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North Carolina Immunization Branch

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N.C. Immunization Rates

CDC’s Immunization Rates for North Carolina

Immunization Branch’s Rates for North Carolina

Other Immunization Rates Relevant to North Carolina

CDC'S Immunization Rates for North Carolina

National Immunization Surveys (NIS)

The National Immunization Survey external link (NIS) and the National Immunization Survey-Teen (NIS-Teen) monitor childhood and adolescent immunization coverage for the nation, each of the 50 states, and selected large urban areas.  These surveys are sponsored by the National Center for Immunizations and Respiratory Diseases (NCIRD) and conducted jointly by NCIRD and the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC). They do not provide county level estimates. For information about what North Carolina county data is available, view the Immunization Branch’s Rates for North Carolina section.

The tables in the sections below show the estimated percent of children and adolescents in North Carolina who are up to date with the Advisory Committee on Immunization Practices (ACIP) external link recommended vaccines for the past three years.  For comparison, the national estimates, as well as rankings for North Carolina out of the 50 states and the District of Columbia, are also provided.

NIS Data: Children (19 months through 35 months)

The National Immunization Survey (NIS) analyzes the immunization status of U.S. children age 19 months through 35 months. Full tables and figures external link and vaccination coverage articles and reports external linkdescribing NIS data by state and other demographic factors can be accessed through the CDC website. The following table includes estimates for the routinely recommended individual immunizations and immunization series.

Estimated Vaccination Coverage NIS (19 through 35 months)

 

2012

2013

2014

Vaccine(s)

US %

NC %

NC Rank

US %

NC %

NC Rank

US %

NC %

NC Rank

DTaP (>4 doses)

82.5

85.9

15

83.1

87.5

12

84.2

86.9

14

Polio (>3 doses)

92.8

92.8

33

92.7

95.9

9

93.3

96.5

5

MMR (>1 dose)

90.8

89.0

41

91.9

96.0

3

91.5

94.3

12

Hib (full series)*

80.9

83.0

18

82.0

87.0

7

82.0

89.3

4

Hepatitis B (birth dose)#

71.6

78.2

17

74.2

82.1

6

72.4

79.8

11

Hepatitis B (>3 doses)

89.7

89.2

32

90.8

94.3

8

91.6

94.4

13

Varicella (>1 dose)

90.2

88.0

38

91.2

94.6

5

91.0

94.9

3

PCV (>4 doses)^

81.9

82.0

29

82.0

86.5

15

82.9

87.2

9

Hepatitis A (>2 doses)^

53.0

48.5

38

54.7

51.6

34

57.5

58.2

24

Rotavirus (complete)^

68.6

68.0

26

72.6

75.4

15

71.7

86.7

2

Overall 4:3:1:3:3:1:4†

68.4

75.4

5

70.4

72.0

20

71.6

80.8

2

* Full series of Hib (>3 or >4, depending on product type)
# Hepatitis B administered from birth through age 3 days.
^ Hepatitis A and Rotavirus vaccines are not required in North Carolina. Pneumococcal (PCV) became a requirement for school entry on 7/1/2015.
† The combined 7-vaccine series (4:3:1:3:3:1:4) includes >4 doses of DTaP, >3 doses of Polio,  >1 dose of measles-containing vaccine, Hib full series, >3 Hep B, >1 Var, and >4 PCV.

NIS-Teen Data: Adolescents (13 years through 17 years)

The NIS-Teen analyzes the immunization status of U.S adolescents who are 13 years through 17 years old. Full tables and figures external linkand vaccination coverage articles and reports external link describing NIS-Teen data by state and other demographic factors can be accessed through the CDC website.

Estimated Vaccination Coverage NIS-Teen (13 through 17 years):
Adolescent Vaccines

 

2012

2013

2014

Vaccine(s)

US %

NC %

NC Rank

US %

NC %

NC Rank

US %

NC %

NC Rank

Td or Tdap (>1 dose)

88.5

91.4

18

89.1

91.7

13

89.8

92.6

15

Tdap (>1 dose)

84.6

87.9

19

86.0

89.4

14

87.6

92.3

9

Meningococcal (>1 dose)

74.0

68.2

28

77.8

72.4

27

79.3

74.1

30

HPV♀ (>1 dose)

53.8

53.3

29

57.3

59.3

19

60.0

71.1

3

HPV♀(>2 doses)

43.4

46.5

18

47.7

47.4

26

50.3

60.0

6

HPV♀(>3 doses)

33.4

35.5

25

37.6

32.8

38

39.7

54.0

2

HPV♂ (>1 dose)

20.8

18.8

N/A*

34.6

33.2

24

41.7

45.2

16

HPV♂ (>2 doses)

12.7

11.8

N/A*

23.5

24.4

N/A*

31.4

31.9

22

HPV♂(>3 doses)

6.8

8.6

N/A*

13.9

12.4

N/A*

21.6

20.9

31

♀= female; ♂ = male

*North Carolina rank is not available because multiple states did not have a large enough sample size to produce a coverage estimate.

