Freed G L, Bordley W C, DeFriese G H
Cecil G. Sheps Center for Health Services Research, University of North Carolina, Chapel Hill 27599-7490.
Milbank Q. 1993;71(1):65-96.
Immunizations have been among the most successful of preventive interventions. However, concern exists in the United States that recent epidemics of vaccine-preventable diseases and low rates of childhood immunizations may signal the existence of major underlying problems in immunization policy. Additionally, the effectiveness of national, state, and local public health programs in administering these and other preventive services to children has been called into question. This article examines the current state of childhood immunizations in this country and offers a broad range of suggestions for policy modification.
免疫接种一直是最成功的预防性干预措施之一。然而，美国存在这样的担忧，即近期可通过疫苗预防的疾病流行以及儿童免疫接种率较低，可能预示着免疫政策存在重大潜在问题。此外，国家、州和地方公共卫生项目在为儿童提供这些及其他预防服务方面的有效性也受到了质疑。本文审视了该国儿童免疫接种的现状，并提出了一系列广泛的政策修改建议。
