Texas

TEXAS CONTACT THE STAFF COORDINATOR:

ADDRESS:

Ruthie Benson Email: ruthie.benson@dshs.state.tx.us Phone: 512-533-3158 Fax: 512-533-3167

Infections Disease Control Unit Texas Department of State Health Services th 1100 West 49 Street Austin, TX 78756-3199

MANAGER: Tammy Foskey Email: tammy.foskey@dshs.state.tx.us Phone: 512-553-3020 For a list of County coordinators, go to this website: http://www.dshs.state.tx.us/idcu/disease/hepatitis/hepatitis_b/perinatal/Contacts/

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 - Tex. Health & Safety Code § 81.090(a) and 25 Tex. Admin. Code § 97.135(a)(5)(c)

Yes - 25 Tex. Admin. Code § 97.135(g) and 25 Tex. Admin. Code § 97.3(a)(2)

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

66.9 ± 4.9% 79.5 ± 3.7% 78.6 ± 3.8% 79.1 ± 3.5% 81.7 ± 3.3% 84.5 ± 3.1% 86.9 ± 2.7% 86.2 ± 3.8% 90.4 ± 2.4% 88.3 ± 2.9% 91.5 ± 2.6% 91.5 ± 2.3% 91.7 ± 2.6% 93.0 ± 3.5% 92.2 ± 2.4% 88.4 ±2.7% 90.6 ± 2.2% 84.5 ± 3.3%

23 33 47 50 48 49 35 46 36 49 32 38 40 29 28 45 31 48

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%

Texas

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

54.8 ± 4.3% 61.6 ± 4.8% 60.5 ± 5.7% 65.0 ± 5.1% 64.3 ± 4.3% 72.5 ± 4.2% 69.3 ± 3.8%

56.1 ± 4.4% 64.5 ± 4.4% 62.6 ± 4.7% 60.4 ± 4.2% 63.6 ± 4.8% 65.4 ± 5.6% 67.8 ± 5.0% 69.1 ± 4.2% 77.2 ± 3.8% 73.0 ± 3.7%

*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

61.7 ± 4.2% 63.9 ± 4.8% 66.6 ± 5.5% 69.8 ± 4.8% 69.6 ± 4.2% 78.6 ± 3.8% 74.6 ± 3.7%

N/A N/A N/A 17 12 14 12 12 8 17

21 16 12 21 16 16 14 16 10 22

N/A N/A N/A 21 19 18 14 19 9 23

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 Texas 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, 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 90.0% 77.2%

Percentage of infants vaccinated

80.0%

60.0% 50.0%

56.1%

63.6% 64.5% 62.6% 60.4%

66.7% 70.0% 58.9%

46.0% 47.9% 48.5%

40.0% 30.0%

73.0%

65.4% 67.8% 69.1%

70.0%

51.4%

62.5% Texas

53.7%

US National Average

41.5%

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, 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.