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Influenza vaccination coverage among children aged 6-23 months - six immunization information system sentinel sites,
K Fredrickson1, R P McLaren, K S Enger
1Arizona Dept of Health Svcs., USA.
Insights
Influenza vaccination coverage for young children varied significantly in 2005-06. Many children aged 6-23 months did not receive the recommended annual flu shots, highlighting a need for improved vaccination efforts.
Area of Science:
- Pediatric Public Health
- Vaccinology
- Epidemiology
Background:
- The Advisory Committee on Immunization Practices (ACIP) recommended annual influenza vaccinations for children aged 6-23 months starting in the 2004-05 season.
- Recommendations expanded to include high-risk children, those on aspirin therapy, household contacts of high-risk individuals, and all children aged 24-59 months by 2006.
- Children under 9 years require two doses of influenza vaccine, separated by at least one month, for full vaccination.
Purpose of the Study:
- To assess influenza vaccination coverage among children aged 6-23 months during the 2005-06 influenza season.
- To identify variations in vaccination coverage across different sentinel sites.
- To evaluate the progress in influenza vaccination coverage compared to the previous season.
Main Methods:
- Utilized data from six immunization information system (IIS) sentinel sites.
- Analyzed vaccination coverage rates for children aged 6-23 months during the 2005-06 influenza season.
- Compared coverage data with the preceding influenza season.
Main Results:
- Influenza vaccination coverage with at least one dose ranged widely from 6.6% to 60.4% across the six sentinel sites.
- Coverage increased from the previous season in four of the six sites.
- Fewer than 23% of children in five of the sites achieved full vaccination status.
Conclusions:
- Significant disparities in influenza vaccination coverage exist among young children.
- There is a critical need for enhanced strategies to improve full influenza vaccination rates in children aged 6-23 months.
- Continued monitoring and targeted interventions are necessary to achieve optimal childhood influenza immunization.
Abstract:
Beginning with the 2004-05 influenza season, the Advisory Committee on Immunization Practices (ACIP) recommended that all children aged 6-23 months receive influenza vaccinations annually. Other children recommended to receive influenza vaccinations include those aged 6 months-18 years who have certain high-risk medical conditions, those on chronic aspirin therapy, those who are household contacts of persons at high risk for influenza complications, and, since 2006, all children aged 24-59 months. Previously unvaccinated children aged <9 years need 2 doses administered at least 1 month apart to be considered fully vaccinated. This report assesses influenza vaccination coverage among children aged 6-23 months during the 2005-06 influenza season by using data from six immunization information system (IIS) sentinel sites. The findings demonstrate that vaccination coverage with 1 or more doses varied widely (range: 6.6% to 60.4%) among sites, with coverage increasing from the preceding influenza season in four of the six sites. However, <23% of children in five of the sites were fully vaccinated, underscoring the need for increased measures to improve the proportion of children who are fully vaccinated.
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