Nevada

NEVADA CONTACT THE STAFF STATE COORDINATOR:

ADDRESS:

Douglas Banghart, RN, MSPH Email: dbanghart@health.nv.gov Phone: 775-684-4139 Fax: 775-687-7596

4150 Technology Way, Suite 210 Carson City, NV 89706

EPIDEMIOLOGY: Rick Sowadsky Phone: 775-684-5941 Fax: 775-684-5999 C

SOUTHERN NEVADA HEALTH DISTRICT COORDINATOR: Simone Kreiger, RN, BSN Phone: 702-759-0871 Fax: 702-759-1455

ADDRESS: 625 Shadow Lane P.O. Box 3902 Las Vegas, NV 89127

WASHOE COUNTY COORDINATOR:

ADDRESS:

Melissa Peek, BS Email: mpeek@washoecounty.us Phone: 775-328-2447 Fax: 775-328-3764 C

1001 E. 9th Street, Building B P.O. Box 11130 Reno, NV 89520-0027

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 - Nev. Admin. Code ch. 441A, ยง 570

Yes - Nev. Admin. Code ch. 441A, ยง 570

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

70.5 ± 6.8% 78.1 ± 6.4% 85.4 ± 4.6% 85.3 ± 5.0% 84.9 ± 4.6% 84.6 ± 4.2% 85.5 ± 4.5% 90.1 ± 4.6% 88.6 ± 4.4% 86.5 ± 4.4% 83.2 ± 4.7% 80.3 ± 6.2% 84.4 ± 5.5% 84.9 ± 4.9% 87.7 ± 4.3% 84.6 ± 5.3% 89.9 ± 5.0%

19 39 22 36 42 48 43 31 48 50 49 51 51 51 48 51 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% 91.8 ± 0.7% 91.1 ± 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) 98.3 ± 1.5% (North Dakota) 97.1 ± 1.7% (Louisiana)

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

1

Data compiled by the ALC from National Immunization Surveys, 1995-2011 , 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 100.0%

Percentage of children vaccinated

95.0% 90.0% 85.0% New Jersey

80.0%

US National Average

75.0% 70.0% 65.0% 60.0% 1995

1997

1999

2001

2003

2005

2007

2009

2011

Data compiled by the ALC from National Immunization Surveys, 1995-2011

1

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 2010 2011

1 dose within 1 day of birth*

1 dose within 2 days of birth

56.5 ± 7.3% 62.7 ± 7.2% 64.1 ± 6.7% 71.5 ± 5.9% 63.9 ± 7.0% 62.8 ± 8.8%

56.7 ± 6.5% 65.0 ± 6.1% 54.8 ± 6.0% 56.5 ± 7.3% 63.0 ± 7.2% 64.6 ± 6.7% 72.3 ± 5.8% 65.6 ± 6.9% 65.1 ± 8.8%

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

56.7 ± 7.3% 63.4 ± 7.2% 65.5 ± 6.6% 72.3 ± 5.8% 66.6 ± 6.9% 65.2 ± 8.8%

N/A N/A N/A 13 11 7 4 13 26

19 13 25 25 17 18 8 23 36

N/A N/A N/A 27 20 22 9 28 39

*No data available 2003-2005 2011 U.S. NATIONAL AVERAGE Day 1: 60.2 ± 1.3% Day 2: 66.7 ± 1.3% Day 3: 68.6 ± 1.3%

2011 HIGHEST BIRTH DOSE COVERAGE Day 1: 77.8 ± 7.1% (Kentucky) Day 2: 81.9 ± 6.9% (Arkansas) Day 3: 83.4 ± 6.6% (North Dakota) 1

Data compiled by the ALC from National Immunization Surveys, 1995-2011 , 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 Nevada

Percentage of infants vaccinated

0.8 0.7 0.6 0.5

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*

0.4 0.3 0.2

*no data available for 2003-2005

0.1 0 2003 2004 2005 2006 2007 2008 2009 2010 2011

Data compiled by the ALC from National Immunization Surveys, 2003-2011

1

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

80.0%

72.3% 65.0%

70.0% 60.0%

63.0%

56.7%

56.5% 54.8%

50.0%

46.00% 47.90%

40.0%

65.6%

64.6%

58.90% 48.50%

51.40%

62.50%

65.1% 66.70% Nevada

53.70%

US National Average

41.50% 30.0% 20.0% 10.0% 0.0% 2003

2004

2005

2006

2007

2008

2009

2010

2011

Data compiled by the ALC from National Immunization Surveys, 2003-2011

1

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.