Division of Otolaryngology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
J Pediatr Health Care. 2010 Jan-Feb;24(1):42-7. doi: 10.1016/j.pedhc.2009.02.002. Epub 2009 Apr 11.
The immunization of children against a vast number of life-threatening infectious agents has been hailed as one of the greatest public health interventions of the twentieth century. In America, the morbidity and mortality associated with many common childhood infectious diseases has all but vanished. State-based school entry vaccination laws play a significant role in achieving high immunization rates among children and adolescents. Alarmingly, there is no consistent regulation in place to monitor the immunization status of the ever-growing home-schooled population. It is widely unknown whether the nearly 2 million home-schooled children are adequately immunized. As the home schooling movement continues to gain ground in the United States, pediatric nurse practitioners in the primary care setting will play an important role in protecting the health of these children, as well as the public's health.
儿童接种大量威胁生命的传染病疫苗被称赞为 20 世纪最伟大的公共卫生干预措施之一。在美国，许多常见儿童传染病的发病率和死亡率几乎已经消失。州级学校入学疫苗接种法在实现儿童和青少年高免疫率方面发挥了重要作用。令人震惊的是，对于日益增长的 homeschool 人群，并没有一致的监管措施来监测他们的免疫状况。目前尚不清楚近 200 万 homeschool 儿童是否得到了充分免疫。随着 homeschool 运动在美国继续发展，初级保健环境中的儿科执业护士将在保护这些儿童以及公众健康方面发挥重要作用。
