0
August 1993, Vol 147, No. 8 >
Article | August 1993

US Immunization System Rx: Install New Components FREE

EDGAR K. MARCUSE, MD, MPH
Am J Dis Child. 1993;147(8):813-815. doi:10.1001/archpedi.1993.02160320015005.
Text Size: A A A
Published online
Article
References
Comments

Elsewhere in this issue, Raddish et al1 report their study of the immunization status of children attending the Boston (Mass) Children's Hospital spina bifida clinic. Eighty percent of the children received their first diphtheria and tetanus toxoids and pertussis and oral poliovirus vaccines on time. At 24 months of age, only 58% had received four diphtheria and tetanus toxoids and pertussis, three oral poliovirus, and one measles-mumps-rubella vaccinations. At 7 years of age, 81% had received a total of these eight immunizations. Risk factors for under-immunization included being insured by Medicaid and having a mother with 12 years of school or less. In sum, children at all age levels attending this clinic were less well immunized than the general Massachusetts population and shared common risk factors for underimmunization. The authors note that these dismal results are even more remarkable because the study families had higher incomes than the state's

REFERENCES

1 +
Raddish M, Goldmann DA, Kaplan LC, Perrin JM.  The immunization status of children with spina bifida . AJDC . 1993;:147:849-853.
2 +
National Vaccine Advisory Committee. Access to Childhood Immunization: Recommendations and Strategies for Action . Washington, DC: US Dept of Health and Human Services; (April) 22, 1992;.
3 +
Kanthor H, Pless B, Satterwhite B, Myers G.  Areas of responsibility in the health care of multiply handicapped children . Pediatrics . 1974;;54: 779-785.
4 +
Okamoto GA, Shurtleff DA.  Perceived first contact care for disabled children . Pediatrics . 1981;;67:530-535.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Raddish M, Goldmann DA, Kaplan LC, Perrin JM.  The immunization status of children with spina bifida . AJDC . 1993;:147:849-853.
2 +
National Vaccine Advisory Committee. Access to Childhood Immunization: Recommendations and Strategies for Action . Washington, DC: US Dept of Health and Human Services; (April) 22, 1992;.
3 +
Kanthor H, Pless B, Satterwhite B, Myers G.  Areas of responsibility in the health care of multiply handicapped children . Pediatrics . 1974;;54: 779-785.
4 +
Okamoto GA, Shurtleff DA.  Perceived first contact care for disabled children . Pediatrics . 1981;;67:530-535.

Correspondence

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems