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Viral Hepatitis Services within the Community Immunization Services of Palm Beach
Program name: Viral Hepatitis Services within the Community Immunization Services of Palm Beach
(A) Perinatal Hepatitis B Program
(B) Adult Hepatitis B Program
Population served: (A) HBsAg-positive pregnant women
(B) Palm Beach County residents at risk for liver failure (not income based)
Eligibility: Palm Beach County residents in need of preventative hepatitis services
Region served: Palm Beach County, Florida
Funding: (A) State Healthcare District grant
(B) Supplemental state stipend for Influenza programs & 09 state-supplied vaccines
Program started: (A) Started in 1999
(B) Started in 1999
Number of clients: 2007:
(A) 72
(B) 731 vaccines administered to 386 clients
The other six large stand-up clinics in Palm Beach Count are growing more supportive of the Hepatitis Program. Physicians and nurses in those clinics provided 4,287 hepatitis vaccines to 2,507 clients in 2007.
Contact: (A) Michael J. Patterson (Case Manager)
Perinatal Hepatitis B Program
1050 West 15th Street
Riviera Beach, FL 33404
Phone: (561)840-4568 x 223
Fax: (561)841-8578

(A) Patricia Taggart RN, BSN
Adult Immunization Services
1050 West 15th Street
Riviera Beach, FL 33404
Phone: (561)840-4568 x 230
Fax: (561)841-8578

Website: www.pbchd.com
IAC is not responsible for content found on other websites.
Description:

The Community Immunization Services is a division of Palm Beach County Health Department. This is the division that deals with viral hepatitis and is located in a group of offices connected to the county warehouse. There are 6 large stand-up clinics in different parts of the county. The administrators of our division are focused on managing vaccine inventory and flow to the whole county and teaching certification classes (not only to new nurses coming into the system, but also fire rescue personnel who assist with the large flu clinics in the fall & winter). We have two viral hepatitis prevention programs that work out of this division.

(A) One is the Perinatal Hepatitis B Program that Michael Patterson manages with the assistance of Laneishia Adderly under the direction of Denise Chisholm. This program identifies infants born to HBsAg-positive women. Once the information is received regarding the infants born to HBsAg-positive women, case managers follow the infant to insure the administration of HBIG and three doses of hepatitis B vaccine according to the current ACIP Recommendations. The infant is then tested for HBsAg and Anti-HBs no sooner than 12 weeks following the third dose or when the child is 15 months of age. Successful immunization is indicated by a positive anti-HBs and a negative HBsAg. Infants positive for HBsAg are referred for medical evaluation. Infants negative for anti-HBs and HBsAg should be revaccinated following either option A or B as shown below:

Option A: Give a fourth dose of hepatitis B vaccine and retest in one month for HBsAg and anti-HBs. If anti-HBs is negative, give dose 5 and 6 and retest for HBsAg and anti-HBs in one month.
Option B: Give a complete second series of hepatitis B vaccine. Retest for HBsAg and anti-HBs one month after the last dose. If the infant continues to be negative for anti-HBs, the infant is considered to be a non-responder.

(B) The other program is the Adult Hepatitis Program (Community Outreach) which is actually a conglomerate of 2 main sub-programs. For 10 months out of the year, weekly hepatitis clinics are held and vaccines are administered to high-risk individuals at substance abuse centers, correctional re-entry programs, alternative lifestyle community centers, & migrant vocational centers. The other two months out of the year are devoted mainly to flu outreaches. This program consists of one full-time RN and one full-time clerk. Slowly, but steadily, the program has acquired laboratory services at many of these outreach sites. Two days a month, this program sees only hepatitis patients (mostly referred from gastroenterologists in the area). This program provides the needed hepatitis vaccines, dietary instruction and information on support groups and other resources. Recently, the STD clinic, which has hepatitis funding, has hired a coordinator for the hepatitis program. The coordinator and adult outreach nurse, along with the Medical Director for the STD clinic, are working together to develop a coalition. Hopefully, this will attract community partners who will grow to be strong advocates and teachers at the community level.


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          Hepatitis Prevention Programs
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