Peterson Robin M, Cook Carolyn, Yerxa Mary E, Marshall James H, Pulos Elizabeth, Rollosson Matthew P
MultiCare Mobile Health Services, Tacoma, WA, USA.
J Sch Nurs. 2012 Oct;28(5):352-7. doi: 10.1177/1059840512446069. Epub 2012 May 1.
Washington State has some of the highest percentages of school immunization exemptions in the country. We compared school immunization records in a rural school district in Pierce County, Washington, to immunization records in the state immunization information system (IIS) and parent-held records. Correcting school immunization records resulted in an increase in the number of students classified as fully immunized from 1,189 to 1,564 (p < .0001). We conducted school-based immunization clinics that increased the number of fully immunized students to 1,624 (p = .013). Immunized students with certificates of exemption on file suggest exemptions of convenience. Strategies to improve school immunization services include assigning IIS access to school administrative staff and educating school staff and parents on the importance of immunization.
华盛顿州的学校免疫豁免率在全国处于较高水平。我们将华盛顿州皮尔斯县一个农村学区的学校免疫记录与该州免疫信息系统（IIS）中的记录以及家长持有的记录进行了比较。对学校免疫记录进行修正后，被归类为完全免疫的学生人数从1189人增加到了1564人（p < .0001）。我们开展了以学校为基础的免疫诊所，使完全免疫的学生人数增加到了1624人（p = .013）。有豁免证明文件的已免疫学生表明存在出于便利的豁免情况。改善学校免疫服务的策略包括让学校行政人员能够访问免疫信息系统，并对学校工作人员和家长进行免疫重要性的教育。
