A Report on Vaccine-Preventable Diseases in the U.S. 2019 Proved Vaccine-Preventable

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A Report on Vaccine-Preventable Diseases in the U.S. 2019 Proved Vaccine-Preventable 2020 A REPORT ON VACCINE-PREVENTABLE DISEASES IN THE U.S. 2019 PROVED VACCINE-PREVENTABLE DISEASES ARE STILL A THREAT TO THE U.S. In 2000, the United States marked the new millennium with a We also continue to fall behind other countries such as Australia historic milestone: measles elimination. Nearly 20 years later, in on human papillomavirus (HPV) vaccination rates and as a result 2019, the United States almost lost its measles elimination status. have higher rates of cervical and five other HPV-associated Across 31 states, the Centers for Disease Control and Prevention cancers. Each year, HPV causes approximately 35,000 cancers (CDC) confirmed 1,282 cases of measles—the highest number of in the U.S. including about 10,900 cases of cervical cancer. cases in any year since 1992.1 Of these individuals with measles, HPV vaccination could prevent 90% of these cancers from ever 128 people were hospitalized and 61 had serious complications, developing.4 Meanwhile Australia, a country with much higher including pneumonia and encephalitis.2 The fact that the majority vaccination rates than the U.S., is on track to eliminate cervical of people in the U.S. are vaccinated against measles is the cancer by the year 2028.5 only thing that prevents these clusters of measles cases from Unfortunately, as the decade came to a close, flu once again had becoming even more serious epidemics. a significant impact on our nation’s health. By the end of 2019, Beyond measles, outbreaks of hepatitis A continue to occur the CDC estimated we had already lost between 2,900 and 7,200 throughout the country, with 29,804 cases, 18,143 hospitalizations people to flu,6 including 27 children.7 That’s more children than and 302 deaths reported by states between 2016 and January we’ve lost in any other year that early in the flu season. 2020.3 Cases of mumps, whooping cough (also known as pertussis) and hepatitis B continue to occur as well. 2020: STATE OF THE IMMUNION | VACCINATE YOUR FAMILY | 2 Why are some vaccine- Are Vaccine-Preventable Diseases Affecting Your State? preventable diseases on the rise in the U.S.? And what can we do to WA reverse this dangerous MT ME trend? In this report, ND OR VT Vaccinate Your Family MN NH MA ID WI NY will examine three key SD WY MI RI areas in which Congress CT IA PA can help enhance our NV NE NJ IN OH country’s protection UT IL DE CA CO WV from vaccine-preventable KS VA MD MO KY diseases, namely: NC TN • Improving access to OK AZ NM AR SC vaccinations. CDC’s AL GA most recent National MS Immunization Survey TX LA shows that children AK FL living below the poverty level and those residing in rural areas, as well HI as those who are on Medicaid, are less likely Flu Cases Flu and Measles Casesi Flu and Hep A Casesii Flu, Measles, and Hep A Cases to be fully vaccinated by as much as 20% for There is no similar federal program for adults 19-64 years of age, some vaccines. Uninsured children are also less likely to be nor are all CDC-recommended vaccines available at no cost to 8 protected than those who are privately insured. The difference seniors on Medicare. While the Affordable Care Act (ACA) does is startling - over 7% of uninsured children receive no vaccines require health insurance plans to cover the cost of recommended 9 compared to less than 1% of privately insured children. This is immunizations without cost sharing, some older and more limited particularly concerning since the Vaccines for Children (VFC) plans do not have to follow this law. program was authorized by Congress specifically to address disparities based on income and insurance status and provides vaccines at no cost to qualifying children whose families otherwise may not be able to afford them. 2020: STATE OF THE IMMUNION | VACCINATE YOUR FAMILY | 3 • Ensuring the availability of scientifically accurate information • Reminding people of the dangers of vaccine-preventable diseases about vaccines. While the majority of parents in the U.S. and their role in protecting the health of their community. ultimately choose to vaccinate their children, many have Vaccines have done such a good job of reducing and eliminating questions about immunizations. When looking up the word infectious diseases that many people no longer remember “vaccine” online, search results provide a mix of dubious how dangerous these diseases can be. As a result, they may websites alongside credible, science-based websites such as not prioritize getting themselves and their family members the CDC. Intentionally misleading information online about the vaccinated. When an outbreak of a disease happens in the safety, ingredients and effectiveness of vaccines, along with U.S., such as measles, we often see a temporary increase in false stories about vaccine-related injuries, may lead parents and immunization rates. But, in order to avoid future outbreaks, parents-to-be to decide to delay or refuse vaccinations for their we must help people understand the immense importance of family and themselves. following the recommended vaccination schedules. This report will offer solutions to help ensure the 2020s are a decade of healthy families and communities, not a roaring return of vaccine-preventable diseases. 