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HALLEY S. FAUST, MD, MPH; Marilyn Lee, RN, MS, MPA; Robert Scranton, RS, MPH; Larry Brilliant, MD, MPH; James Koopman, MD, MPH

Am J Dis Child. 1980;134(2):203-204.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The recent federally sponsored objective of achieving immunization levels of at least 90% in US children by 1979¹ is predicated on the assumption that all links in the chain of immunization recordkeeping are appropriately maintained, honestly evaluated, and fully reported. I report here an epidemic that demonstrates how these records can break down at two levels of reporting: the physician's office and the school.

Report of a Case. In February 1978, the Livingston County Health Department, Howell, Mich, received a school-initiated report that an open classroom elementary school with an enrollment of 512 students had eight cases of measles. The index case, an 8-year-old second-grader, was identified. We were unable to determine the index case's initial exposure; however, the potential for exposure was high as during this time in Michigan there were numerous outbreaks of measles in different communities around the state, including a large outbreak at one of . . . [Full Text PDF of this Article]

Author Affiliations
Livingston County Health Department 210 S Highlander Way Howell, MI 48843

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