Immunization Coverage & Vaccine Preventable Diseases in northern BC 2013

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Immunization Coverage & Vaccine Preventable Diseases in northern BC 213 Revised April, 214

Immunizations are some of the best health investments that we can make. Along with better sanitation and clean drinking water, immunizations have been responsible for the huge increases in life expectancy that we have seen around the world. 1, 2 Because immunizations are such a good investment and the protection they provide to individuals and communities as a whole is so important, we actively monitor whether certain target populations are fully immunized. The graph below shows the immunization status of two year old children served by health units in the Northwest Health Service Delivery Area. 3 1 9 8 7 6 5 4 3 2 1 Percent of 2 Year olds who are up-to-date on their immunizations Northwest HSDA Health Units as of December 212 78 % 79 % 75 % 68 % 5 % 59 % DEASE LAKE HAZELTON HOUSTON KITIMAT MASSET PRINCE RUPERT 9 % QUEEN CHARLOTTE VL 64 % 5 % 79 % SANDSPIT SMITHERS STEWART TERRACE The above graph represents children who were born during the year 21 and who were two years of age as of Dec 31 st, 212. To be considered as up-to-date for their age, two year old children must have completed the following immunizations by their second birthday: 4 doses of DTP vaccine 3 doses of Polio vaccine 3 doses of Hepatitis B vaccine 1 dose each of Measles, Mumps and Rubella vaccines at least 2 doses of Pneumococcal conjugate vaccine at least 1 dose of Meningococcal conjugate vaccine at least 1 dose of Haemophilus Influenza B vaccine after month 15 1 dose of Varicella (chicken-pox) vaccine or past disease by the 2nd birthday Note: DTP = Diphtheria, Tetanus and Pertussis (whooping cough). Note: Small numbers of children in some areas can greatly influence % coverage rates. 1

Vaccine Preventable Diseases (VPDs) are illnesses that may have been avoided if individuals and communities were sufficiently immunized. Many of these diseases have lifelong impacts. This page presents a summary of the most frequently reported Vaccine Preventable Diseases for the Northwest Health Service Delivery Area during the 22 212 period. Vaccine Preventable Disease Cases in Northwest BC: 22-212 8 6 Number of Cases 4 2 22 23 24 25 26 27 28 29 21 211 212 VPD Cases 37 23 5 12 13 17 39 1 13 19 2 VPD in Northwest BC: Cases by Community Health 22-212 4 Community 22 23 24 25 26 27 28 29 21 211 212 Total Dease Lake 1 1 2 Hazelton 1 8 1 3 2 1 2 18 Houston 14 1 2 2 19 Kitimat 1 2 1 2 2 1 9 Masset 1 1 1 1 2 3 9 Prince Rupert 8 4 7 5 4 2 2 8 9 5 54 QC Village 1 2 2 5 Smithers 9 1 1 2 4 4 25 2 1 3 4 56 Stewart 1 1 Terrace 3 5 3 3 2 4 3 2 3 7 35 Total 37 23 5 12 13 17 39 1 13 19 2 28 From 22 to 212, the most frequently reported VPDs in the Northwest HSDA were: Hepatitis B - 75 cases Pertussis (whooping cough) - 68 cases Invasive Pneumococcal Disease - 47 cases Invasive Meningococcal disease 8 cases Haemophilus Influenza B 7 cases. 2

