Pediatrics
May 2016, VOLUME 137 / ISSUE 5
http://pediatrics.aappublications.org/content/137/5?current-issue=y

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Special Articles
Zika Virus Disease: A CDC Update for Pediatric Health Care Providers
Mateusz P. Karwowski, Jennifer M. Nelson, J. Erin Staples, Marc Fischer, Katherine E. Fleming-Dutra, Julie Villanueva, Ann M. Powers, Paul Mead, Margaret A. Honein, Cynthia A. Moore, Sonja A. Rasmussen
Pediatrics May 2016, 137 (5) e20160621; DOI: 10.1542/peds.2016-0621

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Special Articles
The Challenges in Measuring Local Immunization Coverage: A Statewide Case Study
Elizabeth Wolf, Ali Rowhani-Rahbar, Jeffrey Duchin, M. Patricia DeHart, Douglas Opel
Pediatrics May 2016, 137 (5) e20153755; DOI: 10.1542/peds.2015-3755
Abstract
There are many forms of existing immunization surveillance in the United States and Washington state, but all are limited in their ability to provide timely identification of clusters of unimmunized individuals and assess the risk of vaccine-preventable diseases. This article aims to: (1) describe challenges to measuring immunization coverage at a local level in the United States using Washington State as a case study; and (2) propose improvements to existing surveillance systems that address the challenges identified.