Vaccination Coverage by Age 24 Months Among Children Born in 2017 and 2018 — National Immunization Survey-Child, United States, 2018–2020

David Yankey · Laurie D. Elam–Evans · James A. Singleton · Natalie Sterrett

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Vaccine Coverage and Hesitancy Child and Adolescent Health Immune responses and vaccinations

Abstract

Immunization is a safe and cost-effective means of preventing illness in young children and interrupting disease transmission within the community.*The Advisory Committee on Immunization Practices (ACIP) recommends vaccination of children against 14 diseases during the first 24 months of life (1).CDC uses National Immunization Survey-Child (NIS-Child) data to monitor routine coverage with ACIPrecommended vaccines in the United States at the national, regional, state, territorial, and selected local levels.† CDC assessed vaccination coverage by age 24 months among children born in 2017 and 2018, with comparisons to children born in 2015 and 2016.Nationally, coverage was highest for ≥3 doses of poliovirus vaccine (92.7%); ≥3 doses of hepatitis B vaccine (HepB) (91.9%); ≥1 dose of measles, mumps, and rubella vaccine (MMR) (91.6%); and ≥1 dose of varicella vaccine (VAR) (90.9%).Coverage was lowest for ≥2 doses of influenza vaccine (60.6%).Coverage among children born in 2017-2018 was 2.1-4.5 percentage points higher than it was among those born in 2015-2016 for rotavirus vaccine, ≥1 dose of hepatitis A vaccine (HepA), the HepB birth dose, and ≥2 doses of influenza vaccine.Only 1.0% of children had received no vaccinations by age 24 months.Disparities in coverage were seen for race/ethnicity, poverty status, and * https://www.cdc.gov/vaccines/vac-gen/howvpd.htm† Estimates for states, selected local areas, and the territories of Guam and Puerto Rico are available online at https://www.cdc.gov/vaccines/imz-managers/ coverage/childvaxview/data-reports/index.html.Certain local areas that receive federal Section 317 immunization funds are sampled separately and included in the NIS-Child sample every year (Chicago, Illinois; New York City, New York; Philadelphia County, Pennsylvania; Bexar County, Texas; and Houston, Texas).Other local areas in Texas were sampled in some survey years from 2018-2020 and not others, including El Paso County (survey year 2019) and Dallas County (survey year 2019).Data were not collected in Puerto Rico in 2018 because of the severity of the hurricane season.Therefore, estimates for Puerto Rico are based on data collected in survey years 2019 and 2020.National estimates in this report exclude all territories.INSIDE 1441 Binge Drinking Among Adults, by Select Characteristics and State -United States, 2018 1447 Differences in State Traumatic Brain Injury-Related Deaths, by Principal Mechanism of Injury, Intent, and Percentage of Population Living in Rural Areas -United States, 2016-2018 1453 Notes from the Field: Fatal Anthrax Pneumonia

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References

2021Impact of the COVID-19 Pandemic on Administration of Selected Routine Childhood and Adolescent Vaccinations — 10 U.S. Jurisdictions, March–September 2020 2021Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger — United States, 2021 2020Parental Vaccine Hesitancy and Childhood Influenza Vaccination 2021Pediatric Vaccination During the COVID-19 Pandemic 2020Vaccination Coverage by Age 24 Months Among Children Born in 2016 and 2017 — National Immunization Survey-Child, United States, 2017–2019

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