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Hepatitis B Birth Dose Honor Roll

Hepatitis B Birth Dose Honor Roll

Hepatitis B Birth Dose Policies Achieve High Coverage Rates

On July 16, 2013, the Immunization Action Coalition (IAC) launched the Hepatitis B Birth Dose Honor Roll. The Honor Roll recognizes hospitals and birthing centers that have attained high coverage rates for administering hepatitis B vaccine at birth.
In addition to recognition on IAC's Birth Dose Honor Roll and announcement of their achievement in IAC Express, honorees receive a 8.5" x 11" color certificate suitable for framing.
IAC's Inaugural Honoree
IAC's Inaugural Honoree
Albany Medical Center (Albany, New York), with support from the New York State Department of Health Immunization Bureau, achieved a birth dose coverage rate of 99%.
Pictured: Mary Miller, RNC, Nurse Manager of Postpartum and Newborn Nursery, Albany Medical Center; Mary Ellen Plass, MS, RN, Senior Vice President and Chief Nursing Officer, Albany Medical Center; and Deborah Wexler, MD, Executive Director, Immunization Action Coalition
>> view all honorees
Criteria for inclusion on IAC's Hepatitis B Birth Dose Honor Roll
To be included in the Immunization Action Coalition's Hepatitis B Birth Dose Honor Roll, a birthing institution should have:
Achieved, over a 12-month period, a coverage rate of 90% or greater for administering hepatitis B vaccine before hospital discharge to all newborns (regardless of weight), including those whose parents refuse vaccination. (Newborns who are transferred to a different facility after birth due to medical problems do not need to be included in the denominator.)
Implemented written policies, procedures, and protocols to protect all newborns from hepatitis B virus infection prior to hospital discharge.
Note: The following criteria are generally required, but exceptions may be made.
Parents are informed about the importance of the hepatitis B vaccine birth dose and that it is recommended for all newborns.
All newborns routinely receive hepatitis B vaccine after birth, before hospital discharge.
A review is performed as to whether the correct screening test, hepatitis B surface antigen (HBsAg), was ordered for the mother during this pregnancy.
The result of the mother's HBsAg screening test is reviewed. It is best, if at all possible, that the policy calls for review of a copy of the original HBsAg test result, and not a transcribed or hand-entered report
An HBsAg blood test is ordered ASAP if an incorrect test was ordered on the mother or if no test result is included on her chart.
Infants born to HBsAg-positive mothers receive hepatitis B vaccine and hepatitis B immune globulin (HBIG) within 12 hours of birth.
Infants born to mothers whose HBsAg status is unknown receive hepatitis B vaccine within 12 hours of birth.
Infants who weigh less than 2,000 grams and are born to mothers whose HBsAg status is unknown receive HBIG (in addition to hepatitis B vaccine) within 12 hours of birth.
Routine newborn admission orders include a standing order to administer hepatitis B vaccine to all infants (similar to standing orders to administer Vitamin K and ophthalmic antibiotic).
Notification of the state or local health department’s perinatal hepatitis B prevention program is done prior to discharge (or as soon as known, if after discharge) for all mothers whose HBsAg test result is positive.
Who's on the Honor Roll?
Who's on the Honor Roll?
View the hospitals and birthing centers -- more than 200 -- that have attained high coverage rates
Apply for the Hepatitis B Birth Dose Honor Roll
Apply for the Hepatitis B Birth Dose Honor Roll
Complete this online form to tell IAC about the birth dose policy in your birthing facility
Apply Now
Flyer: Do You Qualify?
Do You Qualify for the Hepatitis B Birth Dose Honor Roll? If so, apply today
Applying for the Birth Dose Honor Roll
Informational flyer
>> B&W version
Learn more about the initiative: Give birth to the end of Hep B
Support for the Universal Hepatitis B Birth Dose
American Academy of Family Physicians
American Academy of Pediatrics
American College of Obstetricians and Gynecologists
Centers for Disease Control and Prevention
>> read letter of endorsement
Journal Articles & Editorials
Postvaccination Serologic Testing Results for Infants Aged < 24 Months Exposed to Hepatitis B Virus at Birth — United States, 2008-2011
Source: MMWR, September 28, 2012, Vol. 61(38):768-71
The National Perinatal Hepatitis B Prevention Program, 1994-2008
Authors: Smith EA, Jacques-Carroll L, Walker TY, Sirotkin B, Murphy TV
Source: Pediatrics, April 2012, Vol. 129(4):609-17
Assessing Completeness of Perinatal Hepatitis B Virus Infection Reporting Through Comparison of Immunization Program and Surveillance Data--United States
Source: MMWR, April 8, 2011, Vol. 60(13):410-3
Gaps in Hospital Policies and Practices to Prevent Perinatal Transmission of Hepatitis B Virus
Authors: Willis BC, Wortley P, Wang SA, Jacques-Carroll L, Zhang F
Source: Pediatrics, March 8, 2010
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)
Source: MMWR, December 23, 2005, Vol. 54(RR16):1–33
In the News
Video: Group Works To Spread Awareness Of Hepatitis B In Asian Communities
KPBS - 7/1/13
County Health Department Recognizes Oneida Healthcare for Newborn Vaccinations
Madison County Courier (NY) - 6/25/13
This page was updated on April 11, 2016.
This page was reviewed on January 19, 2016.
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This website is supported in part by a cooperative agreement from the National Center for Immunization and Respiratory Diseases (Grant No. 5U38IP000589) at the Centers for Disease Control and Prevention (CDC) in Atlanta, GA. The website content is the sole responsibility of IAC and does not necessarily represent the official views of CDC.