Effect of Hurricane Maria on HPV, Tdap, and meningococcal conjugate vaccination rates in Puerto Rico, 2015–2019

Figures & data

Figure 1. HPV, Tdap and meningococcal monthly initiation vaccine rates (July–December) among adolescents 11 to 17 years old: Puerto Rico 2015–2019.

Table 1. Standardized initiation rate ratio (SRR) for HPV, Tdap, and meningococcal vaccination among adolescents 11–17 years, by months (July to December) of years 2015 to 2019

Standardized Risk Ratio^b
Years	July	August	September	October	November	December
HPV
2017 vs 2015^a	1.03 (0.97–1.10)	1.04 (0.98–1.10)	0.94 (0.80–1.09)	0.91 (0.78–1.07)	0.97 (0.86–1.09)	0.99 (0.87–1.12)
2017 vs 2016^a	1.04 (0.97–1.11)	1.08 (1.02–1.15) *	0.95 (0.81–1.12)	0.92 (0.79–1.08)	0.99 (0.87–1.12)	1.04 (0.92–1.19)
2017 vs 2018^a	0.95 (0.89–1.01)	0.94 (0.89–0.99) *	0.84 (0.71–0.98) *	0.83 (0.70–0.97) *	0.89 (0.78–1.01)	0.92 (0.80–1.07)
2017 vs 2019^a	0.94 (0.87–1.02)	0.94 (0.87–1.01)	0.85 (0.71–1.02)	0.83 (0.70–0.99) *	0.92 (0.78–1.08)	0.90 (0.74–1.11)
Tdap
2017 vs 2015^a	0.97 (0.88–1.07)	0.98 (0.91–1.06)	0.97 (0.78–1.19)	0.91 (0.74–1.12)	0.83 (0.70–0.99) *	0.91 (0.75–1.10)
2017 vs 2016^a	0.97 (0.87–1.08)	0.98 (0.91–1.06)	0.97 (0.78–1.20)	0.93 (0.75–1.14)	0.84 (0.70–1.00) *	0.94 (0.77–1.15)
2017 vs 2018^a	1.00 (0.89–1.12)	0.99 (0.91–1.07)	0.98 (0.78–1.24)	0.91 (0.73–1.13)	0.85 (0.68–1.06)	0.93 (0.71–1.22)
2017 vs 2019^a	1.00 (0.87–1.15)	0.98 (0.88–1.10)	1.01 (0.76–1.33)	0.96 (0.75–1.25)	0.88 (0.68–1.15)	0.93 (0.64–1.40)
Meningococcal
2017 vs 2015^a	0.98 (0.90–1.07)	0.99 (0.92–1.06)	0.92 (0.75–1.13)	0.87 (0.72–1.08)	0.82 (0.70–0.97) *	0.90 (0.75–1.07)
2017 vs 2016^a	0.97 (0.87–1.07)	0.98 (0.92–1.06)	0.91 (0.74–1.12)	0.89 (0.72–1.08)	0.82 (0.69–0.97) *	0.94 (0.78–1.12)
2017 vs 2018^a	1.00 (0.90–1.11)	1.03 (0.95–1.11)	0.92 (0.73–1.15)	0.89 (0.71–1.10)	0.85 (0.69–1.06)	0.92 (0.73–1.17)
2017 vs 2019^a	0.98 (0.86–1.11)	1.04 (0.94–1.16)	0.92 (0.71–1.19)	0.90 (0.71–1.15)	0.92 (0.71–1.19)	0.93 (0.65–1.35)

^aReference year.

^bThe ratio of two ASR with 95% confidence interval between parentheses.

*P-value < .05.