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Low measles incidence: Association with enforcement of school immunization laws

Author

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  • Robbins, K.B.
  • Brandling-Bennett, A.D.
  • Hinman, A.R.

Abstract

Of 54 federal immunization project areas in the United States, 13 areas with low measles incidence rates in 1977 and 1978 and 10 with high measles incidence rates were compared for differences in surveillance systems, demography, vaccine utilization, school immunization laws, and immunity levels. There was no significant difference between the low incidence and high incidence group for any examined parameter of demographic characteristics, vaccine utilization, or surveillance systems. However, in the low incidence group, school immunization laws were found to be more comprehensive and more strictly enforced with a statewide policy of exclusion from school of noncompliant students. Furthermore, immunization levels were similar for 2-year-olds in both groups but were significantly higher for school entrants in the low incidence group. In all public health efforts to control or eliminate measles, priority should be given to establishing and strictly enforcing comprehensive school immunization laws.

Suggested Citation

  • Robbins, K.B. & Brandling-Bennett, A.D. & Hinman, A.R., 1981. "Low measles incidence: Association with enforcement of school immunization laws," American Journal of Public Health, American Public Health Association, vol. 71(3), pages 270-274.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.71.3.270_3
    DOI: 10.2105/AJPH.71.3.270
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    Cited by:

    1. Hawe, Penelope & Noort, Michelle & King, Lesley & Jordens, Christopher, 1997. "Multiplying Health Gains: the critical role of capacity-building within health promotion programs," Health Policy, Elsevier, vol. 39(1), pages 29-42, January.

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