Immunizable Diseases
Immunizations Schedule for 2012
Source: 2012 Child & Adolescent Immunization Schedules for persons aged 0-6 years, 7-18 years, and “catch-up schedule”. 24 March 2012. Accessed at http://elbiruniblogspotcom.blogspot.com/2012/03/2012-child-adolescent-immunization.html.
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In a study I once was involved in at the state level for the immunization of Children 0-2 years of age, it was reported that there were three distinct outcomes a program could have.
The largest state program that provided care as a PPV/PPO also produced the lowest rates of completion. This program had the largest number of participants, since it offered care at any PCP of the patient’s choice, but also had the worst participation by these members. Potential reasons for this failure focused on the centralized nature of its management as a health insurance programs. Those who participated in this program tended to be healthier overall, or at least the least active of all participating teams and health care programs, thereby accruing the least numbers of office visits and accuring the least costs for care. The percentage of members, with children reaching 2 years of age that calendar year, whose children completed the immunization sequence was only between 50 and 60% of the total members eligible for this review.
Standard insurance programs that were not PPV and had some limits in terms of numbers of practitioners tended to produce a 75% to 85% completion rate. These programs represent the bulk of insurance programs out there. It is unusual for non-managed care programs like these to reach a 90% completion rate. Those noted to accomplish this task tended to be small programs, with adequate staffing and telephone based relationships with members. The highest score received by such a program during the year of this study was 87%
The Managed Care Programs were new at the time of this study. Only two of these MCs existed. The first was a state operated, partially state sponsored health insurance program produced by a Level III teaching hospital facility. The second was a private business which operated in just a part of the state and engaged in slightly more staff participation regarding responsibilities for managed care than the program I was involved with. My immunization program produced a 95% completion rate and the second a 97% completion rate. In terms of patient counts, if the two of us were to engage in managing the maximum number of patients typically involved in these studies for large population health care programs, each of us would have been responsible for about 450 cases. A two percent score difference for this count would be 9 patients. In actuality, the number of patients reviewed by my program and that of “our competitor” was about 200 to 225, making the difference between the two outcomes dependent upon just 4 or 5 patients.
The following maps presented in a single video depict 8 of the 11 diseases typically immunized at the time of this research. These diseases are the Pox (Small Pox immunization or Chicken Pox history), Measles, Mumps, Rubella, Polio, Diphtheria-Pertussis-and Tetanus. Hepatitis B, H. influenza type b Flu and Pneumonia cases were not mapped.
The main presentation time for this video was designed for is 2008 and 2009; but there are updates to Healthy People 2020 for this blog site presentation.
This study was meant to demonstrate that infectious disease outbreaks for these diseases do not relate directly to refusals of immunization by a child’s parent or caregiver. The maps depicting the Vcode representing immunization refusals noted on claims appears on another page.
Brian Altonen, MPH, MS 
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