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Preschool children at high risk for measles

Opportunities to vaccinate

Bibliographic Data

ID11029757
AuthorsSonja S Hutchins (0000-0002-7557-1006, National Center for Immunization and Respiratory Diseases), Jacqueline S Gindler, William Atkinson, W L Atkinson, E Mihalek, Edward F Mihalek, D Ewert, Donnell P Ewert, C E LeBaron, Emmett B Swint, Stephen C Hadler (0000-0002-2985-7337)
Year1993
Volume83
Issue6
Pages862-867
Publication date1993-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.83.6.862
PMID8498625
OpenAlexW1965582965
LanguageEN
Citations received5
References cited10

OBJECTIVES: In 1989 and 1990 the United States experienced a measles epidemic with more than 18,000 and 27,000 reported cases, respectively. Nearly half of all persons with measles were unvaccinated preschool children under 5 years of age. We sought to identify potential sites for vaccine delivery. METHODS. Preschool children with measles were surveyed in five inner cities with measles outbreaks in 1989 to 1990 to assess the children's use of health care services and federal assistance programs before contracting measles. RESULTS. Of 972 case children surveyed, 618 (64%) were eligible for measles vaccination at measles onset. Of those, 93% had previously visited a health care provider (private physician, public clinic, hospital emergency department, or hospital outpatient department) and 65% were enrolled in a federal assistance program (AFDC, WIC, or food stamps). Based on parent-reported reasons for health care visits, in Dallas and New York City, health care providers of 24% of 172 children may have missed at least one opportunity to administer measles vaccine. CONCLUSIONS. Many potential opportunities exist to raise the vaccination coverage of unvaccinated preschool children. These opportunities depend on (1) health care providers taking advantage of all opportunities to vaccinate, and (2) immunization services being linked to federal assistance programs

Environmental health · Measles · Vaccination · Demography · Immune responses and vaccinations · Medicine · Vaccine Coverage and Hesitancy · Virology · Virology and Viral Diseases · Pediatrics

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Unique citing works5
Citations per year0,15
Citation span1993 - 2007 (15)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 5

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