Childhood Immunization Status (CIS)

The percentage of children 2 years of age who had a four diphtheria, tetanus and acellular pertussis (DTaP); three polio (IPV); one measles, mumps and rubella (MMR); three haemophilus influenza type B (HiB); three hepatitis B (HepB), one chicken pox (VZV); four pneumococcal conjugate (PCV); one hepatitis A (HepA); two or three rotavirus (RV); and two influenza (flu) vaccines by their second birthday.

The measure calculates a rate for each vaccine and nine separate combination rates.

Why It Matters?

Childhood vaccines protect children from a number of serious and potentially life-threatening diseases such as diphtheria, measles, meningitis, polio, tetanus and whooping cough, at a time in their lives when they are most vulnerable to disease.¹′² Approximately 300 children in the United States die each year from vaccine preventable diseases.³

Immunizations are essential for disease prevention and are a critical aspect of preventable care for children. Vaccination coverage must be maintained in order to prevent a resurgence of vaccine-preventable diseases.4

Results

Influenza
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201766.164.547.4----
201664.562.345.3----
201564.861.045.7----
201466.663.551.1----
201365.361.350.0----
201263.359.849.5----
201161.157.344.8----
201057.151.143.6----
CHILDHOOD IMMUNIZATION COMBINATION 2 (DTAP, IPV, MMR, HIB, HEPATITIS B AND VZV) 
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201778.671.272.9----
201678.569.673.0----
201578.466.872.5----
201480.168.573.8----
201378.867.574.0----
201279.768.175.7----
201178.064.874.5----
201078.548.574.1----
200977.743.174.3----
200881.230.673.7----
200780.830.172.1----
200679.824.573.4----
200577.754.870.5----
200472.5--63.1----
200369.8--58.5----
200262.5--53.2----
200157.6--52.5----
200053.5--------
199947.5--------
CHILDHOOD IMMUNIZATION COMBINATION 3(DTAP, IPV, MMR, HIB, HEPATITIS B, VZV AND PCV) 
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201776.869.569.4----
201676.568.969.7----
201576.368.469.0----
201478.069.070.4----
201376.666.570.8----
201276.865.872.1----
201175.763.170.6----
201075.146.169.9----
200973.440.469.4----
200876.628.567.6----
200775.527.665.4----
200665.722.460.9----
CHILDHOOD IMMUNIZATION COMBINATION 10(DTAP, IPV, MMR, HIB, HEPATITIS A, HEPATITIS B, VZV, PCV, ROTAVIRUS AND INFLUENZA) 
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201753.447.935.4----
201651.045.433.3----
201551.045.433.3----
201451.543.436.1----
201349.338.734.7----
201237.929.531.4----
201122.917.017.3----
201018.510.415.2----
DIPHTHERIA, TETANUS, ACELLULAR PERTUSSIS (DTAP/DT) 
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201785.380.476.3----
201685.379.676.8----
201585.977.576.3----
201487.380.278.0----
201386.780.379.0----
201287.280.080.9----
201186.576.879.8----
201086.364.780.2----
200985.459.979.6----
200887.247.778.6----
200786.942.477.8----
200687.239.279.3----
200586.162.876.9----
200485.9--75.6----
200384.3--72.6----
200280.1--69.4----
200181.5--71.2----
200080.4--------
199978.7--------
HEPATITIS B (HEP B) 
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201786.378.688.2----
201685.477.188.0----
201586.574.887.7----
201488.977.989.3----
201388.176.888.6----
201289.277.389.5----
201187.974.788.8----
201090.258.790.1----
200990.153.789.1----
200891.838.788.3----
200791.335.887.2----
200691.031.188.4----
200590.057.785.4----
200487.2--81.9----
200385.8--79.5----
200281.9--76.2----
200179.9--75.4----
200077.9--------
199975.5--------
HAEMOPHILUS INFLUENZA TYPE B (HIB) 
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201791.686.887.7----
201691.386.088.1----
201591.984.587.6----
201493.787.589.3----
201393.588.190.7----
201294.388.392.0----
201194.186.191.0----
201094.375.590.3----
200994.874.893.7----
200894.866.393.4----
200793.153.687.7----
200693.449.289.1----
200592.972.686.8----
200487.7--79.1----
200386.1--77.7----
200283.2--73.8----
200183.4--74.9----
200082.7--------
199980.7--------
INACTIVATED POLIO VIRUS (IPV) 
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201790.685.588.2----
201690.484.988.7----
201590.782.587.7----
201492.385.789.0----
201392.286.290.0----
201292.886.391.6----
201192.483.490.5----
201091.871.190.8----
200991.165.389.0----
200892.152.687.9----
200791.547.587.3----
200691.443.087.9----
200590.366.784.7----
200490.1--84.8----
200388.7--83.1----
200286.0--80.3----
200185.4--79.1----
200084.2--------
199982.6--------
MEASLES, MUMPS, RUBELLA (MMR) 
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201792.590.488.8----
201692.890.589.5----
201593.089.989.2----
201492.189.190.0----
201391.588.790.5----
201291.888.391.6----
201191.586.990.9----
201090.882.790.6----
200990.680.591.2----
200893.576.490.9----
200793.576.390.4----
200693.675.091.1----
200593.086.289.6----
200492.3--88.1----
200391.5--87.4----
200290.1--84.4----
200189.4--83.7----
200088.4--------
199987.0--------
PNEUMOCOCCAL CONJUGATE (PCV) 
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201785.780.976.8----
201685.479.977.2----
201585.977.776.5----
201487.580.478.3----
201387.078.379.2----
201286.778.980.1----
201187.077.779.3----
201085.665.679.4----
200984.660.177.6----
200884.847.875.6----
200783.642.373.8----
200672.837.168.3----
VARICELLA (VZV)
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201792.090.088.6----
201692.089.589.0----
201591.988.688.8----
201492.088.688.8----
201391.588.390.2----
201291.688.091.1----
201191.386.990.5----
201090.882.290.0----
200990.679.790.6----
200892.074.889.7----
200791.974.488.7----
200690.972.088.9----
200589.982.086.6----
200487.5--84.7----
200385.7--81.8----
200282.0--76.4----
200175.3--73.6----
200070.5--------
199963.8--------
HEPATITIS A (HEP A) 
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201787.885.884.3----
201686.884.684.2----
201585.583.183.7----
201483.781.883.4----
201382.579.381.9----
201265.561.176.4----
201139.032.239.2----
201035.428.636.5----
ROTAVIRUS (RV) 
CommercialMedicaidMedicare
YearHMOPPOHMOHMOPPO
201781.877.070.1----
201680.575.569.0----
201580.272.867.9----
201480.874.668.1----
201379.971.967.7----
201276.769.866.0----
201175.167.262.4----
201063.551.957.6----

References

  1. Mayo Clinic. 2014. “Infant and Toddler Health.Childhood Vaccines: Tough questions, straight answers. Do vaccines cause autism? Is it OK to skip certain vaccines? Get the facts on these and other common questions.” http://www.mayoclinic.com/health/vaccines/CC00014
  2. Institute of Medicine. January 2013. “The Childhood Immunization Schedule and Safety: Stakeholder Concerns, Scientific Evidence, and Future Studies.” Report Brief.
  3. gov. 2013. “Immunizations and Infectious Diseases.” http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=23
  4. Diekema, D.S. 2012. “Improving Childhood Vaccination Rates.” N Engl J Med 366:39;1-3 http://www.nejm.org/doi/full/10.1056/NEJMp1113008

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