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2009 National Immunization
Survey Report
Texas Immunization Rates
Jack Simms-Immunization Branch Manager
Tony Aragon-Epidemiologist
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
2009 National Immunization Survey
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
100
90 2008 2009
80 74.3 73.3
71.8 72.3 71.3 70.6 70.5
69 69.7
70 65.4 66.5 67.9 67.3
63.9
Percent Vaccinated
60
50
40
30
20
10
0
Bexar Co City of Houston Dallas Co El Paso Co Rest of State TX US
*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
Estimated Vaccination Coverage with Individual
Vaccines in Children 19-35 Months of Age, NIS 2009
US and TX Compared
100
HP 2010 Goal, 90%
US TX
92.8 92.2 92.4 92.2
91.2
90 89.6
90 88.5 88.9
Percent Vaccinated
83.9 83.6
82.1
80.4 80.8
80
70
60
4+DTaP 3+Polio 1+MMR 3+Hib 3+HepB 1+Var 4+PCV
Vaccine
Estimated Vaccination Coverage with Individual
Vaccines in Children 19-35 Months of Age,
TX NIS 2007-2009
100
2007
2008
93.7 93.8 2009
92.6 92.7 93 93.1
92.1 92.2 91.7 92.2
91.2
90.4 90
90 88.5 88.9
Percent Vaccinated
83
82.1 82.1 80.8
79.2
80
75.7
70
60
4+DTaP 3+Polio 1+MMR 3+Hib 3+HepB 1+Var 4+PCV
Vaccine
Estimated Vaccination Coverage Among Children
19-35 Months of Age by Selected Vaccines, 2009
NIS, US and TX Compared
100
US TX
90
80
69.8
70
Percent Vaccinated
60.8
60 55
50 46.6 45.8
43.9
40
30
20
10
0
Hep B Birth dose* 2+HepA** Rotavirus***
Vaccine
Hep B Birth dose* - 1 or more doses of hepatitis B vaccine administered Rotavirus*** - >2 or >3 or more doses of Rotavirus vaccine, depending
between birth and age 3 days. on product type received (>2 doses for Rotarix® [RVI] or >3 doses for
RotaTeq® [RV5].
2+HepA** - 2 or more doses of Hepatitis A vaccine.
2009 National Immunization Survey
Texas 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
