Table 1. Primary childhood immunisation schedule for children born between 01/07/2008 and 30/06/2015

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Isabella Blankenship
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ackground The national immunisation uptake statistics, based on available data, for Quarter 1 2015 are presented in this report.

1 ackground The national immunisation uptake statistics, based on available data, for Quarter are presented in this report. These immunisation uptake statistics relate to children at 12 (born between 01/01/2014 and 31/03/2014) and 24 (born between 01/01/2013 and 31/03/2013) months of age in Quarter These children were recommended the vaccines outlined in table 1. Please note the immunisation schedule changed in 2015 for children born on or after July 1 st Please see the H-ational Immunisation Office (IO) website at for current and detailed information on the Irish primary childhood immunisation schedule and also recommended vaccinations for older children and adults. For children at 12 months of age in Quarter , immunisation uptake rates of three doses of vaccines against diphtheria (D 3 ), pertussis (P 3 ), tetanus (T 3 ), Haemophilus influenzae type b (Hib 3 ), polio (Polio 3 ), hepatitis (Hep 3 ), two doses of meningococcal serogroup C conjugate vaccine (MenC 2 ), two doses of pneumococcal conjugate vaccine (PCV 2 ) and one dose of C vaccine are reported. For children at 24 months of age in Quarter , immunisation uptake rates of three doses of vaccines against diphtheria (D 3 ), pertussis (P 3 ), tetanus (T 3 ), Haemophilus influenzae type b (Hib 3 ), polio (Polio 3 ), hepatitis (Hep 3 ), meningococcal group C (MenC 3 ) and pneumococcal conjugate vaccine (PCV 3 ) and one dose of vaccine against measles, mumps and rubella (MMR 1 ) are reported. s one dose of vaccine against Haemophilus influenzae type b, one dose of meningococcal group C vaccine and one dose of pneumococcal conjugate vaccine given on or after 12 months of age provide protection against these diseases, regardless of the number of previous doses, the uptake rates of one dose of each of these vaccines, on or after 12 months of is also reported (Hib b, MenC b and PCV b respectively). The uptake statistics are also presented in this report by H rea and ocal Health Office (HO). hile there are 32 HOs the immunisation uptake data for orth ee and outh ee are reported as a combined figure. The uptake rates presented here were rounded to zero decimal place. Table 1. Primary childhood immunisation schedule for children born between 01/07/2008 and 30/06/2015 ge Vaccines irth C 2 months DTaP/Hib/IPV/Hep (6 in 1) + PCV 4 months DTaP/Hib/IPV/Hep (6 in 1) + MenC 6 months DTaP/Hib/IPV/Hep (6 in 1) + PCV + MenC 12 months MMR + PCV 13 months MenC + Hib Please note the primary immunisation schedule changed in 2015 for children born on or after 01/07/2015. Please see the H-ational Immunisation Office (IO) website at for current and detailed information on the Irish primary childhood immunisation schedule and also recommended vaccinations for older children and adults C acille Calmette uerin vaccine DTaP Diphtheria, Tetanus and acellular Pertussis vaccine Hep Hepatitis vaccine Hib Haemophilus influenzae type b vaccine IPV Inactivated Polio Virus vaccine MenC Meningococcal group C vaccine MMR Measles, Mumps and Rubella vaccine PCV Pneumococcal Conjugate Vaccine Q Page 1 of 12 ugust, 2015 H Health Protection urveillance Centre (HPC) Tel: Middle ardiner treet, Dublin 1, Ireland Fax:

