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November 03, 1995 / 44(43);823
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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 <5 years, who are the primary focus of CII. Data in the table are reported through the National Electronic Telecommunications System for Surveil-lance (NETSS).  
                                                                                      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, September 1994 and 1994-1995 *                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                      =====================================================================================================                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
                                                                                                                                                  No. cases among                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
                                                                                                                               Total cases     children aged <5 years +                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                No. cases,  January-September    January-September                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
                                                                                                                September   -----------------  ------------------------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                      Disease                     1995        1994     1995        1994     1995                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
                                                                                      ---------------------------------------------------------------------------------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                      Congenital rubella                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
                                                                                       syndrome (CRS)               0           3        4           3        4                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
                                                                                      Diphtheria                    0           2        0           1        0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
                                                                                      Haemophilus influenzae &     82         850      885         238      209                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
                                                                                      Hepatitis B @               824        8571     7165          97       55                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
                                                                                      Measles                       9         860      267         203       95                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
                                                                                      Mumps                        55        1097      615         172      120                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
                                                                                      Pertussis                   675        2924     2936        1699     1708                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
                                                                                      Poliomyelitis,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
                                                                                       paralytic **                 0           1        0           0        0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
                                                                                      Rubella                       4         208      128          24       17                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
                                                                                      Tetanus                       4          28       23           0        2                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
                                                                                      ---------------------------------------------------------------------------------                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                       * Data for 1994 and 1995 are provisional.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
                                                                                       + For 1994 and 1995, age data were available for >=93% cases.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
                                                                                       & Invasive disease; H. influenzae serotype is not routinely reported to the National Notifiable                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                         Diseases Surveillance System. Of 209 cases among children aged <5 years, serotype was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
                                                                                         reported for 54 cases, and of those, 32 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 July 1994 has been confirmed; this case was vaccine-associated.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
                                                                                         An additional six suspected cases are under investigation. In 1993, three of 10 suspected                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
                                                                                         cases were confirmed; two of the confirmed cases 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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