Pediatric Immunization Gaps Due to the COVID-19 Pandemic - Minnesota Dept. of Health

Pediatric Immunization Gaps Due to the COVID-19 Pandemic

Childhood and adolescent vaccination rates have decreased during the COVID-19 pandemic. Health care and public health partners play an important role in catching children up on vaccines they need. This is important to prevent future outbreaks of vaccine-preventable diseases.

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Vaccination gap data
Considerations for health care providers

Vaccination gap data

Updated 3/28/22

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Statewide data

Current childhood series vaccination status of 2-year-old children in Minnesota

Current childhood series vaccination status of 2-year-old children in Minnesota. Data provided in table below.

Year turned 2 years old Up to date by 24 months Caught up to date Not up to date
2019 68.50% 11.10% 20.30%
2020 67.10% 9.00% 23.90%
2021 62.90% 6.10% 30.90%

Notes
Data are for children who turned 2 years old between 1/1/2019-12/31/2021.
Childhood series: 4+ DTaP, 3+ Polio, 1+ MMR, Complete Hib, Complete Hep B, 1+ Varicella, Complete PCV.
Up to date by 2 years: Received childhood series prior to 24 months.
Caught up to date: Received childhood series as of 3/3/2022.
HP 2030: Represents Healthy People 2030 measure for childhood vaccinations.

Comparing children who turned 2 years old in 2019 to 2020, there is a decrease in children completing their childhood series by 24 months (dark blue bar). There is also a decrease in catch-up vaccination, meaning where children are completing their childhood series after 24 months (green bar). 2021 data show a further decrease in children completing their childhood series by 24 months. However, this could be explained by missed vaccinations in 2020 that are needed to complete the childhood series. In order to get kids back on track, not only do we need to maintain the percentage of children up to date, we also need to increase the number of children getting caught up (represented by the green bar).

Current kindergarten series vaccination status of 6-year-old children in Minnesota

Current kindergarten series vaccination status of 6-year-old children in Minnesota. Data provided in table below.

Year turned 6 Up to date by 6 years old Caught up to date Not up to date
2019 68.80% 2.30% 28.90%
2020 68.20% 2.40% 29.50%
2021 67.30% 2.20% 30.50%

Notes
Data are for children who turned 6 years old between 1/1/2019-12/31/2021.
Kindergarten series: Complete DTaP, Complete Polio, 2+ MMR, Complete Hep B, 2+ Varicella.
Up to date by 6 years: Received kindergarten series prior to 6th birthday.
Caught up to date: Received kindergarten series as of 3/3/2022.
HP 2030: Represents Healthy People 2030 measure for kindergarten vaccinations.

Comparing children who turned 6 years old in 2019 to 2020, there is a similar, but smaller, decrease in children completing the kindergarten series by 6 years old compared to children who turned two years old during the same time period. There is similarly a decrease in catch-up vaccination, where children are completing their kindergarten series after 6 years old. 2021 data show a small decrease in children completing their kindergarten series by 6 years old. In order to get kids back on track, not only do we need to maintain the percentage of children up to date, we also need to increase the number of children getting caught up (represented by the green bar).

Current Tdap/MenACWY vaccination status of 13-year-old children in Minnesota

Current Tdap/MenACWY vaccination status of 13-year-old children in Minnesota. Data provided in table below.

Year they turned 13 years old Up to date by 13 years old Caught up to date Not up to date
2019 69.90% 5.50% 24.60%
2020 68.20% 5.80% 26.00%
2021 67.50% 5.10% 27.50%

Notes
Data are for children who turned 13 years old between 1/1/2019-12/31/2021.
Tdap/MenACWY: 1+Tdap, 1+ MenACWY.
Up to date by 13 years: Received Tdap/MenACWY prior to13th birthday.
Caught up to date: Received Tdap/MenACWY as of 3/3/2022.
HP 2030: Represents Healthy People 2030 measure for adolescent vaccinations.

Adolescent vaccination rates also declined from 2019 to 2020, and preliminary data shows a further decline in 2021. There is a decrease in catch-up vaccination, where adolescents are completing these vaccines after 13 years. 2021 data show a further decrease in adolescents receiving Tdap (tetanus, diphtheria, and pertussis vaccine) and MenACWY (meningococcal vaccine) by 13 years. In order to get teens back on track, not only do we need to maintain the percentage of children up to date, we also need to increase the number of adolescents getting caught up (represented by the green bar).

