Synopsis for July 29, 2005

The MMWR is embargoed until Thursday, 12 PM EDT.

1. National, State, and Urban Area Vaccination Coverage Among Children Aged 19-35 Months ― United States, 2004
2. Immunization Information System Progress ― United States, 2003
3. Clostridium sordellii Toxic Syndrome After Medical Abortion with Mifepristone and Intravaginal Misoprostol ― United States and Canada, 2001-2005

National, State, and Urban Area Vaccination Coverage Among Children Aged 19-35 Months ― United States, 2004

There have been significant increases in coverage rates for varicella and pneumococcal conjugate vaccine, two of the most recent additions to the childhood immunization schedule. For the first time, vaccination coverage for the 4:3:1:3:3 series exceeded the Healthy People 2010 goal of 80 percent.

The findings in this report indicate that among U.S. children aged 19–35 months, estimated coverage with recommended vaccines was greater in 2004 than in 2003 for varicella, pneumococcal conjugate vaccine, and the 4:3:1, 4:3:1:3:3 and 4:3:1:3:3:1 vaccine series. For the first time, vaccination coverage for the 4:3:1:3:3 series 80.9 percent exceeded the Healthy People 2010 goal (objective 14-24a) to increase to at least 80 percent the proportion of 19-35 month old children who receive all vaccines that have been recommended for universal administration for at least 5 years.

Immunization Information System Progress ― United States, 2003

Immunization Information Systems have made progress enrolling children and health-care providers in their systems. Increasing health-care provider participation by linking provider EMRs to IISs is vital to meeting the national health objective. Further IIS progress will require expanded linkages with EMRs.

This report summarizes data from CDC's 2003 Immunization Registry Annual Report. Findings estimate that 44 percent of U.S. children aged less than 6 years with two or more immunizations participated in an IIS. Seventy-six percent of public vaccination provider sites and 36 percent of private vaccination provider sites submitted immunization data to an Immunization Information System (IIS). Thirty-nine percent of IISs reported sharing data electronically with a Medicaid Management Information System and 64 percent reported data linkages with WIC programs. IISs provide access to immunization data to: health plans 46 percent; colleges/universities 25 percent; correctional facilities 25 percent; hospitals 52 percent; and long-term care facilities 11 percent. Increasing health-care provider participation by linking provider EMRs to IISs is vital to meeting the national health objective.

Clostridium sordellii Toxic Syndrome After Medical Abortion with Mifepristone and Intravaginal Misoprostol ― United States and Canada, 2001-2005

No summary available.

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