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 01/04/2014 and 30/06/2014) and 24 (born between 01/04/2013 and 30/06/2013) months of age in Quarter 2-2015. 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 2015. Please see the H-ational Immunisation Office (IO) website at http://www.hse.ie/eng/health/immunisation/ 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 2 2015, 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 2 2015, 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. One dose of vaccine against Haemophilus influenzae type b (Hib b ), one dose of meningococcal group C vaccine (MenC b ) and one dose of pneumococcal conjugate vaccine (PCV b ) given on or after 12 months of age are also reported. 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 http://www.hse.ie/eng/health/immunisation/ 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 Q2 2015 Page 1 of 12 October, 2015 H Health Protection urveillance Centre (HPC) Tel: +353 1 876 5300 www.hpsc.ie 25 27 Middle ardiner treet, Dublin 1, Ireland Fax: +353 1 856 1299
Immunisation uptake among children at 12 months of age in Quarter 2 2015 ational Immunisation uptake rates in children 12 months of age in Q2-2015 are presented by H rea in table 2. ational immunisation uptake rates were 92% for D 3, T 3, P 3, Hib 3 and Polio and 91% for Hep 3, PCV 2 and MenC 2. C uptake data were available for 28 HOs in Q2-2015; these areas cover approximately 90% of the national birth cohort. here data were available, national uptake was 88% for the C vaccination. Figure 1 presents the national uptake rates at 12 months for each vaccine from Q3-2000 to Q2-2015. Compared to Q1-2015, national uptake rates in Q2-2015 for D 3, T 3, P 3, Hib 3 and Polio 3 increased by 1% while Hep 3, MenC 2 and PCV 2 were unchanged. 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 90-95% and MenC 2 and PCV 2 ranged from 87% to 95%. The H Midland rea reached the target of 95% for all vaccines. 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 8 HOs for C, 4 HOs for D 3, T 3, P 3, Polio 3 and PCV 2 and in 3 HOs for Hib 3, Hep 3 and MenC 2. Table 2. Immunisation uptake (%) at 12 months in cohort born 01/04/2014 30/06/2014 H rea o. in cohort* C D 3 T 3 P 3 Hib 3 Polio 3 Hep 3 MenC 2 PCV 2 astern 6193 93 90 90 90 90 90 89 90 Midland 1170 95 95 95 95 95 95 95 95 Mid estern 1208 93 92 92 92 92 92 92 92 orth astern 1666 na 92 92 92 92 92 92 92 orth estern 823 94 93 93 93 93 92 91 93 outh astern 1779 95 93 93 93 93 93 92 92 outhern 2318 92 90 90 90 90 90 87 87 estern 1557 39 94 94 94 94 94 94 94 Ireland 16714 88 92 92 92 92 91 91 91 na = not available at this time * The denominator/number in cohort varied slightly according to vaccine. D3, T3 and P3 cohorts are shown here. umber in cohort for C is 15,063 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 Q3-2008 MenC 3 uptake figure is based on data from six of the eight H reas. The Q1-2009 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 Q3-2009 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 Q4-2009 figures are incomplete as three H reas were unable to provide data. The Q1-2010 figures are incomplete as two H reas were unable to provide data and three were unable to provide MenC 2 data. The Q2-2010 figures are incomplete as two H reas were unable to provide data. The Q4-2010 figures are incomplete as one H rea was unable to provide data. C uptake data are only displayed in this graph from Q1 2013 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 Q3 2003 to Q2 2009 (except Q3 