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NSW Annual Immunisation Coverage Report, 2010

Brynley Hull A D , Aditi Dey A , Sue Campbell-Lloyd B , Robert I. Menzies A C and Peter B. McIntyre A C
+ Author Affiliations
- Author Affiliations

A National Centre for Immunisation Research and Surveillance, The Children’s Hospital at Westmead

B AIDS and Infectious Diseases Branch, NSW Department of Health

C Sydney Medical School, The University of Sydney

D Corresponding author. Email:

NSW Public Health Bulletin 22(10) 179-195
Published: 8 November 2011


This annual report, the second in the series, documents trends in immunisation coverage in NSW for children, adolescents and the elderly, to the end of 2010. Methods: Data from the Australian Childhood Immunisation Register, the NSW School Immunisation Program and the NSW Population Health Survey were used to calculate various measures of population coverage, coverage for Aboriginal children and vaccination timeliness for all children. Results: Over 90% coverage has been reached for children at 12 and 24 months of age. For children at 5 years of age there was an improvement during 2010 in timeliness for vaccines due at 4 years and coverage almost reached 90%. Delayed receipt of vaccines is still an issue for Aboriginal children. For adolescents, there is good coverage for the first and second doses of human papillomavirus vaccine and the dose of diphtheria, tetanus and acellular pertussis. The pneumococcal vaccination rate in the elderly has been steadily rising, although it has remained lower than the influenza coverage estimates. Conclusion: Completion of the recommended immunisation schedule at the earliest appropriate age should be the next public health goal at both the state and local health district level. Official coverage assessments for ‘fully immunised’ should include the 7-valent pneumococcal conjugate and meningococcal C vaccines, and wider dissemination should be considered.


[1]  Hull B, Deeks S, Menzies R, McIntyre P. Immunisation coverage annual report, 2007. Commun Dis Intell 2009; 33 170–87.

[2]  Hull BP, Deeks SL, McIntyre PB. The Australian Childhood Immunisation Register – a model for universal immunisation registers? Vaccine 2009; 27 5054–60.
The Australian Childhood Immunisation Register – a model for universal immunisation registers?CrossRef |

[3]  Hull BP, McIntyre PB, Heath TC, Sayer GP. Measuring immunisation coverage in Australia. A review of the Australian Childhood Immunisation Register. Aust Fam Physician 1999; 28 55–60.
| 1:STN:280:DyaK1M7ktlClsw%3D%3D&md5=754699430a22fc60635bc5c353883b1aCAS |

[4]  O'Brien ED, Sam GA, Mead C. Methodology for measuring Australia's childhood immunisation coverage. Commun Dis Intell 1998; 22 36–7.
| 1:STN:280:DyaK1c3hvVWntA%3D%3D&md5=3fe1566421c58598cdd3b8d4f0edf568CAS |

[5]  Hull BP, McIntyre PB. Immunisation coverage reporting through the Australian Childhood Immunisation Register – an evaluation of the third-dose assumption. Aust N Z J Public Health 2000; 24 17–21.
Immunisation coverage reporting through the Australian Childhood Immunisation Register – an evaluation of the third-dose assumption.CrossRef | 1:STN:280:DC%2BD3c3ktVCnsw%3D%3D&md5=62ca700937edd9017fe8cefa055eb726CAS |

[6]  Hull BP, Lawrence GL, MacIntyre CR, McIntyre PB. Estimating immunisation coverage: is the ‘third dose assumption' still valid? Commun Dis Intell 2003; 27 357–61.

[7]  Rank C, Menzies RI. How reliable are Australian Childhood Immunisation Register coverage estimates for indigenous children? An assessment of data quality and coverage. Commun Dis Intell 2007; 31 283–7.

[8]  Australian Bureau of Statistics (ABS). Australian Standard Geographical Classification (ASGC), 2001. Cat. no. 1216.0. Canberra: ABS; 2001.

[9]  Australian Bureau of Statistics (ABS). Statistical Subdivision from Postal Area 2006 Concordance. Canberra: ABS; 2007. Available from:!OpenDocument (Cited 29 August 2011.)

[10]  Health NSW. New South Wales Population Health Survey. 2010. Available from: (Cited 29 August 2011.)

[11]  Ward KF, Menzies RI, Quinn HE, Campbell-Lloyd S. School-based vaccination in NSW. N S W Public Health Bull 2010; 21 237–42.
School-based vaccination in NSW.CrossRef |

[12]  Hull BP, McIntyre PB. Timeliness of childhood immunisation in Australia. Vaccine 2006; 24 4403–8.
Timeliness of childhood immunisation in Australia.CrossRef |

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