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Achieving optimal immunization levels in school-age children.

C DeAngelis, B Berman, D Oda

    The Journal of Pediatrics
    |November 1, 1983
    PubMed
    Summary

    School immunization programs achieved high student vaccination rates, but student turnover impacted sustained coverage. Continuous programs with administrative monitoring are key for maintaining immunization levels.

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    Area of Science:

    • Public Health
    • Epidemiology
    • Health Services Research

    Background:

    • School-based immunization programs are crucial for achieving high vaccination coverage among children.
    • Student mobility and turnover present challenges to maintaining sustained immunization levels within school populations.
    • Discrepancies exist between state-reported and school-recorded immunization data.

    Purpose of the Study:

    • To evaluate the effectiveness of a school-based immunization program in four states.
    • To identify factors influencing sustained immunization levels and completion rates.
    • To assess the role of schools in augmenting immunization efforts.

    Main Methods:

    • Longitudinal tracking of student immunization status within a school-based program across four states.
    • Analysis of immunization data based on student enrollment periods (start of year vs. during year).
    • Comparison of immunization levels reported by state immunization officers versus school personnel.

    Main Results:

    • Full immunization reached 70% by year one and 85% by year two.
    • Student turnover led to a 20% loss in immunization levels annually.
    • Immunization completion was significantly higher (33-40%) for continuously enrolled students compared to new entrants.
    • Unimmunized students at the start of the year had a significantly higher likelihood of becoming immunized (P < 0.001).

    Conclusions:

    • Sustained, continuing immunization programs with robust administrative monitoring are essential for maintaining high coverage.
    • Schools are well-positioned to implement and sustain immunization programs, complementing private practitioner efforts.
    • Effective program management requires careful monitoring of child-specific, population-based data to address student turnover challenges.

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