2009 National Immunization Survey Report Texas Immunization Rates

2009 National Immunization Survey Report Texas Immunization Rates Jack Simms-Immunization Branch Manager Tony Aragon-Epidemiologist 11 -4 -2010

2009 NIS Outline • What is the NIS? • Children included in the 2009 NIS • How is vaccine coverage defined? • Important Texas Findings from the 2009 NIS • In Retrospect, Q & A……

2009 National Immunization Survey • Assess immunization levels among pre-school children, 19 - 35 months old • Conducted annually by CDC • Random-digit–dial sample of phone numbers followed by reviewing the child’s vaccination providers • Only population-based survey to provide national, state, local area, and territorial estimates of vaccination coverage • Tracks progress towards Healthy People goals

Children included in the 2009 NIS • ~17, 000 children within the US • ~1, 200 children in Texas included • Children born between January 2006 and July 2008 • 2009 NIS is a measure of the effectiveness of strategies and activities that were in place up to three years ago

How is vaccine coverage defined in the 2009 NIS? • State coverage estimates based on the 4: 3: 1: 0: 3: 1: 4 series – – – – 4+ doses of diphtheria-tetanus-pertussis (DTa. P) 3+ doses of Polio 1+ dose of measles-mumps-rubella (MMR) 0 doses of Hib 3+ doses of hepatitis B 1+ dose of varicella, and 4+ doses of PCV • Hib excluded due to a national shortage

Important Texas Findings from the 2009 National Immunization Survey

Estimated 4: 3: 1: 0: 3: 1: 4* Vaccination Coverage in Children 19 -35 Months of Age by Local Area and State, NIS 2008 -2009 *4: 3: 1: 0: 3: 1: 4 – 4+ doses DTP, 3+ doses Polio, 1+ dose MMR, 0 doses of Hib, 3+ doses Hep B, and 1+ doses of varicella, 4+ doses of PCV

Estimated Vaccination Coverage with Individual Vaccines in Children 19 -35 Months of Age, NIS 2009 US and TX Compared HP 2010 Goal, 90%

Estimated Vaccination Coverage with Individual Vaccines in Children 19 -35 Months of Age, TX NIS 2007 -2009

Estimated Vaccination Coverage Among Children 1935 Months of Age by Selected Vaccines, 2009 NIS, US and TX Compared Hep B Birth dose* - 1 or more doses of hepatitis B vaccine administered between birth and age 3 days. 2+Hep. A** - 2 or more doses of Hepatitis A vaccine. Rotavirus*** - >2 or >3 or more doses of Rotavirus vaccine, depending on product type received (>2 doses for Rotarix® [RVI] or >3 doses for Rota. Teq® [RV 5].

2009 National Immunization Survey Texas Immunization Rates • In Retrospect • Questions & Answers

Resources • National Immunization Survey – http: //www. cdc. gov/vaccines/stats-surv/imz-coverage. htm#nis • National, State, and Local Area Vaccination Coverage Among Children Aged 19 --35 Months --- United States, 2009 – http: //www. cdc. gov/mmwr/preview/mmwrhtml/mm 5936 a 2. htm? s_cid=m m 5936 a 2_w • Healthy People 2010 – http: //www. healthypeople. gov/ • Texas Department of State Health Services-Immunzation Branch – http: //www. dshs. state. tx. us/immunize/default. shtm

Nationally Proven Strategies to Raise Vaccine Coverage Levels • • • Promote the use of registries Promote reminder/recall Public education Provider education Promote the medical home concept Utilize community partners to improve in the strategies listed above