Across-America Child Vaccination Across America Routine childhood immunizations are vital to individual and society health. Across the United States, immunization rates vary, and as a result, some communities have experienced preventable disease outbreaks. Higher immunization rates protect vulnerable children who are too young to be vaccinated as well as those who cannot be vaccinated for medical reasons. Hover over each state to see how many of our children are protected from illness. Click on each state to learn more about rates and immunity. Click here to learn more about individual diseases and outbreaks. © Copyright 2016 American Academy of Pediatrics DTaP Vaccine Children 19-35 months old, ≥ 4 doses MMR Vaccine Children 19-35 months old, ≥ 1 dose Varicella Vaccine Children 19-35 months old, ≥ 1 dose Combined 7-Vaccine Series* Children 19-35 months old *Includes ≥4 DTaP doses, ≥3 Polio doses, ≥1 MMR dose, Hib full series, ≥3 HepB doses, ≥1 Varicella dose, and ≥4 PCV doses Influenza Vaccine Children 6 months-17 years old Cumulative flu-season coverage, July-May HPV Vaccine—Female Females 13-17 years old, ≥1 dose* *HPV vaccination series completion rates are much lower HPV Vaccine—Male Males 13-17 years old, ≥1 dose* *HPV vaccination series completion rates are much lower Non-Medical Exemptions Learn more about rates and immunity: Select a state Learn more about individual outbreaks: Select a location Outbreaks and Immunity Travel and close community contact can reintroduce diseases previously lessened or declared eliminated. “Community Immunity” is achieved only when high percentages of a population are immunized. Without community immunity, outbreaks of deadly diseases continue to occur. CALIFORNIA (STATEWIDE) Disease: Pertussis Cases: Pertussis Pertussis Pertussis MEASLES Cases by year calendar-bit201063 calendar-bit2011220 calendar-bit201255 calendar-bit2013187 calendar-bit2014667 calendar-bit2015189 Untitled-1201648(as of July 22) Significant outbreaks Hennepin County, Minnesota Placeholder text Placeholder text Brooklyn, New York Placeholder text Placeholder text Knox County, Ohio, and surrounding communities Placeholder text Placeholder text Disneyland, Anaheim, California Placeholder text Placeholder text MUMPS Cases by year calendar-bit201063 calendar-bit2011220 calendar-bit201255 calendar-bit2013187 calendar-bit2014667 calendar-bit2015189 Untitled-1201648(as of July 22) Significant outbreaks Brooklyn, New York, and surrounding counties in New York and New Jersey Placeholder text Placeholder text The Ohio State University, Columbus, Ohio Placeholder text Placeholder text PERTUSSIS (WHOOPING COUGH) Cases by year calendar-bit201063 calendar-bit2011220 calendar-bit201255 calendar-bit2013187 calendar-bit2014667 calendar-bit2015189 Untitled-1201648(as of July 22) Significant outbreaks California (statewide) Placeholder text Placeholder text Washington (statewide) Placeholder text Placeholder text Sonoma, Napa, and Marin Counties, California Placeholder text Placeholder text Compare more outbreaks The State of Alabama’s Child Vaccination Rates How Alabama Compares with National Rates Alabama USA DTaP vaccine (≥4 doses) in children 19-35 months old 84.1% 84.1% MMR vaccine (≥1 dose) in children 19-35 months old 84.1% 84.1% Varicella vaccine (≥1 dose) in children 19-35 months old 84.1% 84.1% HPV vaccine (≥1 dose) in adolescents 13-17 years old 54.7% Alabama females 54.7% Alabama males 54.7% USA females 54.7% USA males Influenza vaccine, cumulative flu-season coverage in children 6 months-17 years old 84.1% 84.1% Combined 7-vaccine series in children 19-35 months old Includes ≥4 DTaP doses, ≥3 Polio doses, ≥1 MMR dose, Hib full series, ≥3 HepB doses, ≥1 Varicella dose, and ≥4 PCV doses 84.1% 84.1% Healthy People 2020 Target Goal: 80% Why We Need to Keep Vaccinating Community immunity (also known as herd immunity) protects people by lessening and eliminating disease outbreaks Few vaccinated people Quick disease spread Many vaccinated people Slow disease spread Few vaccinated people = Quick disease spread Many vaccinated people = Slow disease spread How Alabama Compares with Community Immunity Thresholds (CIT) Thresholds indicate the amount of vaccinated people needed to maintain community immunity—not all diseases have defined thresholds DTaP vaccine (≥4 doses) in children 19-35 months old 84.1% Alabama 83-85% CIT (diphtheria) 83-85% CIT (pertussis) MMR vaccine (≥1 dose) in children 19-35 months old 84.1% Alabama 83-85% CIT (measles) 83-85% CIT (mumps) 83-85% CIT (rubella) Exemptions from Vaccines Can Deter Meeting Community Immunity Thresholds YES Religious exemptions allowed? YES Philosophical exemptions allowed? Learn More About How to Keep Your Children Healthy Visit American Academy of Pediatrics at AAP.org/immunization Visit Healthy People 2020 at https://www.healthypeople.gov Visit Centers for Disease Control and Prevention at http://www.cdc.gov/vaccines/index.html SOURCES National Immunization Survey, “Estimated Vaccination Coverage with Individual Vaccines and Selected Vaccination Series Among Children Aged 19-35 Months by State,” 2015. National Immunization Survey, “Estimated Vaccination Coverage with Selected Vaccines Among Adolescents Aged 13-17 Years, by State and Selected Area,” 2015. Healthy People 2020, “Leading Health Indicators: Progress Update” Children’s Hospital of Philadelphia, “Vaccine Science: Vaccines and the Immune System” Paul E. M. Fine and Kim Mulholland, “Community immunity,” in Vaccines, ed. by Stanley A. Plotkin, Walter A. Orenstein, and Paul A. Offit (Philadelphia: Saunders, 2012) National Conference of State Legislatures, “States with Religious and Philosophical Exemptions from School Immunization Requirements” American Academy of Pediatrics, “State Advocacy FOCUS: Childhood Immunizations” Location Name Disease: Pertussis Cases: Pertussis Pertussis Pertussis Location Name 84.1% 84.1% 84.1% 84.1% 84.1% 84.1% 84.1% Yes