ÿþM i c r o s o f t W o r d - A n e u r i n B e v a n L H B
Transcription
ÿþM i c r o s o f t W o r d - A n e u r i n B e v a n L H B
Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Public Health Wales Vaccine Preventable Disease Programme Practice Level Childhood Immunisation Uptake Report Aneurin Bevan Health Board January 2011 – December 2011 Authors: Simon Cottrell, Richard Lewis Date: April 2012 Distribution: NHS Wales Purpose and summary of document: To assist Health Boards and General Practice in improving uptake of immunisation against childhood disease. This report contains a summary of the current Health Board childhood immunisation picture, maps of immunisation coverage at Middle Super Output Area level, tables and charts detailing uptake at General Practice level for each Health Board Local Authority. April 2012 Page 1 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Table of Contents 1. Purpose and Background.............................................................................2 2. Health Board COVER summary...................................................................3 3. Health Board/ LA trends and uptake data ....................................................4 4. Coverage of immunisation by Health Board Middle Super Output Area (MSOA)............................................................................................................7 5. General Practice level data ........................................................................11 5.1 Blaenau Gwent LA ...............................................................................11 5.2 Caerphilly LA ........................................................................................16 5.3 Monmouthshire LA ...............................................................................22 5.4 Newport LA...........................................................................................27 5.5 Torfaen LA............................................................................................32 1. Purpose and Background This report is intended to assist Health Boards and general practice in improving uptake of immunisation against childhood disease. Immunisation saves lives, annually preventing millions of deaths worldwide. The target uptake for all scheduled childhood immunisations at Health Board level in Wales is 95%. This is based on the uptake needed to achieve ‘herd-immunity’, prevent spread in the population and effectively control vaccine preventable infectious diseases. Uptake of routine childhood immunisation is summarised in three different ways in this report: a. Quarterly uptake trends at Health Board and Local Authority (LA) level. b. Geographical coverage of immunisation in the Health Board, at Middle Super Output Area (MSOA) level. c. Uptake at General Practice level for practices located within the Health Board. The ultimate source of all information in this report is the National Community Child Health Database (NCCHD), however the way that immunisation uptake data is analysed and presented varies slightly for each of the above. Quarterly Uptake Trends Trends charts in this report are compiled using the uptake statistics that are reported each quarter in the Public Health Wales COVER report. These statistics are based on the number of children who are resident in each Health Board or LA area and the percentage who are recorded on the NCCHD as having been immunised before the appropriate birthday. Quarterly and annual COVER reports can be downloaded from the Public Health Wales Vaccine Preventable Disease Programme (VPDP) intranet site from the COVER statistics link below, details on how the reports are compiled can also be found here. VPDP intranet site - COVER statistics page: http://nww.publichealthwales.wales.nhs.uk/immunisation-uptake VPDP intranet site (home page): http://howis.wales.nhs.uk/immunisation Geographical coverage of immunisation This report also contains maps showing the coverage of selected routine childhood immunisations in Health Board resident children. The coverage maps in this report use units of geography called Middle Super Output Areas (MSOA). There are 413 April 2012 Page 2 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board MSOA in Wales. MSOA fit within LA boundaries and the average population of an MSOA in Wales is approximately 7,000 people (but it can be as low as 5,000). In this report, coverage maps are presented alongside a reference map for the Health Board to assist in identifying areas. More information on MSOA in Wales is available from the Public Health Wales Observatory. The maps in this report show coverage of selected immunisations in children resident in the appropriate MSOA reaching their first, second or fifth birthdays during the 12 month period. Uptake at General Practice level This report contains general practice level uptake rates for routine immunisations, in children reaching their first, second, fifth, 15th and 16th birthdays during the 12 month period. Uptake rates at General Practice level are calculated based on children who are recorded as being registered with each practice located in the Health Board. As a result data contained here will not be an exact match to the data contained in the quarterly and annual COVER reports, which is based on children resident within LA boundaries, not on practice registered populations. Practice level data is presented here using anonymous codes, the Health Board Immunisation Coordinator holds a key that can be used to identify practices. The 95% uptake target is included on the charts in this report only as a guide (this target applies to the Health Board as a whole). Practice level charts and tables in this report may refer to small practices with low numbers of children, this should be taken into account when comparing uptake between practices. This report is intended to act as a guide to where there may be problems affecting immunisation uptake or immunisation data quality. All data contained in this report is taken from the NCCHD. The quality of the information in the NCCHD, and therefore in this report, is dependent on the completeness of Health Board Child Health records and return of forms from practices to local Child Health Offices. 