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Immunization and Infectious Diseases

IID-1     Reduce, eliminate, or maintain elimination of cases of vaccine-preventable diseases
Baseline: 0 cases of confirmed and probable U.S.-acquired cases of congenital rubella syndrome were reported among children under 1 year of age in 2008
Target: 0 cases
Target-Setting Method: Total elimination
Data Source: National Notifiable Diseases Surveillance System (NNDSS), CDC/PHSPO
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Baseline: 0.30 confirmed and probable cases of Haemophilus influenzae invasive disease per 100,000 children under age 5 years were reported in 2008
Target: 0.27 cases per 100,000 children under age 5 years
Target-Setting Method: 10 percent improvement
Data Sources: Active Bacterial Core Surveillance (ABCS), CDC/NCIRD; National Notifiable Diseases Surveillance System (NNDSS), CDC/PHSPO
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Baseline: 0.1 cases of new symptomatic hepatitis B per 100,000 persons aged 2 to 18 years were reported in 2007
Target: 0.0 cases per 100,000 persons aged 2 to 18 years
Target-Setting Method: Total elimination
Data Source: National Notifiable Diseases Surveillance System (NNDSS), CDC/PHSPO
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Baseline: 115 confirmed U.S.-acquired measles cases were reported in 2008
Target: 30 cases
Target-Setting Method: Projection/trend analysis
Data Source: National Notifiable Diseases Surveillance System (NNDSS), CDC/PHSPO
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Baseline: 421 confirmed and probable U.S.-acquired cases of mumps were reported in 2008
Target: 500 cases
Target-Setting Method: Projection/trend analysis
Data Source: National Notifiable Diseases Surveillance System (NNDSS), CDC/PHSPO
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Baseline: 2,777 confirmed and probable cases of pertussis (including cases identified in outbreak settings) among children under age 1 year was reported during 2004–08
Target: 2,500 cases among children under age 1 year
Target-Setting Method: 10 percent improvement
Data Source: National Notifiable Diseases Surveillance System (NNDSS), CDC/PHSPO
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Baseline: 3,995 confirmed and probable cases of pertussis (including cases identified in outbreak settings) were reported among adolescents aged 11 to 18 years during 2000–04
Target: 2,000 cases among adolescents aged 11 to 18 years
Target-Setting Method: Projection/trend analysis
Data Source: National Notifiable Diseases Surveillance System (NNDSS), CDC/PHSPO
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Baseline: 0 cases of U.S.-acquired acute paralytic poliomyelitis were reported in 2008
Target: 0 cases
Target-Setting Method: Total elimination
Data Source: National Notifiable Diseases Surveillance System (NNDSS), CDC/PHSPO
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Baseline: 10 confirmed U.S.-acquired cases of rubella were reported in 2008
Target: 10 cases
Target-Setting Method: Projection/trend analysis
Data Source: National Notifiable Diseases Surveillance System (NNDSS), CDC/PHSPO
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Baseline: 586,000 persons aged 17 years of age and under were reported to have had chicken pox (varicella) in the past year in 2008
Target: 100,000 persons aged 17 years of age and under
Target-Setting Method: Projection/trend analysis
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 0.28 newly reported cases of laboratory-confirmed early onset group B streptococcal disease were diagnosed among newborns aged 0 to 6 days per 1,000 live births in 2008
Target: 0.25 new cases among newborns aged 0 through 6 days per 1,000 live births
Target-Setting Method: 10 percent improvement
Data Sources: Active Bacterial Core Surveillance (ABCS), CDC/NCIRD; National Vital Statistics System-Natality (NVSS-N), CDC/NCHS
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Baseline: 1,215 was the annual average of cases of new laboratory-confirmed meningococcal disease reported in 2004–08
Target: 1,094 cases
Target-Setting Method: 10 percent improvement
Data Sources: Active Bacterial Core Surveillance (ABCS), CDC/NCIRD; National Notifiable Diseases Surveillance System (NNDSS), CDC/PHSPO
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IID-4     Reduce invasive pneumococcal infections
Baseline: 20.3 cases of laboratory-confirmed invasive pneumococcal infection were reported per 100,000 children under age 5 years were reported in 2008
Target: 12.0 cases per 100,000 children under age 5 years
Target-Setting Method: Projection/trend analysis
Data Source: Active Bacterial Core Surveillance (ABCS), CDC/NCIRD
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Baseline: 40.4 new cases of laboratory-confirmed invasive pneumococcal infection per 100,000 adults aged 65 years and older were diagnosed in 2008
Target: 31.0 new cases per 100,000 adults aged 65 years and older
Target-Setting Method: Projection/trend analysis
Data Source: Active Bacterial Core Surveillance (ABCS), CDC/NCIRD
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Baseline: 8.3 new cases of laboratory-confirmed invasive antibiotic-resistant pneumococcal infection per 100,000 children under age 5 years were diagnosed in 2008
