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Hepatitis B


Hepatitis B in Washington State
DOH receives approximately 100 to 150 reports of acute hepatitis B virus (HBV) infections per year, for an average rate of 2.7/100,000 persons.  Chronic hepatitis B and HBV surface antigen (HBsAg) carriage in pregnant women became reportable in 2000. There is usually one death each year associated with fulminant acute HBV infection.

Purpose of Reporting and Surveillance

  • To identify sources of transmission (e.g., an infected health care worker or a contaminated medical product) and to prevent further transmission from such sources.
  • To identify cases that may be a source of infection for others (e.g., a sexual or drug contact) and to prevent further disease transmission from such sources.
  • To identify contacts and recommend appropriate preventive measures, including hepatitis B immune globulin (HBIG) and immunization.
  • To prevent transmission to children born to HBsAg + women.
  • To better understand the epidemiology of HBV and the burden of morbidity from chronic infection.

Reporting Requirements

  • Health care providers:
    • Acute HBV: notifiable to Local Health Jurisdiction within 3 work days
    • Chronic HBV (initial infection only): notifiable to Local Health Jurisdiction within 1 month
    • HBV surface antigen + pregnant women: notifiable to Local Health Jurisdiction within 3 work days
  • Hospitals:
    • Acute HBV: notifiable to Local Health Jurisdiction within 3 work days
    • Chronic HBV (initial infection only): notifiable to Local Health Jurisdiction within 1 month
    • HBV surface antigen + pregnant women: notifiable to Local Health Jurisdiction within 3 work days
  • Laboratories:
    • Notifiable within 1 month to Local Health Jurisdiction of patient's residence
  • Local health jurisdictions:  notifiable to DOH within 7 days of case investigation completion or summary information required within 21 days –
    • Acute HBV: Communicable Disease Epidemiology
    • Chronic HBV: Infectious Disease and Reproductive Health
    • HBV surface antigen + pregnant women: Immunization Program

Last update
Oct. 2006

Hepatitis B Resources

General Information

Fact Sheet
(Web format)
Acute Hepatitis B Incidence Rates
(PDF format)

Reporting Forms

Acute Hepatitis B
Reporting Form

(Word Format)
Acute Hepatitis B
Reporting Form

(PDF Format)
Chronic Hepatitis B and C Reporting Form
(Word Format)
Chronic Hepatitis B and C Reporting Form
(PDF Format)
Perinatal Hepatitis B
Reporting Form

(Word Format)
Perinatal Hepatitis B
Reporting Form

(PDF Format)

Public Health and Health Care

Surveillance and Reporting Guidelines
(Web Format)
CDC Guidelines for Surveillance and Case Management
CDC Hepatitis B Information

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Communicable Disease Epidemiology
Office of Epidemiology
Washington State Department of Health
MS: K17-9, 1610 NE 150th St.
Shoreline, WA 98155-9701

Phone (206) 418-5500
FAX (206) 418-5515

24-hour contact (toll-free inside Washington State only) 1-877-539-4344
 

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