Healthy Communities: Immunisation rates for children in 2014 15 Published February 2016 This report on child immunisation rates presents updated information on the percentages of children aged 1, 2 and 5 who were fully immunised in 2014 15, reporting for each of the 31 areas covered by Primary Health Networks as well as smaller geographic areas. Highest and lowest immunisation rates for 1 year olds In 2014 15, 90.9% of all children aged 1, 2 and 5 were fully immunised and 9.1% (84,571) were not fully immunised. Across the three age groups: 1 year olds Immunisation rates ranged across Primary Health Network (PHN) areas from 93.6% to 87.7%. A total of 26,671 children were not fully immunised nationally 2 year olds Immunisation rates ranged across PHN areas from 92.3% to 86.7%. A total of 33,681 children were not fully immunised nationally 5 year olds Immunisation rates ranged across PHN areas from 95.6% to 89.2%. A total of 24,219 children were not fully immunised nationally (Figures 1, 3 and 5). In 2014 15, 89.2% of Aboriginal and Torres Strait Islander children aged 1, 2 and 5 were fully immunised and 10.8% or 4,922 were not fully immunised, though rates vary across local areas (Figures 1 and 4). This report focuses on variation in immunisation rates for 1 year olds at different levels of geography including changes in immunisation rates over time (pages 6 to 11). Detailed results by PHN, local area (SA3 and SA4) and postcode for 1, 2 and 5 year olds are available at www.myhealthycommunities.gov.au 31 Primary Health Networks (PHNs) 325 local areas (SA3s) Approx. 1,500 postcodes 93.6% 87.7% 96.9% 83.0% 98.2% 73.3% Figure 1: Primary Health Network areas with the highest and lowest child immunisation rates, 2014 15 1year 2 5 93.6% Highest Murrumbidgee (NSW) 92.3% Highest Murrumbidgee (NSW) 95.6% Highest Murrumbidgee (NSW)/ NSW All children 87.7% Lowest North Coast (NSW) 86.7% Lowest North Coast (NSW) 89.2% Lowest North Coast (NSW) 1year 2 5 Aboriginal and Torres Strait Islander children 92.9% Highest Australian Capital Territory 90.4% Highest South Sydney 96.7% Highest NSW 75.2% Lowest Perth South 76.9% Lowest Perth North 86.5% Lowest Perth South Sources and references can be found in this report in About the data (page 12) or in the Technical Note at www.myhealthycommunities.gov.au/publications Visit www.myhealthycommunities.gov.au for more detailed results
Key findings Overview Immunisation programs are a safe and effective way of reducing transmission of vaccine-preventable diseases in the community and protecting against potentially serious health problems. All Australian children are expected to have received specific immunisations before they turn 1, 2 and 5 of age, according to the National Immunisation Program Schedule (Figure 2). In late 2014, the Australian Chief Medical Officer and all state and territory chief health officers agreed to an aspirational target for 95% of children to be fully immunised in line with the Schedule. Figure 2: Vaccinations required for fully immunised status for children aged 1, 2 and 5 in 2014 15 Age due 2 mths 4 mths 6 mths 12 mths 18 mths Vaccinations Hepatitis B (hepb) Diphtheria, tetanus and whooping cough (DTPa) Haemophilus influenzae type b (Hib) Polio (IPV) Pneumococcal Hepatitis B (hepb) Diphtheria, tetanus and whooping cough (DTPa) Haemophilus influenzae type b (Hib) Polio (IPV) Pneumococcal Hepatitis B (hepb) Diphtheria, tetanus and whooping cough (DTPa) Haemophilus influenzae type b (Hib) Polio (IPV) Pneumococcal Haemophilus influenzae type b (Hib) Measles, mumps and rubella (MMR) Meningococcal C Measles, mumps, rubella and varicella (chickenpox) (MMRV) (NEW) Fully immunised status 1year 2 This report presents variation in child immunisation rates across Australia for all children and Aboriginal and Torres Strait Islander children aged 1, 2 and 5 (pages 1 to 5). It also provides detailed results for 1-year-old children, the age when