County data

County MIIC Population Childhood Series Rate Minnesota Rate
Aitkin 238 75.20% 72.60%
Anoka 9,416 75.10% 72.60%
Becker 835 75.70% 72.60%
Beltrami 1,275 68.70% 72.60%
Benton 1,098 77.00% 72.60%
Big Stone 134 82.10% 72.60%
Blue Earth 1,543 81.50% 72.60%
Brown 531 85.50% 72.60%
Carlton 792 83.60% 72.60%
Carver 2,817 79.60% 72.60%
Cass 626 71.10% 72.60%
Chippewa 293 77.50% 72.60%
Chisago 1,294 75.90% 72.60%
Clay 1,624 77.00% 72.60%
Clearwater 209 63.20% 72.60%
Cook 69 73.90% 72.60%
Cottonwood 289 66.80% 72.60%
Crow Wing 1,346 78.40% 72.60%
Dakota 11,211 72.00% 72.60%
Dodge 630 71.90% 72.60%
Douglas 897 78.50% 72.60%
Faribault 322 80.10% 72.60%
Fillmore 568 63.00% 72.60%
Freeborn 719 79.40% 72.60%
Goodhue 1,184 72.60% 72.60%
Grant 130 82.30% 72.60%
Hennepin 31,439 69.80% 72.60%
Houston 371 83.30% 72.60%
Hubbard 442 70.40% 72.60%
Isanti 1,001 72.30% 72.60%
Itasca 925 78.10% 72.60%
Jackson 222 74.80% 72.60%
Kanabec 339 71.40% 72.60%
Kandiyohi 1,138 71.20% 72.60%
Kittson 105 71.40% 72.60%
Koochiching 207 78.30% 72.60%
Lac qui Parle 158 85.40% 72.60%
Lake 201 76.60% 72.60%
Lake of the Woods 78 73.10% 72.60%
Le Sueur 653 84.10% 72.60%
Lincoln 110 83.60% 72.60%
Lyon 723 84.50% 72.60%
Mahnomen 797 80.70% 72.60%
Marshall 183 76.50% 72.60%
Martin 211 82.90% 72.60%
McLeod 504 71.00% 72.60%
Meeker 568 73.90% 72.60%
Mille Lacs 605 64.60% 72.60%
Morrison 799 78.70% 72.60%
Mower 1,197 74.20% 72.60%
Murray 173 75.10% 72.60%
Nicollet 774 82.30% 72.60%
Nobles 771 75.50% 72.60%
Norman 146 86.30% 72.60%
Olmsted 5,047 67.00% 72.60%
Otter Tail 1,280 76.40% 72.60%
Pennington 332 78.90% 72.60%
Pine 533 71.30% 72.60%
Pipestone 273 75.50% 72.60%
Polk 754 67.60% 72.60%
Pope 246 82.10% 72.60%
Ramsey 14,957 67.10% 72.60%
Red Lake 90 84.40% 72.60%
Redwood 410 83.40% 72.60%
Renville 336 81.50% 72.60%
Rice 1,522 70.70% 72.60%
Rock 133 75.90% 72.60%
Roseau 359 69.60% 72.60%
Scott 3,825 77.90% 72.60%
Sherburne 3,857 75.70% 72.60%
Sibley 2,609 72.00% 72.60%
St. Louis 362 76.50% 72.60%
Stearns 4,315 70.70% 72.60%
Steele 875 77.50% 72.60%
Stevens 253 82.60% 72.60%
Swift 212 73.60% 72.60%
Todd 677 62.90% 72.60%
Traverse 64 78.10% 72.60%
Wabasha 576 64.20% 72.60%
Wadena 360 66.90% 72.60%
Waseca 432 79.60% 72.60%
Washington 6,396 79.80% 72.60%
Watonwan 355 85.90% 72.60%
Wilkin 147 72.10% 72.60%
Winona 1,042 72.40% 72.60%
Wright 3,961 66.50% 72.60%
Yellow Medicine 225 83.10% 72.60%
County MIIC Population Kindergarten Series Rate Minnesota Rate
Aitkin 248 77.80% 70.10%
Anoka 10,503 71.80% 70.10%
Becker 946 74.60% 70.10%
Beltrami 1,485 68.70% 70.10%
Benton 1,196 77.30% 70.10%
Big Stone 113 77.90% 70.10%
Blue Earth 1,612 80.30% 70.10%
Brown 613 84.70% 70.10%
Carlton 900 78.30% 70.10%
Carver 3,534 71.80% 70.10%
Cass 765 72.80% 70.10%
Chippewa 389 78.40% 70.10%
Chisago 1,474 74.90% 70.10%
