3017.0: Monday, November 13, 2000 - 1:00 PM

Abstract #10766

Effectiveness of a school-based hepatitis b vaccination program in Hawaii

Athmanundh Dilraj, BSc, MMedSc1, Paul V. Effler, MD, MPH2, Steven M. D. Terrell-Perica, MA, MPH, MPA3, and Judy H. Strait-Jones, MPH, MEd3. (1) Centre for Epidemiological Research in South Africa, Medical Research Council, P.O. Box 17120, Congella, 4013, South Africa, (2) Epidemiology Branch, Hawaii Department of Health, 1250 Punchbowl St., 4th Floor, Honolulu, HI 96813, (3) CDC/National Immunization Program, Hawaii Immunization Program, 1250 Punchbowl St., 4th Floor, Honolulu, HI 96813, 808-586-8315, smdterre@mail.health.state.hi.us

Objective: Assess the effectiveness of a school-based HepB program that targeted 10 and 11 year-old schoolchildren in Hawaii.

Methods: During 1996-1997 and 1997-1998 school years, 5th graders received 3 doses of HepB. In 1998-1999, 4th and 5th graders were vaccinated. The program was contracted out to a nursing agency. Public awareness campaigns were conducted before consent forms were sent to parents. The proportion of children for whom consents were received and that completed all 3 doses were analyzed for each period.

Results: In 1996-1997, consent for HepB was received for 12040 of 15455 children enrolled (84%). This decreased to 58% (8719/15323) in 1997-1998 and to 28% (8512/30920) in 1998-1999. A survey showed that this decrease was due largely to children already completing the 3-dose series through a health care provider.

In 1996-1997, 93% of children with consents started the first dose at school and 83% completed all 3 doses at school. The proportion of children with consents completing 3 doses at school in the following 2 years remained high (89% and 86% respectively).

Conclusions: This statewide school-based program involved all 180 public school and 83% of private schools and captured a large proportion of children not fully vaccinated for hepatitis B and had a high series completion rate. It was successful as a "catch-up" campaign.

Learning Objectives: Describe the effectiveness of school-based Hepatitis B catch-up program in Hawaii

Keywords: School-Based Programs, Immunizations

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: none
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA