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.
- The percentage of children receiving recommended doses of DTaP, polio, MMR, Hib, hepatitis B, varicella, and PCV vaccines by age 19 to 35 months.
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 2013 ranks are based on 2012 data from the National Immunization Survey.
Early childhood immunization has been shown to be a safe and cost-effective means of controlling diseases within the population. In the last 50 years, vaccinations have led to a 95 percent 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 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.
Immunization coverage among children ranges from a high of 80.2 percent and 80.1 percent of children aged 19 to 35 months in Hawaii and New Hampshire, respectively, to a low of 59.5 percent in Alaska. In the United States, immunization coverage among children is 68.4 percent of children aged 19 to 35 months.
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 percent 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.
 Guide to Community Preventive Services. Increasing appropriate vaccination. http://www.thecommunityguide.org/vaccines/index.html. Updated August 5, 2013. Accessed October 21, 2013.