The New York State Perinatal Hepatitis B Prevention Program was implemented in New York State (excluding New York City) as a surveillance and control program in 1988.
This report describes and evaluates the program and provides data from 1991 regarding hepatitis B surface antigen (HBsAg) - positive mothers and their infants'subsequent hepatitis B vaccination.
The program was created using multiple existing surveillance and data collection systems.
Completeness of case-ascertainment was estimated by means of the Chandra Sekar-Deming method (J Am Stat Assoc 1949 ; 44 : 101-15).
An audit of hospital medical records and follow-up by local health departments were used to validate reporting accuracy.
Of 158,273 live births in 1991,363 (0.2%) were born to confirmed HBsAg-positive mothers.
Estimated completeness of case-ascertainment was 96%. Thirty-five percent of HBsAg-positive mothers did not report risk factors for hepatitis B, confirming the need for universal testing.
Of the infants, 83% received hepatitis B immune globulin and three doses of vaccine within one year of birth.
By using existing data collection systems, the program was established quickly, and start-up funding and training requirements were simplified.
Multiple reporting increased case-ascertainment to almost 100%. The program effectively identifies and ensures prompt vaccination of infants born to HBsAg-positive mothers.
Am J Epidemiol 1995 ; 142 : 765-70.
Mots-clés Pascal : Hépatite virale B, Virose, Infection, Périnatal, Programme sanitaire, Prévention, Surveillance sanitaire, Nourrisson, Homme, Nouveau né, Evaluation, Collecte donnée, Multiple, New York, Etats Unis, Amérique du Nord, Amérique, Appareil digestif pathologie, Foie pathologie
Mots-clés Pascal anglais : Viral hepatitis B, Viral disease, Infection, Perinatal, Sanitary program, Prevention, Sanitary surveillance, Infant, Human, Newborn, Evaluation, Data gathering, Multiple, New York, United States, North America, America, Digestive diseases, Hepatic disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0543698
Code Inist : 002B05C02G. Création : 01/03/1996.