Clay 1,968 72.40% 70.10%
Clearwater 235 62.60% 70.10%
Cook 113 69.00% 70.10%
Cottonwood 388 68.80% 70.10%
Crow Wing 1,646 77.40% 70.10%
Dakota 13,101 66.70% 70.10%
Dodge 588 79.90% 70.10%
Douglas 998 81.60% 70.10%
Faribault 367 76.60% 70.10%
Fillmore 611 65.50% 70.10%
Freeborn 828 78.90% 70.10%
Goodhue 1,209 75.90% 70.10%
Grant 164 82.90% 70.10%
Hennepin 36,311 66.10% 70.10%
Houston 485 80.20% 70.10%
Hubbard 555 68.10% 70.10%
Isanti 1,153 69.40% 70.10%
Itasca 1,112 78.80% 70.10%
Jackson 266 76.30% 70.10%
Kanabec 383 76.00% 70.10%
Kandiyohi 1,295 77.60% 70.10%
Kittson 114 70.20% 70.10%
Koochiching 227 81.90% 70.10%
Lac qui Parle 139 79.10% 70.10%
Lake 231 71.40% 70.10%
Lake of the Woods 87 78.20% 70.10%
Le Sueur 733 77.80% 70.10%
Lincoln 152 72.40% 70.10%
Lyon 871 78.30% 70.10%
Mahnomen 940 72.70% 70.10%
Marshall 195 79.00% 70.10%
Martin 246 81.70% 70.10%
McLeod 564 71.80% 70.10%
Meeker 605 74.50% 70.10%
Mille Lacs 719 71.50% 70.10%
Morrison 893 81.40% 70.10%
Mower 1,291 73.30% 70.10%
Murray 211 77.30% 70.10%
Nicollet 900 85.20% 70.10%
Nobles 857 73.40% 70.10%
Norman 159 71.10% 70.10%
Olmsted 5,370 68.20% 70.10%
Otter Tail 1,521 76.40% 70.10%
Pennington 404 75.50% 70.10%
Pine 671 73.20% 70.10%
Pipestone 269 73.20% 70.10%
Polk 893 63.80% 70.10%
Pope 284 80.30% 70.10%
Ramsey 16,623 63.20% 70.10%
Red Lake 123 77.20% 70.10%
Redwood 436 81.20% 70.10%
Renville 351 76.90% 70.10%
Rice 1,639 72.40% 70.10%
Rock 233 45.90% 70.10%
Roseau 361 67.30% 70.10%
Scott 4,455 74.80% 70.10%
Sherburne 4,679 68.40% 70.10%
Sibley 2,944 75.20% 70.10%
St. Louis 386 73.80% 70.10%
Stearns 4,531 73.20% 70.10%
Steele 1,142 75.70% 70.10%
Stevens 274 76.60% 70.10%
Swift 267 71.20% 70.10%
Todd 758 64.60% 70.10%
Traverse 91 81.30% 70.10%
Wabasha 523 76.10% 70.10%
Wadena 430 64.70% 70.10%
Waseca 494 84.80% 70.10%
Washington 7,880 68.30% 70.10%
Watonwan 332 85.50% 70.10%
Wilkin 149 73.20% 70.10%
Winona 1,152 65.90% 70.10%
Wright 4,595 75.50% 70.10%
Yellow Medicine 266 78.60% 70.10%
County MIIC Population Tdap/MenACWY Rate Minnesota Rate
Aitkin 375 76.80% 73.30%
Anoka 11,759 77.10% 73.30%
Becker 1,083 77.60% 73.30%
Beltrami 1,619 69.50% 73.30%
Benton 1,267 78.80% 73.30%
Big Stone 135 79.30% 73.30%
Blue Earth 1,822 81.40% 73.30%
Brown 777 80.70% 73.30%
Carlton 1,068 80.60% 73.30%
Carver 3,796 77.10% 73.30%
Cass 907 77.70% 73.30%
Chippewa 352 79.80% 73.30%
Chisago 1,636 82.20% 73.30%
Clay 2,174 73.00% 73.30%
Clearwater 261 60.90% 73.30%
Cook 111 71.20% 73.30%
Cottonwood 375 74.40% 73.30%
Crow Wing 1,846 76.20% 73.30%
Dakota 14,435 71.40% 73.30%
Dodge 753 81.10% 73.30%
Douglas 1,046 85.10% 73.30%
Faribault 410 76.60% 73.30%
Fillmore 705 72.20% 73.30%
Freeborn 926 80.00% 73.30%
Goodhue 1,389 78.00% 73.30%
Grant 179 79.30% 73.30%
Hennepin 38,996 67.20% 73.30%
Houston 568 78.70% 73.30%
Hubbard 631 75.80% 73.30%
