saad omer neal halsey vaccine development and application

4 Centre pour le Développement des Vaccins, Bamako, Mali Center for Vaccine Development, University of Maryland School of Medicine, Baltimore, MD, USA.

3 Medical Research Council: Respiratory and Meningeal Pathogens Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa Department of Science and Technology/National Research Foundation, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Electronic address: 2 Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, USA.

1 Yale Institute for Global Health, New Haven, CT, USA Department of Internal Medicine (Infectious Diseases), Yale School of Medicine, New Haven, CT, USA Yale School of Nursing, New Haven, CT, USA Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA.

Parental support for immunization registries may increase with greater parental awareness of the risks of vaccine preventable diseases and utility of vaccination. Most parents believed that the government, vaccine companies or insurance companies should pay for registries.Parental support for registries was relatively high. Support for laws authorizing registries and requiring health care providers to report to registries was more common among parents of vaccinated than exempt children. Few parents of vaccinated (6.8%) and exempt children (6.7%) were aware of laws authorizing immunization registries. A substantial proportion of parents of exempt children support immunization registries, particularly if registries offer choice for participation. Among parents aware of registries, exempt children were more likely to be enrolled (65.0%) than vaccinated children (26.5%) (p value = 0.01). Fewer than 10% of parents were aware of immunization registries in their communities. Parental views were summarized and logistic regression models compared differences between parents of exempt and vaccinated children.Surveys were completed by 56.1% of respondents.

Surveys administered to the parents, asked about views on registries and perceived utility and safety of vaccines. Children were recruited from 112 elementary schools in Colorado, Massachusetts, Missouri, and Washington. Consequently, the purpose of this study was to assess the attitudes of parents of vaccinated and unvaccinated school-aged children regarding: support for immunization registries laws authorizing registries and mandating provider reporting opt-in versus opt-out registry participation and financial worth and responsibility of registry development and implementation.A case control study of parents of 815 children exempt from school vaccination requirements and 1630 fully vaccinated children was conducted. Parental attitudes likely impact child participation.

Despite substantial resources directed towards registry development in the U.S., only 48% of children were enrolled in a registry in 2004. Immunization registries help ensure high coverage by recording childhood immunizations administered, generating reminders when immunizations are due, calculating immunization coverage and identifying pockets needing immunization services, and improving vaccine safety by reducing over-immunization and providing data for post-licensure vaccine safety studies. Continued vaccine preventable disease control depends on high immunization coverage. Immunizations have reduced childhood vaccine preventable disease incidence by 98-100%.

Saad omer neal halsey vaccine development and application