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A National Review of Public Health Information Systems and the Protection of Privacy

Lawrence O. Gostin, JD; Zita Lazzarini, JD, MPH

JAMA. 1995;274(22):1793-1799.

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

COMMON childhood illnesses, such as measles, diphtheria, pertussis, tetanus, and polio, once accounted for a substantial proportion of infant and child morbidity and mortality in the United States.¹ Complete and timely early immunization can now effectively prevent these and other childhood diseases.^2-4 Despite the potential to protect the health of society's most vulnerable population, approximately one third of the 4 million infants born annually in the United States do not receive all of their recommended immunizations by age 2 years.⁵

The rate of complete immunization of school-aged children in the United States (>95%) is as high, or higher, than most other developed countries.^6,7 Yet the rate of full immunization of preschoolers (<65%)⁸ is less than that of many developed (and even some developing) countries.⁹ While the most recent provisional data show significant improvement in specific immunizations, levels for all immunizations remain well below the . . . [Full Text PDF of this Article]

Author Affiliations
From the Georgetown/Johns Hopkins University Program on Law and Public Health, Washington, DC, and Baltimore, Md (Mr Gostin), and Harvard School of Public Health, Boston, Mass (Ms Lazzarini).

Footnotes
The views expressed herein are those of the authors and do not necessarily reflect the official policy of the Centers for Disease Control and Prevention, the Carter Presidential Center, or the Council of State and Territorial Epidemiologists.

Reprint requests to Georgetown University Law Center, 600 New Jersey Ave NW, Washington, DC 20001 (Mr Gostin).

Health Law and Ethics section editors: Lawrence O. Gostin, JD, the Georgetown/ Johns Hopkins University Program on Law and Public Health, Washington, DC, and Baltimore, Md; Helene M. Cole, MD, Contributing Editor, JAMA.

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