Related Experiment Video
Updated: May 22, 2026
12:08
Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Improving immunization coverage in a rural school district in Pierce County, Washington.
Robin M Peterson1, Carolyn Cook, Mary E Yerxa
1MultiCare Mobile Health Services, Tacoma, WA, USA.
Summary
Washington State school immunization records were corrected, increasing fully immunized students. School-based clinics further boosted immunization rates, highlighting the need for better data and education.
Area of Science:
- Public Health
- Epidemiology
- Health Services Research
Background:
- Washington State exhibits high rates of school immunization exemptions.
- Discrepancies exist between school, state, and parent-held immunization records.
- Accurate immunization data is crucial for public health surveillance and disease prevention.
Purpose of the Study:
- To compare immunization records in a rural Washington school district with the state immunization information system (IIS) and parent-held records.
- To assess the impact of record correction and school-based immunization clinics on student immunization status.
- To identify strategies for improving school immunization record accuracy and coverage.
Main Methods:
- Comparative analysis of school, IIS, and parent-held immunization records.
- Data correction to establish accurate student immunization status.
- Implementation and evaluation of school-based immunization clinics.
Main Results:
- Correcting school records significantly increased the count of fully immunized students from 1,189 to 1,564 (p < .0001).
- School-based immunization clinics further raised the number of fully immunized students to 1,624 (p = .013).
- The presence of exemption certificates for already immunized students suggests "exemptions of convenience".
Conclusions:
- Accurate school immunization record-keeping is essential for understanding immunization coverage.
- School-based interventions, including clinics and improved data management, can effectively increase immunization rates.
- Strategies such as providing IIS access to school staff and educating stakeholders are recommended to enhance immunization services.
Related Concept Videos
01:51Vaccinations
Overview
01:22Development of Immunocompetence
The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
01:30Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:30Specialized Care Centers and Settings-II
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:30Pneumonia V: Nursing management and Prevention
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.
01:25Immunodeficiency Diseases
Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency disorders...
There are three main causes of immunodeficiency disorders...