(information provided by CDC). Although improvements have occurred over the past decade, patterns of disparity have persisted between state-level coverage levels and the levels in major metropolitan areas (see Table 1–5). A recent and troubling development is that coverage levels in a few cities (most notably Houston and Chicago) have begun to decline

TABLE 1–5 Estimated Vaccination Coverage of 4:3:1:3a Among Children 19–35 Months of Age by Selected Geographic Areas— United States, National Immunization Survey, 1995–1999

 

1995

1996

Area

Geographic Area

Rest of Statec

Geographic Area

Rest of Statec

Jefferson County, AL

85 (±4.9)

74 (±5.5)

77 (±4.8)

75 (±4.8)

Maricopa County, AZ

69 (±7.2)

71 (±6.1)

71 (±5.1)

69 (±5.8)

Los Angeles, CA

70 (±7.2)

68 (±7.3)

79 (±4.9)

73 (±4.8)

San Diego County, CA

73 (±6.4)

77 (±4.4)

Santa Clara, CA

74 (±5.7)

79 (±4.4)

District of Columbia

67 (±6.9)

n/a

78 (±5.0)

n/a

Dade County, FL

77 (±6.1)

75 (±5.9)

76 (±5.2)

78 (±4.9)

Duval County, FL

71 (±6.8)

76 (±5.1)

Fulton/DeKalb, GA

79 (±5.8)

76 (±5.9)

74 (±5.5)

82 (±4.3)

City of Chicago, IL

69 (±6.8)

83 (±5.1)

74 (±5.6)

75 (±4.8)

Marion County, IN

75 (±6.0)

74 (±5.5)

72 (±5.4)

70 (±4.7)

Orleans Parish, LA

75 (±6.1)

76 (±5.4)

71 (±5.9)

80 (±4.5)

City of Boston, MA

87 (±4.9)

79 (±4.9)

84 (±4.2)

86 (±3.6)

Baltimore City, MD

75 (±6.9)

79 (±5.2)

81 (±4.8)

78 (±4.7)

Detroit, MI

57 (±7.6)

69 (±5.6)

63 (±6.1)

76 (±4.5)

Newark, NJ

67 (±7.3)

73 (±5.8)

62 (±6.2)

78 (±4.8)

NY—5 Counties (NYC)

78 (±6.5)

76 (±5.7)

75 (±5.5)

82 (±4.5)

Cuyahoga County, OH

71 (±6.8)

73 (±5.5)

80 (±4.7)

77 (±4.3)

Franklin County, OH

74 (±5.9)

78 (±5.4)

Philadelphia, PA

67 (±7.4)

77 (±5.5)

75 (±5.4)

80 (±4.3)

Davidson County, TN

73 (±5.7)

74 (±5.6)

77 (±4.7)

80 (±4.1)

Shelby County, TN

68 (±6.2)

70 (±5.3)

Bexar County, TX

74 (±6.3)

74 (±5.4)

74 (±5.2)

74 (±5.1)

City of Houston, TX

70 (±6.7)

68 (±5.9)

Dallas County, TX

70 (±6.1)

71 (±5.8)

El Paso County, TX

77 (±5.1)

62 (±5.6)

King County, WA

82 (±4.7)

75 (±5.7)

81 (±4.2)

77 (±4.6)

Milwaukee, WI

68 (±6.0)

76 (±4.8)

70 (±5.2)

78 (±4.2)

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 Haemophilus influenzae type b vaccine,

bFirst two quarters of 1999 and last two quarters of 1998.



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