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Stevenson AM – There is a direct correlation between the rates of infant immunization in a community and the rates of vaccine–preventable diseases. The complexity of the immunization schedule has posed challenges for both families and providers. Missed opportunities present a significant barrier to adequate immunization by the age of 2 years. The personal and philosophical beliefs of the parents are the most influential in the vaccination decision. A number of factors affect vaccination rates of children and adults. Many individuals do not know they are missing recommended vaccines that could protect them against preventable diseases. NPs and PAs can improve immunization rates by asking about vaccine status at each and every patient encounter and providing education on the vaccines recommended for the age of the individual. Many people may not be aware of newly available vaccines and will look to you for advice. You may also find yourself explaining and clarifying benefits and risks of vaccines. There is much misinformation about the safety and efficacy of vaccines, and you can be instrumental in assisting patients in receiving needed vaccines and improving the health of your community.

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