Virginia

VIRGINIA CONTACT THE STAFF COORDINATOR:

ADDRESS:

Marie Krauss Email: Marie.krauss@vdh.virginia.gov Phone: 804-864-8071 Fax: 804-864-8089

Division of Immunization Virginia State Department of Health 109 Governor Street, Room 314 West P.O. Box 2448 Richmond, VA 23218

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 - 12 Va. Admin. Code § 5-90-130

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 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

64.9 ± 7.5% 86.0 ± 4.6% 84.6 ± 4.7% 90.3 ± 3.9% 89.5 ± 4.3% 91.1 ± 3.8% 89.5 ± 4.8% 83.2 ± 5.4% 96.1 ± 2.7% 93.2 ± 3.8% 97.3 ± 1.8% 93.3 ± 3.4% 91.5 ± 3.5% 92.8 ± 4.9% 92.5 ± 4.2% 87.0 ± 4.9% 87.8 ± 5.2% 91.6 ± 4.6%

29 11 26 6 26 18 23 50 5 26 2 27 42 32 25 47 43 16

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% Virginia

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

21.2 ± 5.5% 29.2 ± 6.4% 37.1 ± 8.6% 50.1 ± 8.1% 47.0 ± 6.7% 50.2 ± 7.9% 62.3 ± 7.9%

33.3 ± 6.8% 38.0 ± 7.6% 36.9 ± 7.8% 26.1 ± 5.9% 32.8 ± 6.5% 41.2 ± 8.7% 59.2 ± 8.0% 55.6 ± 6.8% 59.7 ± 8.1% 69.3 ± 7.5%

*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

28.0 ± 6.0% 34.8 ± 6.5% 42.2 ± 8.7% 60.8 ± 7.9% 58.3 ± 6.7% 64.4 ± 7.9% 71.4 ± 7.4%

N/A N/A N/A 46 42 38 31 40 43 32

37 38 36 46 44 40 31 42 47 31

N/A N/A N/A 45 42 41 33 42 40 32

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 Iowa 80.0%

Percentage of infants 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% 70.0% 51.4% 47.9%

60.0% 50.0%

48.5%

46.0%

62.5%

70.0% 69.3%

53.7%

59.7%

59.2% 55.6%

41.5% 36.9%

40.0% 30.0%

58.9%

66.7%

Virginia 26.1%

38.0% 33.3%

41.2% US National Average

32.8%

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.