2. Health Board COVER summary The chart below summarises the latest uptake rates for the Health Board, please refer to the VPDP intranet site for the most up to date version of this chart. Aneurin Bevan HB Summary - COVER101 5 in 1 primary by age 1y (3 doses) MenC primary by age 1y (2 doses) PCV primary by age 1y (2 doses) MMR by age 2y (1st dose) PCV by age 2y (final (3rd) dose) Hib/MenC booster by age 2y MMR by age 5y (2nd dose) 4 in 1 pre-school booster by age 5y MMR coverage (1dose) by age 16y MMR coverage (2doses) by age 16y 3 in 1 Teenage booster by age 16y 96.4% 96.3% 96.0% 92.7% 93.5% 93.2% 87.3% 89.6% 88.0% 79.5% 75.9% Figure 2.1 Health Board summary of uptake from latest quarterly COVER report Latest COVER data can be found on the VPDP intranet site: http://nww.publichealthwales.wales.nhs.uk/immunisation-uptake and on the Public Health Wales Health Protection internet site: http://www.wales.nhs.uk/sites3/page.cfm?orgid=457&pid=27778 April 2012 Page 3 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board 3. Health Board/ LA trends and uptake data Figure 3.1 Health Board uptake trends from quarterly COVER reports* 100 % uptake 90 80 70 5 in 1 at 1yr MMR 1 at 2yrs MMR2 at 5yrs 4 in 1 at 5 yrs Men C at 1 yr 95% target 2004 1 2004 2 2004 3 2004 4 2005 1 2005 2 2005 3 2005 4 2006 1 2006 2 2006 3 2006 4 2007 1 2007 2 2007 3 2007 4 2008 1 2008 2 2008 3 2008 4 2009 1 2009 2 2009 3 2009 4 2010 1 2010 2 2010 3 2010 4 2011 1 2011 2 2011 3 2011 4 60 Cover quarter Figure 3.2 National uptake trends from quarterly COVER reports * 100 Wales 95 % uptake 90 85 80 75 70 65 5 in 1 at 1yr MMR 1 at 2yrs MMR2 at 5yrs 4 in 1 at 5 yrs MenC at 1yr 95% target 2004 1 2004 2 2004 3 2004 4 2005 1 2005 2 2005 3 2005 4 2006 1 2006 2 2006 3 2006 4 2007 1 2007 2 2007 3 2007 4 2008 1 2008 2 2008 3 2008 4 2009 1 2009 2 2009 3 2009 4 2010 1 2010 2 2010 3 2010 4 2011 1 2011 2 2011 3 2011 4 60 Cover quarter * Source – Public Health Wales quarterly COVER reports. Intranet link: http://howis.wales.nhs.uk/sites3/home.cfm?orgid=474 Internet link: http://www.wales.nhs.uk/sites3/page.cfm?orgid=457&pid=27778 April 2012 Page 4 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 3.3 Aneurin Bevan Health Board LA uptake trends 100 Blaenau Gwent % uptake 90 80 70 5 in 1 at 1yr Men C at 1 yr MMR 1 at 2yrs MMR2 at 5yrs 4 in 1 at 5 yrs 95% target 5 in 1 at 1yr MMR 1 at 2yrs 4 in 1 at 5 yrs Men C at 1 yr MMR2 at 5yrs 95% target 5 in 1 at 1yr Men C at 1 yr MMR 1 at 2yrs MMR2 at 5yrs 4 in 1 at 5 yrs 95% target 60 100 Caerphilly % uptake 90 80 70 60 100 Monmouthshire 95 % uptake 90 85 80 75 70 65 2004 1 2004 2 2004 3 2004 4 2005 1 2005 2 2005 3 2005 4 2006 1 2006 2 2006 3 2006 4 2007 1 2007 2 2007 3 2007 4 2008 1 2008 2 2008 3 2008 4 2009 1 2009 2 2009 3 2009 4 2010 1 2010 2 2010 3 2010 4 2011 1 2011 2 2011 3 2011 4 60 April 2012 Page 5 of 36 Public Health Wales Vaccine Preventable Disease Programme 100 Uptake of Childhood Immunisation Aneurin Bevan Health Board Newport % uptake 90 80 70 60 100 5 in 1 at 1yr MMR 1 at 2yrs 4 in 1 at 5 yrs Men C at 1 yr MMR2 at 5yrs 95% target 5 in 1 at 1yr Men C at 1 yr MMR 1 at 2yrs MMR2 at 5yrs 4 in 1 at 5 yrs 95% target Torf aen % uptake 90 80 70 2004 1 2004 2 2004 3 2004 4 2005 1 2005 2 2005 3 2005 4 2006 1 2006 2 2006 3 2006 4 2007 1 2007 2 2007 3 2007 4 2008 1 2008 2 2008 3 2008 4 2009 1 2009 2 2009 3 2009 4 2010 1 2010 2 2010 3 2010 4 2011 1 2011 2 2011 3 2011 4 60 April 2012 Page 6 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board 4. Coverage of immunisation by Health Board Middle Super Output Area (MSOA) Figure 4.1 Uptake of the 5 in 1 primary in Health Board resident children reaching one year of age during 01/01/2011 – 31/12/2011, by MSOA of residence % uptake 95 - 100 (59) 90 - 95 (16) 0 - 90 (2) Figure 4.2 Reference map for Health Board area Map boundary files © Crown copyright. Licence number 100044810 April 2012 Page 7 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 4.3 Uptake of MMR dose one in Health Board resident children reaching two years of age during 01/01/2011 – 31/12/2011, by MSOA of residence % uptake 95 - 100 (17) 90 - 95 (40) 0 - 90 (20) Figure 4.4 Reference map for Health Board area Map boundary files © Crown copyright. Licence number 100044810 April 2012 Page 8 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 4.5 Uptake of MMR dose two in Health Board resident children reaching five years of age during 01/01/2011 – 31/12/2011, by MSOA of residence % uptake 95 - 100 (2) 90 - 95 (21) 0 - 90 (54) Figure 4.6 Reference map for Health Board area Map boundary files © Crown copyright. Licence number 100044810 April 2012 Page 9 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 4.7 Uptake of the 4 in 1 preschool booster in Health Board resident