2004 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 Q1 2010 and Q2 2010, for five H-reas in Q4 2010, Q1 2011 and Q2 2011, for six H-reas in Q3 2011 to Q4 2012 and for seven H reas from Q1 2013. From Q3 2011 to Q3 2014 H estern rea C data was not available by HO, uptake was provided for the H estern rea as a whole. In Q4 2014 C data was available for alway and Roscommon- the C denominator for H estern rea in Q4 2014 was the sum of the alway and Roscommon denominators. In Q1 2015 C data was available for alway, Mayo and Roscommon. Q2 2015 Page 2 of 12 October, 2015
C C C D C T/ MH K/ /OY C/M D/H H o Data Figure 2. D 3 immunisation uptake rates (%) by HO, in those 12 months of age in Quarter 2-2015, in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. C D C/M H D/H MH K/ /OY T/ C C o Data Figure 3. MenC 2 immunisation uptake rates (%) by HO, in those 12 months of age in Quarter 2-2015, in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. D C/M H D/H MH K/ /OY T/ C o Data C Figure 4. PCV 2 immunisation uptake rates (%) by HO, in those 12 months of age in Quarter 2-2015, in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. Q2 2015 Page 3 of 12 October, 2015
Immunisation uptake among children 24 months of age in Quarter 2 2015 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 88% for MenC 3 (table 3). Compared to the previous quarter, national uptake rates in Q2-2015 increased by one per cent for MenC 3 and were unchanged for the remainder (figure 5). In total, seven of the eight H reas were able to provide uptake data on MenC b and PCV b in Q2-2015. 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 and PCV b uptake were unchanged (figure 5). Figure 5 presents the national uptake rates at 24 months for each vaccine from Q1-1999 to Q2-2015. H rea The target uptake of 95% was reached for D 3, P 3, T 3, Hib 3, Polio 3 and Hep 3 in six H reas, for Hib b, PCV 3 and MMR 1 in two H reas, for MenC 3 and PCV b in one and in none for MenC b (table 3). ocal Health Office (HO) Immunisation uptake rates in children 24 months of age in Q2-2015 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 6-12. The target uptake of 95% was reached in 20 HOs for Hep 3, 19 HOs for D 3, T 3, P 3, Hib 3 and Polio 3, 8 for MMR 1 and PCV b, 7 for Hib b, 6 for PCV 3, in two for MenC 3 and one for MenC b. Table 3. Immunisation uptake (%) at 24 months in cohort born 01/04/2013 30/06/2013 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 6365 94 94 94 94 88 86 88 90 92 91 Midland 1028 98 98 98 98 98 92 94 95 97 96 Mid-estern 1315 94 94 94 94 91 89 91 90 92 92 orth astern 1774 96 96 96 96 91 88 91 92 94 93 orth estern 840 97 97 96 97 91 86 91 90 94 93 outh astern 1779 96 96 96 96 94 89 91 93 94 94 outhern 2381 95 95 95 95 90 87 88 91 92 92 estern 1432 97 97 97 97 95 95 na 97 na 95 Ireland 16914 95 95 95 95 91 88 90 92 93 93 * s the denominator/number in cohort varied slightly according to vaccine D3, T3 and P3 cohorts are shown here Figure 5. ational quarterly immunisation uptake rates at 24 months otes: The Q4-2005 MMR 1 figure is based on data from seven of the eight H-reas. The Q1-2006 MMR 1 figure includes the H-astern rea figure that is an estimate only. The Q1-2007, Q3-2007, Q2-2008 and Q3-2008 Hib b figures are based on data from seven of the eight H reas. In Q1-2008 the H- changed their Hib b data extraction method compared to previous quarters; in Q1-2008 the uptake of Hib b in the H- was 83% compared to 53% in Q4-2007. The Q3-2008 MenC 3 figure is based on data from six of the eight H