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Health Indicator Report of Immunizations 4:3:1:3:3:1

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 Haemophilus Influenzae, type B (Hib), and 1 dose of Varicella vaccine. This recommendation is referred to in shorthand as "4:3:1:3:3:1."

Childhood Immunization Coverage by Antigen, Utah, 2013


Varicella vaccination unadjusted for history of varicella illness history.

Data Source

National Immunization Survey, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention

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)


Children aged 19-35 months who received the recommended vaccines (4 DTaP, 3 Polio, 1 MMR, 3 Hep B, 3 Hib, 1 Varicella).


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.


Children aged 19-35 months.

Healthy People Objective IID-7:

Achieve and maintain effective vaccination coverage levels for universally recommended vaccines among young children
U.S. Target: Not applicable, see subobjectives in this category

Other Objectives

Utah's 42 Community Health Indicators

How Are We Doing?

Utah's coverage levels have steadily increased in past years from 70.6% of 2-year-old children fully immunized in 2010 to 74.9% in 2012. In 2013, Utah's coverage rate increased to 80.5%. These data typically fluctuate from year to year and it is useful to look at 5-10 year trends to gain a clear understanding of how well Utah is immunizing its children.

How Do We Compare With the U.S.?

In 2013, Utah's coverage rate for 4:3:1:3:3:1 immunization of 80.5% was higher than the national average of 77.7%. Utah's 4:3:1:3:3:1 immunization ranking (among the 50 states) was 16th in 2013, 15th in 2012, 42nd in 2011, and 39th in 2010.

What Is Being Done?

The Utah Department of Health's Immunization Program conducts annual assessments of private and public health care providers' immunization records to obtain state immunization levels. During these site visits, Utah Immunization Program provider representatives also train clinic staff on appropriate vaccine storage, handling, and administration according to the Advisory Committee on Immunization Practices (ACIP) recommended practices. 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, and influenza. 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. General information about immunizations for school-age children, adolescents, college students/missionaries, adults, and travel is available on our web site: For information on vaccine providers in your area, contact the Immunization Hotline at 1-800-275-0659.
Page Content Updated On 09/23/2014, Published on 10/08/2014
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site ( The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 04 October 2015 15:17:41 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: ".

Content updated: Tue, 28 Jul 2015 19:46:15 MDT