Thursday, December 8, 2005
104

Hepatitis A and Hepatitis B Vaccination in High Risk Adults: Florida’s Experience With Integrating Services

Susanne R. Crowe and Sandra W. Roush.



Learning Objective:

By the end of the presentation, participants will be able to describe Florida's Adult Hepatitis Immunization Program and assess the program strengths and weaknesses.


Background:

Florida's Hepatitis Program provides hepatitis awareness, education, intervention programs, surveillance, and research.


Setting:

Various settings in Florida's 67 counties.


Population e.g. API Youth, MSM, IDU:

Adults at increased risk for hepatitis infection or the serious consequences of infection.


Project Description:

Since 2000, adult hepatitis vaccine has been available and integrated into other public health programs. In addition to series completion, the Hepatitis Program monitors progress toward vaccine coverage goals.


Results/Lessons Learned:

As of 03/31/2005, the counties used and coded 50,492 doses of hepatitis A vaccine and 95,303 doses of hepatitis B vaccine. For hepatitis A vaccine, there were 40,838 first doses and 9,654 second doses, a 24 % population series completion rate. For hepatitis B vaccine, there were 52,053 first doses, 27,505 (53 %) second doses, and 15,745 (57 % of those receiving dose 2) third doses, a 30 % population series completion rate.
Of the 67 counties, 2 ( 3 %) have vaccinated at least 60 % of high-risk (estimated hepatitis C positive) adults for hepatitis A; 12 ( 18 %) have vaccinated 26 % - 59 %, and 53 ( 79 %) have vaccinated 0 % -25 % of estimated high risk clients. Of the 67 counties, 1 ( 2 %) has vaccinated at least 60 % of high-risk (estimated hepatitis C positive) adults for hepatitis B; 13 (19 %) have vaccinated 26 % -59 %, and 53 ( 79 %) have vaccinated 0 % -25 % of estimated high risk clients.

Public health providers, with community partners, are willing and able to provide adult hepatitis immunization services, even with no resources other than the vaccine.


Web Page: www.doh.state.fl.us/disease_ctrl/aids/hep/index.html

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See more of The 2005 National Viral Hepatitis Prevention Conference