1. 2009 National Immunization Survey Report Texas Immunization Rates Jack Simms-Immunization Branch Manager Tony Aragon-Epidemiologist 11-4-2010

2. 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……

3. 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 childs vaccination providers Only population-based survey to provide national, state, local area, and territorial estimates of vaccination coverage Tracks progress towards Healthy People goals

4. 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

5. 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

6. Important Texas Findings from the 2009 National Immunization Survey

7. Estimated 4:3:1:0:3:1:4* Vaccination Coverage in Children 19-35 Months of Age by Local Area and State, NIS 2008-2009 *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

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

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

10. 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].

11. 2009 National Immunization Survey Texas Immunization Rates In Retrospect Questions & Answers

12. 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

13. 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