children reaching five years of age during 01/01/2011 – 31/12/2011, by MSOA of residence % uptake 95 - 100 (7) 90 - 95 (33) 0 - 90 (37) Figure 4.8 Reference map for Health Board area Map boundary files © Crown copyright. Licence number 100044810 April 2012 Page 10 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board 5. General Practice level data 5.1 Blaenau Gwent LA Table 5.1 Summary of coverage for children reaching the relevant birthday between 01/01/2011 and 31/12/2011* Children reaching 1 year of age Practice Resident Code children (n) (n) (%) (n) (%) 15 7 2 9 5 4 16 3 8 13 17 1 10 12 11 Unknown 6 100 97 64 63 64 58 59 56 53 47 46 38 20 20 17 3 0 98.0 98.0 97.0 98.4 100.0 95.1 100.0 100.0 100.0 97.9 97.9 100.0 100.0 100.0 94.4 100.0 100 97 64 63 64 58 59 56 53 47 46 38 20 20 17 3 0 98.0 98.0 97.0 98.4 100.0 95.1 100.0 100.0 100.0 97.9 97.9 100.0 100.0 100.0 94.4 100.0 102 99 66 64 64 61 59 56 53 48 47 38 20 20 18 3 0 5 in 1 MenC Children reaching 2 years of age Resident children (n) (n) (%) 88 90 87 65 54 68 50 45 51 38 62 29 13 29 15 4 0 85 85 82 59 51 64 50 43 48 35 55 26 12 29 11 4 0 96.6 94.4 94.3 90.8 94.4 94.1 100.0 95.6 94.1 92.1 88.7 89.7 92.3 100.0 73.3 100.0 MMR1 Children reaching 5 years of age Resident children (n) 87 102 70 72 57 73 48 53 38 44 38 28 21 23 23 7 0 4 in 1 (preschool (n) (%) 84 94 66 66 54 61 44 48 33 42 38 27 20 22 17 6 0 96.6 92.2 94.3 91.7 94.7 83.6 91.7 90.6 86.8 95.5 100.0 96.4 95.2 95.7 73.9 85.7 MMR1 MMR2 (n) (%) (n) (%) 85 99 69 68 56 71 45 50 35 42 38 25 21 21 22 5 0 97.7 97.1 98.6 94.4 98.2 97.3 93.8 94.3 92.1 95.5 100.0 89.3 100.0 91.3 95.7 71.4 81 92 65 65 51 61 44 46 32 40 38 25 20 21 17 5 0 93.1 90.2 92.9 90.3 89.5 83.6 91.7 86.8 84.2 90.9 100.0 89.3 95.2 91.3 73.9 71.4 Resident children (n) (n) (%) (n) (%) 108 105 82 71 57 65 49 46 38 64 48 38 33 20 27 15 0 101 99 77 61 57 63 48 42 35 60 46 37 31 19 27 9 0 93.5 94.3 93.9 85.9 100.0 96.9 98.0 91.3 92.1 93.8 95.8 97.4 93.9 95.0 100.0 60.0 96 87 72 52 52 48 42 37 35 53 39 36 28 18 25 9 0 88.9 82.9 87.8 73.2 91.2 73.8 85.7 80.4 92.1 82.8 81.3 94.7 84.8 90.0 92.6 60.0 MMR1 *Data is presented as immunisations given rather than details for specific antigens: 5 in 1 vaccine Diphtheria, Tetanus, Pertussis, Polio, Haemophilus influenzae type b (Hib) (using pertussis as proxy) MenC Meningococcal group C MMR1 /MMR2 Measles, Mumps, Rubella (one dose/ two doses) 4 in 1 Diphtheria, Tetanus, Pertussis, Polio (using pertussis as proxy) – Pre-school booster 3 in 1 (booster) April 2012 Children reaching 16 years of age Children reaching 15 years of age Diphtheria, Tetanus, Polio (using diphtheria as proxy) – Teenage booster MMR2 3 in 1 (booster) (n) (%) 69 71 50 44 34 38 35 30 28 44 33 30 24 15 16 3 0 63.9 67.6 61.0 62.0 59.6 58.5 71.4 65.2 73.7 68.8 68.8 78.9 72.7 75.0 59.3 20.0 Resident children (n) 94 97 76 74 49 78 61 42 28 64 42 34 20 26 25 17 0 3 in 1 (booster) (n) (%) 32 28 20 24 24 25 29 11 7 25 14 10 8 10 12 2 0 34.0 28.9 26.3 32.4 49.0 32.1 47.5 26.2 25.0 39.1 33.3 29.4 40.0 38.5 48.0 11.8 95% and higher 90% to 95% below 90% Page 11 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.1.1 Uptake of 5 in 1 vaccine in children reaching their first birthday during 01/01/2011 to 31/12/2011. 6 94.4 11 100.0 10 100.0 12 100.0 1 97.9 17 97.9 13 100.0 8 100.0 3 100.0 16 95.1 4 100.0 5 98.4 9 97.0 98.0 7 2 98.0 100 90 80 70 60 50 40 30 20 10 0 15 % Uptake Aneurin Bevan LHB - Blaenau Gwent Uptake of the 5 in 1 Primary Figure 5.1.2 Uptake of MenC vaccine in children reaching their first birthday during 01/01/2011 to 31/12/2011. April 2012 6 100.0 10 94.4 100.0 12 11 100.0 97.9 17 1 97.9 100.0 8 13 100.0 3 100.0 5 100.0 98.4 9 16 97.0 2 95.1 98.0 7 4 98.0 100 90 80 70 60 50 40 30 20 10 0 15 % Uptake Aneurin Bevan LHB - Blaenau Gwent Uptake of MenC Primary Page 12 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.1.3 Uptake of MMR vaccine (one dose) in children reaching their second birthday during 01/01/2011 to 31/12/2011. 6 11 10 12 1 17 13 8 3 16 4 5 9 2 73.3 92.3 100.0 89.7 88.7 92.1 94.1 95.6 100.0 94.1 94.4 90.8 94.4 7 94.3 96.6 100 90 80 70 60 50 40 30 20 10 0 15 % Uptake Aneurin Bevan LHB - Blaenau Gwent Uptake of MMR (one dose) Figure 5.1.4 Uptake of 4 in 1 vaccine in children reaching their fifth birthday during 01/01/2011 to 31/12/2011. April 2012 95.7 95.2 12 10 6 11 17 73.9 96.4 1 100.0 95.5 13 86.8 90.6 3 8 91.7 94.7 5 16 91.7 9 83.6 94.3 2 4 92.2 7 96.6 100 90 80 70 60 50 40 30 20 10 0 15 % Uptake Aneurin Bevan LHB - Blaenau Gwent Uptake of 4 in 1 booster Page 13 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.1.5 Uptake of MMR vaccine (two doses) in children reaching their fifth birthday during 01/01/2011 to 31/12/2011. 6 11 10 12 1 17 73.9 95.2 91.3 89.3 100.0 90.9 13 84.2 8 86.8 3 91.7 16 83.6 4 89.5 5 90.3 9 92.9 90.2 7 2 93.1 100 90 80 70 60 50 40 30 20 10 0 15 % Uptake Aneurin Bevan LHB - Blaenau Gwent Uptake of MMR (two doses) Figure 5.1.6 Uptake of MMR vaccine (one dose) in children reaching their 15th birthday during 01/01/2011 to 31/12/2011. April 2012 97.4 95.0 93.9 1 12 10 6 95.8 17 100.0 93.8 13 11 92.1 8 98.0 16 91.3 96.9 4 3 100.0 5 93.9 2 85.9 94.3 7 9 93.5 100 90 80 70 60 50 40 30 20 10 0 15 % Uptake Aneurin Bevan LHB - Blaenau Gwent Uptake of one MMR dose Page 14 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.1.7 Uptake of MMR vaccine (two doses) in children reaching their 15th birthday during 01/01/2011 to 31/12/2011. 