many children start being exposed to high-risk environments such as child care (pages 6 to 11). All children Comparing the three age groups, the percentages of all children fully immunised were higher among children aged 5 than 1 and 2 year olds across most PHNs. Across PHN areas: 1 year olds None of the 31 PHN areas had immunisation rates of 95% or higher 2 year olds None of the 31 PHN areas had immunisation rates of 95% or higher. A recent change to the definition of fully immunised for 2 year olds has caused a decrease in rates in this age group* 5 year olds Only two of the 31 PHN areas had immunisation rates of 95% or higher. The percentages of children fully immunised in each PHN area for 1, 2 and 5 year olds are presented in Figure 3. Change over time Between 2013 14 and 2014 15, the number of local areas (SA3s) nationally in which the percentages of children fully immunised changed significantly were: Number of local areas (SA3s) experiencing a change 1 YEAR 2 YEARS* 5 YEARS Significant increase (+) 39 0* 16 Significant decrease (-) 1 194* 6 No significant change 284 129* 300 4 Diphtheria, tetanus and whooping cough (DTPa) Polio (IPV) Measles, mumps and rubella (MMR) (to be given only if MMRV vaccine was not given at 18 months) 5 Source: Australian Government Department of Health, National Immunisation Program Schedule, www.immunise.health.gov.au Total no. local areas 324 323 322 * An increase in the number of vaccines counted in the definition of fully immunised for 2 year olds (Figure 2) has resulted in a decrease in rates in this age group. See page 12 of this report. Changes over time were only calculated for local areas (SA3s) which have more than 100 registered children. Changes were considered to be statistically significant with 95% confidence. 2
Figure 3: Percentages of all children fully immunised* and numbers not fully immunised, by Primary Health Network area, 2014 15 Primary Health Network Percentage of all children fully immunised at age 1 yr 2 yrs 5 yrs 80% 90% 100% No. not fully immunised (1, 2 & 5 yrs combined) Murrumbidgee (NSW)... 93.6% 92.3% 95.6% 660 Hunter New England & Central Coast (NSW). 93.1% 94.8% 3,255 Australian Capital Territory... 92.9% 91.4% 93.2% 1,256 Brisbane North (Qld)... 92.6% 91.4% 93.0% 2,767 Darling Downs & West Moreton (Qld)... 91.1% 93.3% 1,864 South Eastern NSW... 90.4% 93.5% 1,661 Victoria... 93.5% 1,714 NSW... 92.4% 95.6% 910 Gippsland (Vic)... 92.3% 93.5% 740 Brisbane South (Qld)... 92.2% 90.3% 92.0% 3,910 Northern Qld... 92.0% 93.7% 2,335 Perth North (WA)... 91.9% 87.1% 90.3% 4,183 Country WA... 91.8% 89.4% 92.0% 2,005 Country SA... 91.7% 88.2% 91.7% 1,617 Eastern Melbourne (Vic)... 91.6% 90.0% 92.4% 4,554 Murray (Vic & part NSW)... 91.4% 90.0% 93.4% 1,763 Central & Eastern Sydney (NSW)... 88.2% 90.8% 5,564 Queensland... 90.5% 92.9% 284 Adelaide (SA)... 87.8% 90.5% 4,460 Nepean Blue Mountains (NSW)... 88.2% 94.0% 1,362 South Sydney (NSW)... 87.9% 93.8% 3,821 Central Qld, Wide Bay & Sunshine Coast... 90.8% 89.5% 2,924 Northern Sydney (NSW)... 90.8% 87.6% 90.4% 3,565 North Melbourne (Vic)... 89.0% 6,266 Perth South (WA)... 87.3% 90.0% 4,192 South Eastern Melbourne (Vic)... 89.0% 92.1% 5,305 Tasmania... 87.5% 92.6% 1,759 Gold Coast (Qld)... 90.6% 88.6% 2,155 Northern Territory... 90.5% 89.3% 92.4% 1,011 Sydney (NSW)... 88.6% 87.5% 92.4% 4,605 North Coast (NSW)... 87.7% 86.7% 89.2% 2,100 National results 89.2% 92.2% 84,571 * A child has received the scheduled vaccinations according to age. See Figure 2 or the Technical Note at www.myhealthycommunities.gov.au/publications Number of all children, aged 1, 2 or 5 combined, who are not fully immunised. Components may not add to totals because of rounding. A change in the definition of fully immunised for 2 year olds occurred on 31 Dec 2014 with the inclusion of three additional vaccines. This caused a decrease in the reported immunisation coverage rates which are measured at 2 of age, see page 12 for further information. Source: National Health Performance Authority analysis of Department of Human Services, Australian Childhood Immunisation Register statistics 2014 15, data supplied 10 November 2015. 3
