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Health Care Final 10-15-09 -   4.1 - Children (19-35 months) Who Receive All Recommended Vaccines

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Health Care Final 10-15-09
Healthy State
Economic Recovery
Action Plan

4.1 - Immunizations:  Percent of Children 19-35 Months Who Receive All Recommended Vaccines 

How protected are children from vaccine-preventable disease?

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Data Notes
Data Source: National Immunization Survey, Centers for Disease Control and Prevention; 2008
Measure Definition: Immunizations: Percent of children 19-35 months who receive all recommended vaccines.  15-dose series is the current gold standard established by the Centers for Disease Control and Prevention. In the next several years, this well be replaced by a 19-dose series.
Target Rationale: Target:  80% by 2010, as established by Healthy People 2010.
Link to Agency Strategic Plan:

Goal 1: Improve health outcomes for the people of Washington State.
Objective 2: Prevent and control outbreaks of communicable disease.

Relevance: Childhood immunizations remain the most effective way to prevent many diseases, some of which have no cure or treatment.
Notes: (optional)

Period/Frequency:  Calendar years 2002 through 2008.  Data collected for a calendar year is ready for reporting the following year in October.


Also Available
Action Plan: yes
Extended Analysis: yes

 Drill Down Measures

 Summary Analysis

As sufficient data becomes available over the next few years, The Centers for Disease Control and Prevention will make the 19 dose series the new standard.

15 dose series = current standard

  • 73.5% of Washington's toddlers 19 - 35 months old get the right immunizations at the right time.
  • Between 2007 and 2008, Washington's rates increased by 4.5% while the national average dipped slightly by 1.3%.
  • As Washington has improved at a greater pace than the national average overall, the gap between the two has closed to within 2.6%.
  • Rate increase of 21.6% since 2002 have been helped by our outreach to families, partnerships with stakeholders, and a focus on using the CHILD Profile registry.

19 dose series = upcoming standard

  • Adds 4 doses of the newer pneumoccocal vaccine to the 15 dose series. The 19 dose series will replace the 15 dose as the gold standard once the CDC determines that the pneumococcal vaccine has had sufficient time to be accepted.
  • 67.3% of Washington's toddlers 19 - 35 months old are current for this series.
  • Between 2007 and 2008, Washington's rate increased 2.7% while the national average increased by 2.0%.
  • Primarily because of Washington's good coverage of pneumococcal vaccine, our 19 dose series rate is tracking closer to the national average than when the 15 dose series began.


  • As children reach kindergarten, more are fully immunized.
  • The state 2009-2011 biennial operating budget ends state funding for the purchase of all recommended childhood vaccines by May 1, 2010. 

See Also
Washington State Kindergarten entry immunization rates.

Key Action Items

  • To raise awareness of the importance of immunizations in protecting public health, the Department of Health is partnering with stakeholders such as Group Health Cooperative, the Washington Chapter of the American Association of Pediatrics, and the Washington Health Foundation  to develop and implement marketing strategies aimed at encouraging parents to immunize on-time.