6 92.6 11 84.8 10 90.0 12 94.7 1 81.3 17 82.8 13 92.1 8 80.4 3 85.7 16 4 73.8 91.2 5 9 73.2 87.8 2 82.9 7 88.9 100 90 80 70 60 50 40 30 20 10 0 15 % Uptake Aneurin Bevan LHB - Blaenau Gwent Uptake of two MMR doses Figure 5.1.8 Uptake of 3 in 1 teenage booster in children reaching their 16th birthday during 01/01/2011 to 31/12/2011. April 2012 6 48.0 40.0 10 11 38.5 12 29.4 1 33.3 17 39.1 25.0 8 13 26.2 3 16 4 5 32.1 47.5 49.0 32.4 26.3 2 9 28.9 7 34.0 100 90 80 70 60 50 40 30 20 10 0 15 % Uptake Aneurin Bevan LHB - Blaenau Gwent Uptake of the teenage booster (3 in 1) Page 15 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board 5.2 Caerphilly LA Table 5.2 Summary of coverage for children reaching the relevant birthday between 01/01/2011 and 31/12/2011* Children reaching 1 year of age Practice Resident Code children (n) 24 30 4 6 9 26 28 14 25 20 15 16 7 22 18 11 13 17 179 150 145 143 127 124 114 110 104 99 94 89 84 76 75 61 57 53 Children reaching 2 years of age (n) (%) (n) (%) Resident children (n) 173 146 140 142 124 119 113 108 102 92 92 87 81 76 75 60 55 47 96.6 97.3 96.6 99.3 97.6 96.0 99.1 98.2 98.1 92.9 97.9 97.8 96.4 100.0 100.0 98.4 96.5 88.7 173 147 140 142 124 119 113 108 102 92 92 87 81 76 75 60 55 47 96.6 98.0 96.6 99.3 97.6 96.0 99.1 98.2 98.1 92.9 97.9 97.8 96.4 100.0 100.0 98.4 96.5 88.7 152 167 137 125 136 103 124 78 105 99 106 90 77 72 62 52 55 60 5 in 1 MenC Children reaching 5 years of age (n) (%) Resident children (n) 134 161 122 122 132 96 118 71 98 85 97 84 72 60 61 48 50 56 88.2 96.4 89.1 97.6 97.1 93.2 95.2 91.0 93.3 85.9 91.5 93.3 93.5 83.3 98.4 92.3 90.9 93.3 151 141 124 148 143 117 126 70 86 90 98 91 71 62 71 58 63 46 MMR1 4 in 1 (preschool (n) (%) (n) (%) (n) 134 131 112 139 137 96 117 62 81 79 92 88 63 53 66 55 59 42 144 134 118 145 138 108 119 66 84 87 95 89 68 55 68 58 62 42 95.4 95.0 95.2 98.0 96.5 92.3 94.4 94.3 97.7 96.7 96.9 97.8 95.8 88.7 95.8 100.0 98.4 91.3 129 129 110 136 134 93 114 61 81 76 90 83 62 53 65 55 59 39 88.7 92.9 90.3 93.9 95.8 82.1 92.9 88.6 94.2 87.8 93.9 96.7 88.7 85.5 93.0 94.8 93.7 91.3 MMR1 Children reaching 16 years of age Children reaching 15 years of age (%) Resident children (n) (n) (%) (n) (%) 3 in 1 (booster) (n) (%) 85.4 91.5 88.7 91.9 93.7 79.5 90.5 87.1 94.2 84.4 91.8 91.2 87.3 85.5 91.5 94.8 93.7 84.8 152 205 119 130 145 104 119 77 82 97 121 92 68 78 48 66 60 66 134 185 110 117 129 88 108 71 75 86 109 87 60 66 43 60 56 57 88.2 90.2 92.4 90.0 89.0 84.6 90.8 92.2 91.5 88.7 90.1 94.6 88.2 84.6 89.6 90.9 93.3 86.4 120 170 98 104 122 70 96 57 69 80 83 81 57 49 36 55 50 53 78.9 82.9 82.4 80.0 84.1 67.3 80.7 74.0 84.1 82.5 68.6 88.0 83.8 62.8 75.0 83.3 83.3 80.3 78 128 85 88 102 73 74 42 52 56 82 59 41 46 32 45 38 39 MMR2 MMR1 MMR2 51.3 62.4 71.4 67.7 70.3 70.2 62.2 54.5 63.4 57.7 67.8 64.1 60.3 59.0 66.7 68.2 63.3 59.1 Resident children (n) 142 175 128 102 124 108 114 80 82 123 102 80 61 81 46 70 58 59 3 in 1 (booster) (n) (%) 62 43 50 34 57 24 41 41 52 37 37 26 20 23 23 18 37 34 43.7 24.6 39.1 33.3 46.0 22.2 36.0 51.3 63.4 30.1 36.3 32.5 32.8 28.4 50.0 25.7 63.8 57.6 Table 5.2 continued on next page 95% and higher 90% to 95% below 90% April 2012 Page 16 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Table 5.2 continued Children reaching 1 year of age Practice Resident Code children (n) (n) (%) (n) (%) 1 5 10 8 12 3 21 2 19 Unknown 29 23 49 41 42 40 38 35 33 27 22 19 14 0 100.0 93.2 100.0 97.6 97.4 100.0 97.1 100.0 100.0 86.4 100.0 49 40 42 41 38 35 33 27 22 19 14 0 100.0 90.9 100.0 100.0 97.4 100.0 97.1 100.0 100.0 86.4 100.0 49 44 42 41 39 35 34 27 22 22 14 0 5 in 1 MenC Children reaching 2 years of age Resident children (n) (n) (%) 43 29 43 22 43 35 24 24 25 18 23 0 38 18 40 20 39 30 21 23 24 16 23 0 88.4 62.1 93.0 90.9 90.7 85.7 87.5 95.8 96.0 88.9 100.0 MMR1 Children reaching 5 years of age Resident children (n) 46 34 53 30 38 33 20 34 19 24 26 0 4 in 1 (preschool (n) (%) 41 23 50 23 34 30 18 29 18 14 23 0 89.1 67.6 94.3 76.7 89.5 90.9 90.0 85.3 94.7 58.3 88.5 MMR1 MMR2 (n) (%) (n) (%) 45 28 53 29 35 31 19 33 18 17 26 0 97.8 82.4 100.0 96.7 92.1 93.9 95.0 97.1 94.7 70.8 100.0 40 20 50 23 32 30 17 29 18 14 23 0 87.0 58.8 94.3 76.7 84.2 90.9 85.0 85.3 94.7 58.3 88.5 Resident children (n) (n) (%) (n) (%) 47 64 65 32 27 21 29 26 35 60 20 0 45 59 59 32 25 21 26 24 33 43 16 0 95.7 92.2 90.8 100.0 92.6 100.0 89.7 92.3 94.3 71.7 80.0 39 48 57 32 17 21 20 23 27 34 14 0 83.0 75.0 87.7 100.0 63.0 100.0 69.0 88.5 77.1 56.7 70.0 MMR1 *Data is presented as immunisations given rather than details for specific antigens: 5 in 1 vaccine Diphtheria, Tetanus, Pertussis, Polio, Haemophilus influenzae type b (Hib) (using pertussis as proxy) MenC Meningococcal group C MMR1 /MMR2 Measles, Mumps, Rubella (one dose/ two doses) 4 in 1 Diphtheria, Tetanus, Pertussis, Polio (using pertussis as proxy) – Pre-school booster 3 in 1 (booster) Diphtheria, Tetanus, Polio (using diphtheria as proxy) – Teenage booster April 2012 Children reaching 16 years of age Children reaching 15 years of age MMR2 3 in 1 (booster) (n) (%) 23 44 50 21 16 14 17 17 21 16 12 0 48.9 68.8 76.9 65.6 59.3 66.7 58.6 65.4 60.0 26.7 60.0 Resident children (n) 57 50 66 37 29 19 29 44 25 66 27 0 3 in 1 (booster) (n) (%) 18 15 14 15 6 7 6 13 14 6 9 0 31.6 30.0 21.2 40.5 20.7 36.8 20.7 29.5 56.0 9.1 33.3 95% and higher 90% to 95% below 90% Page 17 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.2.1 Uptake of 5 in 1 vaccine in children reaching their first birthday during 01/01/2011 to 31/12/2011. 