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Missoula Healthy Kids Report 2010


IMMUNIZATIONS

Since widespread immunization in the United States, we have achieved dramatic success reducing the incidence of, and deaths caused by, most infectious childhood. However, our very success can cause some of us to forget about the risk and become lax in immunizing our children. Although Montana law now requires full vaccination before kindergarten, many younger children are left at risk for a variety of reasons: lack of health care coverage, poverty, religious belief, lack of education of parents. Immunization levels at age two reflect the status of the community’s commitment to provide accessible preventive health care to young children and families.

Indicator

These data may be misleading and incomplete because some children’s vaccination records are not entered into the state-wide immunization registry.

There are many different factors that influence vaccination rates including: different methods of gathering data; parent refusal of certain vaccines; physicians who are reluctant to allow the parent to alter the vaccine schedule and refer them to the Health Dept. instead.

Source: MT DPHHS

graph % of kids fully immunized by 35 months, national immunization survey

Source: National Immunization Survey

 

How are we doing

State law requires that all children entering kindergarten have received 4 DTaP; 3 polios; 1 MMR. Admission to Day Care Centers require age appropriate doses of DTaP; polio; Hib, Varicella and MMR. Hep B and PCV4 are recommended but not required by law.

We compare favorably to other larger Montana towns but have a ways to go toward meeting HP 2010 goals.

In 2009, of the 753 kindergarteners registered in Missoula Dist. 1 schools, only 2 were non-compliant for adequate immunizations, and 9 had no immunizations because of religious beliefs. However, "adequate immunization" rates for two-year-olds are more difficult to accurately assess.

 

Healthy People 2010 Target

Vaccination coverage levels for children at 35 months (percent of children)

  Baseline 1998 Target 2010
4 doses DTaP vaccine 84 90
3 doses Hib vaccine 93 90
3 doses hepatitis B vaccine 87 90
1 dose MMR vaccine 92 90
3 doses polio vaccine 91 90
1 dose varicella vaccine 43 90

The US Dept of Health and Human Services sponsors the Healthy People objectives,
 a science-based, 10-year national plan for improving the health of all Americans.

 

For Additional Data and Information important for evaluating this topic, click here.

 

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