1. 2010 National Immunization Survey Report, Texas Child and Teen Vaccination Coverage Levels Jack Sims-Immunization Branch Manager Tony Aragon, MS-Epidemiologist 12-8-2011

2. 2010 National Immunization Survey (NIS) Outline What is the Child and Teen NIS? Number of Children included in the 2010 NIS How is vaccine coverage defined? Important Texas Findings –Child, 19-35 months 4:3:1:0:3:1:4 vaccine series –Teen, 13-17 yrs of age HPV rates Strategies to increase vaccine coverage levels Q & A

3. 2010 Child and Teen NIS Assess immunization levels among – pre-school children, 19-35 months old –adolescents 13-17 years of age Conducted annually by CDC Population-based, random-digit–dial sample of phone numbers followed by reviewing the childs vaccination record from the provider Provides a Report Card to let us know how well we are doing in protecting our nations children against vaccine-preventable disease The NIS provides national and state estimates of vaccination coverage-including new vaccines as they are licensed and recommended for use

4. 2010 Child NIS Assessed the immunization histories of 17,004 children with provider-reported vaccination records Approximately 1,379 children in Texas These children were born January 2007 through July 2009 2010 Teen NIS The survey assessed the immunization histories of 19,257 adolescents 10,037 males and 9,220 females in the US –944 males and 888 females in Texas These adolescents were born between January 1992 and February 1998. Children and Teens Included in the 2010 NIS

5. 2010 Child 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 2010 Teen NIS Coverage levels for vaccines routinely recommended for adolescents –Tetanus –Diphtheria –Acellular pertussis –Meningococcal conjugate –And quadrivalent human papillomavirus vaccines How is Vaccine Coverage Defined?

6. Important Texas Findings from the 2010 National Immunization Survey Among Children Age 19-35 Months

7. Estimated 4:3:1:0:3:1:4* Vaccination Coverage in Children 19-35 Months of Age by Local Area and State, NIS 2008-2010 *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

8. Estimated Vaccination Coverage with Individual Vaccines in Children 19-35 Months of Age, NIS 2010 US and TX Compared HP 2020 Goal, 90%

9. Estimated Vaccination Coverage with Individual Vaccines in Children 19-35 Months of Age, TX NIS 2007-2010

10. Important Texas Findings from the 2010 National Immunization Survey Among Adolescents Age 13-17 Years

11. Estimated Vaccination Coverage for Vaccine Doses Routinely Recommended for Adolescents Aged 13-17Years, 2010 Teen NIS, US and Texas

12. Estimated 1 Doses of HPV* Vaccination Coverage among Adolescent Females Aged 13- 17Years, Teen-NIS 2008-2010, TX and US

13. Estimated 3 Doses of HPV* Vaccination Coverage among Adolescent Females Aged 13- 17Years, Teen-NIS 2008-2010, TX and US

14. Estimated Vaccination Coverage with 1 Dose of HPV Vaccine Among Adolescents Females Aged 13- 17 Years by Race/Ethnicity, Teen-NIS,TX and US, 2010

15. Estimated Vaccination Coverage*with 3 Doses of HPV Vaccine Among Adolescents Females Aged 13- 17 Years by Race/Ethnicity, Teen-NIS,TX and US, 2010 * 3 dose of human papillomavirus vaccine, either quadrivalent or bivalent. Percentage reported among females only.

16. 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

17. 2010 National Immunization Survey Texas Immunization Rates Questions & Answers

18. Resources National Immunization Survey –http://www.cdc.gov/vaccines/stats-surv/imz-coverage.htm#nishttp://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_whttp://www.cdc.gov/mmwr/preview/mmwrhtml/mm5936a2.htm?s_cid=m m5936a2_w Healthy People 2010 –http://www.healthypeople.gov/http://www.healthypeople.gov/ Texas Department of State Health Services-Immunzation Branch –http://www.dshs.state.tx.us/immunize/default.shtmhttp://www.dshs.state.tx.us/immunize/default.shtm

19. Estimated Vaccination Coverage of Three Dose HPV Series Completion*Among Adolescent Females Aged 13-17 Years by Race/Ethnicity, Teen-NIS,TX and US, 2010 Percent of females who received three(3) HPV doses among those who had at least one(1) HPV dose and at least 24 weeks between the first dose and the interview date.

20. Estimated Vaccination Coverage in Children 19-35 Months of Age by Selected Vaccine (MMR) and Local Area, NIS 2006-2009

21. Estimated Vaccination Coverage Among Children 19-35 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+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].