The Changing Epidemiology of Acute Hepatitis A in Texas Rachel Wiseman, MPH, Lucille Palenapa, MS; Linda Gaul, PhD Emerging and Acute Infectious Disease.

Slides:



Advertisements
Similar presentations
Hepatitis B: Epidemiology and Public Health Issues
Advertisements

Laurin Kasehagen, MA, PhD MCH Epidemiologist / CDC Assignee to CityMatCH Maternal & Child Health Epidemiology Program Applied Sciences Branch, Division.
Healthy Border 2010: History and Health Measures Sam Notzon National Center for Health Statistics.
1 Data for 2012 Priority Setting in Small Doses #1 HIV/AIDS Surveillance Data.
Hepatitis A Last updated August Hepatitis A virus Associated with poor hygiene and sanitation - primarily transmitted from person-to-person via.
Hepatitis A and Hepatitis A Vaccine Epidemiology and Prevention of Vaccine- Preventable Diseases National Immunization Program Centers for Disease Control.
Wisconsin HIV/AIDS Surveillance Annual Review: Slide Set New diagnoses, prevalent cases, and deaths through December 2014 April 2015 P Wisconsin.
Hepatitis web study H EPATITIS W EB S TUDY Hepatitis A: Epidemiology Presentation Prepared by: David Spach, MD and Nina Kim, MD Last Updated: May 31, 2011.
How do Champaign County Children Enter the Child Welfare System? Champaign County Indicated reports FY 2010 SourceNumber Percent of total Law enforcement22548%
How do Sangamon County Children Enter the Child Welfare System? Sangamon County Indicated reports FY 2010 SourceNumber Percent of total Law enforcement21638%
Epidemiology and Prevention of Viral Hepatitis A to E: Hepatitis Branch Centers for Disease Control and Prevention An Overview.
Adult Vaccination Update Walter W. Williams, M.D., M.P.H. Medical Epidemiologist, NCIRD National Adult and Influenza Immunization Summit Provider Work.
1 HIV/STD Trends in Texas Sharon K. Melville, M.D., M.P.H. Texas Department of State Health Services Texas Public Health Association April 22, 2010.
Routine HIV Screening in Health Care Settings David Spach, MD Clinical Director Northwest AIDS Education and Training Center Professor of Medicine, Division.
Press Release FOR IMMEDIATE RELEASE:CONTACT: Roseanne Pawelec, Tuesday, July 23, 2002(617) NEARLY HALF OF ALL MASSACHUSETTS RESIDENTS OVERWEIGHT.
Contra Costa County Disproportionality – Examples and Changes Ray Merritt; Dorothy Powell; Children and Family Services Research and Evaluation.
Epidemiology and Prevention of Viral Hepatitis A to E: Hepatitis A Virus Division of Viral Hepatitis.
The Primary Care Experience of Hispanic Children: Current Disparities and Trends in Access to and Quality of Care William Freeman, MPH Health Scientist.
Healthy Kansans living in safe and sustainable environments.
Adult Viral Hepatitis Update Roxanne Ereth, MPH, BS Hepatitis C Program Manager Adult Viral Hepatitis Prevention Coordinator.
Hepatitis B Virus 28.
Viral Hepatitis - Historical Perspective A “Infectious” “Serum” Viral hepatitis Entericallytransmitted Parenterallytransmitted F, G, ? other E NANB BD.
Epidemiology of HIV Among Hispanics Reported in Florida, Through 2012 Florida Department of Health HIV/AIDS and Hepatitis Section Division of Disease Control.
Office of Epidemiology and Prevention Services DIVISION OF INFECTIOUS DISEASE EPIDEMIOLOGY The Burden of Hepatitis C in West Virginia November.
Wisconsin Department of Health Services HIV/AIDS Surveillance Annual Review New diagnoses, prevalent cases, and deaths through December 31, 2013 April.
Jacqueline Wilson Lucas, B.A., MPH Renee Gindi, Ph.D. Division of Health Interview Statistics Presented at the 2012 National Conference on Health Statistics.
National Family Health Survey (NFHS-3) KEY FINDINGS ON CHILD MORTALITY AND CHILD HEALTH.
Decreasing Incidence of Pertussis in Massachusetts Following the Introduction of Tdap Noelle Cocoros, Nancy Harrington, Rosa Hernandez, Jennifer Myers,
SS-32 To Be or Not To Be: The Dilemma of Suicide in America.
1 PHSKC 4/01 Epidemiology of HIV/AIDS Seattle-King County, WA HIV/AIDS Epidemiology Program Public Health - Seattle & King Co. (206) On the web.
Epidemiology of Reported Hepatitis in Thailand Suchada Juntasiriyarkorn, Khanchit Limpakarnjanarat, Ellie Click, Sonja Olsen, Ubolrat Narueponjirakul,
By Archana Bhasin. Poliomyelitis is a viral disease that can affect nerves and can lead to partial or full paralysis.