96.6 97.3 96.6 99.3 97.6 96.0 99.1 98.2 98.1 92.9 97.9 97.8 96.4 100.0 100.0 98.4 96.5 88.7 100.0 93.2 100.0 97.6 97.4 100.0 97.1 100.0 100.0 100.0 100 90 80 70 60 50 40 30 20 10 0 24 30 4 6 9 26 28 14 25 20 15 16 7 22 18 11 13 17 1 5 10 8 12 3 21 2 19 29 23 % Uptake Aneurin Bevan LHB - Caerphilly Uptake of the 5 in 1 Primary Figure 5.2.2 Uptake of MenC vaccine in children reaching their first birthday during 01/01/2011 to 31/12/2011. April 2012 96.6 98.0 96.6 99.3 97.6 96.0 99.1 98.2 98.1 92.9 97.9 97.8 96.4 100.0 100.0 98.4 96.5 88.7 100.0 90.9 100.0 100.0 97.4 100.0 97.1 100.0 100.0 100.0 100 90 80 70 60 50 40 30 20 10 0 24 30 4 6 9 26 28 14 25 20 15 16 7 22 18 11 13 17 1 5 10 8 12 3 21 2 19 29 23 % Uptake Aneurin Bevan LHB - Caerphilly Uptake of MenC Primary Page 18 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.2.3 Uptake of MMR vaccine (one dose) in children reaching their second birthday during 01/01/2011 to 31/12/2011. 93.0 90.9 90.7 85.7 87.5 95.8 96.0 100.0 62.1 88.2 96.4 89.1 97.6 97.1 93.2 95.2 91.0 93.3 85.9 91.5 93.3 93.5 83.3 98.4 92.3 90.9 93.3 88.4 100 90 80 70 60 50 40 30 20 10 0 24 30 4 6 9 26 28 14 25 20 15 16 7 22 18 11 13 17 1 5 10 8 12 3 21 2 19 29 23 % Uptake Aneurin Bevan LHB - Caerphilly Uptake of MMR (one dose) Figure 5.2.4 Uptake of 4 in 1 vaccine in children reaching their fifth birthday during 01/01/2011 to 31/12/2011. April 2012 89.5 90.9 90.0 85.3 94.7 88.5 76.7 67.6 94.3 88.7 92.9 90.3 93.9 95.8 82.1 92.9 88.6 94.2 87.8 93.9 96.7 88.7 85.5 93.0 94.8 93.7 91.3 89.1 100 90 80 70 60 50 40 30 20 10 0 24 30 4 6 9 26 28 14 25 20 15 16 7 22 18 11 13 17 1 5 10 8 12 3 21 2 19 29 23 % Uptake Aneurin Bevan LHB - Caerphilly Uptake of 4 in 1 booster Page 19 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.2.5 Uptake of MMR vaccine (two doses) in children reaching their fifth birthday during 01/01/2011 to 31/12/2011. 58.8 94.3 76.7 84.2 90.9 85.0 85.3 94.7 88.5 85.4 91.5 88.7 91.9 93.7 79.5 90.5 87.1 94.2 84.4 91.8 91.2 87.3 85.5 91.5 94.8 93.7 84.8 87.0 100 90 80 70 60 50 40 30 20 10 0 24 30 4 6 9 26 28 14 25 20 15 16 7 22 18 11 13 17 1 5 10 8 12 3 21 2 19 29 23 % Uptake Aneurin Bevan LHB - Caerphilly Uptake of MMR (two doses) Figure 5.2.6 Uptake of MMR vaccine (one dose) in children reaching their 15th birthday during 01/01/2011 to 31/12/2011. April 2012 88.2 90.2 92.4 90.0 89.0 84.6 90.8 92.2 91.5 88.7 90.1 94.6 88.2 84.6 89.6 90.9 93.3 86.4 95.7 92.2 90.8 100.0 92.6 100.0 89.7 92.3 94.3 80.0 100 90 80 70 60 50 40 30 20 10 0 24 30 4 6 9 26 28 14 25 20 15 16 7 22 18 11 13 17 1 5 10 8 12 3 21 2 19 29 23 % Uptake Aneurin Bevan LHB - Caerphilly Uptake of one MMR dose Page 20 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.2.7 Uptake of MMR vaccine (two doses) in children reaching their 15th birthday during 01/01/2011 to 31/12/2011. 78.9 82.9 82.4 80.0 84.1 67.3 80.7 74.0 84.1 82.5 68.6 88.0 83.8 62.8 75.0 83.3 83.3 80.3 83.0 75.0 87.7 100.0 63.0 100.0 69.0 88.5 77.1 70.0 100 90 80 70 60 50 40 30 20 10 0 24 30 4 6 9 26 28 14 25 20 15 16 7 22 18 11 13 17 1 5 10 8 12 3 21 2 19 29 23 % Uptake Aneurin Bevan LHB - Caerphilly Uptake of two MMR doses Figure 5.2.8 Uptake of 3 in 1 teenage booster in children reaching their 16th birthday during 01/01/2011 to 31/12/2011. April 2012 33.3 31.6 30.0 21.2 40.5 20.7 36.8 20.7 29.5 50.0 25.7 30.1 36.3 32.5 32.8 28.4 56.0 63.8 57.6 63.4 51.3 22.2 36.0 39.1 33.3 46.0 43.7 24.6 100 90 80 70 60 50 40 30 20 10 0 24 30 4 6 9 26 28 14 25 20 15 16 7 22 18 11 13 17 1 5 10 8 12 3 21 2 19 29 23 % Uptake Aneurin Bevan LHB - Caerphilly Uptake of the teenage booster (3 in 1) Page 21 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board 5.3 Monmouthshire LA Table 5.3 Summary of coverage for children reaching the relevant birthday between 01/01/2011 and 31/12/2011* Children reaching 1 year of age Practice Resident Code children (n) (n) (%) (n) 1 7 15 14 6 9 4 2 12 3 8 10 5 11 Unknown 194 94 96 71 69 69 58 37 33 30 26 21 15 0 9 98.0 94.9 97.0 95.9 94.5 94.5 96.7 94.9 100.0 93.8 96.3 95.5 100.0 0.0 81.8 193 93 96 71 69 69 57 37 33 30 26 21 15 0 9 198 99 99 74 73 73 60 39 33 32 27 22 15 14 11 5 in 1 Children reaching 2 years of age Children reaching 5 years of age (%) Resident children (n) (n) (%) Resident children (n) 97.5 93.9 97.0 95.9 94.5 94.5 95.0 94.9 100.0 93.8 96.3 95.5 100.0 0.0 81.8 189 85 82 79 77 61 57 24 31 22 23 17 11 16 17 180 81 77 77 69 58 53 23 31 20 23 17 11 1 15 95.2 95.3 93.9 97.5 89.6 95.1 93.0 95.8 100.0 90.9 100.0 100.0 100.0 6.3 88.2 187 102 83 73 115 68 70 24 41 29 26 19 11 12 22 MenC MMR1 4 in 1 (preschool (n) (%) (n) (%) (n) 174 100 77 70 102 65 64 20 39 25 26 18 10 2 14 176 102 80 71 107 64 64 23 39 28 23 18 10 2 14 94.1 100.0 96.4 97.3 93.0 94.1 91.4 95.8 95.1 96.6 88.5 94.7 90.9 16.7 63.6 167 99 73 69 97 62 62 20 39 25 23 18 10 2 14 93.0 98.0 92.8 95.9 88.7 95.6 91.4 83.3 95.1 86.2 100.0 94.7 90.9 16.7 63.6 MMR1 (%) Resident children (n) (n) (%) (n) (%) 3 in 1 (booster) (n) (%) 89.3 97.1 88.0 94.5 84.3 91.2 88.6 83.3 95.1 86.2 88.5 94.7 90.9 16.7 63.6 268 102 79 94 122 79 82 18 54 39 39 23 21 31 92 244 84 68 76 74 70 74 10 50 32 36 18 15 17 56 91.0 82.4 86.1 80.9 60.7 88.6 90.2 55.6 92.6 82.1 92.3 78.3 71.4 54.8 60.9 230 80 55 65 60 57 63 8 45 21 26 17 9 5 37 85.8 78.4 69.6 69.1 49.2 72.2 76.8 44.4 83.3 53.8 66.7 73.9 42.9 16.1 40.2 193 67 54 66 82 43 42 10 47 28 23 13 14 14 12 MMR2 MMR1 MMR2 *Data is presented as immunisations given rather than details for specific antigens: 5 in 1 vaccine Diphtheria, Tetanus, Pertussis, Polio, Haemophilus influenzae type b (Hib) (using pertussis as proxy) MenC Meningococcal group C MMR1 /MMR2 Measles, Mumps, Rubella (one dose/ two doses) 4 in 1 3 in 1 (booster) Diphtheria, Tetanus, Pertussis, Polio (using pertussis as proxy) – Pre-school booster Diphtheria, Tetanus, Polio (using diphtheria as proxy) – Teenage booster April 2012 Children reaching 16 years of age Children reaching 15 years of age 72.0 65.7 68.4 70.2 67.2 54.4 51.2 55.6 87.0 71.8 59.0 56.5 66.7 45.2 13.0 Resident children (n) 215 107 61 80 143 71 92 19 67 41 31 18 10 20 97 3 in 1 (booster) (n) (%) 165 24 43 32 91 29 52 14 63 22 9 2 9 5 19 76.7 22.4 70.5 40.0 63.6 40.8 56.5 73.7 94.0 53.7 29.0 11.1 90.0 25.0 19.6 95% and higher 90% to 95% below 90% Page 22 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.3.1 Uptake of 5 in 1 vaccine in children reaching their first birthday during 01/01/2011 to 31/12/2011. 