Scheiber M, Halfon N
Berkeley-University of California, School of Medicine, Joint Medical Program, San Francisco.
West J Med. 1990 Oct;153(4):400-5.
Data collected by the Immunization Unit of the California Department of Health Services from 1979 to 1987 were analyzed to determine the effects of changes in state policy on the immunization levels of children in California. By December 1986, 90% of all children entering kindergarten in California were adequately immunized, representing a 15% increase from 1979. Although California has shown substantial improvements, it still lags behind the national weighted average. Even with high levels of immunization at kindergarten entry, many toddlers of 7 months and 2 years old remain inadequately immunized. Children immunized solely in the private sector were more adequately immunized than those served by public health clinics; the public-private difference for infants aged 7 months was nearly twofold.
对加利福尼亚州卫生服务部免疫部门在1979年至1987年期间收集的数据进行了分析,以确定州政策变化对加利福尼亚州儿童免疫水平的影响。到1986年12月,加利福尼亚州所有进入幼儿园的儿童中有90%得到了充分免疫,比1979年增长了15%。尽管加利福尼亚州已取得了显著进步,但仍落后于全国加权平均水平。即使在幼儿园入学时免疫水平较高,许多7个月和2岁的幼儿免疫接种仍不足。仅在私立部门接种疫苗的儿童比在公共卫生诊所接种的儿童免疫情况更好;7个月大婴儿的公私差异近两倍。