Hepatitis B childhood immunization data: Pennsylvania

PENNSYLVANIA CONTACT THE STAFF COORDINATOR:

ADDRESS:

Alexandra McFall, RN Nursing Services Consultant Email: amcfall@state.pa.us Phone: 717-787-5681 Fax: 717-705-5513

Division of Immunizations Pennsylvania Department of Health Room 1026, H & W Building 625 Forster Street Harrisburg, PA 17120-0701

PHILADELPHIA COORDINATOR:

ADDRESS:

Bruce Barlow, BSN Email: bruce.barlow@phila.gov Phone: 215-685-6853 Fax: 215-685-6806 C

Philadelphia Department of Public Health Division of Disease Control 500 S. Broad Street Philadelphia, PA 19146

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 - 28 Pa. Code § 27.99(a)

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

74.9 ± 5.3% 83.6 ± 4.2% 83.8 ± 3.9% 88.8 ± 3.2% 91.2 ± 3.4% 95.6 ± 2.1% 91.5 ± 2.8% 92.1 ± 4.1% 96.7 ± 1.7% 95.7 ± 2.4% 95.7 ± 3.6% 95.9 ± 1.7% 92.5 ± 2.9% 92.6 ± 3.6% 92.4 ± 3.4%

10 20 28 20 12 4 8 17 3 3 5 7 30 37 26

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%

Pennsylvania

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

45.8 ± 5.6% 51.9 ± 5.3% 53.4 ± 5.7% 54.3 ± 6.2%

46.6 ± 5.8% 49.0 ± 6.3% 54.8 ± 6.7% 53.9 ± 5.7% 58.7 ± 5.4% 65.8 ± 5.5% 66.5 ± 5.9%

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

56.8 ± 5.7% 62.0 ± 5.2% 67.0 ± 5.5% 69.1 ± 5.8%

N/A N/A N/A 27 26 22 26

27 28 24 27 27 13 18

N/A N/A N/A 26 26 15 16

*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 Pennsylvania

Percentage of infants vaccinated

80.0% 70.0% 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, 2003-20091

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% 58.7%

60.0% 50.0% 40.0%

54.8% 46.6%

53.9%

46.0%

48.5%

66.5% 58.9%

49.0% 47.9%

65.8%

51.4%

53.7% Pennsylvania

41.5% US National Average

30.0% 20.0% 10.0% 0.0% 2003

2004

2005

2006

2007

2008

2009

Data compiled by the ALC from National Immunization Surveys, 2003-20091 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.