Narramore J
Tennessee Department of Health, Nashville, USA.
Tenn Med. 2001 Apr;94(4):139-40.
Immunization rates among Tennessee's 2-year-olds remain at high levels, and disease remains at historically low levels. The completion rates have remained relatively stable for the past three years, although there has been an equalization of rates among the regions. The portion of the TennCare population receiving all their vaccines in the private setting will continue to require additional resources to sustain the improvements noted in this survey. Other children who have been identified as being at increased risk for incompletion are children starting their vaccine series past age 120 days and children with two or more older siblings. The Immunization Program has embarked on collaboration with the TennCare managed care organizations (MCOs) to electronically exchange immunization data with the Immunization Registry. This will eventually enable physicians, MCOs, and health department personnel to identify high-risk children and children who are behind in their immunization series for more intensive follow-up. The goal of 90% of all children being completely immunized by their second birthday is within our reach, as demonstrated by the dramatic increases in immunization levels in the past ten years. To reach that goal will require that we in the medical community, public and private, continue to use those strategies that have worked while developing new strategies that continue the progress.
田纳西州2岁儿童的免疫接种率维持在较高水平，疾病发病率也处于历史低位。过去三年，完成率相对稳定，尽管各地区之间的接种率已趋于均衡。在私人机构接种所有疫苗的田纳西医疗保健计划参保人群，仍将继续需要额外资源来维持本调查中所指出的改善情况。其他被确定为未完成接种风险增加的儿童包括：开始接种疫苗系列时超过120天龄的儿童，以及有两个或更多哥哥姐姐的儿童。免疫接种计划已着手与田纳西医疗保健计划管理式医疗组织（MCO）合作，以便与免疫接种登记处进行免疫接种数据的电子交换。这最终将使医生、MCO和卫生部门人员能够识别高风险儿童以及免疫接种系列滞后的儿童，以便进行更深入的随访。正如过去十年免疫接种水平的显著提高所表明的那样，到两岁时所有儿童90%完全免疫的目标是可以实现的。要实现这一目标，将要求我们医疗界的公立和私立机构继续采用行之有效的策略，同时制定能够延续这一进展的新策略。
