2009 National Immunization 2009 National Immunization Survey ReportSurvey Report

Texas Immunization RatesTexas Immunization Rates

Jack Simms-Immunization Branch ManagerJack Simms-Immunization Branch ManagerTony Aragon-EpidemiologistTony Aragon-Epidemiologist

11-4-2010 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 (DTaP) – 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 Important Texas Findings from the 2009 National Immunization Survey2009 National Immunization Survey

Estimated 4:3:1:0:3:1:4* Vaccination Coverage in Estimated 4:3:1:0:3:1:4* Vaccination Coverage in Children 19-35 Months of Age by Local Area and Children 19-35 Months of Age by Local Area and

State, NIS 2008-2009State, NIS 2008-2009

*4:3:1:0:3:1:4 – *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

71.866.5

69 67.3

74.3 72.3 70.665.4

67.9 69.7

63.9

73.3 71.3 70.5

0

10

20

30

40

50

60

70

80

90

100

Bexar Co City of Houston Dallas Co El Paso Co Rest of State TX US

Per

cent

Vac

cina

ted

2008 2009

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

US and TX ComparedUS and TX Compared

83.9

92.8

90

83.6

92.4

89.6

80.482.1

92.2

88.5 88.9

92.291.2

80.8

60

70

80

90

100

4+DTaP 3+Polio 1+MMR 3+Hib 3+HepB 1+Var 4+PCV

Vaccine

Pe

rce

nt V

acc

ina

ted

US TXHP 2010 Goal, 90%

Estimated Vaccination Coverage with Individual Estimated Vaccination Coverage with Individual Vaccines in Children 19-35 Months of Age, Vaccines in Children 19-35 Months of Age,

TX NIS 2007-2009TX NIS 2007-2009

90.491.7

90

75.7

83

92.193.7

92.7 93 93.1

79.2

88.5 88.9

92.291.2

80.882.1

93.892.6

82.1

92.2

60

70

80

90

100

4+DTaP 3+Polio 1+MMR 3+Hib 3+HepB 1+Var 4+PCV

Vaccine

Pe

rce

nt V

acc

ina

ted

200720082009

Estimated Vaccination Coverage Among Children Estimated Vaccination Coverage Among Children 19-35 Months of Age by Selected Vaccines, 2009 19-35 Months of Age by Selected Vaccines, 2009

NIS, US and TX ComparedNIS, US and TX Compared

60.8

46.643.9

69.8

55

45.8

0

10

20

30

40

50

60

70

80

90

100

Hep B Birth dose* 2+HepA** Rotavirus***

Vaccine

Pe

rce

nt V

acc

ina

ted

US TX

Hep B Birth dose* - 1 or more doses of hepatitis B vaccine administered between birth and age 3 days.

2+HepA** - 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 RotaTeq® [RV5].

2009 National Immunization Survey 2009 National Immunization Survey Texas Immunization RatesTexas 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/mm5936a2.htm?s_cid=m

m5936a2_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