American Journal of Epidemiology Vol. 142, No. 7: 765-770
Copyright © 1995 by The Johns Hopkins University School of Hygiene and Public Health
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Use of Multiple Reporting Sources for Perinatal Hepatitis B Surveillance and Follow-up
1Bureau of Communicable Disease Control, New York State Department of Health Albany, NY.
2Epidemic Intelligence Service, Division of Field Epidemiology, Epidemiology Program Office, Centers for Disease Control and Prevention Atlanta, GA.
3Department of Epidemiology, School of Public Health, State University of New York at Albany Albany, NY.
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 HBsAgpositive mothers. Am J Epidemiol 1995;142:765–70.
hepatitis B;; hepatitis B surface antigens;; infant,; newborn,; diseases;; population surveillance;; public health
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