Aboriginal and Torres Strait Islander children In 2014 15, the percentages of Aboriginal and Torres Strait Islander children fully immunised were highest among 5-year-old children compared to 1 and 2 year olds, across most Primary Health Network (PHN) areas (Figure 4). In late 2014, the Australian Chief Medical Officer and all state and territory chief health officers agreed to an aspirational target for 95% of children to be fully immunised in line with the Schedule s recommendations relevant for their age. To calculate local-level information, Statistical Areas Level 4 (SA4s) were used instead of SA3s. SA4s are larger than SA3s there are 88 SA4s across Australia, as opposed to 333 SA3s. The larger sizes of SA4s are better suited to reporting child immunisation rates in population subsets such as Aboriginal and Torres Strait Islander children and allow more reliable reporting. 1 year olds Across PHN areas, immunisation rates for 1-year-old Aboriginal and Torres Strait Islander children ranged from: Highest 92.9% in Australian Capital Territory Lowest 75.2% in Perth South. None of the 30 reported* PHN areas had immunisation rates of 95% or higher. Across 88 local areas (SA4s) rates ranged from 95.2% in Southern Highlands and Shoalhaven (NSW) to 70.0% in Perth-South East. 2 year olds Across PHN areas, immunisation rates for 2-year-old Aboriginal and Torres Strait Islander children ranged from: Highest 90.4% in South Sydney Lowest 76.9% in Perth North. None of the 30 reported* PHN areas had immunisation rates of 95% or higher. A recent change to the definition of fully immunised for 2 year olds has contributed to a decrease in rates in this age group. Across 88 local areas (SA4s) rates ranged from 92.6% in Sydney-Outer South West to 75.6% in Perth-North East. 5 year olds Across PHN areas, immunisation rates for 5-year-old Aboriginal and Torres Strait Islander children ranged from: Highest 96.7% in NSW Lowest 86.5% in Perth South. Nine (30%) of the 30 reported* PHN areas had immunisation rates of 95% or higher. Across 88 local areas (SA4s) rates ranged from 97.4% in Central Coast (NSW) to 85.5% in Melbourne-West. Compared to immunisation rates among all children, rates for Aboriginal and Torres Strait Islander children were lower among 1 and 2-year-old children across nearly all PHN areas. However, immunisation rates for 5-year-old Aboriginal and Torres Strait Islander children were higher in 60% of PHNs (18 of 30 reported) than rates for all children (Figures 3 and 4). Change over time Between 2013 14 and 2014 15, the number of local areas (SA4s) in which the percentages of Aboriginal and Torres Strait Islander children fully immunised changed significantly were: Number of local areas (SA4s) experiencing a change 1 YEAR 2 YEARS 5 YEARS Significant increase (+) 7 0 4 Significant decrease (-) 0 25 2 No significant change 42 22 36 Total no. local areas 49 47 42 * Geographic areas with 26 or more registered children were included. An increase in the number of vaccines counted in the definition of fully immunised for 2 year olds (Figure 2) has resulted in a decrease in rates in this age group. See page 12 of this report. Changes over time were only calculated for local areas (SA4s) which have more than 100 registered children. Changes were considered to be statistically significant with 95% confidence. Results, including changes over time, are available at Primary Health Network, ABS Statistical Area Level 4 (SA4), Statistical Area Level 3 (SA3) and postcode at www.myhealthycommunities.gov.au 4
