STAFF COORDINATOR:

ADDRESS:

Mary Conant, RN Email: mary.conant@state.ma.us Phone: 617-983-6862 Fax: 617-983-6840 C

Massachusetts Department of Health Immunization Program 305 South Street Boston, MA 02130

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 - Mass. Regs. Code tit. 105, § 130.627

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

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

81.5 ± 5.0% 89.1 ± 3.8% 90.5 ± 3.2% 90.5 ± 3.2% 92.0 ± 3.2% 93.3 ± 2.7% 92.5 ± 3.0% 93.7 ± 3.0% 97.5 ± 1.5% 94.8 ± 2.8% 97.9 ± 2.0% 95.7 ± 2.2% 96.1 ± 2.7% 96.8 ± 2.4% 95.0 ± 2.7%

3 4 3 4 10 9 3 4 2 11 1 11 8 3 15

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% Massachusetts

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

61.9 ± 6.5% 55.1 ± 9.0% 49.7 ± 7.5% 44.3 ± 7.3%

83.5 ± 4.4% 76.8 ± 5.1% 81.1 ± 5.8% 82.7 ± 4.4% 65.6 ± 8.8% 64.4 ± 7.3% 59.6 ± 6.9%

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

85.6 ± 4.2% 72.4 ± 8.3% 66.8 ± 7.3% 62.5 ± 6.8%

N/A N/A N/A 8 19 27 39

1 4 1 1 14 19 30

N/A N/A N/A 1 10 16 31

*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 Massachusetts 90.0%

Percentage of infants vaccinated

80.0% 70.0% 60.0%

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*

50.0% 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

90.0% 80.0%

83.5% 76.8%

70.0%

81.1%

82.7%

65.6%

64.4%

60.0%

58.9%

50.0% 40.0%

59.6%

46.0%

47.9%

48.5%

2004

2005

2006

51.4%

53.7%

2007

2008

Massachusetts

41.5%

30.0% 20.0% 10.0% 0.0% 2003

2009

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

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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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