Immunization - Children
- Percentage of children ages 19 to 35 months who have received a series of immunizations consisting of four or more doses of DTP, three or more doses of poliovirus vaccine, one or more doses of any measles-containing vaccine, three or more doses of HiB, and three or more doses of HepB vaccine.
- The average percentage of children ages 19 to 35 months who have received these individual vaccinations: four or more doses of DTP, three or more doses of poliovirus vaccine, one or more doses of any measles-containing vaccine, and three or more doses of HepB vaccine.
- Percentage of children aged 19 to 35 months receiving recommended doses of DTaP, polio, MMR, Hib, hepatitis B, varicella, and PCV vaccines.
Immunization-Children is the percentage of children receiving the recommended doses of Diphtheria, Tetanus, and Pertussis (DTaP); polio; Measles, Mumps, Rubella (MMR); Haemophilus influenzae Type b (Hib); hepatitis B; varicella (chickenpox); and Pneumococcal conjugate vaccine (PCV) vaccines by age 19 to 35 months. This measure was adjusted from the 2010-2012 Editions which did not account for each individual receiving the full series of shots, but rather, individuals receiving individual shots. The 2014 ranks are based on 2013 data from the National Immunization Survey.
Immunization coverage among children ranges from a high of 82.1% in Rhode Island to a low of 57.1% in Arkansas. In the United States, immunization coverage among children is 70.4% of children aged 19 to 35 months, up from 68.4% in the 2013 Edition.
Early childhood immunization has been shown to be a safe and cost-effective means of controlling diseases within the population. Infants receiving recommended immunizations by age 2 are protected from 14 diseases. In the last 50 years, vaccinations have led to a 95% decrease in vaccine-preventable diseases. The CDC recently called vaccines 1 of the 10 greatest public health achievements of the 20th century. Routine childhood immunizations are estimated to save almost $10 billion in direct medical costs. The Affordable Care Act requires health insurance plans to cover preventive services, including immunizations, without charging deductibles, copayments or coinsurance. The Guide to Community Preventive Services has numerous proven methods to increase the rate of vaccinations in a community that include ways to increase the demand in the community, improve access, and system-based or provider-based innovations.
Increasing the percentage of children aged 19 to 35 months who receive the recommended doses of DTaP, polio, MMR, Hib, hepatitis B, varicella, and PCV vaccines to 80.0% is a Healthy People 2020 leading health indicator.
 Shefer A, Briss P, Rodewald L, et al. Improving immunization coverage rates: An evidence-based review of the literature. Epidemiol Rev. 1999;21(1):96-142.
 Zhou F. Economic evaluation of the 7-vaccine routine childhood immunization schedule in the United States, 2001. Archives of Pediatrics Adolescent Medicine. 2005;159(12):1136.
 US Department of Health and Human Services. The Affordable Care Act and Immunization. http://www.hhs.gov/healthcare/facts/factsheets/2010/09/The-Affordable-Care-Act-and-Immunization.html. Updated January 20, 2012. Accesseed July 30, 2014.
 Guide to Community Preventive Services. Increasing appropriate vaccination. http://www.thecommunityguide.org/vaccines/index.html. Updated August 5, 2013. Accessed October 21, 2013.