Perinatal Hepatitis B Prevention Program aims to stop the transmission of the Hepatitis B virus to newborn infants whose mothers are Hepatitis B carriers. The program is one of 22 statewide programs providing consultation to medical and community service providers, as well as case management to women who are pregnant and are Hepatitis B carriers.

• Hepatitis B perinatal transmission prevention



• Timely screening and reporting of HbsAg + women



• Timely screening and vaccination of contacts



• Timely HBIG/HBV/post vaccine serology for infants born to HBsAg+ women

• Work with laboratories and health care providers to assure required reporting of all pregnant women with Hepatitis B during early prenatal period.


• All laboratory reports and Confidential Morbidity Reports are reviewed and calls are made to providers for missing information in regards to pregnancy status and county residency

• Work with hospitals and pediatric providers to ensure prompt vaccination at birth with HBIG and HepB vaccine, and the completion of the HepB vaccine series.


• The client is provided with a letter and immunization card, with a Hepatitis B alert sticker to bring to the hospital upon delivery


• Public Health Investigators facilitate the infant’s receipt of HBIG and Hepatitis B vaccine within 12 hours of birth, the second dose at one month, and the third dose at six months of age

• Work with pediatric providers to perform post vaccination serologic testing of infants born to HepB+ mothers


• Once the name of the child’s pediatrician has been given, a letter is mailed to the pediatrician explaining the vaccination schedule and serology follow-up. Contact will be made six weeks after the third immunization.

• Health Care Provider letter



• CDC Epidemiology & prevention of vaccine-preventable diseases – Chapter 14
  http://www.cdc.gov/nip/publications/pink/hepb.pdf



• American Academy of Pediatrics - Red Book 2000 Report of the committee on Infectious Diseases, 25th Edition, pgs. 289-302

• Title 17, California Code of Regulations (CCR), §2500 Reportable Diseases & Conditions



• Reportable conditions for laboratories

• CDC Epidemiology & prevention of vaccine-preventable diseases – Chapter 14 http://www.cdc.gov/nip/publications/pink/hepb.pdf



• American Academy of Pediatrics - Red Book 2000 Report of the committee on Infectious Diseases, 25th Edition, pgs. 289-302

• Interpretation of lab results grid



• Alameda County Free Immunization Sites



• Alameda County Clinics & Community Health Centers, Immunization Sites



• Bay Area Regional Immunization Registry



• Keeping Track of Your Shots; What You Should Know

• Center for Disease Control, National Center for Infectious Diseases, Viral Hepatitis B – Hepatitis glossary, fact sheet, frequently asked questions, vaccine articles, fact sheet, and vaccination schedules.
  www.cdc.gov/ncidod/diseases/hepatitis/b/index.htm



• Immunization Action Coalition, Hepatitis B Information – Good resource of childhood, adolescent, and adult immunization information and Hepatitis B educational materials - Camera ready and copyright free; journal articles, recommendations, state laws, case histories, photos and resources.
  www.immunize.org/hepb/index.htm



• A 21-page document developed by the Center for Disease Control discussing the history, clinical description and features, laboratory diagnosis, epidemiology, secular trends in the US, prevention strategies, vaccine information, serologic testing of vaccine recipients, post-exposure management, adverse reactions following vaccination, maternal screening, and selected references on Hepatitis B.
  http://www.cdc.gov/nip/publications/pink/hepb.pdf



• Center for Disease Control’s Recommended Childhood Immunization Schedule, United States 2002
  www.cdc.gov/nip/recs/child-schedule.PDF