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Immunization

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Children

Increase the proportion of young children who receive all vaccines that have been recommended for universal administration.

Target: 95 percent of children ages 19 through 35 months.
Baseline, 1998: 82.8 (+/- 4.7) percent of children ages 19 through 35 months have received vaccines at the universally recommended levels.
Target Setting Method: Better than the best.

Maintain vaccination coverage levels for children in licensed day care facilities.

Target: 98 percent.
Baseline, 1998: 96.8 percent of children in licensed day care facilities have maintained vaccination coverage levels.
Target Setting Method: Better than the best.

Maintain vaccination coverage for children in Kindergarten-First grade.

Target: 99 percent.
Baseline, 1998: 98.0 percent of children in Kindergarten-First grade have maintained vaccination coverage levels.
Target Setting Method: Better than the best.

Older Adults

Increase the proportion of adults 65 years of age or older who are vaccinated annually against influenza.

Target: 75 percent.
Baseline, 1998: 43.4 percent of adults, age 65 and older received the influenza vaccination.
Target Setting Method: Better than the best.

Increase the proportion of adults 65 years of age or older who are ever vaccinated against pneumococcal disease.

Target: 75 percent.
Baseline, 1998: 44.2 percent of adults, age 65 and older, have received the pneumococcal vaccination.
Target Setting Method: Better than the best.

Objectives/Targets
 

Infectious Diseases - Immunization


Children

     The Universal Childhood Vaccine Distribution Program, legal requirements, education, and outreach efforts have increased the numbers of children who are vaccinated by the time they start school. However, not all children are appropriately vaccinated as they enter school. Recent outbreaks of rubella and a number of cases of congenital rubella syndrome highlight the importance of ensuring rubella immunity particularly in women of child-bearing age and foreign-born adults.

Older Adults

     Influenza and pneumonia are the leading vaccine preventable diseases among adults. In 1997, 2,457 deaths in North Carolina were attributed to these diseases. Significantly, over 88 percent of those deaths were people age 65 and older. These infections are the fifth leading cause of all deaths, and cause more deaths than breast cancer and AIDS combined.
 

Disparities


Children

     Under-vaccinated children tend to live in under-served areas and among new immigrant populations.

Older Adults

      Vaccination against pneumococcal infections and influenza among African Americans/Blacks and Hispanic/Latinos remains substantially below the general population.
 

Determinants/Risk Factors

Children
     Lack of parent education about the need for vaccinations, need for more user-friendly vaccination delivery service, lack of vaccination coverage assessments, and women in their second or third trimester of pregnancy during flu season

Older Adults
     Individuals age 65 and older; persons with chronic disorders of the lungs or heart, and/or persons with compromised immune systems; health care workers; nursing home or long-term care residents; lack of community education about the need for vaccinations.

 

NC Data

Infectious Diseases - Immunization

 


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