Non-immunisation of children

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6984.939a (Published 08 April 1995) Cite this as: BMJ 1995;310:939

Statistics on vaccination coverage may be a poor measure of practice performance

  1. David J Shepherd
  1. General practitioner Saffron Group Practice, Leicester LE2 6UL

    EDITOR,—Neil Simpson and colleagues cite homoeopathic and religious reasons for the non-immunisation of children.1 My experience of inner city practice, however, is that repeated failure to respond to requests for vaccination, without active refusal, is also an important reason for “negative consent.” The fact that in 40% of cases in Simpson and colleagues' study the parents did not respond or gave no clear reason for non-vaccination or the children were having delayed vaccinations is consistent with this.

    I compared the experience of an inner city practice in giving the preschool booster to its …

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