MISSOURI CONTACT THE STAFF COORDINATOR:
ADDRESS:
Linda Ball Email: Linda.Ball@health.mo.gov Phone: 573-751-6360 Fax: 573-751-6447
Missouri Dept. of Health and Senior Services Bureau of HIV, STD and Hepatitis P.O. Box 570 Jefferson City, MO 65102
PERINATAL CASE MANAGEMENT COORDINATOR: Tricia Sneller Email: tricia.sneller@health.mo.gov Phone: 573-751-6439
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 - Mo. Rev. Stat. § 210.030
Yes - Mo. Rev. Stat. § 210.040 and Mo. Code Regs. Ann. tit. 19, § 20-20.020
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
64.2 ± 7.6% 82.8 ± 5.5% 82.3 ± 5.0% 83.6 ± 5.5% 84.9 ± 4.4% 91.7 ± 3.7% 91.1 ± 3.7% 87.7 ± 5.1% 95.4 ± 2.6% 90.6 ± 4.1% 94.1 ± 2.5% 96.9 ± 2.4% 91.8 ± 4.6% 91.1 ± 4.2% 89.4 ± 5.0% 89.2 ± 4.0% 87.5 ± 4.5% 92.0 ± 4.3%
32 22 34 41 43 15 14 43 7 40 17 3 38 46 40 43 44 14
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 ± 0.7% 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)
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 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%
Missouri
80.0%
US National Average
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
48.2 ± 7.0% 42.8 ± 7.8% 45.4 ± 6.8% 50.0 ± 6.9% 59.5 ± 6.6% 64.9 ± 6.3% 71.0 ± 7.0%
41.9 ± 6.5% 48.6 ± 7.8% 48.0 ± 5.8% 50.9 ± 6.9% 52.6 ± 7.9% 54.1 ± 6.7% 54.7 ± 6.9% 64.1 ± 6.5% 71.0 ± 6.0% 77.4 ± 6.4%
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
52.4 ± 6.9% 54.1 ± 7.9% 56.2 ± 6.6% 59.9 ± 6.7% 64.8 ± 6.5% 72.9 ± 5.8% 78.7 ± 6.2%
N/A N/A N/A 25 33 31 33 24 20 12
30 29 32 31 32 36 37 30 22 13
N/A N/A N/A 31 33 35 34 32 22 12
*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, 1995-2011 , 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 Missouri 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 90.0% 77.4%
Percentage of infants vaccinated
80.0%
71.0%
70.0%
64.1% 58.9%
60.0% 48.6% 50.0% 40.0%
50.9% 52.6% 54.1%
51.4% 46.0% 47.9% 48.5% 41.5%
70.0%
62.5%
48.0%
41.9%
66.7%
53.7% 54.7%
Missouri 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.