IMMUNIZATION REPORT - Nevada

NEVADA STATE BOARD OFPHARMACYIMMUNIZATIONREPORTApril 1, 2015 – March 31, 2016NEVADA STATE BOARD OF PHARMACY431 WEST PLUMB LANERENO, NEVADA 89509(775) 850-1440FAX: (775) 850-1444WEBSITE: http://bop.nv.gov/E-MAIL: pharmacy@pharmacy.nv.gov

INTRODUCTIONA copy of this report is available from the Board of Pharmacy on request.This report, mandated by Nevada Revised Statue (NRS) 639.065, will look at Nevada'simmunization levels compared to national levels and review current administrative codechanges to improve the health of the people of Nevada by improving access to pharmacistswho provide immunizations and by expanding the role of pharmacists in administeringimmunizations under physician protocol.NRS 639.065 Annual report concerning immunizations administered by pharmacists.The Board shall prepare an annual report concerning immunizations administeredby pharmacists that includes, without limitation, the number of immunizationswhich were administered by pharmacists during the previous year, any problemsor complaints reported to the Board concerning immunizations administered bypharmacists, and any other information that the Board determines would be usefulin determining whether pharmacists should continue to administer immunizationsin the State. The report must be available for public inspection during regularbusiness hours at the office of the Board. (Added to NRS by 1999, 2722)Nevada remains one of the least immunized states in the nation. In the interest of betterserving the people of Nevada, NRS 454.213 (18) regulated through the Nevada State Board ofPharmacy, authorizes pharmacists with the proper training to administer vaccinations topatients.NRS 454.213 addresses a pharmacist’s authority to possess and administer dangerous drugs.[Effective January 1, 2008.]18. In accordance with applicable regulations of the Board, a registered pharmacist who:(a) Is trained in and certified to carry out standards and practices for immunizationprograms;(b) Is authorized to administer immunizations pursuant to written protocols from aphysician; and(c) Administers immunizations in compliance with the “Standards of ImmunizationPractices” recommended and approved by the United States Public Health Service AdvisoryCommittee on Immunization Practices.

THE STATE OF IMMUNIZATIONS IN THE STATE OF NEVADAEstimated Vaccination Coverage *† with Individual Vaccines and Selected VaccinationSeries Among Children Aged 19-35 Months§ by State and Selected Area –National Immunization Survey (NIS), United States, 20143 HepBUSNevadaHib-FS**HepB Birthdose††1 Var§§93.3 0.882.0 1.391.6 0.972.4 1.591.0 0.989.7 4.291.6 3.978.8 5.989.5 4.575.5 6.489.7 4.34 PCV1 HepA2 HepARotavirus¶¶Combined3-vaccineseries***92.6 0.882.9 1.385.1 1.157.5 1.671.7 1.682.6 1.290.6 4.078.8 5.885.5 5.157.9 7.162.0 7.378.6 eries****Combined 4vaccineseries†††USNevadaHib-PS¶92.6 0.83 PCVUSNevada3 HibCombined5-vaccineseries§§§77.7 1.375.7 1.474.6 1.471.6 1.573.6 6.471.4 6.671.4 6.667.7 6.6Abbreviations: DTaP diphtheria, tetanus toxoids, and acellular pertussis vaccine (includes children who might havebeen vaccinated with diphtheria and tetanus toxoids vaccine,, or diphtheria, tetanus toxoids, and pertussis vaccine);Polio poliovirus vaccine; MMR measles, mumps, and rubella vaccine;Hib Haemophilus influenzae type b vaccine; HepB hepatitis B vaccine;Var varicella vaccine; PCV pneumococcal conjugate vaccine; HepA hepatitis A vaccine.* Estimate presented as point estimate (%) 95% confidence interval (CI). Estimate NA(Not Available) if the unweighted sample size for the denominator was 30 or (CI half width)/Estimate 0.588.† Estimateswith confidence intervals 20 may not be reliable.§Children in the 2014 NIS were born January 2011 through May 2013.¶Primary series of Hib ( 2 or 3 doses, depending on product type).** Full series of Hib ( 3 or 4 doses, depending on product type).††HepB administered from birth through age 3 days. 1 dose of Var on or after child's first birthday, unadjusted for historyof varicella disease (by parent/guardian report or provider records).§§Rotavirus vaccine includes 2 or 3 doses, depending on the product type received( 2 doses for Rotarix [RVI] or 3 doses for RotaTeq [RV5]).¶¶*** The combined 3-vaccine series (4:3:1) includes 4 doses of DTaP, 3 doses of Polio, and 1 dose of measles-containing vaccine.†††The combined 4-vaccine series (4:3:1:3*) includes 4 doses of DTaP, 3 doses of Polio,

1 dose of measles-containing vaccine, and Hib full series. (In 2013 data, referred to as 4:3:1:4-FS)The combined 5-vaccine series (4:3:1:3*:3) includes 4 doses of DTaP, 3 doses of Polio, 1 dose of measles-containing vaccine, Hib full series, and 3 HepB. (In 2013 data, referred to as 4:3:1:4:3-FS)§§§The combined 6-vaccine series (4:3:1:3*:3:1) includes 4 doses of DTaP, 3 doses of Polio, 1 dose of measles-containing vaccine, Hib full series, 3 HepB, and 1 Var. (In 2013 data, referred to as 4:3:1:4:3:1-FS)¶¶¶**** The combined 7-vaccine series (4:3:1:3*:3:1:4) includes 4 doses of DTaP, 3 doses of Polio, 1 dose of measles-containing vaccine, Hib full series, 3 HepB, 1 Var, and 4 PCV.(In 2013 data, referred to as 4:3:1:4:3:1:4-FS)Vaccination Coverage EstimatesCDC Immunization Managers Home Vaccination Coverage EstimatesNational Immunization Survey (NIS)NIS Table Data for 2014Overall/Difference/Age/WIC and Poverty icsOverallExcel filePDF fileExcel filePDF fileCoverage with Individual Vaccines and Vaccination Seriesby State and Local area (includes birth dose of HepB and 2 doses Hep A)by State (includes birth dose of HepB and 2 doses Hep A)Difference Between (Q1/2014-Q4/2014) - (Q1/2013-Q4/2013) Year'sEstimatesExcel file PDFfileDifference in estimated coverage levels over one year periodAgeCoverage Levels by Milestone AgesExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileBirth dose of HepB only, by State and Local Area3 months by State and Local Area5 months by State and Local Area7 months by State and Local Area13 months by State and Local Area19 months by State and Local Area24 months by State and Local Area

