Hepatitis B Immunization Coverage Declined 2.1% in 2013


— Christine M. Kukka, Project Manager, HBV Advocate

The percentage of U.S. adults age 19 and older who have been immunized against hepatitis B dropped to 25% in 2013, a decline of 2.1% from 2012 levels, according to a Feb. 6, 2015, report by the U.S.Centers for Disease Control and Prevention published in Morbidity and Mortality Weekly Report.

The study found that racial disparities continued to persist, with African-Americans and Hispanics reporting lower hepatitis B vaccinations than whites.

CDC officials track vaccine coverage annually in order to identify weaknesses in the public’s protection against infectious diseases. Immunization coverage depends heavily on health care providers to recommend immunizations based on their patients’ age and health risks.

CDC researchers reported that hepatitis B vaccination coverage overall was 25% for all adults age 19 and older, 32.6% for adults aged 19-49 and 16.1% in adults over age 50.

The CDC recommends all adults at risk of HBV infection due to sexual practices, contact with infected family members, and a family history of immigration from regions with high HBV infection rates (such as Asia and Africa). Adults 60 and older with diabetes should also be vaccinated.

According to the report, vaccination among adults (aged 19-49) was lower for African-Americans (30.5%) and Hispanics (23.7%) compared to whites (35.2%). Even among health care providers, for whom immunization is mandated, coverage rates were lower for Hispanics (54%) than whites (62.9%). These findings suggest that doctors may be dropping the ball when it comes to making sure patients receive the immunizations they need. “Routine assessment of adult patient vaccination needs, recommendations and offer of needed vaccinations for adults should be incorporated into routine clinical care of adults,” the CDC researchers wrote.

Source: www.cdc.gov/mmwr/preview/mmwrhtml /mm6404a6.htm

http://www.hbvadvocate.org/news/HBJ12.3.htm

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