Abstract
Investigations showed that the measles immunisation programme in our health board was a failure. Surveys of health care staff and parents to determine the cause of the problem identified several aspects of concern: the immunisation of children was often left to parental initiative, with only 29% of general practitioners playing an active part in recalling children by the 15th month of age; general practitioners, clinical medical officers, paediatricians, and health visitors all required education on several aspects of measles immunisation; parents also required more information about the importance of preventing this disease. A coordinated effort to remedy these problems was introduced which achieved an increase of 13% in vaccine uptake during 1984. These findings may have implications beyond our own area.
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- Adjaye N. Measles immunization. Some factors affecting non-acceptance of vaccine. Public Health. 1981 Jul;95(4):185–188. doi: 10.1016/s0033-3506(81)80069-8. [DOI] [PubMed] [Google Scholar]
- Anderson R. M., May R. M. Directly transmitted infections diseases: control by vaccination. Science. 1982 Feb 26;215(4536):1053–1060. doi: 10.1126/science.7063839. [DOI] [PubMed] [Google Scholar]
- Brook C. G. Immunisation policies. Br Med J (Clin Res Ed) 1983 Apr 2;286(6371):1082–1083. doi: 10.1136/bmj.286.6371.1082. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bussey A. L., Harris A. S. Computers and the effectiveness of the measles vaccination campaign in England and Wales. Community Med. 1979 Feb;1(1):29–35. doi: 10.1007/BF02548740. [DOI] [PubMed] [Google Scholar]
- Campbell A. G. Measles immunisation: why have we failed? Arch Dis Child. 1983 Jan;58(1):3–5. doi: 10.1136/adc.58.1.3. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Davies J. W., Acres S. E., Varughese P. V. Canada needs a compulsory measles vaccination program. Can Med Assoc J. 1982 Jan 15;126(2):107–108. [PMC free article] [PubMed] [Google Scholar]
- Dittmann S., Starke G., Ocklitz H. W., Grahneis H., Giesecke H. The measles eradication programme in the German Democratic Republic. Bull World Health Organ. 1976;53(1):21–24. [PMC free article] [PubMed] [Google Scholar]
- MILLER D. L. FREQUENCY OF COMPLICATIONS OF MEASLES, 1963. REPORT ON A NATIONAL INQUIRY BY THE PUBLIC HEALTH LABORATORY SERVICE IN COLLABORATION WITH THE SOCIETY OF MEDICAL OFFICERS OF HEALTH. Br Med J. 1964 Jul 11;2(5401):75–78. doi: 10.1136/bmj.2.5401.75. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marks J. S., Halpin T. J., Orenstein W. A. Measles vaccine efficacy in children previously vaccinated at 12 months of age. Pediatrics. 1978 Dec;62(6):955–960. [PubMed] [Google Scholar]
- Miller C. L. Current impact of measles in the United Kingdom. Rev Infect Dis. 1983 May-Jun;5(3):427–432. doi: 10.1093/clinids/5.3.427. [DOI] [PubMed] [Google Scholar]
- Miller C. L. Severity of notified measles. Br Med J. 1978 May 13;1(6122):1253–1253. doi: 10.1136/bmj.1.6122.1253. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Newman C. P. Immunization in childhood and computer scheme participation. Public Health. 1983 Jul;97(4):208–213. doi: 10.1016/s0033-3506(83)80059-6. [DOI] [PubMed] [Google Scholar]
- Ross S. K. Childhood immunoprophylaxis: achievements in a Glasgow practice. Health Bull (Edinb) 1983 Sep;41(5):253–257. [PubMed] [Google Scholar]
- Wilkinson P., Tylden-Pattenson L., Gould J. Professional attitudes towards vaccination and immunization within the Leeds Area Health Authority (Teaching). Public Health. 1979 Jan;93(1):11–15. doi: 10.1016/s0033-3506(79)80004-9. [DOI] [PubMed] [Google Scholar]
- Yeager A. S., Davis J. H., Ross L. A., Harvey B. Measles immunization. Successes and failures. JAMA. 1977 Jan 24;237(4):347–351. [PubMed] [Google Scholar]