![]() ![]() Centers for Disease Control and Prevention (CDC) data, from 2018 to 2020, children in the United States born in 20 who were uninsured, Black, Hispanic, or had family income below the federal poverty level had lower childhood vaccination coverage than those who were privately insured, white, or had family incomes at or above the federal poverty level. There are also large disparities in vaccination rates by race, income, and geography. Recent measles outbreaks provide an illustrative example: In 2019, the United States reported a record number of measles cases since 1992. Vaccine coverage is below the levels that are needed to protect children from vaccine-preventable diseases and to avoid community outbreaks of preventable diseases. The decline in routine childhood vaccinations is concerning from health, equity, and economic perspectives. 1 Yet despite this success, childhood vaccination rates have seen a troubling decline in this country since the onset of the COVID-19 pandemic, deepening preexisting gaps in vaccination participation. population in 2019, preventing more than 24 million cases of disease. Routine childhood immunization is highly effective at preventing disease over a lifetime, reducing the incidence of all targeted diseases, and, for the U.S. These include measles, mumps, rubella, polio, human papillomavirus (HPV), hepatitis A and B, tetanus, diphtheria, and other diseases. From birth through age 18, children in the United States are routinely immunized against a host of preventable childhood diseases. ![]()
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