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NEBRASKA CONTACT THE STAFF COORDINATOR:

ADDRESS:

Karen Rutherford, RN Email: karen.rutherford@hhss.ne.gov Phone: 402-471-6423 Fax: 402-471-6426 C

Nebraska Department of Health Immunization Program 301 Centennial Mall South Lincoln, NE 68509

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?

No

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

60.8 ± 7.1% 79.0 ± 4.7% 83.7 ± 4.3% 87.1 ± 3.9% 92.9 ± 3.2% 88.0 ± 4.3% 91.2 ± 3.5% 91.2 ± 4.2% 90.2 ± 4.4% 93.7 ± 3.3% 95.0 ± 3.0% 93.1 ± 4.0% 96.9 ± 2.9% 92.9 ± 3.4% 94.5 ± 3.0% 91.6 ± 4.2% 91.2 ± 4.5% 89.0 ± 4.6%

35 37 29 25 5 40 11 23 40 23 10 28 6 31 17 31 25 35

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% 80.0%

Nebraska

75.0%

US National Average

70.0% 65.0% 60.0% 55.0% 50.0% 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

13.3 ± 4.6% 16.6 ± 6.0% 27.8 ± 5.8% 42.8 ± 7.4% 60.7 ± 7.2% 71.7 ± 6.6% 76.7 ± 5.9%

10.2 ± 4.1% 14.7 ± 4.7% 15.5 ± 5.7% 14.2 ± 4.6% 17.3 ± 6.1% 29.6 ± 5.9% 44.5 ± 7.4% 64.5 ± 7.0% 77.5 ± 6.1% 78.8 ± 5.8%

*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

14.2 ± 4.6% 17.3 ± 6.1% 31.0 ± 6.0% 45.4 ± 7.4% 66.7 ± 6.9% 77.5 ± 6.1% 79.4 ± 5.8%

N/A N/A N/A 50 49 48 43 21 9 4

50 50 50 51 51 48 48 27 9 9

N/A N/A N/A 51 51 49 47 28 11 10

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 Nebraska 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, 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

Percentage of infants vaccinated

90.0%

77.5% 78.8%

80.0% 70.0%

64.5%

60.0%

40.0%

53.7%

48.5%

46.0%

50.0%

66.7% 70.0%

62.5%

58.9%

Nebraska

51.4%

47.9% 41.5%

29.6%

44.5%

US National Average

30.0% 20.0%

17.3%

15.5% 10.2%

10.0%

14.7%

14.2%

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.


Nebraska