11 0.0 100.0 5 95.5 10 96.3 8 93.8 3 100.0 12 94.9 2 96.7 4 94.5 6 94.5 9 95.9 14 94.9 97.0 15 7 98.0 100 90 80 70 60 50 40 30 20 10 0 1 % Uptake Aneurin Bevan LHB - Monmouthshire Uptake of the 5 in 1 Primary Figure 5.3.2 Uptake of MenC vaccine in children reaching their first birthday during 01/01/2011 to 31/12/2011. April 2012 11 0.0 100.0 5 95.5 94.9 2 10 95.0 4 96.3 94.5 6 8 94.5 9 93.8 95.9 14 3 93.9 7 100.0 97.0 15 12 97.5 100 90 80 70 60 50 40 30 20 10 0 1 % Uptake Aneurin Bevan LHB - Monmouthshire Uptake of MenC Primary Page 23 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.3.3 Uptake of MMR vaccine (one dose) in children reaching their second birthday during 01/01/2011 to 31/12/2011. 11 5 10 8 3 12 2 4 6 9 14 7 6.3 100.0 100.0 100.0 90.9 100.0 95.8 93.0 89.6 95.1 97.5 93.9 15 95.3 95.2 100 90 80 70 60 50 40 30 20 10 0 1 % Uptake Aneurin Bevan LHB - Monmouthshire Uptake of MMR (one dose) Figure 5.3.4 Uptake of 4 in 1 vaccine in children reaching their fifth birthday during 01/01/2011 to 31/12/2011. April 2012 11 5 10 8 3 12 2 16.7 90.9 94.7 100.0 86.2 95.1 83.3 91.4 4 95.6 9 88.7 95.9 14 6 98.0 92.8 15 7 93.0 100 90 80 70 60 50 40 30 20 10 0 1 % Uptake Aneurin Bevan LHB - Monmouthshire Uptake of 4 in 1 booster Page 24 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.3.5 Uptake of MMR vaccine (two doses) in children reaching their fifth birthday during 01/01/2011 to 31/12/2011. 11 5 10 8 3 12 2 4 6 9 14 7 16.7 90.9 94.7 88.5 86.2 95.1 83.3 88.6 84.3 91.2 94.5 88.0 15 97.1 89.3 100 90 80 70 60 50 40 30 20 10 0 1 % Uptake Aneurin Bevan LHB - Monmouthshire Uptake of MMR (two doses) Figure 5.3.6 Uptake of MMR vaccine (one dose) in children reaching their 15th birthday during 01/01/2011 to 31/12/2011. April 2012 71.4 78.3 92.3 54.8 11 5 10 8 3 12 2 55.6 82.1 92.6 90.2 4 6 9 15 60.7 80.9 14 88.6 82.4 7 86.1 91.0 100 90 80 70 60 50 40 30 20 10 0 1 % Uptake Aneurin Bevan LHB - Monmouthshire Uptake of one MMR dose Page 25 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.3.7 Uptake of MMR vaccine (two doses) in children reaching their 15th birthday during 01/01/2011 to 31/12/2011. 73.9 66.7 11 5 10 8 3 12 2 4 6 9 14 7 15 16.1 42.9 44.4 53.8 83.3 76.8 49.2 72.2 69.1 69.6 78.4 85.8 100 90 80 70 60 50 40 30 20 10 0 1 % Uptake Aneurin Bevan LHB - Monmouthshire Uptake of two MMR doses Figure 5.3.8 Uptake of 3 in 1 teenage booster in children reaching their 16th birthday during 01/01/2011 to 31/12/2011. April 2012 73.7 56.5 11 5 10 8 3 12 2 4 6 11.1 25.0 29.0 53.7 40.8 9 90.0 94.0 40.0 7 15 22.4 14 63.6 70.5 76.7 100 90 80 70 60 50 40 30 20 10 0 1 % Uptake Aneurin Bevan LHB - Monmouthshire Uptake of the teenage booster (3 in 1) Page 26 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board 5.4 Newport LA Table 5.4 Summary of coverage for children reaching the relevant birthday between 01/01/2011 and 31/12/2011* Children reaching 1 year of age Practice Resident Code children (n) (n) (%) (n) (%) W93048 W93053 W93049 W93061 W93054 W93044 W93051 W93116 W93018 W93047 W93052 W93043 W93040 W93045 W93039 W93640 W93046 W93041 W93125 W93628 W93050 Unknown W93066 226 168 151 102 98 97 94 81 79 76 73 75 69 68 54 54 58 53 31 32 26 7 0 94.6 96.6 95.6 98.1 94.2 96.0 93.1 97.6 97.5 96.2 93.6 100.0 94.5 98.6 87.1 91.5 100.0 93.0 93.9 97.0 100.0 70.0 225 168 150 102 98 95 94 81 79 76 73 75 69 68 56 54 56 53 31 32 25 7 0 94.1 96.6 94.9 98.1 94.2 94.1 93.1 97.6 97.5 96.2 93.6 100.0 94.5 98.6 90.3 91.5 96.6 93.0 93.9 97.0 96.2 70.0 239 174 158 104 104 101 101 83 81 79 78 75 73 69 62 59 58 57 33 33 26 10 0 5 in 1 MenC Children reaching 2 years of age Resident children (n) (n) (%) 245 202 136 91 110 111 92 95 67 83 78 39 73 78 48 51 73 50 35 40 20 18 0 217 182 125 85 101 99 80 89 64 70 71 34 58 71 45 45 70 43 33 38 18 13 0 88.6 90.1 91.9 93.4 91.8 89.2 87.0 93.7 95.5 84.3 91.0 87.2 79.5 91.0 93.8 88.2 95.9 86.0 94.3 95.0 90.0 72.2 MMR1 Children reaching 5 years of age Resident children (n) 178 155 127 95 118 71 92 68 66 69 72 57 60 86 56 45 63 34 59 37 24 29 0 4 in 1 (preschool (n) (%) (n) (%) (n) (%) 158 146 105 88 106 61 76 65 64 59 59 50 49 78 48 40 61 28 51 34 21 16 0 166 150 116 89 114 68 85 65 64 65 63 55 54 82 53 45 59 33 53 35 21 22 0 93.3 96.8 91.3 93.7 96.6 95.8 92.4 95.6 97.0 94.2 87.5 96.5 90.0 95.3 94.6 100.0 93.7 97.1 89.8 94.6 87.5 75.9 153 141 99 82 104 62 73 64 63 59 56 49 47 77 48 39 56 28 50 34 20 15 0 86.0 91.0 78.0 86.3 88.1 87.3 79.3 94.1 95.5 85.5 77.8 86.0 78.3 89.5 85.7 86.7 88.9 82.4 84.7 91.9 83.3 51.7 88.8 94.2 82.7 92.6 89.8 85.9 82.6 95.6 97.0 85.5 81.9 87.7 81.7 90.7 85.7 88.9 96.8 82.4 86.4 91.9 87.5 55.2 MMR1 MMR2 Resident children (n) (n) (%) (n) (%) 174 149 147 121 119 65 64 39 125 95 76 81 72 82 48 67 43 37 55 49 28 