2 Immunisation uptake among children at 12 months of age in Quarter ational Immunisation uptake rates in children 12 months of age in Q are presented by H rea in table 2. ational immunisation uptake rates were 91% for D 3, T 3, P 3, Hib 3, Polio 3, Hep 3, PCV 2 and MenC 2. C uptake data were available for 28 HOs in Q1-2015; these areas cover approximately 90% of the national birth cohort. here data were available, national uptake was 87% for the C vaccination. Resource issues impacted C data input onto local databases in the H-astern rea (Dublin outh and Dublin outh ast) and H-estern rea (Roscommon) in Q Figure 1 presents the national uptake rates at 12 months for each vaccine from Q to Q Compared to Q4-2014, national uptake rates in Q for D 3, T 3, P 3, Hib 3, Polio 3, Hep 3, MenC 2 and PCV 2 decreased by 1%. H rea mong the H reas, the uptake rates for D 3, T 3, P 3, Hib 3, Polio 3 and Hep 3 ranged from 90-96% and MenC 2 and PCV 2 ranged from 88% to 96%. The H Midland rea reached the target of 95% for all vaccines, the H orth estern rea reached the target of >=95% for all vaccines except Hep 3 and MenC 2 and the H estern rea reached it for all vaccines except C and MenC 2. ocal Health Office (HO) The immunisation uptake rates by HO are shown in appendix 1. D 3, MenC 2 and PCV 2 immunisation uptake rates are mapped by HO in figures 2-4. The target uptake rate of 95% was reached in 11 HOs for C, 5 HOs for D 3, T 3, P 3, Hib 3, Polio 3, Hep 3 and MenC 2 and in 6 for PCV 2. Table 2. Immunisation uptake (%) at 12 months in cohort born 01/01/ /03/2014 H rea o. in C D 3 T 3 P 3 Hib 3 Polio 3 Hep 3 MenC 2 PCV 2 cohort* astern Midland Mid estern orth astern 1671 na orth estern outh astern outhern estern Ireland na = not available at this time *s the denominator/number in cohort varied slightly according to vaccine, most commonly used number is presented here. umber in cohort for C is 14,736 Figure 1. ational quarterly immunisation uptake rates at 12 months ince T 3 uptake is identical to D 3 uptake only D 3 uptake figures presented. The Q MenC 3 uptake figure is based on data from six of the eight H reas. The Q H-astern rea D 3, P 3, T 3, Polio 3 and MMR 1 uptake figures exclude those born on the 31/03/2007. The Q figures are incomplete as two H reas were unable to provide data, two additional areas were unable to provide MenC 2 data and one additional area was unable to provide PCV 2 data. The Q figures are incomplete as three H reas were unable to provide data. The Q figures are incomplete as two H reas were unable to provide data and three were unable to provide MenC 2 data. The Q figures are incomplete as two H reas were unable to provide data. The Q figures are incomplete as one H rea was unable to provide data. C uptake data are only displayed in this graph from Q as C uptake data were available for only five of the eight H-reas (this includes data from the H-outhern rea which relates to Kerry data only) from Q to Q (except Q when H-outhern rea data were not available), for three H-reas in Q3 2009, for two H-reas in Q4 2009, for three H-reas in Q and Q2 2010, for five H-reas in Q4 2010, Q and Q2 2011, for six H-reas in Q to Q4 2012, for seven H reas from Q Q From Q to Q H estern rea C data was not available by HO, uptake was provided Q Page 2 of 12 ugust, 2015 for the H estern rea as a whole. In Q C data was available for alway and Roscommon- the C denominator for H estern rea in Q was the sum of the alway and Roscommon denominators. In Q C data was available for alway, Mayo and Roscommon.

3 C C C D O/M C/M H D/H MH K/ /OY T/ C C Figure 2. D 3 immunisation uptake rates (%) by HO, in those 12 months of age in Quarter , in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. D O/M C T/ D/H MH K/ /OY C/M H C Figure 3. MenC 2 immunisation uptake rates (%) by HO, in those 12 months of age in Quarter , in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. D O/M C/M H D/H MH K/ /OY T/ C C Figure 4. PCV 2 immunisation uptake rates (%) by HO, in those 12 months of age in Quarter , in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. Q Page 3 of 12 ugust, 2015