Immunizations are some of the best health investments that we can make. Along with better sanitation and clean drinking water, immunizations have been responsible for the huge increases in life expectancy that we have seen around the world. 5, 6 Because immunizations are such a good investment and the protection they provide to individuals and communities as a whole is so important, we actively monitor whether certain target populations are fully immunized. The graph below shows the immunization status of two year old children served by health units in the Northern Interior HSDA. 7 Percent of 2 Year olds who are up-to-date on their immunizations Northern Interior HSDA Health Units as of December 212 6 % 79 % 83 % 82 % 77 % 81 % 79 % 68 % 43 % 1 9 8 7 6 5 4 3 2 1 BURNS LAKE FORT ST JAMES FRASER LAKE MACKENZIE MCBRIDE PRINCE GEORGE QUESNEL VALEMOUNT VANDERHOOF The above graph represents children who were born during the year 21 and who were two years of age as of Dec 31 st, 212. To be considered as up-to-date for their age, two year old children must have completed the following immunizations by their second birthday: 4 doses of DTP vaccine 3 doses of Polio vaccine 3 doses of Hepatitis B vaccine 1 dose each of Measles, Mumps and Rubella vaccines at least 2 doses of Pneumococcal conjugate vaccine at least 1 dose of Meningococcal conjugate vaccine at least 1 dose of Haemophilus Influenza B vaccine after month 15 1 dose of Varicella (chicken-pox) vaccine or past disease by the 2nd birthday Note: DTP = Diphtheria, Tetanus and Pertussis (whooping cough). Note: Small numbers of children in some areas can greatly influence % coverage rates. 3

Vaccine Preventable Diseases (VPDs) are illnesses that may have been avoided if individuals and communities were sufficiently immunized. Many of these diseases have lifelong impacts. This page presents a summary of the most frequently reported Vaccine Preventable Diseases for the Northern Interior HSDA during the 22 212 period. Vaccine Preventable Disease Cases in Northern Interior BC: 22-212 8 6 Number of Cases 4 2 22 23 24 25 26 27 28 29 21 211 212 VPD Cases 58 7 3 37 22 28 36 2 9 25 27 VPD in Northern Interior BC: Cases by Community Health Unit 22-212 8 Community 22 23 24 25 26 27 28 29 21 211 212 Total Burns Lake 26 1 4 1 2 3 37 Ft. St. James 2 1 3 2 2 2 3 15 Fraser Lake 5 1 1 7 MacKenzie 1 1 1 1 4 McBride Prince George 26 52 26 22 17 19 31 13 7 2 15 248 Quesnel 1 5 4 9 1 4 1 4 1 1 3 34 Valemount 4 1 5 Vanderhoof 3 2 3 2 2 12 Total 58 7 3 37 22 28 36 2 9 25 27 362 From 22 to 212, the most frequently reported VPDs in the Northern Interior HSDA were: Invasive Pneumococcal Disease - 167 cases Pertussis (whooping cough) - 19 cases Hepatitis B - 6 cases Invasive Meningococcal Disease -16 cases Haemophilus Influenza B 5 cases. 4

Immunizations are some of the best health investments that we can make. Along with better sanitation and clean drinking water, immunizations have been responsible for the huge 9, 1 increases in life expectancy that we have seen around the world. Because immunizations are such a good investment and the protection they provide to individuals and communities as a whole is so important, we actively monitor whether certain target populations are fully immunized. The graph below shows the immunization status of two year old children served by health units in the Northeast Health Service Delivery Area. 11 1 9 8 7 6 5 4 3 2 1 67 % Percent of 2 Year olds who are up-to-date on their immunizations Northeast HSDA Health Units as of December 212 64 % 93 % CHETWYND DAWSON CREEK FORT NELSON FORT ST JOHN HUDSON'S HOPE TUMBLER RIDGE 65 % 5 % 58 % The above graph represents children who were born during the year 21 and who were two years of age as of Dec 31 st, 212. To be considered as up-to-date for their age, two year old children must have completed the following immunizations by their second birthday: 4 doses of DTP vaccine 3 doses of Polio vaccine 3 doses of Hepatitis B vaccine 1 dose each of Measles, Mumps and Rubella vaccines at least 2 doses of Pneumococcal conjugate vaccine at least 1 dose of Meningococcal conjugate vaccine at least 1 dose of Haemophilus Influenza B vaccine after month 15 1 dose of Varicella (chicken-pox) vaccine or past disease by the 2nd birthday Note: DTP = Diphtheria, Tetanus and Pertussis (whooping cough). Note: Small numbers of children in some areas can greatly influence % coverage rates. 5

