Vaccines are one of the most effective tools available for the prevention of childhood diseases. As such, the Advisory Committee on Immunization Practices, within the Center for Disease Control and Prevention (CDC), recommends routine vaccination for children from the age of 24 months for 14 serious and potentially life-threatening diseases.
Recent data from the CDC show that coverage with most recommended vaccines remained stable and high in 2017 among children aged 19 to 35 months in the United States.
For example, total coverage exceeded 90 percent for the recommended doses of polio virus, BMR (measles, mumps and rubella), hepatitis B and varicella (chickenpox) vaccines.
However, children were least likely to be up-to-date with the recommended doses of hepatitis A vaccine (59.7 percent coverage), rotavirus vaccine (73.2 percent) and the combined 7 vaccine series (70.4 percent).
Moreover, the report found that although the percentage of children who had not received vaccine doses for 24 months was low, the percentage had increased from 0.9 percent for children born in 2011 to 1.3 percent for the cohort born in 2015.
"This increase means that there are about 100,000 children younger than 2 years old who are not protected against potentially serious vaccine diseases," said Amanda Cohn, Senior Advisor for Vaccines at the National Center for Immunization and Respiratory Diseases of the CDC. Newsweek.
The data even shows that the percentage of American children under the two years who have not received vaccinations since 2001 has quadrupled.
The report also showed how coverage varied, depending on a number of factors, including state, national / urban location, ethnicity, poverty and insurance status.
For example, children living outside the capitals of the metropolitan area had a higher prevalence of non-vaccinated children (1.9 percent) compared to children in these areas (1.0 percent). Meanwhile, the coverage was lower among uninsured or Medicaid-insured children.
There were significant differences between states. For example, the estimated rotavirus coverage varied from 64.7 percent in California to 85.1 percent in Rhode Island. Meanwhile, coverage for MMR ranged from 85.8 percent in Missouri to 98.3 percent in Massachusetts.
According to the CDC, some children may not be vaccinated due to choices made by parents, while others may have a lack of access to healthcare or health insurance factors.
"Parental choice may play a role, but CDC data suggests that many of these parents do want to vaccinate their children, but they may not be able to get vaccines for them," Cohn said. "They can face obstacles, such as the lack of a healthcare provider in the neighborhood, not having time to get their children to a doctor, and / or think they can not afford vaccines."
CDC officials say that the latest research has different implications.
"We hope this report is a reminder to healthcare professionals to make a strong vaccine recommendation to their patients on every visit and to ensure that parents understand how important it is for their children to get all their recommended vaccinations on time. get it, "Cohn said. "The Vaccines for Children (VFC) program helps reduce the financial hurdles faced by parents when they try to have their children vaccinated and protected against diseases that can be prevented by vaccines."
(Parents who need help with paying vaccines for their children can learn more about the VFC program here.)
Another recent study, published in the journal PLOS ONE, discovered that a social movement of public health vaccination has developed in the United States in recent years.
"Since 2009, the number of" philosophical-faith "vaccine non-medical exemptions (NMEs) has increased in 12 of the 18 states that currently allow this policy: Arkansas (AR), Arizona (AZ), Idaho (ID ), Maine (ME), Minnesota (MN), North Dakota (ND), Ohio (OH), Oklahoma (OK), Oregon (OR), Pennsylvania (PA), Texas (TX) and Utah (UT), "the PLOS ONE study authors wrote in their newspaper.
This movement has created several "hotspot" metropolitan areas that stand out due to their very large number of NMEs.
These include, in the northwest, the provinces of King and Spokane, in Washington, and Multnomah County, in Oregon; in the southwest, the Maricopa district, in the provinces of Arizona, Salt Lake and Utah, in the provinces of Utah and Harris, Tarrant, Collin and Travis, in Texas; and in the county of Midwest, Oakland, Macomb, Wayne and Jackson, in Missouri.
Below is a list of the states with the lowest estimated vaccinations, according to the vaccine type (mentioned in the CDC study) and the percentage of vaccinated children aged 19 to 35 months.
MMR (measles, mumps and rubella)
Missouri – 85.8 percent
Indiana – 87.0 percent
Colorado – 87.2 percent
DTaP (diphtheria, tetanus toxoids and acellular pertussis vaccine)
Alaska – 75.1 percent
Missouri – 77.0 percent
Wyoming – 77.6 percent
Hep A (hepatitis A)
Missouri – 43.9 percent
Wyoming – 46.4 percent
Mississippi – 49.8 percent
California – 64.7 percent
Nevada – 66.0 percent
Ohio – 67.2 percent
Combined 7-Vaccine series
Georgia – 65.6 percent
South Carolina – 66.0 percent
Minnesota – 66.1 percent