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February 10, 1995 / 44(05);99
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                                                                                      Monthly Immunization Table                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
                                                                                      To track progress toward achieving the goals of the Childhood Immunization Initiative (CII), CDC publishes monthly a tabular summary Table_1 of the number of cases of all diseases preventable by routine childhood vaccination reported during the previous month and year-to-date (provisional data). In addition, the table compares provisional data with final data for the previous year and highlights the number of reported cases among children aged less than 5 years, who are the primary focus of CII. Data in the table are derived from CDC's National Notifiable Diseases Surveillance System.  
                                                                                      Table_1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
                                                                                      Note: To print large tables and graphs users may have to change their printer settings to landscape and use a small font size.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
                                                                                      Number of reported cases of diseases preventable by routine childhood vaccination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                      -- United States, December 1994 and 1993-1994 *                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
                                                                                      =====================================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
                                                                                                                                                       No. cases among                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                   Total cases     children aged <5 years +                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
                                                                                                                                 January -  Dec      January -  December                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
                                                                                                                  No. cases,    ----------------   -------------------------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
                                                                                      Disease                    December 1994     1993     1994         1993    1994                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
                                                                                      --------------------------------------------------------------------------------------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
                                                                                      Congenital rubella                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
                                                                                        syndrome (CRS)                  1             5        8            4       7                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
                                                                                      Diphtheria                        0             0        1            0       1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
                                                                                      Haemophilus influenzae &        125          1419     1161          435     313                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
                                                                                      Hepatitis B @                  1090         13361    11534          141     114                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
                                                                                      Measles                          21           312      902          119     226                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
                                                                                      Mumps                           172          1692     1455          284     232                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
                                                                                      Pertussis                       616          6586     3832         3924    2046                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
                                                                                      Poliomyelitis, paralytic **       0             3        1            1       1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
                                                                                      Rubella                           7           192      218           32      27                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
                                                                                      Tetanus                           5            48       38            0       0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
                                                                                      --------------------------------------------------------------------------------------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
                                                                                       * Data for 1993 are final and for 1994, provisional.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
                                                                                       + For 1993 and 1994, age data were available for >=90% of patients, except for 1993 age                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
                                                                                         data for CRS, which were available for 80% of patients.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
                                                                                       & Invasive disease; H. influenzae serotype is not routinely reported to the National Notifiable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                         Diseases Surveillance System. Of 313 cases among children aged <5 years, serotype was reported                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                         from 37; of those, 29 were type b, the only serotype of H. influenzae preventable by vaccination.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
                                                                                       @ Because most hepatitis B virus infections among infants and children aged <5 years are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
                                                                                         asymptomatic (although likely to become chronic), acute disease surveillance does not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
                                                                                         reflect the incidence of this problem in this age group or the effectiveness of hepatitis B vac-                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
                                                                                         cination in infants.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
                                                                                      ** One case with onset in 1994 has been confirmed; this case is vaccine-associated. An                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
                                                                                         additional six suspected cases are under investigation. In 1993, three of 10 suspected cases                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
                                                                                         were confirmed; two of the confirmed cases of 1993 were vaccine-associated and one was imported.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
                                                                                         The imported case occurred in a 2-year-old Nigerian child brought to the United States for care                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
                                                                                         of his paralytic illness; no poliovirus was isolated from the child.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
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