Bedford H E, Masters J I, Kurtz Z
Department of Paediatric Epidemiology, Institute of Child Health, London.
Arch Dis Child. 1992 Oct;67(10):1288-91. doi: 10.1136/adc.67.10.1288.
In one inner London district health authority, the immunisation status of children attending their routine school entry health interview was reviewed over four terms. During the course of these interviews, school nurses completed a questionnaire with parents that asked for their child's immunisation history and details of family and social background. Parental reporting of immunisation history was compared with district health authority records. Only 56% of children reviewed were found to be fully immunised, although a substantial number (386) of the 513 partially immunised children required only a preschool booster. Four percent (54) of the children had received no immunisations; a disproportionately high number of these were recent immigrants. Mechanisms for identifying unimmunised children before they enter communal groups need to be established.
在伦敦市中心的一个地区卫生局,对在常规入学健康面谈中接受检查的儿童的免疫状况进行了四个学期的审查。在这些面谈过程中,学校护士与家长一起填写了一份问卷,询问孩子的免疫史以及家庭和社会背景细节。将家长报告的免疫史与地区卫生局的记录进行了比较。结果发现,接受检查的儿童中只有56%完全免疫,不过在513名部分免疫的儿童中,有相当一部分(386名)只需在学龄前进行一次加强免疫。4%(54名)的儿童未接种任何疫苗;其中近期移民的比例过高。需要建立在未免疫儿童进入社区群体之前识别他们的机制。