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Robert S. Thompson, MD

JAMA. 1997;277(8):670-671.

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

In this issue of THE JOURNAL, LeBaron et al₁ review a decade of work by the Georgia Department of Public Health to improve immunization levels in Georgia's public health clinics (more than 200) across the state.

The primary outcome of this very important work was a dramatic overall increase in immunization completion rates for 2-year-olds (the 4-3-1 series, where children receive 4 doses of the diphtheria-tetanus-pertussis vaccine, 3 doses of oral poliovirus vaccine, and 1 dose of measles-mumps-rubella vaccine) over a 7-year period, from 53% in 1988 to 89% in 1994. Incremental improvement in rates progressed in a moderately steady fashion, averaging about 6% per year. In addition, process measures also improved. These included fewer missed opportunities for immunization, fewer lost contacts with the children, and fewer late initiations of immunizations.

See also p 631.

The interventions in this study at the state level were to measure the immunization . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Preventive Care, Group Health Cooperative of Puget Sound, Seattle, Wash.

Footnotes
Reprints: Robert S. Thompson, MD, Department of Preventive Care, Group Health Cooperative of Puget Sound, 1730 Minor Ave, Suite 1600, Seattle, WA 98101-1448.

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