Tennessee

TENNESSEE CONTACT THE STAFF COORDINATOR:

ADDRESS:

Janice Johnson, RN Email: M.Janice.Johnson@tn.gov Phone: 615-741-7507 Fax: 615-253-3279

TN Perinatal Hepatitis B Prevention 1st floor, Cordell Hull Building 425 5th Avenue North Nashville, TN 37243

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 - Tenn. Code Ann. § 68-5-602 and Tenn.

Comp. R. & Regs. 0250-4-7-.07

Yes - Tenn. Code Ann. § 68-5-602 and Tenn.

Comp. R. & Regs. 1200-14-1-.02

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

71.6 ± 5.0% 86.2 ± 3.1% 85.6 ± 3.1% 86.1 ± 3.1% 86.2 ± 3.1% 91.1 ± 2.9% 91.5 ± 2.6% 93.0 ± 2.4% 93.6 ± 2.5% 92.9 ± 2.9% 94.7 ± 2.4% 93.4 ± 3.2% 94.4 ± 3.9% 92.2 ± 4.5% 96.2 ± 2.5% 93.6 ± 3.5% 91.5 ± 3.7% 92.5 ± 4.0%

18 10 21 33 38 20 9 11 18 29 13 25 18 38 6 21 22 12

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%

Tennessee

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

27.6 ± 5.9% 37.1 ± 7.6% 33.1 ± 6.3% 45.3 ± 6.6% 50.5 ± 6.8% 55.6 ± 7.5% 63.2 ± 7.4%

23.5 ± 4.3% 29.2 ± 4.8% 30.3 ± 5.3% 30.8 ± 6.1% 37.9 ± 7.6% 34.8 ± 6.3% 48.2 ± 6.7% 52.4 ± 6.8% 60.0 ± 7.5% 67.5 ± 7.2%

*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%

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

32.4 ± 6.2% 40.0 ± 7.7% 35.8 ± 6.4% 49.7 ± 6.7% 55.3 ± 6.8% 61.9 ± 7.1% 68.8 ± 7.0%

N/A N/A N/A 41 38 41 37 36 37 30

43 44 42 43 40 46 42 44 42 35

N/A N/A N/A 42 40 46 42 44 43 37

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 Tennessee 80.0%

Percentage of infatns vaccinated

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, 2003-2012 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

80.0% 66.7%

70.0% 58.9%

60.0% 47.9% 50.0% 41.5%

46.0%

48.5%

51.4%

53.7%

67.5% 60.0%

52.4% Tennessee

48.2%

40.0% 30.3%

30.0% 20.0%

62.5%

70.0%

37.9%

34.8%

30.8%

29.2%

US National Average

23.5%

10.0% 0.0% 2003

2004

2005

2006

2007

2008

2009

2010

2011

2012 1

Data compiled by the ALC from National Immunization Surveys, 2003-2012 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.