reas. The Q1-2009 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 Q2-2009 H-astern rea Hib b uptake figures exclude uptake figures from Dublin orth. The Q4-2009 figures are based on data from seven of the eight H reas. The Q4-2009 Hib b figures also exclude uptake figures from Dublin orth. The Q1-2010 figures are based on data from six of the eight H reas. The Q1-2010 Hib b figures also exclude uptake figures from Dublin orth. The Q2-2010 and Q4-2010 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. Q2 2015 Page 4 of 12 October, 2015
Conclusions In Quarter 2-2015, 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 Q2-2015 increased by one per cent for MenC 3 and were unchanged for the remainder. 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. Q2 2015 Page 5 of 12 October, 2015
C C D C/M H D/H MH /OY K/ T/ C C o Data Figure 6. D 3 immunisation uptake rates (%) by HO, in those 24 months of age in Quarter 2-2015, in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. D C/M H D/H MH /OY K/ /T C C o Data Figure 7. Hib b immunisation uptake rates (%) by HO, in those 24 months of age in Quarter 2-2015, in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. Q2 2015 Page 6 of 12 October, 2015
C C D C T/ MH K/ /OY C/M D/H H o Data C Figure 8. MenC 3 immunisation uptake rates (%) by HO, in those 24 months of age in Quarter 2-2015, in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. D C/M H D/H MH /OY K/ T/ C C o Data Figure 9. MenC b immunisation uptake rates (%) by HO, in those 24 months of age in Quarter 2-2015, in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. Q2 2015 Page 7 of 12 October, 2015
C C D C/M H D/H MH K/ /OY T/ C o Data C Figure 10. PCV 3 immunisation uptake rates (%) by HO, in those 24 months of age in Quarter 2-2015, in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. D C/M H D/H MH K/ /OY T/ C o Data C Figure 11. PCV b immunisation uptake rates (%) by HO, in those 24 months of age in Quarter 2-2015, in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. Q2 2015 Page 8 of 12 October, 2015
C D C/M H D/H MH K/ /OY T/ C o Data C Figure 12. MMR 1 immunisation uptake rates (%) by HO, in those 24 months of age in Quarter 2-2015, in () Ireland and () Dublin. Please see ppendix 3 to translate HO codes. Q2 2015 Page 9 of 12 October, 2015
ppendix 1 Immunisation Uptake at 12 Months in Cohort orn 01/04/2014-30/06/2014 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 400 400 94 92 92 92 92 92 89 92 Dublin outh ast 388 388 94 91 91 91 91 91 91 92 Dublin outh City 414 414 93 91 91 91 91 91 90 91 Dublin outh est 616 616 96 90 90 90 90 90 90 90 Dublin est 614 614 93 92 92 92 92 92 92 93 astern Dublin orth est 892 892 91 88 88 88 88 88 88 89 Dublin orth Central 471 471 92 85 85 85 85 85 85 85 Dublin orth 1008 1008 93 89 89 89 89 89 89 89 Kildare/est icklow 943 943 96 91 91 91 91 91 91 91 icklow 447 447 90 91 91 91 91 91 90 90 H- Total 6193 6193 93 90 90 90 90 90 89 90 Midland aois/offaly 657 657 95 95 95 95 95 95 95 95 ongford/estmeath 513 513 95 96 96 96 96 96 96 96 H-M Total 1170 1170 95 95 95 95 95 95 95 95 Clare 335 335 92 92 92 92 92 92 92 93 Mid imerick 409 443 95 89 89 89 89 89 90 89 estern Tipperary R/ast imerick 448 430 92 94 94 94 94 94 94 94 H-M Total 1192 1208 93 92 92 92 92 92 92 92 orth astern Cavan/Monaghan na 413 na 94 94 94 94 94 94 94 outh na 460 na 93 93 93 93 93 93 93 Meath na 793 na 91 91 91 91 91 91 91 H- Total na 1666 na 92 92 92 92 92 92 92 Donegal 498 498 93 92 92 92 92 91 90 92 orth ligo/eitrim 325 325 95 95 95 94 95 94 93 96 estern