DefinitionNumber of children who are reported to have received an influenza vaccination in the past 12 months.
NumeratorNumber of survey respondents who reported receiving an influenza vaccination in the past 12 months.
DenominatorNumber of survey respondents.
Data Interpretation IssuesThe National Immunization Survey (NIS) is conducted by the Centers for Disease Control and Prevention (CDC) and uses a random-digit-dialing sample of landline and cellular telephone numbers to find households throughout the U.S. children 19-35 months and teens 13-17 years, and flu vaccinations for children 6 months-17 years to participate in the survey. The NIS provides current, population-based, state and local area estimates of vaccination coverage among children and teens using a standard survey methodology. The survey collects data through telephone interviews with parents or guardians in all 50 states, the District of Columbia, and some U.S. territories. A short flu vaccination questionnaire, the National Immunization Survey-Child Influenza Module (NIS-CIM), is conducted from October through June each year for children 6-18 months and 3-12 years. Parents and guardians are asked if their children had a flu vaccination and, if so, in which month and year. If the child received a vaccination, respondents are asked how many vaccine doses the child received and whether it was a flu shot or a flu nasal spray. Additional questions about flu vaccination are also asked.
Influenza immunization data for Utah and U.S. is also available from the FluVaxView Influenza Vaccination Coverage web page [https://www.cdc.gov/flu/fluvaxview/index.htm], which is estimated annually by CDC utilizing data from several nationally representative surveys.
Why Is This Important?Influenza, or flu, is an acute viral infection involving the respiratory tract that can occur in epidemics or pandemics. Influenza can cause a person, especially older persons, to be more susceptible to bacterial pneumonia.
Children younger than five years old, especially those younger than two, are at high risk of developing serious flu-related complications. CDC estimates that between 6,000 and 26,000 children younger than five years have been hospitalized each year in the United States because of influenza. The flu vaccine is safe and helps protect children from flu.^1^
#Centers for Disease Control and Prevention (CDC). ''The Flu: A Guide for Parents''. Retrieved from:
Healthy People Objective IID-12.11:Increase the percentage of children aged 6 months through 17 years who are vaccinated annually against seasonal influenza
U.S. Target: 70.0 percent
How Are We Doing?The Utah pediatric influenza immunization rate consistently falls below the national rate. The average pediatric influenza immunization rate for the previous five flu seasons in Utah (2015/14-2019/20) was 53.0%. Whereas the same measure for the U.S. was 60.5%.
In flu seasons 2010/11 thru 2013/14 the Utah pediatric influenza immunization rate remained fairly static around 50%. In 2014/15 the rate increased to 56.7%. This was followed by decreasing influenza immunization rates in the next three flu seasons. The 2019/20 flu season saw a significant increase to 60.0%, the highest pediatric influenza immunization rate in the previous ten flu seasons.
How Do We Compare With the U.S.?In Utah, 60% of children aged 6 months - 17 years surveyed on the National Immunization Survey (NIS) reported receiving a flu shot in the 2019/20 flu season. Nationwide for the same age group, the rate was 63.8%.
What Is Being Done?The UDOH Immunization Program and Office of Epidemiology educate health care providers, clinic staff, and the public about prevention methods and support investigation of outbreaks.
==Who Should Get Influenza Vaccine?==
For the 2019-2020 season, the Advisory Committee on Immunization Practices (ACIP) recommends annual influenza vaccination for everyone six months and older with any licensed, appropriate influenza vaccine with no preference expressed for any one vaccine over another. Some vaccines are not recommended in some situations and health conditions, and some people should not receive influenza vaccines at all (though this is uncommon).
===The Influenza (Flu) Shot===
====People who can get the flu shot:====
*Different flu shots are approved for people of different ages. Everyone should get a vaccine that is appropriate for their age.
*There are inactivated influenza vaccines that are approved for people as young as six months of age.
*Some vaccines are only approved for adults.
*Flu shots are recommended for pregnant women and people with chronic health conditions.
*Most people with egg allergy can get a flu shot.
====People who SHOULD NOT get the flu shot:====
*Children younger than six months of age are too young to get the flu shot.
*People with severe, life-threatening allergies to flu vaccine or any ingredient in the vaccine. This might include gelatin, antibiotics, or other ingredients.
====People who should talk to their doctor before getting the flu shot:====
If you have one of the following conditions, talk with your healthcare provider:
*If you have an allergy to eggs or any of the ingredients in the vaccine. Talk to your doctor about your allergy.
*If you ever had Guillain-Barr Syndrome (a severe paralyzing illness, also called GBS). Some people with a history of GBS should not get this vaccine. Talk to your doctor about your GBS history.
*If you are not feeling well, talk to your doctor about your symptoms.
===Nasal Spray Flu Vaccine===
====People who can get the nasal spray flu vaccine:====
*The nasal spray vaccine is approved for use in healthy non-pregnant individuals, 2 years through 49 years of age.
====People who SHOULD NOT get the nasal spray vaccine:====
*Children younger than two years
*Adults 50 years and older
*People with a history of severe allergic reaction to any component of the vaccine or to a previous dose of any influenza vaccine
*Children 2 years through 17 years of age who are receiving aspirin- or salicylate- containing medications
*People who are immunocompromised
*Children 2 years through 4 years who have asthma or who have had a history of wheezing in the past 12 months
*People who have taken influenza antiviral drugs within the previous 48 hours
*People who care for severely immunocompromised persons (or otherwise avoid contact with those persons for 7 days after getting the nasal spray vaccine).
*People who have taken influenza antiviral drugs within the previous 48 hours.
====People who should talk to their healthcare provider:====
If you have one of the following conditions, talk with your healthcare provider. He or she can help decide whether vaccination is right for you, and then select the best vaccine for you situation:
*People with asthma aged 5 years and older
*People with underlying medical conditions that can put them at higher risk of serious flu complications. These include conditions such as chronic lung diseases, heart disease, kidney disease, liver disorders, neurological and neuromuscular disorders, blood disorders, or metabolic disorders.
*People with moderate or severe acute illness with or without fever
*People with Guillain-Barr Syndrome within 6 weeks following a previous dose of influenza vaccine.
Centers for Disease Control and Prevention (CDC). "Who Should and Who Should NOT get a Flu Vaccine". Retrieved from: [https://www.cdc.gov/flu/prevent/whoshouldvax.htm].