INTRODUCTION Knowledge of inter-district variations in immunisation coverage and the reasons for their existence is of utmost importance in a region in which variations in the socioeconomic factors are known to have a marked influence on immunisation coverage. METHODS This study was based on a sample of 1,279 children aged 12-35 months. Data was obtained from the District Level Household Surv...

OBJECTIVE To determine the policy and practice of district health authorities in England and Wales for BCG immunisation in schoolchildren and neonates. DESIGN Self completion postal questionnaire survey. PARTICIPANTS District immunisation coordinators. SETTING 199 district health authorities in England and Wales. RESULTS Questionnaires were received from 186 districts, a response rate o...

If rubella immunisation is highly effective accurate recall of past immunisation should enable determination of immune state. The accuracy of recall was studied in a group of young adults aged 16-24 who had been offered Cendehill vaccination at school 10-11 years previously. The subjects were asked whether they had been vaccinated and blood was taken for rubella serology. School records of rube...

The paper develops a system dynamics simulation model to understand the dynamics of immunisation with the aim of aiding decision making process by proposing policies that would enhance immunisation utilization. The model is designed with the intent to show how particular variables influence immunisation demand and coverage rather than predict immunisation coverage rates. The paper applies syste...

We report the findings of original research investigating the bleeding risk associated with immunising children with CHD on long-term warfarin. Advances in paediatric medicine have resulted in the increased use of long-term warfarin therapy for the management of cardiac abnormalities in children. Longterm warfarin therapy is difficult to manage in the paediatric population, particularly in chil...

A CAUSAL ASSOCIATION BETWEEN MEASLES: mumps-rubella (MMR) vaccine and idiopathic thrombocytopenic purpura (ITP) was confirmed using immunisation/hospital admission record linkage. The absolute risk within six weeks of immunisation was 1 in 22 300 doses, with two of every three cases occurring in the six week post-immunisation period being caused by MMR. Children with ITP before MMR had no vacci...

OBJECTIVE To simulate different immunisation programs against rubella and estimate the proportion of the population susceptible to rubella infection of each. METHODS The impact of 3 immunisation schedules on the susceptibility of women of childbearing age and the community to rubella infection was simulated using a probabilistic approach. The first schedule involved selective immunisation of ...

OBJECTIVES To examine barriers to childhood immunisation experienced by parents in Australia. DESIGN Cross-sectional analysis of secondary data. SETTING Nationally representative Longitudinal Study of Australian Children (LSAC). PARTICIPANTS Five thousand one hundred seven infants aged 3-19 months in 2004. MAIN OUTCOME MEASURE Maternal report of immunisation status: incompletely or full...