PHBPPPerinatal Hepatitis B Prevention Program
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When asked to identify factors that influenced whether a case was reported by both systems, health department staff members identified good communication between PHBPP coordinators and communicable disease surveillance staff as an important determinant of case reporting.
At the local level, communicable disease surveillance staff members should ensure that every infant with perinatal HBV infection is reported to the PHBPP coordinator, so that immunization program staff can investigate whether failure to vaccinate (i.e., gaps in clinical or program services) or vaccine failure might have resulted in the perinatal HBV infection.
However, because fewer than half the estimated number of births to HBV-infected women are identified through PHBPP (4) and only a fraction of those infants undergo postvaccination testing (1), the actual number of perinatal HBV infection cases is believed to be 10 to 20 times higher than the number currently detected and reported (1).