4 Immunisation uptake among children 24 months of age in Quarter ational ational uptake rates were 95% for D 3, T 3, P 3, Hib 3, Polio 3 and Hep 3, 93% for MMR 1, 92% for PCV 3, 91% for Hib b and 87% for MenC 3. Compared to the previous quarter, national uptake rates in Q decreased by one per cent for D 3, T 3, P 3, Hib 3, Polio 3 and MenC 3 and were unchanged for Hib b, Hep 3, PCV 3 and MMR 1. The H was in a position to provide data on MenC b (one dose of MenC on or after first birthday and before second birthday) and PCV b (one dose of PCV on or after first birthday and before second birthday) for the first time in Q In total, seven of the eight H reas were able to provide uptake data on MenC b and PCV b in Q These reas cover approximately 91% of the national birth cohort. here data were available, national uptake was 90% for MenC b and 93% for PCV b. Compared to the previous quarter MenC b declined by 1% while PCV b was unchanged. Figure 5 presents the national uptake rates at 24 months for each vaccine from Q to Q H rea The target uptake of 95% was reached for D 3, P 3 and T 3 in seven H reas, for Hib 3, Polio 3 and Hep 3 in six H reas, for MMR 1 in two H reas, in one for Hib b, PCV 3 and PCV b and in none for MenC 3 and MenC b. ocal Health Office (HO) Immunisation uptake rates in children 24 months of age in Q are presented by HO in ppendix 2. D 3, Hib b, MenC 3, MenC b, PCV 3, PCV b and MMR 1 immunisation uptake rates are mapped by HO in figures The target uptake of 95% was reached in 19 HOs for D 3, T 3 and P 3, 18 for Hib 3 and Polio 3 17 for Hep 3, 8 for MMR 1, 7 for PCV b, 6 for Hib b, 4 for PCV 3 and in one for MenC 3 and MenC b. Figure 5. ational quarterly immunisation uptake rates at 24 months otes: The Q MMR 1 figure is based on data from seven of the eight H-reas. The Q MMR 1 figure includes the H-astern rea figure that is an estimate only. The Q1-2007, Q3-2007, Q and Q Hib b figures are based on data from seven of the eight H reas. In Q the H- changed their Hib b data extraction method compared to previous quarters; in Q the uptake of Hib b in the H- was 83% compared to 53% in Q The Q MenC 3 figure is based on data from six of the eight H reas. The Q H-astern rea D 3, P 3, T 3, Polio 3 and MMR 1 uptake figures exclude those born on the 31/03/2007. The Q H-astern rea Hib b uptake figures exclude uptake figures from Dublin orth. The Q figures are based on data from seven of the eight H reas. The Q Hib b figures also exclude uptake figures from Dublin orth. The Q figures are based on data from six of the eight H reas. The Q Hib b figures also exclude uptake figures from Dublin orth. The Q and Q figures are based on data from seven of the eight H reas. The MenC b and PCV b figures are based on data from six of the eight H reas. Table 3. Immunisation uptake (%) at 24 months in cohort born 01/01/ /03/2013 H rea o. in D 3 /T 3 / Hib 3 Hep 3 Polio 3 Hib b MenC 3 MenC b PCV 3 PCV b MMR 1 Cohort* P 3 astern Midland Mid-estern orth astern orth estern outh astern outhern estern na 97 na 95 Ireland * s the denominator/number in cohort varied slightly according to vaccine D3, T3 and P3 cohorts are shown here Q Page 4 of 12 ugust, 2015

5 Conclusions In Quarter , national uptake rates at 24 months for D 3, T 3, P 3, Hib 3, Polio 3 and Hep 3 reached the target of 95%. Compared to the previous quarter, national uptake rates at 24 months in Q decreased by one per cent for D 3, T 3, P 3, Hib 3, Polio 3, MenC 3 and MenC b and were unchanged for Hib b, Hep 3, PCV 3, PCV b and MMR 1. MenC b and to a lesser extent Hib b uptake are lower than the uptake of the other recommended vaccines both of which should be given at 13 months of age suggesting that parents are less likely to get the necessary vaccines for their children at this age. cknowledgements HPC would like to thank the H reas for providing data and special thanks to the Immunisation Co-ordinators, pecialists in Public Health Medicine, urveillance cientists and ystems nalysts for their assistance. Q Page 5 of 12 ugust, 2015

6 C C D O/M C/M H D/H MH /OY K/ T/ C C Figure 6. D 3 immunisation uptake rates (%) by HO, in those 24 months of age in Quarter , in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. D O/M C/M H D/H MH /OY K/ /T C C Figure 7. Hib b immunisation uptake rates (%) by HO, in those 24 months of age in Quarter , in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. Q Page 6 of 12 ugust, 2015

7 C C D O/M C T/ D/H MH K/ /OY C/M H C Figure 8. MenC 3 immunisation uptake rates (%) by HO, in those 24 months of age in Quarter , in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. D O/M C/M H D/H MH /OY K/ T/ C C Figure 9. MenC b immunisation uptake rates (%) by HO, in those 24 months of age in Quarter , in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. Q Page 7 of 12 ugust, 2015

