MMWR News Synopsis for Thursday, October 11, 2018

Differences in Characteristics and Clinical Outcomes Among Hispanic/Latino Men and Women Receiving HIV Medical Care — United States, 2013–2014

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Despite facing greater socioeconomic and language-related challenges, Latina women receiving outpatient HIV care in the U.S. had clinical outcomes that were similar to Latino men in care – perhaps due in part to the higher use of HIV support services by Latina women. The findings underscore that providers should be cognizant of the challenges faced by Latinos with HIV-infection and provide referrals to needed support services. The prevalence of HIV among Latinos in the United States is more than twice that of non-Latino whites. Because experiences with medical care have been found to vary by gender, an analysis of data from the 2013 and 2014 Medical Monitoring Project (MMP), sought to describe these characteristics to better inform delivery of HIV services. The analysis found that among Latinos in the U.S. receiving medical care for HIV infection, women faced greater socioeconomic and language-related challenges than men. However, the clinical outcomes in regard to being prescribed antiretroviral therapy (ART) and having the virus consistently under control were similar among Latino men and women. This may be due in part to women’s higher use of patient support services such as assistance with translation, transportation, and meals. The findings underscore that providers should be cognizant of the challenges faced by Latinos with HIV-infection and provide referrals to needed support services.

Vaccination Coverage for Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2017–18 School Year

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During the 2017-18 school year, the median kindergarten vaccination coverage rate was close to 95% for the following vaccines: MMR (Measles, Mumps and Rubella), DTaP (diphtheria, tetanus and pertussis or whooping cough) and varicella (Chickenpox). Vaccination coverage among kindergartners remains high. Median vaccination coverage was 95.1% for the state required doses of DTaP, MMR, and chickenpox. State and local school vaccination requirements are put in place to make sure vaccination coverage rates are as high as possible while at the same time lowering the risk from vaccine preventable diseases. Federally funded immunization programs partner with departments of education and school nurses and other school personnel to assess vaccination coverage and exemption status of children enrolled in public and private kindergartens. Kindergarten vaccination requirements help ensure that students are fully vaccinated with age-appropriate vaccinations upon school entry.

Vaccination Coverage Among Children Aged 19–35 Months — United States, 2017

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Overall vaccination coverage among children younger than 3 years in 2017 remained high and stable in the United States. Overall vaccination coverage among children 19-35 months remained high and stable in the U.S. in 2017. Vaccines in the study included poliovirus, measles, mumps and rubella (MMR), hepatitis B, and varicella (chickenpox). Coverage was lower for most vaccines among uninsured children, those insured by Medicaid and for children living outside of a core city with a population of at least 50,000 people. Vaccination coverage could be increased with greater awareness and use of the Vaccines for Children (VFC) program to help reduce missed opportunities to give children the proper vaccines during visits to their health care providers.

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Page last reviewed: October 11, 2018