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Childhood Immunization Coverage Infographic: Infant Vaccination Rates High, Unvaccinated Still Vulnerable

2013 National Immunization Survey — Children (19-35 months of age)

see text equivalent for Childhood Immunization Coverage Infographic: Infant Vaccination Rates High, Unvaccinated Still Vulnerable

Childhood Immunization Coverage Infographic: Infant Vaccination Rates High, Unvaccinated Still Vulnerable (Text Version)

2013 National Immunization Survey (NIS)

Published August 28, 2014

Our nation’s report card for children 19-35 months of age
Source: CDC. National, state, and selected local area vaccination coverage among children aged 19-35 months—United States, 2013. MMWR 2014;63(34):741-748. /mmwr/preview/mmwrhtml/mm6334a1.htm

First section:

Nationally, vaccination rates are high, but some communities remain at risk

High rates of vaccine coverage are keeping most vaccine preventable diseases at record low levels. The recent measles outbreaks, however, revealed pockets of unvaccinated people in some communities.
[Line graph shows measles cases in the US by month for years 2001 through 2014. The number of cases has dramatically increased in 2014, compared to years between 2001-2013, totaling near 600 in July 2014.
Source: National Notifiable Diseases Surveillance System (NNDSS) and direct report to CDC. 2013-2014 data is not complete]

Opportunities for improvement

Increase MMR (Measles, Mumps and Rubella) vaccination rates

In 2013, 17 states had MMR coverage below 90.0%, and these states are at higher risk for measles outbreaks.
Even in states with high MMR coverage, there can be communities with groups of people who are unvaccinated, and the people in these communities are vulnerable to measles as well.
[Image: map of U.S. labeled 2013 MMR (one dose coverage by state). The 17 states with coverage below 90% are: Alabama, Arkansas, Colorado, Kansas, Kentucky, Louisiana, Michigan, Missouri, Montana, New Mexico, Ohio, Oklahoma, Oregon, South Carolina, Virginia, West Virginia, and Wyoming.]

Finish the toddler vaccine series

Many clinicians and parents are challenged in making sure children get all the recommended vaccine doses during the second year of life.
Make sure that children continue after their first birthday to get all recommended doses.
[Image: map of U.S. labeled 2013 vaccination coverage by state, 4 doses DTap, national coverage = 83%. States with DTaP coverage 90% or greater are Massachusetts, Minnesota, New Hampshire, Rhode Island, and Utah. States with 80-89% DTaP coverage are Alabama, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Kentucky, Maine, Maryland, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, Oregon, Pennsylvania, South Dakota, Tennessee, Texas, Vermont, West Virginia, Wisconsin, and Wyoming. The remaining states have DTaP coverage below 80%.]

[Image: map of U.S. labeled 2013 vaccination coverage by state, Hib booster, national coverage = 82%. States with Hib booster coverage 90% or greater are Connecticut and Massachusetts. States with 80-89% Hib booster coverage are Alabama, Alaska, California, Colorado, Delaware, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, and Wisconsin. The remaining states have Hib booster coverage below 80%.]

Provide vaccines for all children

In 2013, children living below the poverty line had lower coverage for several vaccines. Fortunately, the Vaccines For Children (VFC) program provides vaccines for children who are uninsured.
Parents can find VFC information or a VFC provider at:

Section 2:

Strategies and tools to increase immunization rates

[Photo of woman hold smiling toddler]
Parents can:

  • Talk with their child’s doctor if they have any questions
  • Ask at every visit to the doctor if their child’s vaccines are up-to-date
  • Visit

Clinicians can:

  • Assess immunization status at every visit
  • Recommend needed vaccines
  • Send patient reminders when vaccines are due
  • Use electronic medical records and immunization registries to improve care

Section 3:

VFC has been helping prevent disease and saving lives for the last twenty years.

[Close-up photo of baby with big eyes]
CDC estimates that vaccination of children born between 1994 and 2013 will
Prevent 322 million illnesses—more than the current population of the entire U.S.A.
Help avoid 732,000 deaths—greater than the population of Boston, MA
Save nearly $1.4 trillion in total societal costs*—or $4,473 for each American
*includes $295 billion in direct costs
Source: Benefits from Immunization During the Vaccines for Children Program Era — United States, 1994-2013. MMWR 2014;63(16):352-355.

CDC/HHS logo
U.S. Department of Health and Human Services
Centers for Disease Control and Prevention

NCIRDig407 | 08.28.2014

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