 

Estimated Vaccination Coverage NIS-Teen (13 through 17 years)
Adolescent Catch-Up Vaccines

 

2012

2013

2014

Vaccine(s)

US %

NC %

NC Rank

US %

NC %

NC Rank

US %

NC %

NC Rank

MMR (>2 doses)

91.4

93.2

21

91.8

87.1

46

90.7

88.3

37

Hepatitis B (>3 doses)

92.8

95.6

10

93.2

93.6

27

91.4

93.3

17

Varicella (>1 dose)*

94.7

92.7

35

94.9

93.0

40

95.2

94.7

29

Varicella (>2 doses)*

74.9

66.7

36

78.5

74.0

33

81.0

72.4

39

*The percent reported is among adolescents who had no history of varicella disease.

Behavioral Risk Factor Surveillance System (BRFSS)

The Behavioral Risk Factor Surveillance System (BRFSS) external link is a telephone survey of health-related risk and behaviors of adults, including adult vaccination coverage levels.

BRFSS: Adults (65 years and older)

The CDC BRFSS website provides prevalence and trends figures and data external link for North Carolina for influenza, pneumococcal, and tetanus vaccine coverage for person 65 years and older. The table below shows the overall rates for the last three available years. For comparison, the national estimates, as well as rankings for North Carolina out of the 50 states and the District of Columbia, are also provided.

BRFSS Estimated Vaccination Coverage (65 years and older)

 

2012

2013

2014

Vaccine

US %

NC %

US %

NC %

US %

NC %

Flu (shot or spray)*

60.1

68.4

62.8

70.9

60.8

68.8

Pneumonia

68.8

70.2

69.5

71.9

70.3

71.2

Tetanus^

-

-

58.2

64.0

-

-

Shingles (zoster)†

-

-

-

-

22.2

22.5

* Refers to the percent who had a flu shot within the past year
^ Refers to the percent who had a Tetanus shot since 2005.  Comparable data not released prior to 2013 and not available in 2014.
† Refers to the percent who have ever received a zoster vaccine. Data not available prior to 2014

BRFSS: Other North Carolina data

The CDC website does not include all BRFSS data related to immunizations that are collected in North Carolina. To view detailed results for each question asked in the state, please access the Annual Survey Results section of the North Carolina State Center for Health Statistics website and select the year for which data is needed.

Immunization Branch's Rates for North Carolina

Annual County and Local Health Department (LHD) Assessment

Each year the Branch conducts an immunization assessment to calculate the percentage of two year old children that are up-to-date on the recommended vaccines by 24 months of age. A rate is generated for each county in North Carolina as well as for each Local Health Department (LHD). LHDs rely on private providers to help ensure all children in their communities are appropriately vaccinated.

The annual assessment is completed through the North Carolina Immunization Registry (NCIR). Children are considered up-to-date if their NCIR record indicates that all measured immunizations are received by their second birthday. Please refer to the Assessment Explanation of Immunization Compliance Rates (PDF, 16 KB) for a more detailed explanation.

The table below contains the average rates for past annual assessments, separated by county and LHD.

Average Assessment Rates (%)

Year

2006

2007

2008

2009*

2010*

2011

2012

2013

2014

2015

County Rate

44%

54%

57%

60%

63%

65%

68%

68%

69%

70%

LHD Rate

82%

87%

84%

81%

86%

88%

88%

86%

86%

86%

In 2006, the measured series was at least 4 DTaP, 3 Polio, 1 MMR, 3 Hib, and 3 Hepatitis B.
In 2007, 1 Varicella was added to the measured series, making it the 4:3:1:3:3:1 series. 
*In 2009 and 2010, due to a nationwide shortage of Hib vaccine, only 2 doses of Hib were measured.
In 2013, 4 PCV was added to the measured series, making it the 4:3:1:3:3:1:4 series.

Generating and Requesting Rates

LHDs and private providers can generate their own vaccination rates for any age group using reports in the NCIR. For instructions or additional information on running reports, please review the NCIR education page. Providers can also contact their Regional Immunization Consultant (RIC) to learn more about assessing coverage rates or to schedule a thorough assessment through our AFIX program. AFIX stands for Assessment of clinical vaccination coverage, Feedback of the information to the clinic, Incentives to clinics and promotion of eXchange of information among clinics.

Other Immunization Rates Relevant to North Carolina

Other sources of national and state level immunization-related data and information:

Other sources of immunization-related data and information for North Carolina