Immunization Status of Colorado Kindergartners

1
Immunization Status of Colorado Kindergartners

• Lane Wake, MS
  Marianne Koshak,
  MS
  Joni Reynolds, RN, CNS, MSN
  
  Colorado Department of Public
  Health and Environment
• Carol Stanwyck
  
  National Immunization Program
  The Centers for
  Disease Control and Prevention

2
Colorado School Survey

• Pockets of Need
• Grant Requirement
• Self report in past surveys
• New protocol

3
Colorado School Survey

• Sample of schools
• CO Dept of Education
• Contract with local health
• 124 schools in 34 health jurisdictions

4
Colorado School Survey

• Letter to all schools
• Authority to collect information
• Audit Records
• Access database
• Data Analyses

5
(No Transcript)
6
(No Transcript)
7
(No Transcript)
8
(No Transcript)
9
Up to Date at Entry into Kindergarten, Colorado
School Survey, 2004-2005

• 5 diphtheria/tetanus/pertussis (DTaP) shots
• 4 polio shots
• 2 measles/mumps/rubella shots (MMR)
• 3 hepatitis B shots
• 1 varicella shot or history of having had
  varicella

10
Percentage of Children Up to Date at Kindergarten
School Entry, by Region, Colorado School Survey
2004-2005
11
Immunization Record Type in School File, Colorado
School Survey, 2004-2005
12
Percentage of Children Up to Date and with
Exemptions, Colorado School Survey, 2004-2005
13
For Kindergartners NOT Up to Date, Percentage of
Exemptions Taken, Colorado School Survey,
2004-2005
14
Percentage of Kindergartners Not Up to Date by
Vaccine, Colorado School Survey 2004-2005
15
Reasons Why MMR is Not Up to Date, School Survey
2004-2005
16
Reasons why DTaP is Not Up to Date, Colorado
School Survey 2004-2005
If 4th shot received after the 4th birthday the
child is counted as up to date
17
Reasons Why Polio is Not Up to Date, Colorado
School Survey 2004-2005
If 3rd shot received after the 4th birthday the
child is counted as up to date
18
Colorado School Survey Variables Analyzed

• Age
• Gender
• Race
• Ethnicity
• Immunization Staff and time on site
• County of Birth

19
Percent of Children Up to Date by Staff and Time
on Site, Colorado School Survey 2004-2005
20
Comparison of Results from Self Reported and
Audited School Survey Data, 2004-2005
21
Colorado School Survey 2005/2006

• Statewide Sample
• County Oversample
• Provider Check

22
Colorado School Survey 2005/2006

• School Software
• Infinite Campus
• SASI
• Powerschool
• NIH grant

23
Colorado School Survey 2005/2006

• Lane Wake
• 303-692-2631
• lane.wake_at_state.co.us
• http//www.cdphe.state.co.us/dc/Immunization

24
(No Transcript)