Division/State

NIS Population Sizec

Vaccinated by Public Provider (%)

Vaccinated by Private Provider (%)

Vaccinated by Mixed Providers (%)

Vaccinated by Other Provider (%)

Florida

288,797

15.5

61.8

7.9

14.7

Georgia

165,386

24.3

52.2

9.4

14.2

Maryland

111,625

5.3

73.1

1.6

20.0

North Carolina

151,281

17.4

51.5

11.9

19.2

South Carolina

75,919

34.5

36.3

12.8

16.4

Virginia

138,479

12.7

64.5

6.3

16.5

West Virginia

28,687

15.5

59.2

10.1

15.2

West North Central

363,354

19.5

52.4

8.1

20.1

Iowa

52,688

21.8

48.1

12.4

17.8

Kansas

53,968

30.4

42.1

10.3

17.3

Minnesota

94,025

6.6

65.6

4.1

23.7

Missouri

104,231

25.9

49.6

8.6

15.9

North Dakota

10,748

29.0

34.8

11.6

24.6

Nebraska

32,466

11.4

53.7

6.2

28.7

South Dakota

15,228

18.5

50.8

8.9

21.8

West South Central

677,104

25.9

45.9

9.7

18.5

Arkansas

51,925

49.3

22.1

11.7

16.9

Louisiana

89,357

32.6

42.7

10.5

14.2

Oklahoma

66,406

30.7

36.2

10.3

22.8

Texas

469,416

21.4

50.4

9.2

19.0

a4:3:1:3=Four or more doses of diphtheria, tetanus, and pertussis vaccine; three or more doses of poliovirus vaccine; one or more doses of a measles-containing vaccine; and three or more doses of Hemophilus influenzae type b vaccine.

bChildren in this survey period were born between February 1995 and May 1997.

cWeighted estimates.

SOURCE: CDC, 1999e.

ment measures will count the immunization status of the patient regardless of service-delivery setting). These reports have stimulated advisory notices by the HCFA and CDC warning that patterns of deliberate referral are subject to penalties (Richardson, 1999; Richardson and Orenstein, 1999).

Impact of State Program Cutbacks and Budget Reductions

Federal budget cutbacks in the Section 317 program during FY 1996, 1997, 1998, and 1999 were significant (see Figure 5–2). In some cases, grantees saw their infrastructure support budgets reduced by one-third



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