Target: 6.0 new cases per 100,000 children under age 5 years
Target-Setting Method: Projection/trend analysis
Data Source: Active Bacterial Core Surveillance (ABCS), CDC/NCIRD
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Baseline: 12.2 new cases of laboratory-confirmed invasive antibiotic-resistant pneumococcal infection per 100,000 adults aged 65 years and older were diagnosed in 2008
Target: 9.0 new cases per 100,000 population adults aged 65 years and older
Target-Setting Method: Projection/trend analysis
Data Source: Active Bacterial Core Surveillance (ABCS), CDC/NCIRD
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Baseline: 48.7 percent of children under age 5 years who had an ear infection were prescribed antibiotic courses in 2006–07
Target: 37.0 courses per 100 children under age 5 years
Target-Setting Method: Projection/trend analysis
Data Sources: National Ambulatory Medical Care Survey (NAMCS), CDC/NCHS; National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC/NCHS
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Baseline: 1,458.4 was the annual average of courses of antibiotics per 100,000 persons diagnosed with the common cold prescribed in 2006–07
Target: 756.0 courses of antibiotics per 100,000 population
Target-Setting Method: Projection/trend analysis
Data Sources: National Ambulatory Medical Care Survey (NAMCS), CDC/NCHS; National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC/NCHS
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IID-7     Achieve and maintain effective vaccination coverage levels for universally recommended vaccines among young children
Baseline: 84.6 percent of children aged 19 to 35 months in 2008 received 4 or more doses of the combination of diphtheria, tetanus, and acellular pertussis antigens
Target: 90.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Immunization Survey (NIS), CDC/NCIRD and CDC/NCHS
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Baseline: 54.8 percent of children aged 19 to 35 months in 2009 received 3 or more, or 4 or more doses of Hib antigen, depending on product type received
Target: 90.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Immunization Survey (NIS), CDC/NCIRD and CDC/NCHS
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Baseline: 93.5 percent of children aged 19 to 35 months in 2008 received at least 3 doses of the hepatitis B antigen
Target: 90.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Immunization Survey (NIS), CDC/NCIRD and CDC/NCHS
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Baseline: 92.1 percent of children aged 19 to 35 months in 2008 received at least 1 dose of measles-mumps-rubella (MMR) vaccine
Target: 90.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Immunization Survey (NIS), CDC/NCIRD and CDC/NCHS
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Baseline: 93.6 percent of children aged 19 to 35 months in 2008 received at least 3 doses of polio vaccine
Target: 90.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Immunization Survey (NIS), CDC/NCIRD and CDC/NCHS
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Baseline: 90.7 percent of children aged 19 to 35 months in 2008 received at least 1 dose of the varicella antigen
Target: 90.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Immunization Survey (NIS), CDC/NCIRD and CDC/NCHS
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Baseline: 80.1 percent of children aged 19 to 35 months received at least 4 doses of pneumococcal conjugate vaccine in 2008
Target: 90.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Immunization Survey (NIS), CDC/NCIRD and CDC/NCHS
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Baseline: 40.4 percent of children aged 19 to 35 months in 2008 received 2 or more doses of hepatitis A vaccine
Target: 85.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Immunization Survey (NIS), CDC/NCIRD and CDC/NCHS
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Baseline: 50.9 percent of the 2005 birth cohort received the first dose of hepatitis B vaccine within 3 days of birth based on National Immunization Survey data from 2006–08
Target: 85.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Immunization Survey (NIS), CDC/NCIRD and CDC/NCHS
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Baseline: 43.9 percent of children aged 19 to 35 months in 2009 received 2 or more, or 3 or more doses of rotavirus vaccine by age 19 to 35 months, depending on product type received
Target: 80.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Immunization Survey (NIS), CDC/NCIRD and CDC/NCHS
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Baseline: 44.3 percent of children aged 19 to 35 months in 2009 received the recommended doses of DTaP, polio, MMR, Hib, hepatitis B, varicella, and PCV
Target: 80.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Immunization Survey (NIS), CDC/NCIRD and CDC/NCHS
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Baseline: 0.6 percent of children aged 19 to 35 months in 2008 in the United States received 0 doses of recommended vaccines by age 19 to 35 months
Target: Not applicable
Target-Setting Method: This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.
