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Toddler Immunization Gap

Toddler Immunization Gap Abstract Sir.—In 1977 the National Childhood Immunization Initiative began, with the goal to raise immunization levels to greater than 90% of all vaccine-preventable diseases in the nation's children. Although the incidence of these infections has significantly declined in the United States, a substantial number of cases continue to be reported in the 1980s.1 When the age and immunity status of affected children are known, it is clearly evident that at least half of the cases were potentially preventable. In 1982 and 1983, 68% of reported pertussis cases in children 3 months to 6 years old did not have adequate immunization with diphtheria-tetanuspertussis (DTP) vaccine.2 In addition, 20.6% of all cases of measles in the first half of 1985 occurred in children 15 months to 4 years of age, and 69.2% of measles cases in preschool-age children were preventable.3 While specific laws require proof of adequate immunity for References 1. Final 1984 reports of notifiable disease . MMWR 1985;34:589-595. 2. Pertussis: United States, 1982 and 1983 . MMWR 1984;33:573-575. 3. Measles: United States, first 26 weeks, 1985 . MMWR 1986;35:1-4. 4. Hoekelman RA, Starfield B, McCormick M, et al: A profile of pediatric practice in the United States . AJDC 1983;137:1057-1060. 5. Roghmann KJ, Hoekelman RA, McInerny TK: The changing pattern of pediatric care: Update for one community . Pediatrics 1984;73: 363-374. 6. Measles: Arizona . MMWR 1986;35:99-100, 105-107. 7. Diphtheria, tetanus and pertussis: Guidelines for prophylaxis and other preventive measures . MMWR 1985;34:405-425. 8. Poliomyelitis prevention . MMWR 1982;31: 22-34. 9. Orenstein WR, Wisefield JS, Halsey NA: Diphtheria and Tetanus Toxoids and Pertussis Vaccine, Combined , scientific publication 451. Washington, DC, Pan American Health Organization, 1983. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1986.02140210013003
Publisher site
See Article on Publisher Site

Abstract

Abstract Sir.—In 1977 the National Childhood Immunization Initiative began, with the goal to raise immunization levels to greater than 90% of all vaccine-preventable diseases in the nation's children. Although the incidence of these infections has significantly declined in the United States, a substantial number of cases continue to be reported in the 1980s.1 When the age and immunity status of affected children are known, it is clearly evident that at least half of the cases were potentially preventable. In 1982 and 1983, 68% of reported pertussis cases in children 3 months to 6 years old did not have adequate immunization with diphtheria-tetanuspertussis (DTP) vaccine.2 In addition, 20.6% of all cases of measles in the first half of 1985 occurred in children 15 months to 4 years of age, and 69.2% of measles cases in preschool-age children were preventable.3 While specific laws require proof of adequate immunity for References 1. Final 1984 reports of notifiable disease . MMWR 1985;34:589-595. 2. Pertussis: United States, 1982 and 1983 . MMWR 1984;33:573-575. 3. Measles: United States, first 26 weeks, 1985 . MMWR 1986;35:1-4. 4. Hoekelman RA, Starfield B, McCormick M, et al: A profile of pediatric practice in the United States . AJDC 1983;137:1057-1060. 5. Roghmann KJ, Hoekelman RA, McInerny TK: The changing pattern of pediatric care: Update for one community . Pediatrics 1984;73: 363-374. 6. Measles: Arizona . MMWR 1986;35:99-100, 105-107. 7. Diphtheria, tetanus and pertussis: Guidelines for prophylaxis and other preventive measures . MMWR 1985;34:405-425. 8. Poliomyelitis prevention . MMWR 1982;31: 22-34. 9. Orenstein WR, Wisefield JS, Halsey NA: Diphtheria and Tetanus Toxoids and Pertussis Vaccine, Combined , scientific publication 451. Washington, DC, Pan American Health Organization, 1983.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Jul 1, 1986

References