![](media/image1.wmf){width="1.0097222222222222in" height="0.89375in"}

To: Director of IHS Maternal & Child Health Program

IHS Area Chief Medical Officers

IHS Area Immunization Coordinators

Tribal Epidemiology Centers

**From:** Amy Groom, IHS Immunization Program Manger

**Subject:** Fourth Quarter FY 2006 Immunization Report (Jul. 1st, 2006
-- Sept. 30th, 2006)

**Date:** November 22, 2006

**[3-27 Month Old Report]{.underline}**

The Indian Health Service and tribal immunization programs report on the
immunization status of American Indian and Alaska Native children 3-27
months of age. These reports are submitted to the Division of
Epidemiology on a quarterly basis. The criteria listed below are used to
monitor coverage in the following age groups:

+------------+---------------------+------------+---------------------+
| **Age      | **Vaccines**        | **Age      | # Vaccine           |
| Group**    |                     | Group**    |                     |
+------------+---------------------+------------+---------------------+
| **3-4      | -   DTAP1           | **16-18    | -   DTAP 3          |
| months**   |                     | months**   |                     |
|            | -   IPV 1           |            | -   IPV 2           |
|            |                     |            |                     |
|            | -   Hibtiter 1 or   |            | -   MMR 1           |
|            |     Pedvax 1        |            |                     |
|            |                     |            | -   Hibtiter 4 or   |
|            | -   Hepatitis B 1   |            |     Pedvax 3        |
|            |                     |            |                     |
|            | -   *(PCV1)^†^*     |            | -   Hepatitis B 2   |
|            |                     |            |                     |
|            |                     |            | -                   |
|            |                     |            |    *(Varicella)^†^* |
|            |                     |            |                     |
|            |                     |            | -   *(PCV4)^†^*     |
+------------+---------------------+------------+---------------------+
| **5-6      | -   DTAP 2          | **19-23    | -   DTAP 4          |
| Months**   |                     | months**   |                     |
|            | -   IPV 2           |            | -   IPV 3           |
|            |                     |            |                     |
|            | -   Hibtiter 2 or   |            | -   MMR 1           |
|            |     Pedvax 2        |            |                     |
|            |                     |            | -   Hibtiter 4 or   |
|            | -   Hepatitis B 2   |            |     Pedvax 3        |
|            |                     |            |                     |
|            | -   *(PCV2)^†^*     |            | -   Hepatitis B 3   |
+------------+---------------------+------------+---------------------+
| **7-15     | -   DTAP 3          | **24-27    | -   DTAP 4          |
| months**   |                     | months**   |                     |
|            | -   IPV 2           |            | -   IPV 3           |
|            |                     |            |                     |
|            | -   Hibtiter 3 or   |            | -   MMR 1           |
|            |     Pedvax 2        |            |                     |
|            |                     |            | -   Hibtiter 4 or   |
|            | -   Hepatitis B 2   |            |     Pedvax 3        |
|            |                     |            |                     |
|            | -   *(PCV3)^†^*     |            | -   Hepatitis B 3   |
|            |                     |            |                     |
|            |                     |            | -   *(Hepatitis     |
|            |                     |            |     A)^†^*          |
+------------+---------------------+------------+---------------------+

† Not used for complete vaccination coverage calculations

Varicella vaccine (VZV), pneumococcal conjugate vaccine and hepatitis A,
though recommended, are not included in coverage calculations. Data on
PCV coverage and VZV coverage in the 16-18 month age group and hepatitis
A vaccine coverage in the 24-27 month age group are reported where
available.

### Summary

For the 4^th^ Quarter of FY 2006, 12 IHS Areas submitted immunization
reports from IHS service units, urban health centers and tribal health
centers. This composite report provides information on the immunization
status of 33,927 children 3-27 months. Of these, 26,383 or 78% received
adequate, age-appropriate vaccination compared to 77% (26,272/34,100)
children 3-27 months in the 3^rd^ Quarter of FY 2006 (Figure 1).
Coverage by Area is included in the spreadsheet.

#### 

#### Population included in Reports

Table 1 includes the percent of the 3-27 month olds (based on the IHS FY
2005 user population) included in the immunization reports for each
Area. The IHS User population includes children who received care at IHS
and tribal facilities. Overall, 66% of the children 3-27 months included
in the IHS User Population were captured in the report for this quarter,
compared to 66% in FY 2006 Quarter 3 (Figure 1).