WIC andCoverage Levels with Individual Vaccines & SelectedPoverty Status Vaccination Series by Participation in WIC & Poverty StatusExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileUrbanicityExcel filePDF fileExcel filePDF fileExcel filePDF fileRace/ethnicityExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileParticipating in WIC by State and Local AreaNot Participating in WIC by State and Local AreaLiving at or Above Poverty by State and Local AreaLiving Below Poverty by State and Local AreaVaccination Coverage Levels by UrbanicityLiving in a MSA Central City by State and Local AreaLiving in a MSA Non Central City by State and Local AreaLiving in a Non MSA Central City by State and Local AreaVaccine - Specific Coverage Levelsby Race/Ethnicity and Poverty Level3 DTaP by State and Local Area4 DTaP by State and Local Area3 Polio by State and Local Area1 MMR by State and Local AreaFull Series Hib by State and Local Area3 HepB by State and Local AreaHep B Birth Dose by State and Local Area1 Varicella by State and Local Area3 PCV by State and Local Area4 PCV by State and Local Area2 HepA by State and Local AreaRotavirus by State and Local Area

Excel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF file3-Vaccine Series (4:3:1) by State and Local Area4-Vaccine Series (4:3:1:3*) by State and Local Area6-Vaccine Series (4:3:1:3*:3:1) by State and Local Area7-Vaccine Series (4:3:1:3*:3:1:4) by State and Local AreaNational Coverage by Race/EthnicityNational Coverage by Poverty Level and Race/EthnicityFacility and VFC Coverage by Provider Characteristics (Facility Type and VFC participation)Excel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel fileNational Coverage by Provider Facility Type3 DTaP by Provider Facility Type4 DTaP by Provider Facility Type3 Polio by Provider Facility Type1 MMR by Provider Facility TypeHib-PS by Provider Facility TypeHib-FS by Provider Facility TypeHepB by Provider Facility TypeHep B Birth dose by Provider Facility Type1 Varicella by Provider Facility Type3 PCV by Provider Facility Type4 PCV by Provider Facility Type1 HepA by Provider Facility Type2 HepA by Provider Facility TypeRotavirus by Provider Facility Type4:3:1 by Provider Facility Type

PDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF fileExcel filePDF file4:3:1:3* by Provider Facility Type4:3:1:3*:3:1 by Provider Facility Type4:3:1:3*:3:1:4 by Provider Facility TypeParticipating in Vaccines for Children (VFC) Program by State and Local areaNot Participating in VFC by State and Local AreaDemographics Selected Socio-DemographicsExcel filePDF fileSocio-Demographics: Poverty, Provider Type, Race, MSA, and VFC eligibilityTable data can be found ble DiseasesACIP: Advisory Committee on Immunization PracticesAnthraxHepatitis AHuman Papillomavirus (HPV)Japanese Encephalitis (JE)MumpsPoliomyelitis (Polio)Rubella (German Measles)Tetanus (Lockjaw)Varicella (Chickenpox)Cervical CancerHepatitis BH1N1 Flu (Swine Flu)MeaslesPertussis (Whooping Cough)RabiesShingles (Herpes Zoster)TuberculosisYellow FeverDiphtheriaHaemophilus influenzae type b (Hib)Influenza (Seasonal oid FeverTable data can be found List of Vaccines Used in United States (Links to Basic and Clinical information about ccines-list.htmPrimary Changes and Updates in the RecommendationsAdvisory Committee on Immunization Practices—(ACIP)—United ndex.html

ST ADMINISTERED IMMUNIZATIONSThe following table is the most accurate data available on immunizationsadministered by pharmacists in the time frame of this report.(April 1, 2015– March 31, 2016)VaccinesDiphtheriaHepatitis AHepatitis A Inactivated & Hepatitis B(Recombinant) VaccineHepatitis BHerpes Zoster (shingles)HPV (Human Papillomavirus)Influenza (includes nasal/HD)Japanese Encephalitis VaccineMeasles Mumps Rubella (MMR)Meningococcal diseasesPneumococcal diseasesPolioRabiesRotavirusRubellaSmallpoxDTap TdapTetanusTyphoidVaricella (chicken pox)Yellow 419481003002502081752172431398

306,560236,28550,00028,329100,000Number 83,520250,000213,751300,000270,483350,0000Number of Immunizations Administered by PharmacistsApril 1 - March 31 annuallyNote: In the 2009-2010 flu season the H1N1 vaccine was a separate vaccine from theseasonal influenza vaccine.Specific immunizations administered by 801181,864129,121133,182100,000Number of immunizations50,0000Number of Influenza Immunizations Administered by PharmacistsApril 1 - March 31 annually

,00010,0007,3515,1445,000Number of immunizations8,3961,4650Number of Pneumococcal Immunizations Administered by PharmacistsApril 1 - March 31 annually20,68217,10113,71315,6438,5855,823Number of Herpes Zoster Immunizations Administered by PharmacistsApril 1 - March 31 annuallyNumber of immunizations