116 0 155 141 137 111 105 57 63 28 113 86 68 75 66 77 41 60 38 30 48 42 26 76 0 89.1 94.6 93.2 91.7 88.2 87.7 98.4 71.8 90.4 90.5 89.5 92.6 91.7 93.9 85.4 89.6 88.4 81.1 87.3 85.7 92.9 65.5 137 131 122 96 94 47 62 24 97 78 62 70 60 68 40 54 29 27 43 41 24 60 0 78.7 87.9 83.0 79.3 79.0 72.3 96.9 61.5 77.6 82.1 81.6 86.4 83.3 82.9 83.3 80.6 67.4 73.0 78.2 83.7 85.7 51.7 MMR1 MMR2 *Data is presented as immunisations given rather than details for specific antigens: 5 in 1 vaccine Diphtheria, Tetanus, Pertussis, Polio, Haemophilus influenzae type b (Hib) (using pertussis as proxy) MenC Meningococcal group C MMR1 /MMR2 Measles, Mumps, Rubella (one dose/ two doses) 4 in 1 3 in 1 (booster) Diphtheria, Tetanus, Pertussis, Polio (using pertussis as proxy) – Pre-school booster Diphtheria, Tetanus, Polio (using diphtheria as proxy) – Teenage booster April 2012 Children reaching 16 years of age Children reaching 15 years of age 3 in 1 (booster) (n) (%) 104 97 89 78 82 45 38 19 82 45 44 58 43 59 32 45 27 25 28 30 14 8 0 59.8 65.1 60.5 64.5 68.9 69.2 59.4 48.7 65.6 47.4 57.9 71.6 59.7 72.0 66.7 67.2 62.8 67.6 50.9 61.2 50.0 6.9 Resident children (n) 182 167 135 149 139 85 80 33 128 96 74 57 71 85 38 44 48 36 49 38 20 122 0 3 in 1 (booster) (n) (%) 65 58 79 85 29 33 34 7 52 38 18 19 29 20 14 10 20 15 17 13 8 8 0 35.7 34.7 58.5 57.0 20.9 38.8 42.5 21.2 40.6 39.6 24.3 33.3 40.8 23.5 36.8 22.7 41.7 41.7 34.7 34.2 40.0 6.6 95% and higher 90% to 95% below 90% Page 27 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.4.1 Uptake of 5 in 1 vaccine in children reaching their first birthday during 01/01/2011 to 31/12/2011. 94.6 96.6 95.6 98.1 94.2 93.1 96.0 97.6 97.5 96.2 93.6 100.0 94.5 98.6 87.1 91.5 100.0 93.0 97.0 93.9 100.0 70.0 100 90 80 70 60 50 40 30 20 10 0 W93048 W93053 W93049 W93061 W93054 W93051 W93044 W93116 W93018 W93047 W93052 W93043 W93040 W93045 W93039 W93640 W93046 W93041 W93628 W93125 W93050 Unknown W93066 % Uptake Aneurin Bevan LHB - Newport Uptake of the 5 in 1 Primary Figure 5.4.2 Uptake of MenC vaccine in children reaching their first birthday during 01/01/2011 to 31/12/2011. April 2012 70.0 94.1 96.6 94.9 98.1 94.2 93.1 94.1 97.6 97.5 96.2 93.6 100.0 94.5 98.6 90.3 91.5 96.6 93.0 97.0 93.9 96.2 100 90 80 70 60 50 40 30 20 10 0 W93048 W93053 W93049 W93061 W93054 W93051 W93044 W93116 W93018 W93047 W93052 W93043 W93040 W93045 W93039 W93640 W93046 W93041 W93628 W93125 W93050 Unknown W93066 % Uptake Aneurin Bevan LHB - Newport Uptake of MenC Primary Page 28 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.4.3 Uptake of MMR vaccine (one dose) in children reaching their second birthday during 01/01/2011 to 31/12/2011. 88.6 90.1 91.9 93.4 91.8 87.0 89.2 93.7 95.5 84.3 91.0 87.2 79.5 91.0 93.8 88.2 95.9 86.0 95.0 94.3 90.0 72.2 100 90 80 70 60 50 40 30 20 10 0 W93048 W93053 W93049 W93061 W93054 W93051 W93044 W93116 W93018 W93047 W93052 W93043 W93040 W93045 W93039 W93640 W93046 W93041 W93628 W93125 W93050 Unknown W93066 % Uptake Aneurin Bevan LHB - Newport Uptake of MMR (one dose) Figure 5.4.4 Uptake of 4 in 1 vaccine in children reaching their fifth birthday during 01/01/2011 to 31/12/2011. April 2012 55.2 88.8 94.2 82.7 92.6 89.8 82.6 85.9 95.6 97.0 85.5 81.9 87.7 81.7 90.7 85.7 88.9 96.8 82.4 91.9 86.4 87.5 100 90 80 70 60 50 40 30 20 10 0 W93048 W93053 W93049 W93061 W93054 W93051 W93044 W93116 W93018 W93047 W93052 W93043 W93040 W93045 W93039 W93640 W93046 W93041 W93628 W93125 W93050 Unknown W93066 % Uptake Aneurin Bevan LHB - Newport Uptake of 4 in 1 booster Page 29 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.4.5 Uptake of MMR vaccine (two doses) in children reaching their fifth birthday during 01/01/2011 to 31/12/2011. 51.7 86.0 91.0 78.0 86.3 88.1 79.3 87.3 94.1 95.5 85.5 77.8 86.0 78.3 89.5 85.7 86.7 88.9 82.4 91.9 84.7 83.3 100 90 80 70 60 50 40 30 20 10 0 W93048 W93053 W93049 W93061 W93054 W93051 W93044 W93116 W93018 W93047 W93052 W93043 W93040 W93045 W93039 W93640 W93046 W93041 W93628 W93125 W93050 Unknown W93066 % Uptake Aneurin Bevan LHB - Newport Uptake of MMR (two doses) Figure 5.4.6 Uptake of MMR vaccine (one dose) in children reaching their 15th birthday during 01/01/2011 to 31/12/2011. April 2012 89.1 94.6 93.2 91.7 88.2 98.4 87.7 71.8 90.4 90.5 89.5 92.6 91.7 93.9 85.4 89.6 88.4 81.1 85.7 87.3 92.9 65.5 100 90 80 70 60 50 40 30 20 10 0 W93048 W93053 W93049 W93061 W93054 W93051 W93044 W93116 W93018 W93047 W93052 W93043 W93040 W93045 W93039 W93640 W93046 W93041 W93628 W93125 W93050 Unknown W93066 % Uptake Aneurin Bevan LHB - Newport Uptake of one MMR dose Page 30 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.4.7 Uptake of MMR vaccine (two doses) in children reaching their 15th birthday during 01/01/2011 to 31/12/2011. 