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A Prospective, Controlled Evaluation of a Large-Scale Program in Rhode Island

Earl B. Byrne, MD, MPH; William Schaffner, MD; Eugene F. Dini; George E. Case, MA

JAMA. 1970;212(5):770-773.

Abstract
A controlled prospective study of an infant immunization surveillance program in Rhode Island demonstrated significant motivational effects of the program on parents of newborn infants. Immunizations were initiated more often at the earliest appropriate age and higher overall levels of immunization with certain vaccines were obtained in the portion of the population subjected to the program than among controls. The effect was most pronounced in the lowest social class and diminished successively with increasing social rank. Costs were estimated to be $42 per additional child immunized. Strengths and weaknesses revealed by the study suggest that costs could be further reduced by nearly one third with but minor changes in the program, and without diminishing its effectiveness.

Author Affiliations
From the Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Conn (Dr. Byrne), the Division of Epidemiology, Rhode Island Department of Health, Providence (Dr. Schaffner, Mr. Dini), and the Epidemiology and Immunization Programs, National Communicable Disease Center, Atlanta (Dr. Schaffner, Mr. Dini, and Mr. Case). Dr. Byrne is now with Jefferson Medical College, Philadelphia. Dr. Schaffner is now with Vanderbilt University School of Medicine, Nashville, Tenn.

Footnotes
Read in part before the Sixth Immunization Conference, Atlanta, March 13,1969.

Reprint requests to 1025 Walnut St, Philadelphia 19107 (Dr. Byrne).

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