Vaccines For Children Coordinator Connecticut Immunization Program 1.
Scioto County Medical Society Grand Rounds March 31, 2006 Portsmouth, Ohio Kathleen M. Koechlin, RN, MPH, PhD Hepatitis C Coordinator The Ohio Department.
VETERANS HEALTH ADMINISTRATION Future of HIV in VA Office of Public Health Department of Veterans Affairs Maggie Czarnogorski, MD Deputy Director, HIV,
Epidemiology of HIV Among Hispanics Reported in Florida, Through 2013 Florida Department of Health HIV/AIDS Section Division of Disease Control and Health.
Tony Aragon, MS Epidemiologist Immunization Branch May 20, 2010 Vaccine Coverage.
Virginia Population Health Improvement Planning Update Marissa Levine, MD MPH State Health Commissioner October2015.
Influenza Jeffrey S. Duchin, M.D. Chief, Communicable Disease Control, Epidemiology and Immunization Section, Public Health - Seattle & King County Division.
HEPATITIS A EISENMAN ARIE, M.D Department of Internal Medicine B Rambam Medical Center Haifa, Israel
Florida Department of Health HIV/AIDS and Hepatitis Section Division of Disease Control and Health Protection Annual data trends as of 12/31/2012 Living.
Florida Department of Health HIV/AIDS & Hepatitis Program Annual data trends as of 12/31/2011 Living (Prevalence) data as of 05/16/2012 Epidemiology of.
EPIDEMIOLOGY SUMMARY 2005 COMMUNICABLE DISEASE SURVEILLANCE DANA BECKHAM, DVM Chief Epidemiologist Galveston County Health District.
Focus Area 25 Sexually Transmitted Diseases Progress Review July 21, 2004.
August 20, 2003 Focus Area 14: Immunization and Infectious Diseases Progress Review.
Trends in Tetanus Epidemiology in the United States, Pamela Srivastava MS Bacterial Vaccine-Preventable Disease Branch, National Immunization.
Communicable Diseases Alan J. Parkinson, Deputy Director Arctic Investigations Program, Centers for Disease Control & Prevention, USA.
School-Based Varicella Surveillance Palm Beach County, Florida 42 nd National Immunization Conference March 17, 2008 Savita Kumar, MD, MSPH Medical Epidemiologist.
The Chicago Department of Public Health Effect of a School Entry Vaccination Requirement on Racial and Ethnic Disparities in Hepatitis B Vaccination Coverage.
Impact of Childhood Hepatitis A Vaccination: New York City Vikki Papadouka, PhD, MPH Jane R. Zucker, MD, MSc Sharon Balter, MD Vasudha Reddy, MPH Kristen.
Katarina Grande, HIV Surveillance Coordinator Casey Schumann, HIV Epidemiologist Wisconsin Department of Health Services Statewide Action Planning Group.
| Web: The findings and conclusions in this report are those of the authors and do not necessarily represent the official.
Community-wide outbreak of hepatitis A in Latvia in 2008 Jurijs Perevoščikovs Head, Department of Epidemiological Surveillance of Infectious Diseases State.
Diphtheria and Diphtheria Toxoid Epidemiology and Prevention of Vaccine- Preventable Diseases National Immunization Program Centers for Disease Control.
Yolo County Obesity Data Yolo County Childhood Nutrition and Fitness Forum September 18, 2004 Samrina Marshall, MD, MPH Assistant Health Officer, Yolo.
The Epidemiology of Varicella Disease in New York City, Janelle A. Anderson, MPH CDC/CSTE Applied Epidemiology Fellow New York City Department.
Sharing Immunization Data between IHS/Tribal Facilities and the Arizona State Immunization Information System Scott Hamstra, MD (IHS) Kimiko Gosney, MS.
Mumps Resurgence at a Large University Campus Town Awais Vaid, MBBS, MPH Epidemiologist and Director of Planning Champaign-Urbana Public Health District.
Mumps Outbreaks Associated with Correctional Facilities Texas
QUALITY OF CARE TRENDS FOR CALIFORNIA CHILDREN
Pengjun Lu, PhD, MPH;1 Kathy Byrd, MD, MPH;2
Conceptual Framework: Health Disparities in African-American Women
The Changing Epidemiology of Acute Hepatitis A in Texas
Decline in Varicella Incidence in Texas
Varicella Surveillance in Texas
Coverage Rates in Texas
M Javanbakht, S Guerry, LV Smith, P Kerndt
National Immunization Conference-April 22, 2010
Trends in Hepatitis B Vaccine Coverage and Acute Hepatitis B Incidence among Adolescents in California Elisha Larez and Celia Woodfill California Department.
The Texas Child Care Immunization Assessment Survey
Presentation transcript:

