Adult Immunization Coverage and Schedule Updates David Kim, MD Immunization Services Division National Center for Immunization and Respiratory Diseases Centers for Disease Control and Prevention
Immunization Services Division National Center for Immunization and Respiratory Diseases
National Health Interview Survey 2013 Data Source
Annual in-home survey of non-institutionalized civilian population in U.S. Weighted to provide national coverage estimates Detailed health survey of one adult per family in each household sampled Final sample of adult component Response rate: 61% N = 34,227
National Health Interview Survey 2013 Vaccination Questions
PPSV or PCV13, Td/Tdap, HepA, HepB, Zoster, HPV Pneumococcal vaccination by type not measured
High-risk status
Limited information collected for Hep A and Hep B Hep A by travel status, chronic liver disease Hep B by travel status, chronic liver disease, diabetes PPSV or PCV13
Health Care Personnel (HCP) Influenza not reported in NHIS
Influenza Vaccination Coverage among Adults 2011-12, 2012-13, 2013-14 Seasons 2011-12 (%)
2012-13 (%)
2013-14 (%)
38.8
41.5
42.2
Persons 18-49 yrs, all
28.6
31.1
32.3
Persons 18-49 yrs, high risk
36.8
38.1
38.7
Persons 50-64 yrs
42.7
45.1
45.3
Persons ≥ 65 yrs
64.9
66.2
65.0
Group Persons > 18 yrs
National Immunization Survey-Flu (NIS-Flu) and Behavioral Risk Factor Surveillance System (BRFSS) www.cdc.gov/flu/fluvaxview/index.htm
Vaccination Coverage among Adults United States, 2010–2013 56
Tetanus past 10y, age ≥65
63 Tetanus past 10y, age 19-64 2013
60
Pneumococcal, age ≥65
2012 2011
21
2010
Pneumococcal, age 19-64 at high risk
24 Zoster, age ≥60
0
10
20
30
40
50
60
Coverage rate (%) Source: National Health Interview Surveys
: Healthy People 2020 target
70
80
90
100
Adult Vaccination Coverage, Tetanus-containing Vaccines by Age and High-risk Status, 2012–2013 Td past 10 yrs, 19-49 yrs
2013 2012
Td past 10 yrs, 50-64 yrs
2013 2012 2013 2012
Td past 10 yrs, ≥65 yrs Tdap past 8 yrs, 19-64 yrs Tdap past 8 yrs, Living with infant white Hep B 19-49 – Asian>white Herpes zoster ≥60 – Asian~white
Health Care Personnel Tdap – Black
