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Timeliness of Childhood Immunizations: A State-Specific Analysis

Elizabeth T. Luman, PhD, Lawrence E. Barker, PhD, Mary Mason McCauley, MTSC and Carolyn Drews-Botsch, PhD

Elizabeth T. Luman, Lawrence E. Barker, and Mary Mason McCauley are with the National Immunization Program, Centers for Disease Control and Prevention, Atlanta, Ga. Elizabeth T. Luman and Carolyn Drews-Botsch are with the Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta.



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  		FIGURE 1—— Percentage of children in each state, with confidence intervals presented as error bars, receiving all vaccinations (a) as recommended and (b) as acceptable. Alabama was the reference state; its confidence bar is shaded across the graphs.

Note. Sample was US children aged 24–35 months in the 2000–2002 National Immunization Survey. Recommended vaccinations were 4 doses of diphtheria and tetanus toxoids and acellular or whole-cell pertussis vaccine, 3 doses of poliovirus vaccine, 1 dose of measles-mumps-rubella vaccine, 3 or 4 doses of Haemophilus influenzae type b vaccine, and 3 doses of hepatitis B vaccine, per the guidelines of the Advisory Committee on Immunization Practices, the American Academy of Pediatrics, and the American Academy of Family Physicians. Acceptable vaccinations were received from 4 days before the minimum acceptable age through the routinely recommended age.

 


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  		FIGURE 2—— States by quartiles of percentage of children receiving all vaccinations as recommended.

Note. Sample was US children aged 24–35 months in the 2000–2002 National Immunization Survey. Recommended vaccinations were 4 doses of diphtheria and tetanus toxoids and acellular or whole-cell pertussis vaccine, 3 doses of poliovirus vaccine, 1 dose of measles-mumps-rubella vaccine, 3 or 4 doses of Haemophilus influenzae type b vaccine, and 3 doses of hepatitis B vaccine, per the guidelines of the Advisory Committee on Immunization Practices, the American Academy of Pediatrics, and the American Academy of Family Physicians.

 




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