title: Improving immunization coverage in a rural school district in Pierce County, Washington.
abstract: Washington State has some of the highest percentages of school immunization exemptions in the country. We compared school immunization records in a rural school district in Pierce County, Washington, to immunization records in the state immunization information system (IIS) and parent-held records. Correcting school immunization records resulted in an increase in the number of students classified as fully immunized from 1,189 to 1,564 (p < .0001). We conducted school-based immunization clinics that increased the number of fully immunized students to 1,624 (p = .013). Immunized students with certificates of exemption on file suggest exemptions of convenience. Strategies to improve school immunization services include assigning IIS access to school administrative staff and educating school staff and parents on the importance of immunization.
authors.affiliation: MultiCare Mobile Health Services, Tacoma, WA, USA.
authors.forename: Robin M
authors.initials: RM
authors.lastname: Peterson
authors.forename: Carolyn
authors.initials: C
authors.lastname: Cook
authors.forename: Mary E
authors.initials: ME
authors.lastname: Yerxa
authors.forename: James H
authors.initials: JH
authors.lastname: Marshall
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Pulos
authors.forename: Matthew P
authors.initials: MP
authors.lastname: Rollosson
mesh_terms: D000293:Adolescent; D002648:Child; D003258:Consumer Behavior; D016208:Databases, Factual; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D017589:Immunization Programs / Q000706:statistics & numerical data*; D008297:Male; D015397:Program Evaluation; D015980:Public Health Practice / Q000706:statistics & numerical data*; D012424:Rural Population / Q000706:statistics & numerical data*; D012572:School Health Services / Q000706:statistics & numerical data*; D013223:Statistics as Topic; D014861:Washington