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Immunisation status in inner London primary schools.

H E Bedford1, J I Masters, Z Kurtz

  • 1Department of Paediatric Epidemiology, Institute of Child Health, London.

Archives of Disease in Childhood
|October 1, 1992
PubMed
Summary

Many children lack full immunization, with recent immigrants disproportionately affected. Establishing systems to identify unvaccinated children before school entry is crucial for public health.

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Area of Science:

  • Public Health
  • Pediatrics
  • Immunology

Background:

  • Childhood immunizations are critical for preventing infectious diseases.
  • Assessing immunization status at school entry provides a key opportunity for intervention.

Purpose of the Study:

  • To evaluate the immunization status of children at school entry in an inner London district.
  • To compare parental reporting of immunization history with official records.
  • To identify factors associated with incomplete immunization.

Main Methods:

  • A review of immunization status was conducted over four terms for children attending school entry health interviews.
  • School nurses collected data via questionnaires on immunization history, family, and social background.
  • Parental reports were cross-referenced with district health authority immunization records.

Main Results:

  • Only 56% of children were fully immunized.
  • 386 out of 513 partially immunized children only required a preschool booster.
  • 4% (54) of children had received no immunizations, with a disproportionately high number being recent immigrants.

Conclusions:

  • A significant proportion of children entering school lack full immunization.
  • Recent immigrants represent a vulnerable group with lower immunization rates.
  • Proactive identification and vaccination of unimmunized children before school entry are necessary.

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