H- Total 823 823 94 93 93 93 93 92 91 93 outh astern Carlow/Kilkenny 485 485 94 92 92 92 92 92 91 91 outh Tipperary 314 314 97 94 94 94 94 94 93 94 aterford 457 457 96 93 93 93 93 93 92 92 exford 523 523 94 93 93 93 93 92 92 93 H- Total 1779 1779 95 93 93 93 93 93 92 92 orth Cork 327 325 92 91 91 91 91 91 90 90 orth outh ee 1424 1399 93 90 90 90 90 90 88 88 outhern est Cork 163 161 91 83 83 83 83 83 80 80 Kerry 435 433 90 92 92 92 92 92 88 88 H- Total 2349 2318 92 90 90 90 90 90 87 87 estern alway 907 907 12 94 94 94 94 94 94 94 Mayo 424 424 90 94 94 94 94 94 94 94 Roscommon 226 226 54 96 96 96 96 96 96 96 H- Total 1557 1557 39 94 94 94 94 94 94 94 Ireland 15063 16714 88 92 92 92 92 91 91 91 na=not available * The denominator/number in cohort varied slightly according to vaccine. D3, T3 and P3 cohorts are shown here. Please note while orth ee and outh ee are two separate HOs their combined immunisation uptake data are reported here. Q2 2015 Page 10 of 12 October, 2015
ppendix 2 Immunisation uptake (%) at 24 months of age in cohort born 01/04/2013-30/06/2013 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 432 95 95 95 91 95 95 89 92 92 93 93 Dublin outh ast 390 94 94 94 88 94 94 86 87 90 92 91 Dublin outh City 447 95 95 95 93 95 95 91 93 92 92 93 Dublin outh est 577 97 97 97 92 97 97 89 92 93 95 95 Dublin est 703 96 96 96 88 96 96 84 87 90 92 91 astern Dublin orth est 964 92 92 92 85 92 92 82 85 88 91 89 Dublin orth Central 460 93 93 93 86 93 93 83 85 88 90 91 Dublin orth 1046 93 93 93 88 93 93 86 88 90 91 91 Kildare/est icklow 929 94 94 94 90 94 94 87 89 92 93 92 icklow 417 92 92 92 83 92 92 81 83 86 88 88 H- Total 6365 94 94 94 88 94 94 86 88 90 92 91 Midland aois/offaly 571 97 97 97 97 97 97 92 94 96 97 96 ongford/estmeath 457 98 98 98 98 98 98 92 93 94 96 97 H-M Total 1028 98 98 98 98 98 98 92 94 95 97 96 Clare 410 93 93 93 92 93 93 90 92 91 91 92 imerick 455 94 94 94 89 94 94 88 89 89 90 91 Mid estern Tipperary R/ast imerick 450 95 95 95 91 95 95 89 94 91 93 92 H-M Total 1315 94 94 94 91 94 94 89 91 90 92 92 orth astern orth estern outh astern Cavan/Monaghan 475 97 97 97 94 97 97 91 94 95 97 96 outh 487 94 94 94 89 94 94 86 89 91 92 92 Meath 812 96 96 96 91 96 96 88 91 91 93 93 H- Total 1774 96 96 96 91 96 96 88 91 92 94 93 Donegal 493 96 97 96 87 96 95 81 87 88 92 90 ligo/eitrim 347 97 98 97 97 97 97 92 97 92 97 96 H- Total 840 97 97 97 91 97 96 86 91 90 94 93 Carlow/Kilkenny 484 94 94 94 91 94 94 87 89 90 92 92 outh Tipperary 345 98 98 98 96 98 98 88 92 94 95 94 aterford 472 95 95 95 92 95 95 87 90 94 95 94 exford 478 97 97 97 95 97 97 93 94 95 96 96 H- Total 1779 96 96 96 94 96 96 89 91 93 94 94 outhern orth Cork 333 96 96 96 89 96 96 87 88 90 92 92 orth outh ee 1407 94 94 94 90 94 95 88 89 91 91 92 est Cork 195 93 93 93 86 93 93 81 84 89 91 90 Kerry 446 96 96 96 91 96 96 87 89 91 93 92 H- Total 2381 95 95 95 90 95 95 87 88 91 92 92 estern alway 841 98 98 98 96 98 98 96 na 97 na 95 Mayo 368 96 96 96 90 96 96 90 na 98 na 91 Roscommon 223 98 98 98 97 98 98 97 na 98 na 97 H- Total 1432 97 97 97 95 97 97 95 na 97 na 95 Ireland 16914 95 95 95 91 95 95 88 90 92 93 93 na=not available *The denominator/number in cohort varied slighly according to vaccine. D 3, T 3 and P 3 cohorts shown here. Please note while orth ee and outh ee are two separate HOs their combined immunisation uptake data are reported here. Q2 2015 Page 11 of 12 October, 2015
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 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 Q2 2015 Page 12 of 12 October, 2015