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- Title
Immunization coverage levels among 19- to 35-month-old children in 4 diverse, medically underserved areas of the United States.
- Authors
Rosenthal, Jorge; Rodewald, Lance; McCauley, Mary; Berman, Stephen; Irigoyen, Matilde; Sawyer, Mark; Yusuf, Hussein; Davis, Ronald; Kalton, Graham
- Abstract
The National Immunization Survey demonstrates that national immunization coverage in 2002 remained near the all-time highs achieved in 2000. However, that survey cannot detect whether coverage is uniformly high within relatively small areas or populations. The measles resurgence in the early 1990s revealed that coverage was low in some areas, particularly among inner-city children from racial and ethnic minority groups. Today, identifying areas with low childhood-vaccination coverage remains important, particularly if these areas are at risk for the introduction of disease. In 1995, the Centers for Disease Control and Prevention launched a congressionally mandated demonstrated project now called the Childhood Immunization Demonstration project of Community Health Networks. This mandate specified an assessment to determine whether a network of primary care providers affiliated with university teaching hospitals could assume a public health responsibility for raising immunization levels among preschoolers in medically underserved communities. Communities with federally designated health professional shortage areas were invited to submit proposals, and 4 were selected: Detroit, MI, New York, NY, San Diego, CA, and rural Colorado.
- Publication
Pediatrics, 2004, Vol 113, Issue 4, pe296
- ISSN
1098-4275
- Publication type
Journal Article
- DOI
10.1542/peds.113.4.e296