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Give Hepatitis B Vaccine at Birth to All Babies

Approximately 20,000 women with chronic hepatitis B give birth in the United States each year. Tragically, many babies are exposed to HBV at birth and do not receive proper post-exposure prophylaxis.

IAC surveyed hepatitis coordinators in every state about the importance of providing hepatitis B vaccine in the hospital. Their responses included many examples of infants who  were unprotected or inadequately protected due to errors by health care providers, clinic staff, hospital staff, and laboratories.

Because thimerosal has been removed from all pediatric hepatitis B vaccine in the United States, concerns about thimerosal should no longer be an obstacle for practitioners in  enacting a universal birth dose policy.

      
Recommendations     General information     IAC surveys     Journal articles     CDC IZ schedules
      
Recommendations
7/06 AAP Endorsed Policy Statement: A Comprehensive Immunization Strategy to Eliminate Transmission of Hepatitis B Virus Infection in the United States
Authors: Advisory Committee on Immunization Practices and Centers for Disease Control and Prevention
Source: Pediatrics, July 2006, Vol. 118:404
http://aappolicy.aappublications.org/cgi/content/full/pediatrics;118/1/404
12/23/05 A Comprehensive Immunization Strategy to Eliminate Transmission of Hepatitis B Virus Infection in the United States. Recommendations of the Advisory Committee on Immunization Practices (ACIP). Part 1: Immunization of Infants, Children and Adolescents.
Source: MMWR, December 23, 2005, Vol. 54(RR-16):1-39
www.cdc.gov/mmwr/PDF/rr/rr5416.pdf
  Dear Colleague Letter: Universal Infant Hepatitis B Vaccination Should Begin At Birth, January 18, 2006
Authors: Lance Rodewald and John Ward
Source: Centers for Disease Control and Prevention
www.immunize.org/acip/HBVinfant_dearcolleague.pdf
 
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General Information
  Hepatitis B shots are recommended for all new babies (brochure)
Source: Immunization Action Coalition
www.immunize.org/catg.d/p4110.pdf
  Perinatal Hepatitis B Information and Resources
Source: Centers for Disease Control and Prevention
www.cdc.gov/hepatitis/HBV/PerinatalXmtn.htm
  Estimated Vaccination Coverage for Hepatitis B Vaccine among Children from Birth to 2 Days of Age by State and Immunization Action Plan Area, National Immunization Survey, 2005
Source: Centers for Disease Control and Prevention
www.cdc.gov/hepatitis/Partners/PeriHepBCoord.htm
  Protect your baby for life from hepatitis B (brochure)
Source: Centers for Disease Control and Prevention
www.cdc.gov/hepatitis/Resources/OrderPubs/Patient/ProtectBabyHepB_Eng.pdf
  Hepatitis B and Moms-to-be
Source: Asian Liver Center at Stanford University, July 2006
Brochure in English, Chinese
http://liver.stanford.edu/Public/brochures.html
  Perinatal Hepatitis B Prevention, Program Manual (2009)
Source: Michigan Department of Community Health
www.michigan.gov/mdch/0,1607,7-132-2942_4911_4914_6385_42526---,00.html
  Perinatal Hepatitis B Prevention, Program Manual 2006
New York State Department of Health
www.health.state.ny.us/diseases/communicable/hepatitis/docs/hepb_manual.pdf
  Your patient is relying on YOU to protect her baby from hepatitis B (brochure for physicians)
Source: Ohio Department of Health Immunization Program
www.immunize.org/birthdose/ohio_hepb.pdf
  Living with chronic hepatitis B
Source: Centers for Disease Control and Prevention
www.cdc.gov/hepatitis/Resources/OrderPubs/Patient/LivingWithChronicHepB_Eng.pdf
  Prevention of Perinatal and Childhood Hepatitis B Virus Infections
Source: Centers for Disease Control and Prevention
Format: Microsoft PowerPoint
Size: 21 slides, 1.58 MB
www.cdc.gov/vaccines/ed/ciinc/specialtopics/downloads/Feb_06_HepB_JC.ppt
Format: Word script
www.cdc.gov/nip/ed/ciinc/powerpoint/02_06_HepB/ScriptThursLJC.doc
  Preventing Hepatitis B Virus Infections
Source: Centers for Disease Control and Prevention
Format: Microsoft PowerPoint
Size: 27 slides, 465 KB
www.cdc.gov/nip/ed/ciinc/powerpoint/02_06_HepB/HepB_SAW.ppt
              Estimated Vaccination Coverage for Hepatitis B Vaccine Among Children from Birth to 2 Days of Age by State and Immunization Action Plan Area
Source: National Immunization Survey, 2003
www.cdc.gov/nip/coverage/NIS/03/tab36_hepb_birth02_iap.htm
  Importance of the hepatitis B vaccine birth dose (do not delay until 2 mos of age)
An open letter to CDC's Advisory Committee on Immunization Practices (ACIP)
Author: Deborah L. Wexler, MD, Executive Director
Source: Immunization Action Coalition
www.immunize.org/birthdose/hepbbirthdose.pdf
  It's time to reaffirm the importance of the birth dose recommendation!
An open letter from the Immunization Action Coalition to the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention; the Committee on Infectious Diseases, American Academy of Pediatrics (AAP); American Academy of Family Physicians (AAFP); and the American College of Obstetricians and Gynecologists (ACOG)
Author: Deborah L. Wexler, MD, Executive Director
Source: Immunization Action Coalition
www.immunize.org/birthdose/importance.pdf

www.immunize.org/birthdose/importance.htm
  States Report Hundreds of Medical Errors in Perinatal Hepatitis B Prevention
Source: Teresa A. Anderson, DDS, MPH; Deborah L. Wexler, MD
www.immunize.org/catg.d/p2062.pdf
  HIPAA and Perinatal Hepatitis B Prevention
Source: CDC Office of General Counsel
www.immunize.org/birthdose/hepb_hipaa.pdf
  Unprotected Babies: Two more infants chronically infected with hepatitis B virus . . . the medical errors continue
Source: Immunization Action Coalition
www.immunize.org/catg.d/p2127.pdf
  Hospitals & Doctors Sued for Failing to Protect Newborns from Hepatitis B Virus Transmission
Source: Immunization Action Coalition
www.immunize.org/catg.d/p2061.pdf
  Labor & Delivery Unit and Nursery Unit Guidelines to Prevent Hepatitis B Virus Transmission
Source: Immunization Action Coalition
www.immunize.org/catg.d/p2130.pdf
  Give the Birth Dose! Providing all infants with hepatitis B vaccine saves lives.
An open letter from IAC urging the following organizations to support the birth dose: ACIP, AAP, ACOG, NMA, National Asian Pacific Islander Task Force on Hepatitis B Prevention, AHA
Author: Deborah L. Wexler, MD, Executive Director
Source: Immunization Action Coalition
www.immunize.org/catg.d/p2125.pdf
  Weaving a Safety Net to Protect Newborns from HBV
Source: Joint Commission Benchmark, June 2002
www.immunize.org/birthdose/benchmark1.pdf
  Universal Birth Dose Policy Saves Lives
Source: Michigan's statewide immunization newsletter, Winter 2002.
(Lists all hospitals in the state that support a universal birth dose policy. Other states can reprint Michigan's article and modify the list of hospitals.)
www.immunize.org/birthdose/mibirth1.pdf
  Infant Dies of Fulminant Hepatitis B, 1999
Source: State of Michigan Dept. of Community Health
The following case report and discussion appeared in the Spring/Summer 2000 issue of NEEDLE TIPS.
www.immunize.org/reports/report034.pdf
www.immunize.org/reports/report034.asp
  Perinatal Hepatitis B Prevention Program in Hillborough County, Florida
Information about preventing perinatal HBV infection in infants. Includes links to public service announcements, posters, bus ads, bus bench ads, and more.
Source: Hillsborough County Health Department and the Florida Department of Health
www.immunize.org/birthdose/hillsborough.htm
  Cases of Harm Resulting from Missed Birth Dose
Sources: Varied
www.immunize.org/birthdose/cases.htm
  Hepatitis B Virus: Kids can infect kids
www.pkids.org/im_kik.php
 
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IAC Birth Dose Survey Results
10/02 IAC's 2002 Hepatitis B Vaccine Birth Dose Survey Results
Reports from hepatitis coordinators at state health departments and city/county CDC projects, expressing their views about providing hepatitis B vaccine in the hospital. Responses include many examples of children who were unprotected or inadequately protected due to not ordering, misordering, misinterpreting, mistranscribing, or miscommunicating the hepatitis B test results of their mothers.
Source: Immunization Action Coalition
www.immunize.org/birthdose/survey02.htm
10/01 IAC's 2001 Hepatitis B Vaccine Birth Dose Survey Results
Reports from hepatitis coordinators at state health departments and city/county CDC projects, expressing their views about providing hepatitis B vaccine in the hospital. Responses include many examples of children who were unprotected or inadequately protected due to not ordering, misordering, misinterpreting, mistranscribing, or miscommunicating the hepatitis B test results of their mothers.
Source: Immunization Action Coalition
www.immunize.org/birthdose/survey.htm
10/01 Advice from Hepatitis Coordinators on How to Promote the Birth Dose
www.immunize.org/birthdose/tips.htm

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This page was updated on June 24, 2009

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