Complete Indicator Profile of Immunizations 4:3:1:3:3:1
Definition
Children aged 19-35 months who received the recommended vaccines (4 DTaP, 3 Polio, 1 MMR, 3 Hep B, 3 Hib, 1 Varicella)Numerator
Number of children aged 19-35 months that have received at least 4 doses of DTaP, 3 doses of Polio, 1 dose of MMR, 3 doses of Hep B, 3 doses of Hib, 1 dose of Varicella antigens.Denominator
Children aged 19-35 months.Data Interpretation Issues
The National Immunization Survey (NIS) is conducted by the Centers for Disease Control and Prevention (CDC) and uses random-digit-dialing to find households throughout the U.S. with children aged 19 to 35 months. They ask parents or guardians to tell them the vaccines (with dates) that appear on the child's "shot card" kept in the home, and they also collect demographic and socioeconomic information. At the end of the interview, they ask for permission to contact the child's vaccination providers. Providers are then contacted by mail to verify each child's vaccinations.The NIS uses a nationally representative sample, and provides estimates of coverage that are weighted to represent the entire population, nationally, and by region, state, and selected large metro areas. The large sample size (approximately 30,000 participants) allows them to stratify (that is, subdivide) the data so that they can examine vaccination rates among different groups, for instance, by income level, race, education level of mothers, and other factors. (Taken from the Centers for Disease Control and Prevention website)
Why Is This Important?
Immunizations are the most cost-effective health prevention measures. Development of vaccinations had been cited by the U.S. Public Health Service as one of the Ten Great Public Health Achievements in the 20th Century.(1) Vaccines play an essential role in reducing and eliminating disease.By two years of age, it is recommended that all children should have received 4 doses of diphtheria-tetanus-pertussis (DTP), 3 doses of polio, 1 dose of measles-mumps-rubella (MMR), 3 doses of Hepatitis B, 3 doses of Haemophilis Influenza, type B (Hib), and 1 dose of Varicella vaccine. This recommendation is referred to in shorthand as "4:3:1:3:3:1."
Healthy People 2010 Objective 14.24a:
Fully immunized young children and adolescents -Children 19 to 35 monthsU.S. Target for 2010: 80%
State Target for 2010: 90%
Other Objectives
Utah's 42 Community Health Indicators.How Are We Doing?
Utah improved from having 68.1% of 2-year-old children fully immunized in 2005 to having 78.0% of 2-year-old children fully immunized in 2006.How Do We Compare With U.S.?
Utah's fully immunized percentage (78.0%) is 1% higher than the U.S. percentage (77.0%). Utah's 4:3:1:3:3:1 immunization ranking (among the 50 states) was 41st in 2005 and has jumped to 20th in 2006.What Is Being Done?
Utah Department of Health's Immunization Program conducts annual assessments of private and public health care providers' immunization records to obtain state immunization levels. Utah also has immunization coalitions that are working to maintain or improve current levels of immunization and to increase public awareness of immunizations.Utah's Statewide Immunization Information System (USIIS) provides a mechanism for health care providers to track patient immunizations and send reminder cards to Utah parents whose children are due for immunizations. USIIS also includes adult immunizations, such as pneumonia, tetanus, influenza, and smallpox.
Due to the increased costs of vaccine, public health clinics are now able to provide publicly purchased vaccine only to those who meet eligibility criteria and don't have insurance coverage.
Available Services
Vaccines for Children (VFC) Program: This program gives free vaccines to physicians/clinics that allow patients to remain in their medical home. Patients must qualify for this program.Care-A-Van: The Care-A-Van is an immunization awareness and access program designed to target areas identified with low immunization levels or limitations to immunization services.
General information about immunizations for school-age children, adolescents, college students/missionaries, adults, and travel, is available on our web site: www.immunize-utah.org. For information on vaccine providers in your area, contact the Immunization Hotline at 1-800-275-0659.
More Information
1. Centers for Disease Control and Prevention. (1999). Achievements in Public Health, 1900-1999: Impact of vaccines universally recommended for children -- United States 1990-1998. Morbidity and Mortality Weekly Report, Vol. 48, (12);243-248. Atlanta, GA: author.Related Indicators
Relevant Population Characteristics
Third or subsequent born child.Child's mother is younger than 20.