Figure 4: Percentages of Aboriginal and Torres Strait Islander children fully immunised* and numbers not fully immunised, by Primary Health Network area, 2014 15 Primary Health Network Percentage of children fully immunised at age 1 yr 2 yrs 5 yrs 80% 90% 100% No. not fully immunised (1, 2 & 5 yrs combined) Australian Capital Territory... 92.9% 84.7% 95.1% 34 Murrumbidgee (NSW)... 92.6% 87.9% 96.0% 70 Hunter New England & Central Coast (NSW). 92.4% 89.9% 95.7% 310 Central & Eastern Sydney (NSW)... 91.5% 90.0% 92.9% 58 Brisbane North (Qld)... 90.3% 89.5% 93.6% 121 North Coast (NSW)... 90.3% 88.3% 95.1% 167 South Sydney (NSW)... 89.8% 90.4% 94.7% 70 South Eastern NSW... 89.5% 85.8% 94.0% 135 Country SA... 88.7% 83.5% 90.5% 139 Nepean Blue Mountains (NSW)... 88.5% 87.2% 94.7% 64 NSW... 88.3% 89.5% 96.7% 214 Northern Territory... 88.2% 88.8% 95.0% 382 Adelaide (SA)... 88.1% 82.7% 89.2% 166 Country WA... 88.1% 86.3% 94.3% 371 Victoria... 88.1% 88.5% 91.1% 50 Brisbane South (Qld)... 88.0% 84.9% 91.9% 191 North Melbourne (Vic)... 87.5% 85.3% 90.0% 88 Eastern Melbourne (Vic)... 87.2% 81.5% 55 Northern Qld... 86.8% 87.4% 95.0% 594 Darling Downs & West Moreton (Qld)... 86.6% 85.5% 93.2% 248 Tasmania... 86.4% 84.1% 92.6% 151 Sydney (NSW)... 85.7% 85.8% 95.2% 88 Central Qld, Wide Bay & Sunshine Coast... 85.5% 87.5% 88.7% 309 South Eastern Melbourne (Vic)... 85.1% 90.1% 89.3% 50 Queensland... 84.7% 85.9% 93.4% 120 Gold Coast (Qld)... 84.6% 88.3% 96.1% 49 Murray (Vic & part NSW)... 84.5% 81.2% 93.5% 126 Gippsland (Vic)... 81.8% 85.7% 93.6% 48 Perth North (WA)... 80.4% 76.9% 88.3% 187 Perth South (WA)... 75.2% 80.4% 86.5% 260 Northern Sydney (NSW)... NP NP NP NP National results 87.7% 86.7% 93.5% 4,922 * A child has received the scheduled vaccinations according to age. See Figure 2 or the Technical Note at www.myhealthycommunities.gov.au/publications Number of Aboriginal and Torres Strait Islander children, aged 1, 2 or 5, combined. Components may not add to totals because of rounding. A change in the definition of fully immunised for 2 year olds occurred on 31 Dec 2014 with the inclusion of three additional vaccines. This caused a decrease in the reported immunisation coverage rates which are measured at 2 of age, see page 12 for further information. NP Not available for publication as the area has fewer than 26 registered children, or the number of children not fully immunised is between one and five inclusive. Source: National Health Performance Authority analysis of Department of Human Services, Australian Childhood Immunisation Register statistics 2014 15, data supplied 10 November 2015. 5
One-year-old children The following information focuses on immunisation rates for 1-year-old children when many children start to be exposed to high-risk environments such as child care. Explore more online! Use the latest interactive tool on the MyHealthyCommunites website to explore additional child immunisation rates for: Geographies -- 31 Primary Health Networks, more than 300 local areas (SA3s), more than 1,500 postcodes Age groups -- 1, 2 and 5-year-old children Years -- 2011 12, 2012 13, 2013 14, 2014 15. Across PHN areas nationally, the percentage of 1 year olds fully immunised ranged from 93.6% in Murrumbidgee (NSW) to 87.7% in North Coast (NSW). Results were as follows: 95% and above 0 (0.0%) of 31 PHN areas 90% to <95% 29 (93.5%) of 31 PHN areas 85% to <90% 2 (6.5%) of 31 PHN areas <85% 0 (0.0%) of 31 PHN areas. Across more than 300 local areas (SA3s), the percentage of 1 year olds fully immunised ranged from 96.9% in Snowy Mountains (NSW) to 83.0% in Richmond Valley Coastal (NSW). Results were as follows: 95% and above 4 (1.2%) of 325* local areas 90% to <95% 244 (75.1%) of 325* local areas 85% to <90% 76 (23.4%) of 325* local areas 1year 2 5 <85% 1 (0.3%) of 325* local areas. Across postcodes, the percentage of 1 year olds fully immunised ranged from 98.2% in postcode 7050 (Kingston, Tasmania) to 73.3% in postcode 2483 (Brunswick Heads and surrounds, North Coast NSW). Results were as follows: 95% and above 207 (13.9%) of 1,493* postcodes 90% to <95% 820 (54.9%) of 1,493* postcodes 85% to <90% 351 (23.5%) of 1,493* postcodes <85% 115 (7.7%) of 1,493* postcodes. Change over time Between 2013 14 and 2014 15, there were 40 local areas (SA3s) in which the percentages of 1-year-old children fully immunised changed significantly, with 39 showing a significant increase and one a significant decrease in immunisation rates, ranging from 8.2 percentage points to -3.8 percentage points (Table 3 and Figure 6). * Geographic areas with 26 or more registered children were included. Changes over time were only calculated for local areas (SA3s) which have more than 100 registered children. Changes were considered to be statistically significant with 95% confidence. 6
Figure 5: Percentages of all children aged 1 year fully immunised* by Primary Health Network (PHN) area, 2014 15 Northern Queensland Northern Territory Central Qld & Sunshine Coast Queensland Country Australia Darling Downs & West Moreton BRISBANE Country South Australia New South Wales PERTH North Coast Hunter, New England & Central Coast SYDNEY ADELAIDE 92.5 94.9% 90.0 92.4% 85.0 89.9% CAPITAL CITY Victoria Murray Murrumbidgee South Eastern NSW Gippsland MELBOURNE Primary Health Network area Tasmania No. not fully 87% 88% 89% 90% 91% 92% 93% 94% immunised 1 yr olds: national fully immunised rate Murrumbidgee (NSW) Hunter New Eng. & Cent. Coast (NSW) Australian Capital Territory Brisbane North (Qld) Darling Downs & West Moreton (Qld) South Eastern (NSW) (Vic) (NSW) Gippsland (Vic) Brisbane South (Qld) Northern (Qld) Perth North (WA) Country (WA) Country (SA) Eastern Melbourne (Vic) Murray (Vic/NSW) Central & Eastern Sydney NSW (Qld) Adelaide (SA) Nepean Blue Mountains (NSW) South Sydney (NSW) Central Qld, Wide Bay & Sunshine Coast Northern Sydney (NSW) North Melbourne (Vic) Perth South (WA) South Eastern Melbourne (Vic) Tasmania Gold Coast (Qld) Northern Territory Sydney (NSW) North Coast (NSW) 93.6% 93.1% 92.9% 92.6% 92.4% 92.3% 92.2% 92.0% 91.9% 91.8% 91.7% 91.6% 91.4% 90.8% 90.8% 90.6% 90.5% 88.6% 87.7% 26,671 222 1,065 404 891 594 503 550 325 245 1,177 784 1,092 601 464 1,440 599 1,685 97 1,312 443 1,240 914 981 2,159 1,237 1,726 554 667 359 1,663 680 North Australian Capital Territory BRISBANE South Gold Coast North Nepean Blue Mountains South South PERTH ADELAIDE North Northern SYDNEY Central & Eastern Eastern MELBOURNE South Eastern * A child has received the scheduled vaccinations according to age. See Figure 2 or the Technical Note at www.myhealthycommunities.gov.au/publications Components may not add to totals due to rounding. Source: National Health Performance Authority analysis of Department of Human Services, Australian Childhood Immunisation Register statistics 2014 15, data supplied 10 November 2015. 7
Results by local areas (SA3s) for 1 year olds Table 1: Local areas (SA3s) with the 10 highest and 10 lowest percentages of all children aged 1 year fully immunised*, 2014 15 Local area (SA3) Highest percentages Primary Health Network area % Fully immunised Snowy Mountains South Eastern NSW 96.9 Esperance Country WA 95.3 Grampians Victoria 95.1 Wagga Wagga Murrumbidgee (NSW) 95.0 Centenary Brisbane South 94.8 Limestone Coast Country SA 94.6 Tamworth - Gunnedah Hunter New England & Central Coast (NSW) 94.5 Tea Tree Gully Adelaide 94.4 Gungahlin Australian Capital Territory 94.4 Albury Murray / Murrumbidgee (NSW) 94.4 Broken Hill and Far West NSW 94.4 Belconnen Australian Capital Territory 94.3 Outback - South Queensland 94.3 Shoalhaven South Eastern NSW 94.2 Hobart - North East Tasmania 94.2 Wangaratta - Benalla Murray (Vic) 94.2 Orange NSW 94.2 Gosford Hunter New England & Central Coast (NSW) 94.2 Lowest percentages All other local areas (SA3s) that were rated lower than the local areas listed above and higher than those below are available on www.myhealthycommunities.gov.au Central Highlands Tasmania 87.1 Tablelands (East) - Kuranda Northern Queensland 87.1 Sorell - Dodges