American Journal of Public Health – Volume 105, Issue 5 (May 2015)

American Journal of Public Health
Volume 105, Issue 5 (May 2015)

Ebola Crisis of 2014: Are Current Strategies Enough to Meet the Long-Run Challenges Ahead?
Gilbert Gimm, PhD, and Len M. Nichols, PhD
The outbreak of the Ebola virus disease (EVD) in 2014 mobilized international efforts to contain a global health crisis. The emergence of the deadly virus in the United States and Europe among health care workers intensified fears of a worldwide epidemic. Market incentives for pharmaceutical firms to allocate their research and development resources toward Ebola treatments were weak because the limited number of EVD cases were previously confined to rural areas of West Africa. We discuss 3 policy recommendations to address the long-term challenges of EVD in an interconnected world.

An Evaluation of Voluntary 2-Dose Varicella Vaccination Coverage in New York City Public Schools
Margaret K. Doll, MPH, Jennifer B. Rosen, MD, Stephanie R. Bialek, MD, MPH, Hiram Szeto, MS, and Christopher M. Zimmerman, MD, MPH
Objectives. We assessed coverage for 2-dose varicella vaccination, which is not required for school entry, among New York City public school students and examined characteristics associated with receipt of 2 doses.
Methods. We measured receipt of either at least 1 or 2 doses of varicella vaccine among students aged 4 years and older in a sample of 336 public schools (n = 223 864 students) during the 2010 to 2011 school year. Data came from merged student vaccination records from 2 administrative data systems. We conducted multivariable regression to assess associations of age, gender, race/ethnicity, and school location with 2-dose prevalence.
Results. Coverage with at least 1 varicella dose was 96.2% (95% confidence interval [CI] = 96.2%, 96.3%); coverage with at least 2 doses was 64.8% (95% CI = 64.6%, 64.9%). Increasing student age, non-Hispanic White race/ethnicity, and attendance at school in Staten Island were associated with lower 2-dose coverage.
Conclusions. A 2-dose varicella vaccine requirement for school entry would likely improve 2-dose coverage, eliminate coverage disparities, and prevent disease.