Graphical Data Views
Percentage of Children Aged 19-35 Months Receiving 4:3:1:3:3:1 by State, 2006
| States | Percentage of Children 19-35 Months | Lower Limit | Upper Limit |
|---|---|---|---|
| Alabama | 79.1% | 72.2% | 86.0% |
| Alaska | 67.3% | 60.3% | 74.3% |
| Arizona | 70.6% | 65.9% | 75.3% |
| Arkansas | 72.9% | 64.0% | 81.8% |
| California | 78.6% | 74.4% | 82.8% |
| Colorado | 75.9% | 68.1% | 83.7% |
| Connecticut | 82.0% | 76.8% | 87.2% |
| Delaware | 80.3% | 73.5% | 87.1% |
| Florida | 80.2% | 76.0% | 84.4% |
| Georgia | 81.4% | 76.8% | 86.0% |
| Hawaii | 78.8% | 72.6% | 85.0% |
| Idaho | 68.8% | 61.1% | 76.5% |
| Illinois | 74.1% | 68.0% | 80.2% |
| Indiana | 75.9% | 70.1% | 81.7% |
| Iowa | 79.0% | 72.8% | 85.2% |
| Kansas | 70.1% | 64.6% | 75.6% |
| Kentucky | 79.0% | 73.0% | 85.0% |
| Louisiana | 69.6% | 62.5% | 76.7% |
| Maine | 75.7% | 68.7% | 82.7% |
| Maryland | 78.3% | 72.8% | 83.8% |
| Massachucetts | 83.6% | 78.6% | 88.6% |
| Michigan | 77.9% | 72.9% | 82.9% |
| Minnesota | 77.6% | 71.3% | 83.9% |
| Mississippi | 73.3% | 66.2% | 80.4% |
| Missouri | 80.7% | 74.9% | 86.5% |
| Montana | 65.6% | 59.0% | 72.2% |
| Nebraska | 74.9% | 68.5% | 81.3% |
| Nevada | 59.5% | 52.1% | 66.9% |
| New Hampshire | 76.3% | 70.2% | 82.4% |
| New Jersey | 76.1% | 69.8% | 82.4% |
| New Mexico | 71.6% | 66.2% | 77.0% |
| New York | 78.7% | 74.4% | 83.0% |
| North Carolina | 81.5% | 75.1% | 87.9% |
| North Dakota | 80.1% | 74.9% | 85.3% |
| Ohio | 75.0% | 69.5% | 80.5% |
| Oklahoma | 77.6% | 72.0% | 83.2% |
| Oregon | 73.2% | 66.6% | 79.8% |
| Pennsylvania | 80.8% | 76.1% | 85.5% |
| Rhode Island | 80.6% | 75.5% | 85.7% |
| South Carolina | 79.6% | 73.8% | 85.4% |
| South Dakota | 74.4% | 67.9% | 80.9% |
| Tennessee | 76.8% | 70.9% | 82.7% |
| Texas | 74.7% | 71.0% | 78.4% |
| Utah | 78.0% | 71.7% | 84.3% |
| Vermont | 75.2% | 69.3% | 81.1% |
| Virginia | 77.4% | 71.7% | 83.1% |
| Washington | 71.4% | 66.3% | 76.5% |
| West Virginia | 68.4% | 61.3% | 75.5% |
| Wisconsin | 80.5% | 75.7% | 85.3% |
| Wyoming | 63.5% | 56.7% | 70.3% |
Record Count: 50
Data Sources
National Immunization Survey, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention;Estimated Vaccination Coverage With 4:3:1:3:3:1 Among Children 19-35 Months, Utah and U.S., 2002-2006
| Utah vs. U.S. | Year | Percentage of Children 19-35 Months | Lower Limit | Upper Limit |
|---|---|---|---|---|
| Utah | 2002 | 61.4% | 54.9% | 67.9% |
| Utah | 2003 | 70.1% | 63.4% | 76.8% |
| Utah | 2004 | 67.8% | 61.7% | 73.9% |
| Utah | 2005 | 68.1% | 59.3% | 76.9% |
| Utah | 2006 | 78.0% | 71.7% | 84.4% |
| U.S. | 2002 | 65.5% | 64.4% | 66.6% |
| U.S. | 2003 | 72.5% | 71.5% | 73.5% |
| U.S. | 2004 | 76.0% | 75.0% | 77.0% |
| U.S. | 2005 | 76.1% | 75.0% | 77.2% |
| U.S. | 2006 | 77.0% | 76.0% | 78.0% |
Record Count: 10
Data Sources
National Immunization Survey, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention;
Page Content Updated On 11/05/07,
Published on 11/07/07
