PEDIATRICS Vol. 56 No. 4 October 1975, pp. 493-494
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Immunization: An embarrassing failure

Edgar K. Marcuse M.D., M.P.H.1

1 Odessa Brown Children's Clinic, Children's Orthopedic Hospital and Medical Center and University of Washington 2017 East Spruce Street Seattle, Washington 98112

Poor immunization practices create special problems. Polio, measles, rubella, and mumps immunizations have drastically reduced the incidence of these diseases and thereby also reduced the opportunity for children to acquire immunity by mild or assymptomatic naturalinfection. Children who are unimmunized are thus likely to remain susceptible into adult life. Infantsborn to unimmunized mothers are likely to be susceptible to these diseases in the first few months of life, when the effect of such infection, particularly on the central nervous system, may be far more serious. Ineffective immunization practices may thus actually increase the proportion of adults and newborn infants susceptible to polio, rubella, measles, and mumps and could radically alter the epidemiology of these diseases.




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S. Z. Barkin, R. M. Barkin, and M. L. Roth
Immunization Status: A Parameter of Patient Compliance
Clinical Pediatrics, September 1, 1977; 16(9): 840 - 842.
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