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Immunization Strategies and Resources

November 17, 2023

Immunization Strategies and Resources for Health Care Professionals from the American Academy of Pediatrics (AAP)

The AAP Committee on Infectious Diseases has compiled a comprehensive list of resources on strategies to improve immunization rates. This news and resource page is updated frequently. AAP membership or subscriber login may be required to access some links.

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Immunization News

 

graph of measles cases from 2010 through February 3, 2023

Source: Measles Cases and Outbreaks | CDC

 

 

Immunization Rates in the United States

Interactive map of immunizations by state: https://downloads.aap.org/AAP/Vaccine/index.html

 

Percent of children vaccinated by age 24 months:

Diphtheria, Tetanus, Pertussis (4+ doses DTP, DT, or DTaP)

81.9%

Polio (3+ doses)

93.4%

Measles, Mumps, Rubella (MMR) (1+ doses)

91.6%

Haemophilus influenzae type b (Hib) (primary series + booster dose)

80.0%

Hepatitis B (Hep B) (3+ doses)

92.7%

Chickenpox (Varicella) (1+ doses)

91.1%

Pneumococcal conjugate vaccine (PCV) (4+ doses)

83.5%

Combined 7-vaccine series

70.1%

Source: Vaccination Coverage by Age 24 Months Among Children Born During 2018–2019 — National Immunization Survey–Child, United States, 2019–2021

 

Percent of children vaccinated among kindergarteners:

Diphtheria, Tetanus, Pertussis (4+ doses DTP, DT, or DTaP)

93.1%

Polio (3+ doses)

93.5%

Measles, Mumps, Rubella (MMR) (2 doses)

93.5%

Chickenpox (Varicella) (1+ doses)

92.8%

Hepatitis B (Hep B) (3+ doses)

94.6%

Source: Vaccination Coverage with Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2021–22 School Year

 

Vaccination coverage among adolescents aged 13-17:

Tetanus, Diphtheria, Pertussis (Tdap, 1+ doses)

89.6%

Human Papilloma Virus (HPV, all required doses)

63.8%

Meningococcus ACWY (MenACWY, 2+ doses)

60.0%

Meningococcus B (MenB, 2+ doses)

31.4%

Hepatitis A (2+ doses)

85.0%

Hepatitis B (Hep B) (3+ doses)

92.3%

History of Varicella or Varicella Vaccine (2+ doses)

92.2%

Source: National Vaccination Coverage Among Adolescents Aged 13–17 Years — National Immunization Survey-Teen, United States, 2021

 

Immunization Rates and Activity for Selected Viruses

Influenza

Key Resources

 

COVID-19

Percent of the Population of the United States Vaccinated by Age and Number of Doses (as of February 15, 2023)

 

At Least 1 Dose

Completed Primary Series

Updated (Bivalent Booster Dose)

Population >5 years old

85.6%

73.3%

16.9%

Population >12 years old

90.3%

77.4%

18.2%

Population >18 years old

92.0%

79.0%

19.3%

Source: CDC

See the most current COVID-19 immunization rates at https://covid.cdc.gov/covid-data-tracker/#datatracker-home

 

Key Resources

 

Featured Research Articles About Immunization Rates:

 

Strategies to Improve Vaccination Rates

  • Find an immunization champion in your practice: An immunization champion can serve as a steward and advocate for immunizations in your practice.
  • Implement patient reminder-recall systems: Immunization reminder-recall systems are cost-effective methods to identify and notify families whose children are due soon for immunizations (reminder) or are already behind (recall). Access tools here: Reminder and Recall Strategies
  • Hold vaccine clinics at hours that are convenient for families: Holding vaccination clinics with special hours (evening or Saturday) at your practice allows for more busy adolescents and their parents to access vaccination services.
  • Give providers feedback: Providers often change their behaviors (eg, clinical practices) based on feedback that they are different from those of their peers.
  • Include all recommended vaccinations at every visit: It is important to vaccinate whenever possible, because you don’t know when a patient will be back in your office. Standing orders are an effective way to help staff get patients vaccinated while in the office.
  • Deliver strong provider recommendations: Studies have shown that parents trust their pediatrician’s guidance and it is important to give a strong recommendation for vaccination
  • Use provider prompts and standing orders: Provider prompts can be electronic prompts in EHRs, notes in charts or any other systematic reminder to administer appropriate immunizations.
  • Educate staff: Provide staff training about evidence-based communication strategies known to improve vaccine confidence.
  • Educate patients and their parents: Take every opportunity to improve vaccine confidence. Educate patients and their parents about each recommended vaccine and the disease it prevents.
  • Manage patient records: Accurate immunization records are essential components of forecasts, reminder-recall reports, and coverage reports.

Access additional information and  tools here: Office Strategies for Improving Immunization Rates

 

Immunization Resources

2024 Immunization Schedules:  AAP News | Pediatrics | Immunization Schedules

 

 

 

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