The Changing Epidemiology of Acute Hepatitis A in Texas Rachel Wiseman, MPH, Lucille Palenapa, MS; Linda Gaul, PhD Emerging and Acute Infectious Disease Branch Texas Public Health Association Annual Education Conference April 22, 2010

Overview Describe how hepatitis A virus has decreased in Texas since the licensing of a vaccine –Vaccine requirements in Texas –Hepatitis A incidence –Hepatitis A distribution

Hepatitis A Epidemiology ReservoirHumans TransmissionFecal-oral route; person-to-person or ingestion of contaminated food or water Communicability1-2 weeks before onset to week after onset Temporal PatternNone Incubation PeriodAvg days (range days)

CDC Hepatitis A Vaccine Recommendations 1995, introduction of vaccine and recommended targeted vaccination of high-risk individuals 1999, recommended targeted hepatitis A vaccine programs for people two years of age and older residing in high incident states old –Children are often asymptomatic and can be unknown sources of infection –Texas identified the counties with the largest burden of hepatitis A and targeted those for vaccine requirements 2005, recommended vaccination of all children months of age and older

32 Counties Requiring Hepatitis A Vaccination Texas Counties Requiring Hepatitis A, 1999 For Childcare and School Entry, 1999

Texas Counties Requiring Hepatitis A, 2003 For Childcare and School Entry, Counties Requiring Hepatitis A Vaccination Seven counties, were added to the vaccination requirement.

Texas Counties Requiring Hepatitis A, 2005 For Childcare and School Entry, 2005 Counties requiring vaccine for childcare entry. Counties requiring vaccine for school and childcare entry (n=40).

Current Hepatitis A Vaccine Requirements Child-Care –Statewide for all children attending a child-care facility, including pre-K –After-school care not affected School –Must have 2 doses for entering kindergarten –Statewide requirement (this is new for the school year!)

Reported Cases of Hepatitis A in Texas * Hepatitis A vaccine licensed in 1995 *2009 data is provisional as of 4/6/ Incidence rates per 100,000 population

Percent of Hepatitis A Cases by Age Group

Incidence Rates of Hepatitis A by Age Group

Percent of Hepatitis A Cases by Gender

Percent of Hepatitis A Cases by Race

Incidence Rates of Hepatitis A Cases by Race

Percentage of Cases in Age Category by Race, 2008 Whites Hispanics

Summary Requiring school/childcare vaccination in specific locations has reduced incidence across the state in all age groups Racial disparities in disease incidence have been eliminated Expansion of vaccination requirements should help to continue these trends