Public Health Reports Volume 132, Issue 4, July/August 2017

Public Health Reports
Volume 132, Issue 4, July/August 2017

Executive Perspective
Advances in Public Health Surveillance and Information Dissemination at the Centers for Disease Control and Prevention
First Published June 13, 2017; pp. 403–410
Chesley L. Richards, Michael F. Iademarco, Delton Atkinson, Robert W. Pinner, Paula Yoon, William R. Mac Kenzie, Brian Lee, Judith R. Qualters, Thomas R. Frieden

Reports and Recommendations
Evaluation of the 2010 National Vaccine Plan Mid-course Review: Recommendations From the National Vaccine Advisory Committee
Approved by the National Vaccine Advisory Committee on February 7, 2017
First Published June 23, 2017; pp. 411–430

An Antipoverty Agenda for Public Health: Background and Recommendations
First Published May 24, 2017; pp. 431–435
Jeff Levin

Engaging Community and Faith-Based Organizations in the Zika Response, United States, 2016
First Published June 6, 2017; pp. 436–442
Scott Santibañez, Jonathan Lynch, Y. Peter Paye, Haley McCalla, Joanna Gaines, Kimberly Konkel, Luis J. Ocasio Torres, Wayne A. North, Anna Likos, Katherine Lyon Daniel

Longitudinal Trends in Vaccine Hesitancy in a Cohort of Mothers Surveyed in Washington State, 2013-2015
First Published June 6, 2017; pp. 451–454
Nora B. Henrikson, Melissa L. Anderson, Douglas J. Opel, John Dunn, Edgar K. Marcuse, David C. Grossman
Parents who refuse or delay vaccines because of vaccine hesitancy place children at increased risk for vaccine-preventable disease. How parental vaccine hesitancy changes as their children age is not known. In 2015, we conducted a follow-up survey of 237 mothers enrolled in a 2-arm clinic-level cluster randomized trial (n = 488) in Washington State that was completed in 2013. We surveyed mothers at their baby’s birth, age 6 months, and age 24 months using a validated measure of vaccine hesitancy. Both mean hesitancy scores (mean 4.1-point reduction; 95% CI, 2.5-5.6; P = .01) and the proportion of mothers who were vaccine hesitant (9.7% at baseline vs 5.9% at 24 months; P = .01) decreased significantly from child’s birth to age 24 months. Changes from baseline were similar for first-time mothers and experienced mothers. Individual item analysis suggested that the decrease may have been driven by increases in maternal confidence about the safety and efficacy of vaccines. Our results suggest that hesitancy is a dynamic measure that may peak around childbirth and may remit as experience with vaccines accumulates.