Guest guest Posted October 10, 2011 Report Share Posted October 10, 2011 Sorry, I miss some of the posts but believe there was a question about NC's Hep B requirements for newborns. (If there's ever an exemption or other legal question, please email me directly to be sure I get the question--attorney@...). The confusion stems from the fact that statutes can provide for the health dept to specify details about vax requirements and exemptions in administrative rules (health department regulations), so reviewing only statutes may not give you the complete picture--so always review both statutes and regulations to be sure you have the entire code on any vaccine-related matter. Please also note that to get the complete law, you also have to review (and understand) state and federal legal precedent as well. Law is more complex that most people realize. This is why I wrote a 120 page e-book on vaccine exemption and waiver law--it can be complicated. Anyway, NC Hep B vaccine requirements, from NC Administrative Code (helth dept regulations): Title 10A. HEALTH AND HUMAN SERVICES Chapter 41. EPIDEMIOLOGY HEALTH Subchapter A. COMMUNICABLE DISEASE CONTROL § 41A .0401. DOSAGE AND AGE REQUIREMENTS FOR IMMUNIZATION .. . . (a)(7) Hepatitis B vaccine--three doses: *one dose by age three months* [asterisks added--this is the part I recalled and mentioned in a prior post], a second dose before age five months and a third dose by age 19 months. However: (A) The last dose of the hepatitis B vaccine series shall not be administered prior to 24 weeks of age; ( Individuals born before July 1, 1994 are not required to be vaccinated against hepatitis B. >>>This isn't the end of it, though. Administrative Code has more >>>strict requirements for mothers who are HBsAg-positive or of >>>unknown HBsAg status: Title 10A. HEALTH AND HUMAN SERVICES Chapter 41. EPIDEMIOLOGY HEALTH Subchapter A. COMMUNICABLE DISEASE CONTROL § 41A .0203. CONTROL MEASURES - HEPATITIS B((5) infants born to HBsAg-positive mothers shall be given hepatitis B vaccination and hepatitis B immune globulin within 12 hours of birth or as soon as possible after the infant is stabilized. Additional doses of hepatitis B vaccine shall be given in accordance with current published Control of Communicable Diseases Manual and Centers for Disease Control and Prevention Guidelines. The infant shall be tested for the presence of HBsAg and anti-HBs within three to nine months after the last dose of the regular series of vaccine; if required because of failure to develop immunity after the regular series, additional doses shall be given in accordance with current published Control of Communicable Diseases Manual and Centers for Disease Control and Prevention guidelines. Copies of the Control of Communicable Diseases Manual may be purchased from the American Public Health Association, Publication Sales Department, Post Office Box 753, Waldora, MD 20604 for a cost of twenty-two dollars ($22.00) each plus five dollars ($5.00) shipping and handling. Copies of Center for Disease Control and Prevention guidelines contained in the Morbidity and Mortality Weekly Report may be purchased from the Superintendent of Documents, U.S. Government Printing Office, Washington, DC 20402 for a cost of three dollars fifty cents ($3.50) each. Copies of both publications are available for inspection in the General Communicable Disease Control Branch, Memorial Health Building, 225 N. McDowell Street, Raleigh, North Carolina 27603-1382; ((6) infants born to mothers whose HBsAg status is unknown shall be given hepatitis B vaccine within 12 hours of birth and the mother tested. If the tested mother is found to be HBsAg-positive, the infant shall be given hepatitis B immune globulin as soon as possible and no later than seven days after birth; .. . . Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 10, 2011 Report Share Posted October 10, 2011 Sorry, I miss some of the posts but believe there was a question about NC's Hep B requirements for newborns. (If there's ever an exemption or other legal question, please email me directly to be sure I get the question--attorney@...). The confusion stems from the fact that statutes can provide for the health dept to specify details about vax requirements and exemptions in administrative rules (health department regulations), so reviewing only statutes may not give you the complete picture--so always review both statutes and regulations to be sure you have the entire code on any vaccine-related matter. Please also note that to get the complete law, you also have to review (and understand) state and federal legal precedent as well. Law is more complex that most people realize. This is why I wrote a 120 page e-book on vaccine exemption and waiver law--it can be complicated. Anyway, NC Hep B vaccine requirements, from NC Administrative Code (helth dept regulations): Title 10A. HEALTH AND HUMAN SERVICES Chapter 41. EPIDEMIOLOGY HEALTH Subchapter A. COMMUNICABLE DISEASE CONTROL § 41A .0401. DOSAGE AND AGE REQUIREMENTS FOR IMMUNIZATION .. . . (a)(7) Hepatitis B vaccine--three doses: *one dose by age three months* [asterisks added--this is the part I recalled and mentioned in a prior post], a second dose before age five months and a third dose by age 19 months. However: (A) The last dose of the hepatitis B vaccine series shall not be administered prior to 24 weeks of age; ( Individuals born before July 1, 1994 are not required to be vaccinated against hepatitis B. >>>This isn't the end of it, though. Administrative Code has more >>>strict requirements for mothers who are HBsAg-positive or of >>>unknown HBsAg status: Title 10A. HEALTH AND HUMAN SERVICES Chapter 41. EPIDEMIOLOGY HEALTH Subchapter A. COMMUNICABLE DISEASE CONTROL § 41A .0203. CONTROL MEASURES - HEPATITIS B((5) infants born to HBsAg-positive mothers shall be given hepatitis B vaccination and hepatitis B immune globulin within 12 hours of birth or as soon as possible after the infant is stabilized. Additional doses of hepatitis B vaccine shall be given in accordance with current published Control of Communicable Diseases Manual and Centers for Disease Control and Prevention Guidelines. The infant shall be tested for the presence of HBsAg and anti-HBs within three to nine months after the last dose of the regular series of vaccine; if required because of failure to develop immunity after the regular series, additional doses shall be given in accordance with current published Control of Communicable Diseases Manual and Centers for Disease Control and Prevention guidelines. Copies of the Control of Communicable Diseases Manual may be purchased from the American Public Health Association, Publication Sales Department, Post Office Box 753, Waldora, MD 20604 for a cost of twenty-two dollars ($22.00) each plus five dollars ($5.00) shipping and handling. Copies of Center for Disease Control and Prevention guidelines contained in the Morbidity and Mortality Weekly Report may be purchased from the Superintendent of Documents, U.S. Government Printing Office, Washington, DC 20402 for a cost of three dollars fifty cents ($3.50) each. Copies of both publications are available for inspection in the General Communicable Disease Control Branch, Memorial Health Building, 225 N. McDowell Street, Raleigh, North Carolina 27603-1382; ((6) infants born to mothers whose HBsAg status is unknown shall be given hepatitis B vaccine within 12 hours of birth and the mother tested. If the tested mother is found to be HBsAg-positive, the infant shall be given hepatitis B immune globulin as soon as possible and no later than seven days after birth; .. . . Quote Link to comment Share on other sites More sharing options...
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