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. 2025 Nov 20;74(37):589–591. doi: 10.15585/mmwr.mm7437a2

TABLE. Summary of change in birthing hospital enrollment in the Vaccines for Children program across two respiratory syncytial virus seasons — United States, October 1, 2023–March 31, 2024, and October 1, 2024–March 31, 2025.

Jurisdiction Birthing hospitals*
Total no. at the
end of the 2024–25 
RSV season
No. (% of total) enrolled in VFC
Beginning of the 2023–24
RSV season End of the 2024–25
RSV season
United States
2,817
763 (27.1)
1,021 (36.2)
State or city
Alabama
49
7 (14.3)
10 (20.4)
Alaska
19
10 (52.6)
11 (57.9)
Arizona
48
24 (50.0)
24 (50.0)
Arkansas
35
18 (50.0)
20 (57.1)
California
226
34 (15.0)
54 (23.9)
Colorado
63
6 (9.5)
22 (34.9)
Connecticut
23
18 (78.3)
23 (100.0)
Delaware
7
2 (28.6)
2 (28.6)
District of Columbia
6
0 (—)
1 (16.7)
Florida
119
8 (6.7)
13 (10.9)
Georgia
77
5 (6.4)
4 (5.2)
Hawaii
12
11 (91.7)
10 (83.3)
Idaho
31
20 (64.5)
23 (74.2)
Illinois
74
2 (2.7)
6 (8.1)
    Chicago
15
2 (13.3)
4 (26.7)
Indiana
72
16 (22.2)
27 (37.5)
Iowa
53
21 (39.6)
23 (43.4)
Kansas
64
0 (—)
1 (1.6)
Kentucky
49
32 (65.3)
34 (69.4)
Louisiana
52
14 (26.9)
17 (32.7)
Maine
19
9 (45.0)
19 (100.0)
Maryland
33
2 (6.1)
6 (18.2)
Massachusetts
40
19 (47.5)
31 (77.5)
Michigan
76
58 (76.3)
64 (84.2)
Minnesota
89
10 (11.2)
11 (12.4)
Mississippi
46
17 (37.0)
19 (41.3)
Missouri
63
4 (6.3)
5 (7.9)
Montana
25
24 (96.0)
23 (92.0)
Nebraska
55
0 (—)
0 (—)
Nevada
20
8 (38.1)
8 (40.0)
New Hampshire
15
7 (46.7)
8 (53.3)
New Jersey
50
5 (10.0)
14 (28.0)
New Mexico
29
11 (37.9)
11 (37.9)
New York
78
2 (2.6)
54 (69.2)
    New York City
38
26 (68.4)
38 (100.0)
North Carolina
83
41 (49.4)
44 (53.0)
North Dakota
13
12 (92.3)
5 (38.5)
Ohio
91
1 (1.1)
1 (1.1)
Oklahoma
45
14 (31.1)
17 (37.8)
Oregon
47
2 (4.3)
1 (2.1)
Pennsylvania
72
63 (84.0)
60 (83.3)
    Philadelphia
6
0 (—)
5 (83.3)
Rhode Island
5
5 (100.0)
5 (100.0)
South Carolina
45
13 (28.9)
14 (31.1)
South Dakota
23
13 (54.2)
12 (52.2)
Tennessee
64
7 (10.9)
7 (10.9)
Texas
211
53 (25.1)
65 (30.8)
    Houston
13
1 (7.7)
7 (53.8)
    San Antonio
7
4 (57.1)
4 (57.1)
Utah
46
5 (10.9)
24 (52.2)
Vermont
11
4 (36.4)
9 (81.8)
Virginia
58
7 (11.9)
14 (24.1)
Washington
54
23 (42.6)
39 (72.2)
West Virginia
21
2 (9.5)
3 (14.3)
Wisconsin
81
15 (18.5)
19 (23.5)
Wyoming
17
2 (11.1)
1 (5.9)
U.S. Census Bureau region §
Northeast
357
158 (44.3)
266 (74.5)
Midwest
769
154 (20.0)
178 (23.1)
South
1,020
247 (24.2)
301 (29.5)
West
637
180 (28.3)
251 (39.4)
Territory
American Samoa
1
1 (100.0)
1 (100.0)
Guam
2
0 (—)
0 (—)
Northern Mariana Islands
1
0 (—)
0 (—)
Puerto Rico
28
21 (65.6)
22 (78.6)
U.S. Virgin Islands 2 2 (100.0) 2 (100.0)

Abbreviations: RSV = respiratory syncytial virus; VFC = Vaccines for Children.

* The total number of known birthing hospitals on March 31, 2025, was used as the denominator for both time points. The denominator did not change meaningfully between seasons.

Jurisdiction did not provide additional feedback on its birthing hospital enrollment data.

§ U.S. Census Bureau regions and divisions of the United States excludes U.S. territories.