**TABLE 1**

+-------------+-----------------+------------------+------------------+
| **AREA**    | **Total         | **Percent        | **Percent        |
|             | Population\***  | included in FY   | included in FY   |
|             |                 | 2006 Quarter     | 2006 Quarter     |
|             | **(3-27         | 3\***            | 4\***            |
|             | months)**       |                  |                  |
+-------------+-----------------+------------------+------------------+
| ##          | 5,297           | 70%              | 70%              |
| ## Aberdeen |                 |                  |                  |
+-------------+-----------------+------------------+------------------+
| **Alaska**  | 5,549           | 84%              | 85%              |
+-------------+-----------------+------------------+------------------+
| **Al        | 2,775           | 65%              | 36%              |
| buquerque** |                 |                  |                  |
+-------------+-----------------+------------------+------------------+
| **Bemidji** | 3,346           | 73%              | 76%              |
+-------------+-----------------+------------------+------------------+
| *           | 2,950           | 84%              | 89%              |
| *Billings** |                 |                  |                  |
+-------------+-----------------+------------------+------------------+
| **C         | 2,125           | 86%              | 77%              |
| alifornia** |                 |                  |                  |
+-------------+-----------------+------------------+------------------+
| **          | 1,485           | 71%              | 95%              |
| Nashville** |                 |                  |                  |
+-------------+-----------------+------------------+------------------+
| **Navajo**  | 8,606           | 87%              | 92%              |
+-------------+-----------------+------------------+------------------+
| *           | 9,003           | 33%              | 35%              |
| *Oklahoma** |                 |                  |                  |
+-------------+-----------------+------------------+------------------+
| **Phoenix** | 6,497           | 51%              | 50%              |
+-------------+-----------------+------------------+------------------+
| *           | 2,973           | 50%              | 49%              |
| *Portland** |                 |                  |                  |
+-------------+-----------------+------------------+------------------+
| **Tucson**  | 888             | 91%              | 47%              |
+-------------+-----------------+------------------+------------------+
| **ALL       | **51,494**      | **66%**          | **66%**          |
| AREAS**     |                 |                  |                  |
+-------------+-----------------+------------------+------------------+

\* Based on the IHS FY 2005 Un-adjusted User Population. De-duplicated
within Area.

^†^ Includes children seen at contract care facilities whose data is not
included in User Population calculations. Also may include non- native
children.

**Figure 1**

![](media/image2.wmf)

**[Two Year Old Report]{.underline}**

In addition to the 3-27 month old reports, we collect reports on 2 year
old children (children 19-35 months old). These reports are submitted
quarterly to the IHS Division of Epidemiology to monitor progress
towards the GPRA childhood immunization indicator.

The 4:3:1:3:3 series ( 4 DTaP, 3 IPV, 1 MMR, 3 Hib, 3 Hep B) is used to
monitor coverage in this age group; the HP 2010 and GPRA goal is 80%
with the 4:3:1:3:3 series.

**Summary**

For FY 2006, Quarter 4, the 12 IHS Areas combined reported on 24,035 two
year olds. Of these, 19,411 or 81% had completed the 4:3:1:3:3 series.
In FY 2006 Quarter 3, 4:3:1:3:3 coverage was 80% (19,680/24,590)
\[Figure 2\]. Coverage by Area is included in the spreadsheet.

#### Population included in Reports

Table 2 includes the percent of 19-35 month olds (based on the IHS FY
2005 user population) included in the immunization reports for each
Area. The IHS User population includes children who received care at IHS
and tribal facilities. Overall, 64% of the children 19-35 months
included in the IHS User Population were captured in the report for this
quarter, compared to 65% in the FY 2006 Quarter 3 report.

**TABLE 2**

+------------+----------------+-----------------+---------------------+
| **AREA**   | **Total        | **Percent       | **Percent included  |
|            | Population\*** | included in**   | in**                |
|            |                |                 |                     |
|            | **(19-35       | **FY 2006       | **FY 2006 Quarter   |
|            | months)**      | Quarter 3**     | 4**                 |
+------------+----------------+-----------------+---------------------+
| ###        | 3,838          | 59%             | 71%                 |
| # Aberdeen |                |                 |                     |
+------------+----------------+-----------------+---------------------+
| **Alaska** | 3,665          | 90%             | 89%                 |
+------------+----------------+-----------------+---------------------+
| **Alb      | 2,150          | 67%             | 32%                 |
| uquerque** |                |                 |                     |
+------------+----------------+-----------------+---------------------+
| *          | 2,498          | 73%             | 69%                 |
| *Bemidji** |                |                 |                     |
+------------+----------------+-----------------+---------------------+
| **         | 2,095          | 83%             | 86%                 |
| Billings** |                |                 |                     |
+------------+----------------+-----------------+---------------------+
| **Ca       | 1,694          | 89%             | 64%                 |
| lifornia** |                |                 |                     |
+------------+----------------+-----------------+---------------------+
| **N        | 1,055          | 80%             | 104%                |
| ashville** |                |                 |                     |
+------------+----------------+-----------------+---------------------+
| **Navajo** | 6,051          | 90%             | 92%                 |
+------------+----------------+-----------------+---------------------+
| **         | 7,120          | 32%             | 32%                 |
| Oklahoma** |                |                 |                     |
+------------+----------------+-----------------+---------------------+
| *          | 4,657          | 45%             | 49%                 |
| *Phoenix** |                |                 |                     |
+------------+----------------+-----------------+---------------------+
| **         | 2,343          | 53%             | 50%                 |
| Portland** |                |                 |                     |
+------------+----------------+-----------------+---------------------+
| **Tucson** | 684            | 86%             | 44%                 |
+------------+----------------+-----------------+---------------------+
| **ALL      | **37,850**     | **65%**         | **64%**             |
| AREAS**    |                |                 |                     |
+------------+----------------+-----------------+---------------------+

\* Based on the IHS FY 2005 Un-adjusted User Population. De-duplicated
within Area.

^†^ Includes children seen at contract care facilities whose data is not
included in User Population calculations. Also may include non- native
children.

**Figure 2**

![](media/image3.wmf)