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PHOM Indicator Profile Report of Immunizations: 4:3:1:3:3:1:4

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 or 4 doses of ''Haemophilus influenzae'' type B (Hib) (depending on product type received), 1 dose of Varicella, and 4 doses of pneumococcal vaccine. This recommendation is referred to in shorthand as "4:3:1:3:3:1:4." [[br]][[br]] ---- 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.

Childhood Immunization Coverage by Antigen, Utah, 2017

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Data Source

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

How Are We Doing?

Utah's coverage levels have steadily increased in past years from 41.2% of 2-year-old children fully immunized in 2009 to 67.9% in 2017. The change to brand-specific full series analysis for HIB vaccination likely lowered coverage rates in 2014 compared to historical 4:3:1:3:3:1:4 vaccination coverage rates (see data interpretation issues). 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.

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.

Healthy People Objective: Achieve and maintain effective vaccination coverage levels for universally recommended vaccines among young children

U.S. Target: Not applicable, see subobjectives in this category

Date Indicator Content Last Updated: 10/23/2018

Other Views

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 Sat, 24 August 2019 16:36:41 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: ".

Content updated: Thu, 20 Jun 2019 13:03:27 MDT