Ferry Tasmania 87.1 Tweed Valley North Coast (NSW) 87.1 Noosa Central Queensland, Wide Bay & Sunshine Coast 86.9 Heathcote - Castlemaine - Kyneton Murray (Vic) 86.9 Nambour - Pomona Central Queensland, Wide Bay & Sunshine Coast 86.6 Fremantle Perth South 86.6 Mount Druitt Sydney 86.2 Sunshine Coast Hinterland Central Queensland, Wide Bay & Sunshine Coast 86.2 Parramatta Sydney 85.7 Adelaide City Adelaide 85.6 Auburn Sydney 85.4 Huon - Bruny Island Tasmania 85.2 Mundaring Perth North 85.1 Richmond Valley - Coastal North Coast (NSW) 83.0 * A child has received the scheduled vaccinations according to age. See Figure 2 or the Technical Note at www.myhealthycommunities.gov.au/publications Source: National Health Performance Authority analysis of Department of Human Services, Australian Childhood Immunisation Register statistics 2014 15, data supplied 10 November 2015. 8
Results by postcodes for 1 year olds Table 2: Postcodes with the 10 highest and 10 lowest percentages of all children aged 1 year fully immunised*, 2014 15 Postcode Suburb/town Primary Health Network area % Fully immunised Highest percentages 7050 Kingston, Kingston Beach Tasmania 98.2 5126 Fairview Park, Surrey Downs, Yatala Vale Adelaide 98.1 2904 Fadden, Gowrie, Macarthur, Monash Australian Capital Territory 98.0 2571 Picton, Buxton, Balmoral, Couridjah, Wilton and three others South Sydney 97.9 2871 Forbes, Fairholme, Jemalong, Mulyandry, Garema and eight others NSW 97.8 2256 Woy Woy, Pearl Beach, Phegans Bay, Patonga and six others Hunter New England & Central Coast (NSW) 97.7 5097 Redwood Park, Ridgehaven, St Agnes Adelaide 97.6 4036 Bald Hills Brisbane North 97.5 5161 Reynella, Reynella East, Old Reynella Adelaide 97.4 2298 Georgetown, Waratah, Waratah West Hunter New England & Central Coast (NSW) 97.3 2262 Budgewoi, Buff Point, San Remo, Blue Haven and six others Hunter New England & Central Coast (NSW) 97.3 4818 Burdell, Deeragun, Bushland Beach, Saunders Beach and 13 others Northern Queensland 97.3 6016 Glendalough, Mount Hawthorn Perth North 97.3 2203 Dulwich Hill Central & Eastern Sydney 97.3 Lowest percentages All other postcodes that were rated lower than the postcodes listed above and higher than those below are available on www.myhealthycommunities.gov.au 5045 Glenelg, Jetty Road, Glenelg North, Glenelg South and Glenelg East Adelaide 82.1 6109 Maddington and Orange Grove Perth South 82.1 2550 Bega, Tathra, Kalaru, Bemboka, Candelo, Cobargo and 48 others South Eastern NSW 80.9 2484 Murwillumbah, Nunderi, Tyalgum, Uki, Chillingham and 52 others North Coast (NSW) 80.7 3000 Melbourne CBD North Melbourne 80.4 3444 Kyneton, Tylden, Edgecombe, Pastoria, Redesdale and 16 others Murray (Vic) 79.6 2000 Sydney CBD, The Rocks, Barangaroo, Darling Harbour and Haymarket Central & Eastern Sydney 78.1 2481 Byron Bay, Suffolk Park, Ewingsdale, Tyagarah and five others North Coast (NSW) 78.0 2780 Katoomba, Leura and Medlow Bath Nepean Blue Mountains 76.8 2150 Parramatta and Harris Park Sydney 75.8 2483 Brunswick Heads, Ocean Shores, South Golden Beach, Burringbar and 10 others North Coast (NSW) 73.3 * A child has received the scheduled vaccinations according to age. See Figure 2 or the Technical Note at www.myhealthycommunities.gov.au/publications Source: National Health Performance Authority analysis of Department of Human Services, Australian Childhood Immunisation Register statistics 2014 15, data supplied 10 November 2015. 9