8 C C D O/M C T/ D/H MH K/ /OY C/M H C Figure 10. PCV 3 immunisation uptake rates (%) by HO, in those 24 months of age in Quarter , in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. D O/M C T/ D/H MH K/ /OY C/M H C Figure 11. PCV b immunisation uptake rates (%) by HO, in those 24 months of age in Quarter , in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. Q Page 8 of 12 ugust, 2015

9 C D O/M C/M H D/H MH K/ /OY T/ C C Figure 12. MMR 1 immunisation uptake rates (%) by HO, in those 24 months of age in Quarter , in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. Q Page 9 of 12 ugust, 2015

10 ppendix 1 Immunisation Uptake at 12 Months in Cohort orn 01/01/ /03/2014 Immunisation Uptake (%) o. in o. in cohort H cohort for D 3,T 3 & rea HO/H rea for C * P 3 C D 3 T 3 P 3 Hib 3 Polio 3 Hep 3 MenC 2 PCV 2 Dublin outh Dublin outh ast Dublin outh City Dublin outh est Dublin est astern Dublin orth est Dublin orth Central Dublin orth Kildare/est icklow icklow H- Total Midland Mid estern orth astern orth estern outh astern aois/offaly ongford/estmeath H-M Total Clare imerick Tipperary R/ast imerick H-M Total Cavan/Monaghan na 458 na outh na 419 na Meath na 794 na H- Total na 1671 na Donegal ligo/eitrim H- Total Carlow/Kilkenny outh Tipperary aterford exford H- Total outhern orth Cork orth outh ee est Cork Kerry H- Total estern alway Mayo Roscommon H- Total Ireland na=not available * The denominator/number in cohort varied slightly according to vaccine. D3, T3 and P3 cohorts are show n here Please note w hile orth ee and outh ee are tw o separate HOs their combined immunisation uptake data are reported here. Q Page 10 of 12 ugust, 2015

11 ppendix 2 Immunisation uptake (%) at 24 months of age in 2015 (i.e. cohort born 01/01/ /03/2013) o. in Immunisation Uptake (%) cohort for D 3 & T 3 & H rea HO/H rea * P 3 D 3 T 3 P 3 Hib 3 Hib b Polio 3 Hep 3 MenC 3 MenC b PCV 3 PCV b MMR 1 Dublin outh Dublin outh ast Dublin outh City Dublin outh est Dublin est astern Dublin orth est Dublin orth Central Dublin orth Kildare/est icklow icklow H- Total Midland aois/offaly ongford/estmeath H-M Total Mid estern Clare imerick Tipperary R/ast imerick H-M Total orth astern orth estern outh astern Cavan/Monaghan outh Meath H- Total Donegal ligo/eitrim H- Total Carlow/Kilkenny outh Tipperary aterford exford H- Total outhern orth Cork orth outh ee est Cork Kerry H- Total estern alway na 98 na 96 Mayo na 97 na 94 Roscommon na 96 na 95 H- Total na 97 na 95 Ireland na=not available *The denominator/number in cohort varied slighly according to vaccine. D 3, T 3 and P 3 cohorts show n here. Please note w hile orth ee and outh ee are two separate HOs their combined immunisation uptake data are reported here. Q Page 11 of 12 ugust, 2015

12 ppendix 3 ocal Health Office (HO) bbreviations (used in maps in this report) ocal Health Office (HO) Clare C/M Cavan/Monaghan Carlow/Kilkenny D Donegal Dublin orth C Dublin orth Central Dublin orth est Dublin outh Dublin outh City Dublin outh ast Dublin outh est Dublin est alway K/ Kildare/est icklow Kerry imerick D/ ongford/estmeath H outh /OY aois/offaly MH Meath Mayo C orth Cork * orth outh ee* Roscommon O/M ligo/eitrim T/ Tipperary orth /ast imerick outh Tipperary est Cork aterford exford icklow *Please note while orth ee and outh ee are two separate HOs their combined immunisation uptake data are reported here Q Page 12 of 12 ugust, 2015

Table 1. Primary childhood immunisation schedule for children born between 01/07/2008 and 30/06/2015

Table 1. Primary childhood immunisation schedule for children born between 01/07/2008 and 30/06/2015 ackground The national immunisation uptake statistics, based on available data, for Quarter 2 2015 are presented in this report. These immunisation uptake statistics relate to children at 12 (born between