Child Health USA 2006
Photographs of children's faces

Health Services Financing and Utilization

vaccination coverage

The Healthy People 2010 objective for the complete series of routinely recommended childhood vaccinations is immunization of at least 90 percent of 19- to 35-month-olds with the full series of vaccines. Data released from the CDCís 2004 National Immunization Survey show that 80.9 percent of children aged 19 to 35 months had received the recommended 4:3:1:3:3 series of vaccines. This series comprises 4 doses of diphtheria, tetanus, and pertussis vaccine, 3 doses of poliovirus vaccine, 1 dose of measles-mumpsrubella vaccine, and 3 doses of Haemophilus influenzae type b vaccine. Overall, 76.0 percent had received that series plus the varicella (chicken pox) vaccine.

Since 2000, the greatest increases in vaccination rates have occurred with the diphtheria, tetanus, and pertussis vaccine and the varicella vaccine (which was added to the schedule in 1996.) They have risen 4.7 and 29 percent, respectively. Vaccination rates for other vaccines have generally risen about 2 percent over the same period. Racial and ethnic disparities in vaccination rates persist, with non-Hispanic Black children and American Indian/Alaska Native children (data not shown) having the lowest rates for each of the major vaccines. Non-Hispanic White children experience the highest vaccination rates.

Each year, the CDC publishes an updated version of the recommended childhood immunization schedule (see facing page). The 2006 schedule continues to encourage the routine use of hepatitis B vaccines for all infants before hospital discharge and the use of annual influenza vaccines for all children starting at 6 months of age.


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Child Health USA 2006 is not copyrighted. Readers are free to duplicate and use all or part of the information contained on this page. Suggested Citation: U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Child Health USA 2006. Rockville, Maryland: U.S. Department of Health and Human Services, 2006.