Change over time for 1 year olds by local area (SA3) Table 3: Local areas (SA3s) with significant change* in immunisation rates among children aged 1 year Local area (SA3) Primary Health Network areas % fully immunised 2013 14 2014 15 No. regist d children % fully immunised No. regist d children Change (Pctg point) Outback - North and East Country SA 84.8% 388 93.0% 388 +8.2 Surfers Paradise Gold Coast (Qld) 83.8% 309 89.7% 319 +5.9 Eastern Suburbs - North Central & Eastern Sydney 85.9% 1,826 1803 +5.4 Central Highlands (Qld) Central Queensland, Wide Bay & Sunshine Coast 88.7% 615 93.5% 627 +4.8 Kempsey - Nambucca North Coast (NSW) 83.2% 523 87.5% 562 +4.3 Sydney Inner City Central & Eastern Sydney 86.5% 1,985 1,908 +4.2 Sherwood - Indooroopilly Brisbane North/Brisbane South 89.1% 470 93.1% 435 +4.0 Charters Towers - Ayr - Ingham Northern Queensland 89.1% 542 92.7% 497 +3.6 Canterbury Central & Eastern Sydney 86.6% 2,285 90.1% 2,184 +3.5 Melbourne City North Melbourne 85.5% 1,007 89.0% 1,008 +3.5 Wagga Wagga Murrumbidgee (NSW) 91.5% 1,199 95.0% 1,199 +3.5 Strathfield - Burwood - Ashfield Central & Eastern Sydney 88.7% 2,047 92.2% 1,790 +3.5 Liverpool South Sydney 88.1% 1,905 91.5% 1,924 +3.4 Melville Perth South 87.7% 1,113 91.1% 1,089 +3.4 Fairfield South Sydney 87.5% 2,717 90.8% 2,473 +3.3 Gladstone - Biloela Central Queensland, Wide Bay & Sunshine Coast 89.5% 1,207 92.8% 1,234 +3.3 Adelaide Hills Country SA 86.5% 763 89.7% 818 +3.2 Lake Macquarie - West Hunter New England & Central Coast (NSW) 88.9% 870 92.1% 914 +3.2 Loganlea - Carbrook Brisbane South 89.6% 913 92.8% 848 +3.2 Dubbo NSW 87.1% 1,041 90.2% 1,022 +3.1 St Marys Nepean Blue Mountains (NSW) 87.2% 913 90.1% 959 +2.9 Cleveland - Stradbroke Brisbane South 89.5% 848 92.3% 858 +2.8 Marion Adelaide 89.5% 1,081 92.3% 1,032 +2.8 Canada Bay Central & Eastern Sydney 89.1% 1,211 91.9% 1,226 +2.8 Bankstown South Sydney 87.2% 2,836 89.9% 2,850 +2.7 Gosford Hunter New England & Central Coast (NSW) 91.5% 2,008 94.2% 1,977 +2.7 North Sydney - Mosman Northern Sydney 88.1% 1,257 1,221 +2.6 Wollongong South Eastern NSW 90.6% 1,489 93.2% 1,502 +2.6 Joondalup Perth North 1,920 93.6% 1,864 +2.6 Newcastle Hunter New England & Central Coast (NSW) 90.8% 2,212 93.4% 2,086 +2.6 Wanneroo Perth North 90.3% 2,871 92.9% 3,025 +2.6 Swan Perth North 89.6% 1,778 92.1% 1,874 +2.5 Warringah Northern Sydney 90.2% 2,135 92.7% 2,031 +2.5 Boroondara Eastern Melbourne 1,579 93.1% 1,495 +2.4 Bendigo Murray (Vic) 90.3% 1,167 92.6% 1,279 +2.3 Bringelly - Green Valley South Sydney 89.0% 1,337 1,434 +2.3 Shoalhaven South Eastern NSW 92.0% 1,028 94.2% 1,049 +2.2 Toowoomba Darling Downs & West Moreton (Qld) 2,053 93.5% 2,014 +2.2 Wyong Hunter New England & Central Coast (NSW) 92.3% 1,943 93.9% 2,073 +1.6 Darling Downs (West) - Maranoa Darling Downs & West Moreton/ Qld 93.9% 728 90.1% 666-3.8 * The results above are only reported for those local areas (SA3s) where the number of children was greater than 100 and the percentage change was larger than may be expected from natural variation in results from one year to the next. Change was considered to be statistically significant with 95% confidence. Smaller changes may still represent a large number of children, particularly in local areas with large populations. See the Technical Note at www.myhealthycommunities.gov.au/publications The total number of 1-year-old children registered on the Australian Childhood Immunisation Register in a local area (SA3). Source: National Health Performance Authority analysis of Department of Human Services, Australian Childhood Immunisation Register statistics 2014 15, data supplied 10 November 2015. 10
Figure 6: Change in immunisation rates of all children aged 1 year by local area (SA3), 2013 14 to 2014 15 DARWIN BRISBANE PERTH SYDNEY CANBERRA ADELAIDE Significant increase* Increase Decrease Significant decrease* No change No data CAPITAL CITY Other major city MELBOURNE SA3 boundaries PHN boundaries HOBART Newcastle DARWIN Sunshine Coast BRISBANE SYDNEY PERTH Rockingham Mandurah Gold Coast Wollongong HOBART ADELAIDE Geelong MELBOURNE CANBERRA * The results above are only reported for those local areas (SA3s) where the number of children was greater than 100 and the percentage change was larger than may be expected from natural variation in results from one year to the next. Change was considered to be statistically significant with 95% confidence. Smaller changes may still represent a large number of children, particularly in local areas with large populations. See the Technical Note at www.myhealthycommunities.gov.au/publications Source: National Health Performance Authority analysis of Department of Human Services, Australian Childhood Immunisation Register statistics 2014 15, data supplied 10 November 2015. 11