Data Source: National Immunization Survey (NIS), CDC/NCIRD and CDC/NCHS
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IID-10     Maintain vaccination coverage levels for children in kindergarten
Baseline: 97.2 percent of children enrolled in kindergarten for the 2009–10 school year received 4 or more doses of DTaP vaccine
Target: 95.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: Annual School Assessment Reports, CDC/NCIRD
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Baseline: 95.0 percent of children enrolled in kindergarten for the 2009–10 school year received 2 or more doses of MMR vaccine
Target: 95.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: Annual School Assessment Reports, CDC/NCIRD
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Baseline: 96.2 percent of children enrolled in kindergarten for the 2009–10 school year received 3 or more doses of polio vaccine
Target: 95.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: Annual School Assessment Reports, CDC/NCIRD
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Baseline: 97.0 percent of children enrolled in kindergarten for the 2009–10 school year received 3 or more doses of hepatitis B vaccine
Target: 95.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: Annual School Assessment Reports, CDC/NCIRD
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Baseline: 91.3 percent of children enrollees in kindergarten received 2 or more doses of varicella vaccine in the 2009–10 school year
Target: 95.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: Annual School Assessment Reports, CDC/NCIRD
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IID-11     Increase routine vaccination coverage levels for adolescents
Baseline: 46.7 percent of adolescents aged 13 to 15 years had received at least 1 dose of a Tdap booster in 2008
Target: 80.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Immunization Survey (NIS), CDC/NCIRD and CDC/NCHS
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Baseline: 36.7 percent of adolescents aged 13 to 15 years had received at least 2 doses of varicella vaccine (excluding adolescents who have had varicella) in 2008
Target: 90.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Immunization Survey (NIS), CDC/NCIRD and CDC/NCHS
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Baseline: 43.9 percent of adolescents aged 13 to 15 years had received at least 1 dose of meningococcal conjugate vaccine in 2008
Target: 80.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Immunization Survey (NIS), CDC/NCIRD and CDC/NCHS
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Baseline: 16.6 percent of females aged 13 to 15 years had received at least 3 doses of human papillomavirus (HPV) vaccine in 2008
Target: 80.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Immunization Survey (NIS), CDC/NCIRD and CDC/NCHS
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IID-12     Increase the percentage of children and adults who are vaccinated annually against seasonal influenza
Baseline: 39.6 percent of children aged 2 to 4 years received influenza vaccine in 2008
Target: 80.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 25.8 percent of children aged 5 to 12 years received influenza vaccine in 2008
Target: 80.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 9.8 percent of children aged 13 to 17 years received influenza vaccine in 2008
Target: 80.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 24.9 percent of noninstitutionalized adults aged 18 to 64 years received influenza vaccine in 2008
Target: 80.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 45.5 percent of health care personnel received influenza vaccine in 2008
Target: 90.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 27.6 percent of pregnant women received influenza vaccine in 2008
Target: 80.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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IID-13     Increase the percentage of adults who are vaccinated against pneumococcal disease
Baseline: 60.1 percent of persons aged 65 years and older in 2008 had ever received a pneumococcal vaccination
Target: 90.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 16.6 percent of high-risk persons aged 18 to 64 years in 2008 had ever received a pneumococcal vaccination
Target: 60.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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Baseline: 66.4 percent of persons in long-term care facilities and nursing homes certified by the Centers for Medicare and Medicaid Services (CMS) reported having up-to-date pneumococcal vaccinations in 2005–06
Target: 90.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: Minimum Data Set (MDS), CMS
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Baseline: 6.7 percent of adults aged 60 years and older in 2008 had received zoster (shingles) vaccine
Target: 30.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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IID-15     (Developmental) Increase hepatitis B vaccine coverage among high-risk populations
Baseline: 64.3 percent of health care personnel in 2008 had received at least 3 doses of hepatitis B vaccine
Target: 90.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Health Interview Survey (NHIS), CDC/NCHS
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IID-17     Increase the percentage of providers who have had vaccination coverage levels among children in their practice population measured within the past year
Baseline: 40.0 percent of public provider sites that routinely provided immunizations to children aged 6 years and under participated in a provider assessment at least once in the past year in 2009
Target: 50.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: Program Annual Progress Assessments (PAPA), CDC/NCIRD
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Baseline: 33.0 percent of private provider sites that routinely provided immunizations to children aged 6 years and under participated in a provider assessment at least once in the past year in 2009
Target: 50.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: Program Annual Progress Assessments (PAPA), CDC/NCIRD
