title: Immunization rates in a Canadian juvenile corrections facility.
abstract: In Canada's judicial system there are more than 31,700 youths admitted to correctional services each year. Given the prevalence of documented medical problems and high-risk behavior in this population, it is important to assess the immunization status of adolescents admitted to juvenile detention facilities. We completed a chart review of all youth admitted to an adolescent custody facility in Kingston, Ontario, between January 2003 and October 2005. There were 234 admissions, representing a total of 148 youths between the ages of 12 and 17 years. Of the youths, 73% had incomplete immunizations according to National Advisory Committee on Immunizations. In all, 49% (73 of 148) were missing tetanus, diphtheria, and acellular pertussis immunizations; 33% (49 of 148), meningococcus; 2% (four of 148), measles, mumps, and rubella; and 37% (55 of 148), hepatitis B. Successful immunization delivery within the detention facility increased complete immunization rates from 27% to 65%. This study shows the prevalence of incomplete immunizations in this population of adolescents. Given this data, there should be a greater focus on obtaining immunization records and on consistently delivering immunizations.
authors.affiliation: Department of Pediatrics, Queen's University, Kingston, Ontario, Canada. vanwylir@hdh.kari.net
authors.forename: Leah
authors.initials: L
authors.lastname: Bartlett
authors.forename: Marina
authors.initials: M
authors.lastname: Kanellos-Sutton
authors.forename: Richard
authors.initials: R
authors.lastname: van Wylick
mesh_terms: D000293:Adolescent; D002648:Child; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data*; D007604:Juvenile Delinquency / Q000706:statistics & numerical data*; D008297:Male; D009864:Ontario / Q000453:epidemiology; D015995:Prevalence; D011330:Prisons / Q000706:statistics & numerical data*