Vaccine Preventable Diseases (VPDs) are illnesses that may have been avoided if individuals and communities were sufficiently immunized. Many of these diseases have lifelong impacts. This page presents a summary of the most frequently reported Vaccine Preventable Diseases for the Northeast Health Service Delivery Area during the 22 212 period. Vaccine Preventable Disease Cases in Northeast BC: 22-212 8 6 Number of Cases 4 2 22 23 24 25 26 27 28 29 21 211 212 VPD Cases 8 1 27 11 6 7 6 5 21 6 6 VPD in Northeast BC: Cases by Community Health Unit 22-212 12 Community 22 23 24 25 26 27 28 29 21 211 212 Total Chetwynd 2 1 2 1 1 1 1 3 12 Dawson Creek 3 2 21 3 1 3 2 1 3 1 3 43 Fort Nelson 1 1 1 3 2 7 15 Ft St John 1 7 3 5 4 1 2 1 8 5 3 4 Hudson s Hope 1 1 2 Tumbler Ridge 1 1 Total 8 1 27 11 6 7 6 5 21 6 6 113 From 22 to 212, the most frequently reported VPDs in the Northeast HSDA were: Hepatitis B - 4 cases Pertussis (whooping cough) - 33 cases Measles -18 cases Invasive Pneumococcal Disease - 16 cases Invasive Meningococcal Disease and Mumps - 2 cases of each VPD. 6

References 1 2 3 4 5 6 7 8 9 1 11 12 Immunization: A Report on the Health and Wellbeing of British Columbian. BC Provincial Health Officer, 1998. http://www.health.gov.bc.ca/pho/pdf/phoannual1998.pdf Small Area Populations Projections (P.E.O.P.L.E.): Technical Paper. BC Stats, July 29.( mortality: page 1) http://www.bcstats.gov.bc.ca/statisticsbysubject/demography/technicalpapers.aspx 21 Cohort (2 year olds) Date of Birth Jan 1, 21 to Dec 3, 21. Up-to-date for age: (21 definition). Data extracted Jan 15, 213: Prepared by CM for JMH / MMP: Northern Health Public Health: August 213. Vaccine Preventable Disease: Northern Health-Public Health Internal Files: August 213.. Immunization: A Report on the Health and Wellbeing of British Columbian. BC Provincial Health Officer, 1998. http://www.health.gov.bc.ca/pho/pdf/phoannual1998.pdf Small Area Populations Projections (P.E.O.P.L.E.): Technical Paper. BC Stats, July 29.( mortality: page 1) http://www.bcstats.gov.bc.ca/statisticsbysubject/demography/technicalpapers.aspx 21 Cohort (2 year olds) Date of Birth Jan 1, 21 to Dec 3, 21. Up-to-date for age: (21 definition). Data extracted Jan 15, 213: Prepared by CM for JMH / MMP: Northern Health Public Health: August 213. Vaccine Preventable Disease: Northern Health-Public Health Internal Files: August 213.. Immunization: A Report on the Health and Wellbeing of British Columbian. BC Provincial Health Officer, 1998. http://www.health.gov.bc.ca/pho/pdf/phoannual1998.pdf Small Area Populations Projections (P.E.O.P.L.E.): Technical Paper. BC Stats, July 29.( mortality: page 1) http://www.bcstats.gov.bc.ca/statisticsbysubject/demography/technicalpapers.aspx 21 Cohort (2 year olds) Date of Birth Jan 1, 21 to Dec 3, 21. Up-to-date for age: (21 definition). Data extracted Jan 15, 213: Prepared by CM for JMH / MMP: Northern Health Public Health: August 213. Vaccine Preventable Disease: Northern Health-Public Health Internal Files: August 213. 7