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Related Experiment Videos

Vaccine coverage: recent trends and future prospects.

J M White1, S J Gillam, N T Begg

  • 1Public Health Laboratory Service, Communicable Disease Surveillance Centre, Colindale, London.

BMJ (Clinical Research Ed.)
|March 14, 1992
PubMed
Summary

Achieving the 95% childhood immunisation coverage target by 1995 is feasible, with recent trends showing steady increases. Sociodemographic factors had minimal impact on vaccination coverage rates.

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Services Research

Background:

  • The UK government set a target of 95% childhood immunisation coverage by 1995.
  • Monitoring vaccination trends and influencing factors is crucial for public health policy.

Purpose of the Study:

  • To evaluate the feasibility of reaching the 95% childhood immunisation coverage target by 1995.
  • To determine the impact of sociodemographic factors and information systems on vaccination trends.

Main Methods:

  • Analysis of quarterly vaccination data for diphtheria, pertussis, and measles from February 1988 to February 1991 in England, Wales, and Northern Ireland.
  • Inclusion of cohorts based on the age of the youngest child reaching target vaccination milestones (18 months for third doses, 2 years for measles).

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Main Results:

  • Predicted coverage levels for mid-1995 exceeded 95% for diphtheria, pertussis, and measles vaccines.
  • Coverage increased by 6% for diphtheria and 13% for pertussis and measles between 1988 and 1991.
  • 1991 coverage was strongly correlated with 1988 coverage; sociodemographic factors showed marginal statistical significance.

Conclusions:

  • The 95% national immunisation coverage target for 1995 is considered realistic, though projections warrant caution.
  • National vaccination initiatives likely contributed to observed coverage increases.
  • Data validation and updating processes can enhance recorded vaccination coverage.