Isanti 1,256 79.20% 73.30%
Itasca 1,236 79.60% 73.30%
Jackson 317 80.80% 73.30%
Kanabec 449 85.10% 73.30%
Kandiyohi 1,494 76.50% 73.30%
Kittson 112 71.40% 73.30%
Koochiching 299 80.30% 73.30%
Lac qui Parle 193 83.90% 73.30%
Lake 292 70.20% 73.30%
Lake of the Woods 91 75.80% 73.30%
Le Sueur 848 79.00% 73.30%
Lincoln 166 84.90% 73.30%
Lyon 889 76.30% 73.30%
Mahnomen 1,077 79.40% 73.30%
Marshall 207 80.20% 73.30%
Martin 285 75.80% 73.30%
McLeod 586 74.60% 73.30%
Meeker 704 78.30% 73.30%
Mille Lacs 827 72.70% 73.30%
Morrison 1,068 82.90% 73.30%
Mower 1,626 71.10% 73.30%
Murray 246 81.70% 73.30%
Nicollet 1,043 83.00% 73.30%
Nobles 873 75.70% 73.30%
Norman 230 75.70% 73.30%
Olmsted 5,978 69.00% 73.30%
Otter Tail 1,634 78.50% 73.30%
Pennington 397 77.60% 73.30%
Pine 817 79.10% 73.30%
Pipestone 312 68.30% 73.30%
Polk 1,104 66.90% 73.30%
Pope 337 83.70% 73.30%
Ramsey 17,872 69.40% 73.30%
Red Lake 128 84.40% 73.30%
Redwood 462 78.80% 73.30%
Renville 427 79.20% 73.30%
Rice 1,999 77.20% 73.30%
Rock 319 75.90% 73.30%
Roseau 451 73.20% 73.30%
Scott 5,035 75.40% 73.30%
Sherburne 5,580 66.80% 73.30%
Sibley 3,244 80.80% 73.30%
St. Louis 438 78.80% 73.30%
Stearns 4,740 78.60% 73.30%
Steele 1,296 81.30% 73.30%
Stevens 305 78.40% 73.30%
Swift 311 81.70% 73.30%
Todd 853 68.00% 73.30%
Traverse 102 67.60% 73.30%
Wabasha 661 80.00% 73.30%
Wadena 468 69.40% 73.30%
Waseca 568 81.20% 73.30%
Washington 8,982 76.10% 73.30%
Watonwan 371 76.50% 73.30%
Wilkin 221 70.10% 73.30%
Winona 1,332 77.30% 73.30%
Wright 5,312 79.80% 73.30%
Yellow Medicine 297 81.10% 73.30%

Considerations for health care providers
How public health and health care professionals can help

Health care providers will have a larger number of routine vaccinations to do before sending kids back to school this fall due to missed primary care visits during the pandemic. Don't miss an opportunity to strongly recommend vaccines to children and adolescents. Vaccinate them or refer them to a place where they can get vaccine. School vaccination requirements remain in place to help ensure kids are safe and healthy in school.

Catch kids up on vaccines they need before heading back to school.

Strongly recommend and vaccinate children and adolescents with COVID-19 vaccine.

Use MIIC to identify children who are behind

Identify barriers to keep kids on track

  • Free or Low-Cost Shots for Children
    The COVID-19 pandemic has changed the landscape for how families access health care. Some people may have lost health care benefits due to business closures.

  • How to Enroll in the MnVFC Program
    If you are a Minnesota Vaccines for Children (MnVFC) provider, promote the MnVFC program to families, especially those who may be newly eligible. If you are not a MnVFC provider, consider enrolling.
Updated Monday, 20-Jun-2022 08:39:05 CDT