Vaccine-Preventable Disease Among Homeschooled Children: Two Cases of Tetanus in Oklahoma

Author:

Johnson Matthew G.1,Bradley Kristy K.2,Mendus Susan3,Burnsed Laurence4,Clinton Rachel4,Tiwari Tejpratap5

Affiliation:

1. Epidemic Intelligence Service and

2. Office of the State Epidemiologist,

3. Immunization Service, and

4. Acute Disease Service, Oklahoma State Department of Health, Oklahoma City, Oklahoma

5. Meningitis and Vaccine Preventable Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; and

Abstract

Homeschooled children represent an increasing proportion of school-aged children in the United States. Immunization rates among homeschooled children are largely unknown because they are usually not subject to state-based school-entry vaccination requirements. Geographic foci of underimmunized children can increase the risk for outbreaks of vaccine-preventable diseases. In 2012, 2 cases of tetanus were reported in Oklahoma; both cases involved homeschooled children without documentation of diphtheria-tetanus-acellular pertussis vaccination. We describe the characteristics of both patients and outline innovative outreach measures with the potential to increase vaccination access and coverage among homeschooled children.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference11 articles.

1. The immunization status of home-schooled children in America.;Choi;J Pediatr Health Care,2010

2. Off the grid: vaccinations among homeschooled children.;Khalili;J Law Med Ethics,2007

3. The health care access and utilization of homeschooled children in the United States.;Cordner;Soc Sci Med,2012

4. Homeschooling parents’ practices and beliefs about childhood immunizations.;Thorpe;Vaccine,2012

5. Tetanus—Puerto Rico, 2002.;Centers for Disease Control and Prevention (CDC);MMWR Morb Mortal Wkly Rep,2002

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1. Suspected tetanus in an unvaccinated pediatric patient;Baylor University Medical Center Proceedings;2023-01-25

2. Tetanus Toxoid;Plotkin's Vaccines;2023

3. Homeschooling parents in California: Attitudes, beliefs and behaviors associated with child’s vaccination status;Vaccine;2020-02

4. A Report of Five Child Tetanus Cases;Journal of Pediatric Infectious Diseases;2018-07-30

5. Tetanus Toxoid;Plotkin's Vaccines;2018

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