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Carin M. Olson, MD

JAMA. 1993;270(18):2222-2223.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Many characteristics of inner-city pediatric emergency departments (EDs) make them seem well suited to administer vaccines. They avoid the need for appointments and the inconvenient hours cited as impediments to vaccination,¹ and they have the equipment, drugs, and personnel needed to deal with severe adverse reactions.² In addition, a large proportion of the children seen in inner-city EDs are underimmunized. Two studies reported in this issue of THE JOURNAL give examples. In one,³ 36% of children 3 months to 5.5 years old had not received all age-appropriate immunizations according to their accompanying adults, and 47% had not received all immunizations according to their clinic records. In the other study,⁴18% to 29% of children 6 months to 5 years old needed measles vaccination and had no contraindication to receiving one during a measles epidemic.

At the same time, these two articles^3,4 highlight problems with the . . . [Full Text PDF of this Article]

Footnotes
Dr Olson is a contributing editor, JAMA.

Reprint requests to JAMA, 515 N State St, Chicago, IL 60610 (Dr Olson).

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