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Baseline: 13 States (including the District of Columbia) collected kindergarten vaccination coverage data according to CDC minimum standards in 2009
Target: 51 (States and the District of Columbia)
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: Annual School Assessment Reports, CDC/NCIRD
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Baseline: 14 States (including the District of Columbia) recorded 80 percent of among adolescents aged 11 to 18 years with 2 or more age-appropriate immunizations in an immunization information system (IIS) in 2009
Target: 40 (States and the District of Columbia)
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: Immunization Information Systems Annual Report (IISAR), CDC/NCIRD
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Baseline: 8 States used electronic data from rabies animal surveillance to inform public health prevention programs in 2010
Target: 52 States (excluding Hawaii), the District of Columbia, Puerto Rico, and New York City
Target-Setting Method: Projection/trend analysis
Data Source: Rabies Surveillance Network (RSN), CDC/NCZVED
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Baseline: 3 public health laboratories monitored influenza virus resistance to antiviral agents in 2009
Target: 25 public health laboratories
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: State Public Health Laboratories Performing Antiviral Resistance Testing, CDC/NCIRD
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Baseline: 1.0 cases of hepatitis A virus per 100,000 population were reported in 2007
Target: 0.3 cases per 100,000 population
Target-Setting Method: Projection/trend analysis
Data Source: National Notifiable Diseases Surveillance System (NNDSS), CDC/PHSPO
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Baseline: 799 cases of chronic hepatitis B virus (HBV) infection are estimated among infants and children aged 1 to 24 months who were born to mothers with HBV infections in 2007
Target: 400 cases
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Sources: National Vital Statistics System-Natality (NVSS-N), CDC/NCHS; Perinatal Hepatitis B Prevention Program, CDC/NCHHSTP
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IID-25     Reduce hepatitis B
Baseline: 2.0 symptomatic cases of hepatitis B per 100,000 persons aged 19 years and older were reported in 2007
Target: 1.5 cases per 100,000
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Notifiable Diseases Surveillance System (NNDSS), CDC/PHSPO
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Baseline: 285 symptomatic cases of hepatitis B were reported among injection drug users in 2007
Target: 215 cases
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Notifiable Diseases Surveillance System (NNDSS), CDC/PHSPO
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Baseline: 62 new hepatitis B infections were reported among men who indicated homosexual or bisexual preference in 2007
Target: 45 new infections
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Notifiable Diseases Surveillance System (NNDSS), CDC/PHSPO
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Baseline: 0.28 new symptomatic hepatitis C cases per 100,000 population were reported in the past 12 months in 2007
Target: 0.25 new cases per 100,000
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National Notifiable Diseases Surveillance System (NNDSS), CDC/PHSPO
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Baseline: 49.0 percent of National Health and Nutrition Examination Survey respondents who tested positive for chronic hepatitis C reported that they were aware of their hepatitis C infection status prior to the laboratory confirmation in 2002–07
Target: 60.0 percent
Target-Setting Method: Projection/trend analysis
Data Source: National Health and Nutrition Examination Survey (NHANES), CDC/NCHS
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Baseline: 4.8 confirmed new cases of tuberculosis per 100,000 population were reported to CDC by local health departments in all 50 States and the District of Columbia in 2005
Target: 1.0 new case per 100,000 population
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National TB Surveillance System (TB), CDC/NCHHSTP
Data:
Data for this objective HP2020 data for this objective
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Healthy People 2010 HP2010 data for this objective
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Baseline: 81.9 percent of persons with confirmed tuberculosis completed curative therapy in 2005
Target: 93.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National TB Surveillance System (TB), CDC/NCHHSTP
Data:
Data for this objective HP2020 data for this objective
Data Details Details about the methodology and measurement of this HP2020 objective
Healthy People 2010 HP2010 data for this objective
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Baseline: 68.1 percent of contacts to sputum smear-positive tuberculosis patients who are diagnosed with latent tuberculosis infection (LTBI) and initiated a course of treatment in 2007
Target: 79.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Sources: National TB Surveillance System (TB), CDC/NCHHSTP; Aggregate Reports for Tuberculosis Program Evaluation, CDC/NCHHSTP
Data:
Data for this objective HP2020 data for this objective
Data Details Details about the methodology and measurement of this HP2020 objective
Healthy People 2010 HP2010 data for this objective
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Baseline: 32.0 percent of culture-confirmed TB patients with a positive nucleic acid amplification test (NAAT) had their test results reported within 2 days of specimen collection in 2008
Target: 77.0 percent
Target-Setting Method: Maintain consistency with national programs, regulations, policies, and laws.
Data Source: National TB Surveillance System (TB), CDC/NCHHSTP
Data:
Data for this objective HP2020 data for this objective
Data Details Details about the methodology and measurement of this HP2020 objective
Healthy People 2010 HP2010 data for this objective
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