2020: STATE OF THE IMMUNION | VACCINATE YOUR FAMILY | 4 VACCINES CAN KEEP PEOPLE OF ALL AGES HEALTHY Vaccines are one of the greatest public health interventions in modern times, second only to clean water. We have the ability to protect babies, children, adolescents and adults, including pregnant women, from 27 diseases. 2020: STATE OF THE IMMUNION | VACCINATE YOUR FAMILY | 5 Over the years, vaccines have prevented Vaccines help prevent infectious diseases countless cases of disease and disability, that once killed or seriously harmed many and have saved millions of lives. The CDC children. Without them, children are at estimates that vaccination of children born risk for serious illnesses such as measles, between 1994 and 2018 in the U.S. will hepatitis B, whooping cough, polio and prevent 419 million illnesses, help avoid flu, which can result in disability or even 936,000 deaths, and save nearly $1.9 trillion death. Through timely vaccinations, we in total societal costs (that includes $406 have the power to protect children from billion in direct costs).10 14 dangerous diseases by the time they turn two. Without the protection offered by DID YOU KNOW? CHILDHOOD vaccines, people would once again have to fear these diseases. VACCINES SAVE We could eliminate nearly all III In fact, before a child is even born, we have LIVES AND MONEY the ability to protect them from dangerous cervical cancers, and 5 other diseases thanks to vaccination. All vaccines HPV-associated cancers, The vaccination of children born between 1994 for infants, except for hepatitis B, start at with the HPV vaccine. and 2018 will prevent: two months of age or later, so the only protection for newborns from vaccine- preventable diseases is through vaccination 419 of their mothers, who transfer antibodies 4 in 5 MILLION ILLNESSES: to their babies across the placenta. people in the U.S. will be infected More than the These antibodies protect the infants until with HPV at some point.iv population of the U.S. they can develop their own immunity through vaccination. While currently only influenza, pertussis, diphtheria, and tetanus are preventable through maternal 936,000 vaccination, researchers are working on DEATHS: the development of immunizations for Greater than the many other devastating infant conditions. population of Seattle, WA Maternal vaccines may soon be used to protect infants from respiratory syncytial virus 32,000 OF 35,000 CASES OF (RSV), cytomegalovirus (CMV) and group B HPV-ASSOCIATED CANCERS streptococcus (GBS). could be prevented each year $1.9 TRILLION IN TOTAL SOCIETAL COSTS: 2020: STATE OF THE IMMUNION | VACCINATE YOUR FAMILY | 6 $5,000 for each person in the U.S. Later, as children grow into adolescents, and thus at risk of deadly diseases both their disease risks change. Preteens and now and in the future. For example, teens are at risk of contracting certain meningococcal disease can kill 15% of DID YOU KNOW? vaccine-preventable diseases as they people who get it, sometimes within a engage in common activities such as matter of hours,11 while HPV can cause Vaccines Given in sharing drinks and utensils, kissing, and cervical and other HPV-associated Pregnancy Protect Babiesvi attending summer camps. There are cancers years after becoming infected now five vaccines recommended for with the virus.12 Pertussis adolescents: Tdap (tetanus-diphtheria- Vaccine-preventable diseases also pose When women get Tdap pertussis), HPV, meningococcal ACYW, threats to adults. Influenza and pneumonia vaccine in pregnancy, they 91% meningococcal B, and annual flu vaccines. are together among the top ten leading reduce infants’ risk of Unfortunately, parental concerns about hospitalization due to causes of adult deaths in this country.13 safety and lack of knowledge about whooping cough by: Low vaccination rates contribute to vaccines, combined with weak provider substantial, yet preventable, national vaccine recommendations, and fewer well Flu healthcare expenses and productivity visits with healthcare providers can cause When women get flu losses. The nearly $27 billion that is this population to remain undervaccinated vaccine in pregnancy, they 70% spent each year treating four vaccine- reduce infants’ risk of preventable diseases (flu, pneumococcal hospitalization due to flu by: disease, shingles and whooping cough) The Costs of Vaccine- in adults includes the cost of medical v Preventable Disease visits, hospitalizations and prescription illnesses, and lead to severe and sometimes 14 coverage.
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