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Guidelines for assessing immunity levels

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      A principal part of any immunization program is the establishment of an effective assessment mechanism, whereby current immunization levels of children can be monitored on an on-going basis. Such systems are now working effectively in a number of health jurisdictions throughout the United States. An efficient system can identify geographic areas in need of increased immunization services, groups within these areas where immunization levels are low, and individuals within these groups who need intensive motivation or material assistance to obtain immunizations. This document is intended to serve as a reference for the design of specific techniques for the assessment of immunization levels prerequisite to program direction. Because of variations in such factors as geographic areas, population density, standard of living, ethnic or religious influence, extent of the overall immunization problem, and available resources, methods of operation will vary from project to project. This notwithstanding, the systems outlined in this guide apply to all jurisdictions, and design should adhere as closely as possible to the basic guidelines presented in the following sections.
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