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FLORIDA CONTACT THE STAFF COORDINATOR: Cristina Dusek Email: Cristina_Dusek@doh.state.fl.us Phone: 850-245-4444 ext. 2396 Fax: 850-922-4195

ADDRESS: Bureau of Immunization QI/Clinical Team Florida Department of Health 4052 Bald Cypress Way Bin #A-11 Tallahassee, FL 32399-1719

PROGRAM MANAGER: Chuck Alexander Email: charles_alexander@doh.state.fl.us

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 – 64D-3.042(1), F.A.C. and 64B7.007(1)(a), F.A.C.

Yes – 64D-3.029, F.A.C.

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

64.4 ± 5.9% 85.4 ± 3.9% 85.3 ± 3.8% 90.0 ± 3.2% 92.9 ± 2.5% 92.5 ± 2.7% 88.7 ± 3.4% 89.9 ± 3.5% 95.2 ± 2.1% 96.8 ± 1.7% 91.3 ± 4.4% 91.0 ± 3.5% 94.9 ± 3.3% 94.8 ± 2.5% 93.5 ± 3.5% 96.1 ± 2.5 % 94.5 ± 2.8% 94.4 ± 3.6%

31 15 24 9 6 13 29 33 9 1 34 40 15 14 23 5 6 4

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 ± 1.5% 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

Percentage of children vaccinated

100.0% 95.0% 90.0% Florida

85.0% 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

18.2 ± 4.0% 19.9 ± 5.5% 32.3 ± 6.6% 38.3 ± 6.6% 40.9 ± 7.8% 41.6 ± 6.7% 47.1 ± 7.8%

14.5 ± 3.7% 18.4 ± 4.2% 23.5 ± 5.8% 21.4 ± 4.3% 26.5 ± 6.4% 39.3 ± 6.7% 46.3 ± 6.8% 50.3 ± 7.9% 51.6 ± 6.9% 60.8 ± 7.6%

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

24.1 ± 4.6% 29.2 ± 6.7% 40.7 ± 6.7% 47.8 ± 6.8% 52.3 ± 7.9% 52.7 ± 6.9% 62.6 ± 7.6%

N/A N/A N/A 48 47 42 44 48 48 48

49 49 49 48 47 42 45 47 49 46

N/A N/A N/A 47 47 43 44 46 49 46

*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%

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 Florida

Percentage of infants vaccinated

0.7 0.6 0.5 0.4

1 dose of HBV vaccine within 1 day of birth*

0.3

1 dose of HBV vaccine within 2 days of birth

0.2

1 dose of HBV vaccine within 3 days of birth*

0.1 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, 1995-2012 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 80.0% Percentage of infants vaccinated

70.0% 70.0%

62.5% 66.7%

60.0%

40.0%

48.5%

46.0%

50.0%

51.4%

47.9% 41.5%

60.8%

58.9% 46.3%

50.3%

51.6%

Florida

39.3%

30.0%

US National Average

21.4% 26.5%

20.0% 10.0%

53.7%

23.5% 14.5%

18.4%

0.0% 2003

2004

2005

2006

2007

2008

2009

2010

2011

2012 1

Data compiled by the ALC from National Immunization Surveys, 1995-2012 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.


Florida