Johnson M.G.,Epidemic Intelligence Service |
Bradley K.K.,Office of the State Epidemiologist |
Mendus S.,Immunization Service |
Tiwari T.,Centers for Disease Control and Prevention
Pediatrics | Year: 2013
abstract Homeschooled children represent an increasing proportion of schoolaged children in the United States. Immunization rates among homeschooled children are largely unknown because they are usually not subject to state-based school-entry vaccination requirements. Geographic foci of underimmunized children can increase the risk for outbreaks of vaccine-preventable diseases. In 2012, 2 cases of tetanus were reported in Oklahoma; both cases involved homeschooled children without documentation of diphtheria-tetanus-acellular pertussis vaccination. We describe the characteristics of both patients and outline innovative outreach measures with the potential to increase vaccination access and coverage among homeschooled children. Pediatrics 2013;132:e1686- e1689. © 2013 by the American Academy of Pediatrics.