78.7 87.9 83.0 79.3 79.0 96.9 72.3 61.5 77.6 82.1 81.6 86.4 83.3 82.9 83.3 80.6 67.4 73.0 83.7 78.2 85.7 51.7 100 90 80 70 60 50 40 30 20 10 0 W93048 W93053 W93049 W93061 W93054 W93051 W93044 W93116 W93018 W93047 W93052 W93043 W93040 W93045 W93039 W93640 W93046 W93041 W93628 W93125 W93050 Unknown W93066 % Uptake Aneurin Bevan LHB - Newport Uptake of two MMR doses Figure 5.4.8 Uptake of 3 in 1 teenage booster in children reaching their 16th birthday during 01/01/2011 to 31/12/2011. April 2012 6.6 40.6 39.6 24.3 33.3 40.8 23.5 36.8 22.7 41.7 41.7 34.2 34.7 40.0 21.2 20.9 42.5 38.8 58.5 57.0 35.7 34.7 100 90 80 70 60 50 40 30 20 10 0 W93048 W93053 W93049 W93061 W93054 W93051 W93044 W93116 W93018 W93047 W93052 W93043 W93040 W93045 W93039 W93640 W93046 W93041 W93628 W93125 W93050 Unknown W93066 % Uptake Aneurin Bevan LHB - Newport Uptake of the teenage booster (3 in 1) Page 31 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board 5.5 Torfaen LA Table 5.5 Summary of coverage for children reaching the relevant birthday between 01/01/2011 and 31/12/2011* Children reaching 1 year of age Practice Resident Code children (n) (n) (%) (n) 12 8 13 10 7 1 2 3 6 11 4 5 9 Unknown 140 124 115 88 87 80 75 73 73 66 62 37 31 2 97.2 98.4 97.5 95.7 96.7 97.6 97.4 98.6 98.6 95.7 96.9 97.4 93.9 50.0 140 123 115 87 87 80 74 72 73 66 62 38 31 2 144 126 118 92 90 82 77 74 74 69 64 38 33 4 5 in 1 Children reaching 2 years of age Children reaching 5 years of age (%) Resident children (n) (n) (%) Resident children (n) 97.2 97.6 97.5 94.6 96.7 97.6 96.1 97.3 98.6 95.7 96.9 100.0 93.9 50.0 142 127 85 88 94 70 116 59 68 73 72 43 50 7 137 123 78 79 86 67 109 57 65 67 71 39 49 4 96.5 96.9 91.8 89.8 91.5 95.7 94.0 96.6 95.6 91.8 98.6 90.7 98.0 57.1 137 127 87 106 75 77 98 60 64 68 78 48 43 11 MenC MMR1 4 in 1 (preschool (n) (%) (n) (%) (n) 120 118 77 88 60 75 85 54 62 63 73 47 38 5 130 121 85 104 72 75 94 57 64 64 77 47 42 6 94.9 95.3 97.7 98.1 96.0 97.4 95.9 95.0 100.0 94.1 98.7 97.9 97.7 54.5 118 116 73 88 58 72 84 54 61 62 69 45 38 5 87.6 92.9 88.5 83.0 80.0 97.4 86.7 90.0 96.9 92.6 93.6 97.9 88.4 45.5 MMR1 (%) Resident children (n) (n) (%) (n) (%) 3 in 1 (booster) (n) (%) 86.1 91.3 83.9 83.0 77.3 93.5 85.7 90.0 95.3 91.2 88.5 93.8 88.4 45.5 139 143 103 83 72 92 117 85 92 71 71 44 38 32 131 137 97 73 67 89 108 80 85 71 64 40 35 24 94.2 95.8 94.2 88.0 93.1 96.7 92.3 94.1 92.4 100.0 90.1 90.9 92.1 75.0 117 128 88 68 60 82 94 73 77 66 59 36 30 17 84.2 89.5 85.4 81.9 83.3 89.1 80.3 85.9 83.7 93.0 83.1 81.8 78.9 53.1 88 95 61 54 42 64 66 41 53 47 53 22 22 1 MMR2 MMR1 MMR2 *Data is presented as immunisations given rather than details for specific antigens: 5 in 1 vaccine Diphtheria, Tetanus, Pertussis, Polio, Haemophilus influenzae type b (Hib) (using pertussis as proxy) MenC Meningococcal group C MMR1 /MMR2 Measles, Mumps, Rubella (one dose/ two doses) 4 in 1 3 in 1 (booster) Diphtheria, Tetanus, Pertussis, Polio (using pertussis as proxy) – Pre-school booster Diphtheria, Tetanus, Polio (using diphtheria as proxy) – Teenage booster April 2012 Children reaching 16 years of age Children reaching 15 years of age 63.3 66.4 59.2 65.1 58.3 69.6 56.4 48.2 57.6 66.2 74.6 50.0 57.9 3.1 Resident children (n) 135 148 129 82 91 82 91 77 78 69 73 52 64 45 3 in 1 (booster) (n) (%) 54 55 30 22 26 28 20 54 24 24 19 15 22 4 40.0 37.2 23.3 26.8 28.6 34.1 22.0 70.1 30.8 34.8 26.0 28.8 34.4 8.9 95% and higher 90% to 95% below 90% Page 32 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.5.1 Uptake of 5 in 1 vaccine in children reaching their first birthday during 01/01/2011 to 31/12/2011. 93.9 9 97.4 5 96.9 4 95.7 11 98.6 3 98.6 6 97.4 2 97.6 1 96.7 7 97.5 13 95.7 98.4 8 10 97.2 100 90 80 70 60 50 40 30 20 10 0 12 % Uptake Aneurin Bevan LHB - Torfaen Uptake of the 5 in 1 Primary Figure 5.5.2 Uptake of MenC vaccine in children reaching their first birthday during 01/01/2011 to 31/12/2011. April 2012 97.5 94.6 96.7 97.6 96.1 98.6 97.3 95.7 96.9 100.0 13 10 7 1 2 6 3 11 4 5 93.9 97.6 8 9 97.2 100 90 80 70 60 50 40 30 20 10 0 12 % Uptake Aneurin Bevan LHB - Torfaen Uptake of MenC Primary Page 33 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.5.3 Uptake of MMR vaccine (one dose) in children reaching their second birthday during 01/01/2011 to 31/12/2011. 98.0 9 90.7 5 98.6 4 91.8 11 96.6 3 95.6 6 94.0 2 95.7 1 91.5 7 89.8 10 91.8 96.9 8 13 96.5 100 90 80 70 60 50 40 30 20 10 0 12 % Uptake Aneurin Bevan LHB - Torfaen Uptake of MMR (one dose) Figure 5.5.4 Uptake of 4 in 1 vaccine in children reaching their fifth birthday during 01/01/2011 to 31/12/2011. April 2012 88.4 9 93.6 4 97.9 92.6 11 5 90.0 3 96.9 6 86.7 2 97.4 80.0 7 1 83.0 10 88.5 13 92.9 8 87.6 100 90 80 70 60 50 40 30 20 10 0 12 % Uptake Aneurin Bevan LHB - Torfaen Uptake of 4 in 1 booster Page 34 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.5.5 Uptake of MMR vaccine (two doses) in children reaching their fifth birthday during 01/01/2011 to 31/12/2011. 88.4 9 93.8 5 88.5 4 91.2 11 90.0 3 95.3 6 85.7 2 93.5 1 77.3 7 83.0 10 83.9 13 91.3 8 86.1 100 90 80 70 60 50 40 30 20 10 0 12 % Uptake Aneurin Bevan LHB - Torfaen Uptake of MMR (two doses) Figure 5.5.6 Uptake of MMR vaccine (one dose) in children reaching their 15th birthday during 01/01/2011 to 31/12/2011. April 2012 90.1 90.9 92.1 4 5 9 94.1 3 100.0 92.4 6 11 92.3 2 96.7 1 93.1 7 94.2 13 88.0 95.8 8 10 94.2 100 90 80 70 60 50 40 30 20 10 0 12 % Uptake Aneurin Bevan LHB - Torfaen Uptake of one MMR dose Page 35 of 36 Public Health Wales Vaccine Preventable Disease Programme Uptake of Childhood Immunisation Aneurin Bevan Health Board Figure 5.5.7 Uptake of MMR vaccine (two doses) in children reaching their 15th birthday during 01/01/2011 to 31/12/2011. 78.9 9 81.8 5 83.1 4 93.0 11 85.9 3 83.7 6 80.3 2 89.1 1 83.3 7 81.9 10 85.4 13 89.5 8 84.2 100 90 80 70 60 50 40 30 20 10 0 12 % Uptake Aneurin Bevan LHB - Torfaen Uptake of two MMR doses Figure 5.5.8 Uptake of 3 in 1 teenage booster in children reaching their 16th birthday during 01/01/2011 to 31/12/2011. April 2012 34.4 28.8 5 9 26.0 4 11 34.8 70.1 3 30.8 6 22.0 2 34.1 28.6 7 1 26.8 13 10 37.2 8 23.3 40.0 100 90 80 70 60 50 40 30 20 10 0 12 % Uptake Aneurin Bevan LHB - Torfaen Uptake of the teenage booster (3 in 1) Page 36 of 36
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