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Technically Speaking
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July 2013
Technically Speaking
Monthly Column by Deborah Wexler, MD
Deborah Wexler MD
Technically Speaking is a monthly column written by IAC’s Executive Director Deborah Wexler, MD. The column is featured in The Children's Hospital of Philadelphia Vaccine Education Center’s (VEC's) monthly e-newsletter for healthcare professionals. Technically Speaking columns cover practical topics in immunization delivery such as needle length, vaccine administration, cold chain, and immunization schedules.
Check out a recent issue of Vaccine Update for Healthcare Providers. The VEC e-newsletter keeps providers up to date on vaccine-related issues and includes reviews of recently published journal articles, media recaps, announcements about new resources, and a regularly updated calendar of events.
TECHNICALLY SPEAKING
The End of Hepatitis B Transmission Begins At Birth
Published July 2013
Information presented in this article may have changed since the original publication date. For the most current immunization recommendations from the Advisory Committee on Immunization Practices, visit www.immunize.org/acip/acip_vax.asp.
Universal hepatitis B vaccination at birth is a major part of CDC’s Advisory Committee on Immunization Practices’ (ACIP) 2005 strategy to eliminate hepatitis B virus (HBV) transmission in the United States.
In 2011, the U.S. Department of Health & Human Services (HHS) echoed ACIP’s recommendations in its Action Plan for the Prevention, Care and Treatment of Viral Hepatitis. HHS further recommended birth dose coverage as a standard of care and a national quality measure.
In 2012, the National Quality Forum endorsed a new standard that calls for reporting “Hepatitis B Coverage Among All Live Newborn Infants Prior to Hospital or Birthing Facility Discharge.”
Yet, despite expert consensus on the importance of a hepatitis B vaccine birth dose, nearly 1 in 3 U.S. newborns leaves the hospital unprotected. As a result, approximately 800 U.S. newborns become chronically infected each year because of perinatal exposure. These newborns would be afforded a “safety net” if a birth dose was universally administered before hospital discharge.
Thatís why this July the Immunization Action Coalition (IAC) launched a major campaign aimed at urging the nationís birthing institutions to adopt or strengthen their hepatitis B vaccine birth dose policies. The centerpiece of the campaign is a new, comprehensive guidebook, ďHepatitis B: What Hospitals Need to Do to Protect Newborns.Ē Endorsed by the American Academy of Family Physicians, the American Academy of Pediatrics, the American College of Obstetricians and Gynecologists, and the Centers for Disease Control and Prevention, the guide contains a wide range of resources to help birthing institutions establish, implement and optimize their hepatitis B birth dose policies.
The guidebook explains that universal hepatitis B vaccination is needed at birth because it:
Prevents 70 percent to 95 percent of transmission to infants born to HBsAg-positive women
Prevents household transmission to infants from infected family members and other caregivers
Provides a safety net to prevent perinatal transmission when medical errors occur
Medical errors in perinatal settings that can lead to newborn HBV transmission include the following:
Ordering the wrong hepatitis B screening test
Misinterpreting or mis-transcribing hepatitis B test results
Failing to communicate test results to or within the hospital
Failing to vaccinate infants born to mothers of unknown HBsAg status within 12 hours of birth
Failing to provide prophylaxis to newborns when the mother is known to be HBsAg positive
Administering the hepatitis B vaccine birth dose can circumvent potentially tragic outcomes and save lives.
With the launch of its new guidebook and corresponding Hepatitis B Birth Dose Honor Roll, which recognizes birthing institutions that have attained high birth dose coverage rates, IAC urges hospitals and birthing centers to Give birth to the end of Hep B. What better time than now to join the cause?
For more information and to download the guidebook, visit immunize.org/protect-newborns.
2013 ISSUES >> view all
DECEMBER 2013
Handouts for Parents, Teens, and Adults Help Providers Explain the Value of Vaccines
NOVEMBER 2013
At Your Fingertips: Official Vaccine Recommendations and Product Information
OCTOBER 2013
Ask the Experts: Providing Answers to Your Timely and Challenging Influenza Vaccination Questions
SEPTEMBER 2013
Vaccinations and Pregnancy
AUGUST 2013
Temperature Monitoring Ė The "Vital Sign" for Vaccine Storage
JULY 2013
The End of Hepatitis B Transmission Begins At Birth
APRIL 2013
Recommendations for Use of Meningococcal Vaccines in High-Risk Infants and Children
MARCH 2013
What to Do if the Wrong Dose of a Vaccine Is Administered
FEBRUARY 2013
CDC's 2013 Immunization Schedules and IAC's Easy-To-Use Summaries
JANUARY 2013
Expanded Tdap Recommendations: Administer Tdap to Pregnant Women during Each Pregnancy
 
This page was updated on August 19, 2013
This page was reviewed on August 19, 2013
 
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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. 1NH23IP922654) 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.