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This
favourable outcome was made possible by a systematic programme to achieve high vaccination
coverage in the USA. As shown in the slide, by 1972 more than 50% of children in all
age-groups were vaccinated. Furthermore, in 1977 the National Immunization Initiative and in 1978 the Measles
Elimination Program were undertaken which increased vaccination uptake more. Since 1980,
more than 95% of children entering school in the USA are vaccinated for rubella. A programme to vaccinate susceptible women of childbearing age was also established. (Source of data: a/ Preblud SR, Serdula MK, Frank JA, Brandling-Bennett AD, Hinman AR.
Rubella vaccination in the United States: a ten-year review.
Epidemiol Rev 1980;
2:171-94, b/ Orenstein WA, Bart KJ, Hinman AR, Preblud SR, Greaves WL, Doster SW et al.
The opportunity and obligation to eliminate rubella from the United States.
JAMA
1984; 251:1988-94)
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