About the data Data were sourced from the Australian Childhood Immunisation Register (ACIR) which is administered by the Australian Government Department of Human Services (Medicare). It has been estimated that the ACIR covers 99% of children in Australia. The data reported are for children aged 1, 2 and 5 for the period from July 2014 to June 2015. Data were supplied on 10 November 2015. All data have been mapped to the area in which children live rather than the areas where services were provided. For the purposes of reporting the data, fully immunised means a child receives specified scheduled vaccinations due at, or immediately prior, to the age at which the measurement occurs. It is assumed that all previous vaccinations were received. Rotavirus, which is on the current schedule, is excluded for the purposes of measuring fully immunised status. A change in the definition of fully immunised for 1 year olds occurred from 31 December 2013 when the pneumococcal vaccination was included in the definition of fully immunised. A change in the definition of fully immunised for 2 year olds occurred on 31 December 2014 when meningococcal C vaccination (given at 12 months), dose 2 measles, mumps, rubella (MMR), and dose 1 varicella vaccination were included in the definition of fully immunised. The inclusion of these three additional vaccines has caused a decrease in the reported immunisation coverage rates which are measured at 2 of age. See this report s Technical Note for further information at: www.myhealthycommunities.gov.au Build your own MyReport Did you know that the MyHealthyCommunities website offers tailored information to suit your needs? Create a report around the particular health information that interests you. Select from a range of health measures to find out how your local health area is performing and how it compares across different communities in Australia. Acknowledgements The National Health Performance Authority would like to acknowledge the technical advice and input to this report received from staff at the National Centre for Immunisation Research & Surveillance, the Immunisation Branch, Office of Health Protection, Department of Health and the Australian Childhood Immunisation Register, Department of Human Services. The Authority also received advice from the Child Immunisation Report Advisory Committee; see this report s Technical Note for a list of members. National Health Performance Authority 2016 The National Health Performance Authority licenses use of this report under Creative Commons Attribution-Non Commercial-No Derivatives Licence 3.0, Australia and the terms of this notice. You are permitted to make fair use of the report consistent with the terms of the licence. You must not make use of the report in a misleading or deceptive manner or in a manner that is inconsistent with the context of the report. Permissions beyond the scope of the licence may be available at enquiries@nhpa.gov.au Disclaimer This report is produced for health research, health care and health advocacy purposes. This report is not intended to provide guidance on particular health care choices. You should contact your medical advisors on particular health care choices. ISSN: 2202-9184 Print ISBN: 978-1-76007-207-0 Online ISBN: 978-1-76007-208-7 www.nhpa.gov.au www.myhospitals.gov.au www.myhealthycommunities.gov.au Suggested citation: National Health Performance Authority 2016, Healthy Communities: Immunisation rates for children in 2014 15 (In Focus) Please note that there is the potential for minor revisions of this document.