Learning Objectives for this Presentation:
By the end of the presentation participants will be able to identity states and local areas that met or exceeded the Healthy People 2010 immunization goals of 80% coverage with the routinely recommended 4:3:1:3:3:1 vaccines series and 90% with individual vaccines.

Background:
Although overall childhood vaccination coverage rates are increasing, it is important to monitor progress towards Healthy People 2010 immunization objectives and whether states and local areas are on target to meet these objectives by 2010.

Objectives:
Describe the 2006 national, state and local vaccination coverage estimates for the 4:3:1:3:3:1 vaccine series and individual vaccines among children aged 19-35 months and show whether immunization objectives have been met or are on target to be met by 2010.

Methods:
The 2006 National Immunization Survey (NIS) data were used to calculate coverage estimates for the 50 states and selected urban and county areas. Coverage estimates and 95% confidence intervals were calculated for the 4:3:1:3:3:1 vaccine series (4+doses of diphtheria, and tetanus toxoids and pertussis vaccine, 3+ doses of any poliovirus vaccine, 1+ doses of measles-containing vaccine, 3+ doses of Haemophilus Influenzae type b vaccine, 3+ doses of hepatitis B vaccine, and 1+ doses varicella vaccine) and individual vaccines, including 3+ and 4+ doses of pneumococcal conjugate vaccine.

Results:
4:3:1:3:3:1 vaccine series coverage was 77% in 2006 compared to 76.1% in 2005. Coverage was within 3 percentage points of the national goal of 80%. Twelve states reached or sustained the national coverage goal in 2006. Coverage ranged from 84% in Massachusetts to 60% in Nevada. Among the 30 selected local areas that were separately sampled in the NIS, coverage ranged from 81% in Boston, Massachusetts to 65% in Detroit, Michigan.

Conclusions:
Vaccination coverage remains at or near record levels for the routinely recommended childhood vaccines. Increases in coverage are necessary to meet national immunization goals by 2010.