{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:43:14Z","timestamp":1777858994096,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Innovation and Reseach Council Mayo Clinic University of Wisconsin Eau Claire","award":["Pau 610-93757"],"award-info":[{"award-number":["Pau 610-93757"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Prim Care Community Health"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>In 2019, there were multiple outbreaks of measles in the United States. In the context of the public awareness of these outbreaks, we performed an intervention with the intent to improve the rate of measles immunization in our pediatric population. Pediatric patients that were lacking adequate measles immunization were identified by electronic medical record (EMR) survey. Charts were reviewed and updated if records were found to be incomplete. Parents of the remaining children were sent a letter, personally signed by the child\u2019s primary care provider, encouraging measles immunization. A measles fact sheet, produced by the United States Center for Disease Control, was also included with the letter. There were 44 patients in the study group whose parents received a letter and measles fact sheet. As a result, 5 of these children were brought in for a measles, mumps, and rubella (MMR) immunization. The 44 patients whose parents received a letter included 20 patients whose parents had previously expressed intent to not vaccinate their children as documented in the EMR. None of these children received an MMR immunization. Although small in scope, this project provides a glimpse into the importance of personal provider guidance to parents who are inclined to immunize their children. Unfortunately, it also demonstrated that provider advice did not change the opinions of parents who had already taken a stance against vaccination, even in the context of an urgent public health situation that had garnered widespread coverage in the lay press and social media.<\/jats:p>","DOI":"10.1177\/21501319211069271","type":"journal-article","created":{"date-parts":[[2022,2,11]],"date-time":"2022-02-11T01:11:13Z","timestamp":1644541873000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Improving Immunization Rates During the 2019 Measles Outbreak"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8324-3144","authenticated-orcid":false,"given":"Steven Louis","family":"Rosas","sequence":"first","affiliation":[{"name":"Mayo Clinic Health System Red Cedar\u2014Family Medicine, Menomonie, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry J.","family":"Simpson","sequence":"additional","affiliation":[{"name":"Mayo Clinic Health System Red Cedar\u2014Family Medicine, Menomonie, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Martinez","sequence":"additional","affiliation":[{"name":"Mayo Clinic Health System Red Cedar\u2014Family Medicine, Menomonie, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James A.","family":"Walker","sequence":"additional","affiliation":[{"name":"Mayo Clinic Health System Red Cedar\u2014Family Medicine, Menomonie, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy","family":"Forster","sequence":"additional","affiliation":[{"name":"Mayo Clinic Health System Red Cedar\u2014Pediatrics, Menomonie, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6446-630X","authenticated-orcid":false,"given":"Mark","family":"Deyo-Svendsen","sequence":"additional","affiliation":[{"name":"Mayo Clinic Minnesota\u2014Family Medicine, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Phillips","sequence":"additional","affiliation":[{"name":"Mayo Clinic Health System Red Cedar\u2014Family Medicine, Menomonie, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaylie","family":"Evers","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School Twin Cities, Minneapolis, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,2,10]]},"reference":[{"key":"bibr1-21501319211069271","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6840e2"},{"key":"bibr2-21501319211069271","doi-asserted-by":"publisher","DOI":"10.1056\/nejmp1905099"},{"issue":"6","key":"bibr3-21501319211069271","first-page":"329","volume":"100","author":"Rockwell PG","year":"2019","journal-title":"Am Fam Physician"},{"key":"bibr4-21501319211069271","unstructured":"Jenco M. Measles cases reach 25-year high. AAP News. Published April 24, 2019. Accessed January 27, 2022. https:\/\/www.aappublications.org\/news\/2019\/04\/29\/measles042919"},{"key":"bibr5-21501319211069271","unstructured":"Ducharme J. Measles cases are still rising in the U.S. but they\u2019re even higher globally. Time. Published April 15, 2019. Accessed January 27, 2022. https:\/\/time.com\/5570810\/global-measles-cases\/"},{"key":"bibr6-21501319211069271","unstructured":"Mazziotta J. Measles outbreak the worst in over 25 years with nearly 1,000 cases in the U.S. people. Published June 3, 2019. Accessed January 27, 2022. https:\/\/people.com\/health\/measles-cases-up-300-percent-worldwide\/"},{"key":"bibr7-21501319211069271","unstructured":"Lawrence E. Measles cases surpass 1,000 in span of 6 months; medical experts worry about summer travel. USA Today. Published June 11, 2019. Accessed January 27, 2022. https:\/\/www.usatoday.com\/story\/news\/health\/2019\/06\/11\/measles-cases-surpass-1000-medical-experts-worry-summer-travel\/1407880001\/"},{"key":"bibr8-21501319211069271","unstructured":"Gussone F, Dunn L. Measles cases in U.S. spike to highest level since 2000. NBC News. Published April 24, 2019. Accessed January 27, 2022. https:\/\/www.nbcnews.com\/health\/health-news\/measles-cases-u-s-spike-highest-level-2000-n998146"},{"key":"bibr9-21501319211069271","unstructured":"Centers for Disease Control and Prevention. Measles cases and outbreaks. Published March 5, 2021. Accessed January 27, 2022. https:\/\/www.cdc.gov\/measles\/cases-outbreaks.html"},{"key":"bibr10-21501319211069271","unstructured":"Centers for Disease Control and Prevention. Measles. Published 2019. 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Accessed January 27, 2022. https:\/\/www.who.int\/immunization\/sage\/meetings\/2017\/october\/2._target_immunity_levels_FUNK.pdf"},{"issue":"7","key":"bibr13-21501319211069271","first-page":"265","volume":"92","author":"Nace NB","year":"1999","journal-title":"Tenn Med"},{"issue":"4","key":"bibr14-21501319211069271","first-page":"344","volume":"111","author":"Anderson EL","year":"2014","journal-title":"Mo Med"},{"key":"bibr15-21501319211069271","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0156118"},{"key":"bibr16-21501319211069271","doi-asserted-by":"publisher","DOI":"10.1207\/s15327655jchn1202_1"}],"container-title":["Journal of Primary Care &amp; Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319211069271","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501319211069271","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501319211069271","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:23:16Z","timestamp":1777508596000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501319211069271"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":16,"alternative-id":["10.1177\/21501319211069271"],"URL":"https:\/\/doi.org\/10.1177\/21501319211069271","relation":{},"ISSN":["2150-1319","2150-1327"],"issn-type":[{"value":"2150-1319","type":"print"},{"value":"2150-1327","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"21501319211069271"}}