{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T16:57:57Z","timestamp":1790873877560,"version":"4.1.0"},"reference-count":29,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,6,1]]},"abstract":"<jats:title>This Policy Statement was reaffirmed October 2014 and June 2026.<\/jats:title>\n                  <jats:p>In 1977, the American Academy of Pediatrics issued a statement calling for universal immunization of all children for whom vaccines are not contraindicated. In 1995, the policy statement \u201cImplementation of the Immunization Policy\u201d was published by the American Academy of Pediatrics, followed in 2003 with publication of the first version of this statement, \u201cIncreasing Immunization Coverage.\u201d Since 2003, there have continued to be improvements in immunization coverage, with progress toward meeting the goals set forth in Healthy People 2010. Data from the 2007 National Immunization Survey showed that 90% of children 19 to 35 months of age have received recommended doses of each of the following vaccines: inactivated poliovirus (IPV), measles-mumps-rubella (MMR), varicella-zoster virus (VZB), hepatitis B virus (HBV), and Haemophilus influenzae type b (Hib). For diphtheria and tetanus and acellular pertussis (DTaP) vaccine, 84.5% have received the recommended 4 doses by 35 months of age. Nevertheless, the Healthy People 2010 goal of at least 80% coverage for the full series (at least 4 doses of DTaP, 3 doses of IPV, 1 dose of MMR, 3 doses of Hib, 3 doses of HBV, and 1 dose of varicella-zoster virus vaccine) has not yet been met, and immunization coverage of adolescents continues to lag behind the goals set forth in Healthy People 2010. Despite these encouraging data, a vast number of new challenges that threaten continued success toward the goal of universal immunization coverage have emerged. These challenges include an increase in new vaccines and new vaccine combinations as well as a significant number of vaccines currently under development; a dramatic increase in the acquisition cost of vaccines, coupled with a lack of adequate payment to practitioners to buy and administer vaccines; unanticipated manufacturing and delivery problems that have caused significant shortages of various vaccine products; and the rise of a public antivaccination movement that uses the Internet as well as standard media outlets to advance a position, wholly unsupported by any scientific evidence, linking vaccines with various childhood conditions, particularly autism. Much remains to be accomplished by physician organizations; vaccine manufacturers; third-party payers; the media; and local, state, and federal governments to ensure dependable vaccine supply and payments that are sufficient to continue to provide immunizations in public and private settings and to promote effective strategies to combat unjustified misstatements by the antivaccination movement.<\/jats:p>\n                  <jats:p>Pediatricians should work individually and collectively at the local, state, and national levels to ensure that all children without a valid contraindication receive all childhood immunizations on time. Pediatricians and pediatric organizations, in conjunction with government agencies such as the Centers for Disease Control and Prevention, must communicate effectively with parents to maximize their understanding of the overall safety and efficacy of vaccines. Most parents and children have not experienced many of the vaccine-preventable diseases, and the general public is not well informed about the risks and sequelae of these conditions. A number of recommendations are included for pediatricians, individually and collectively, to support further progress toward the goal of universal immunization coverage of all children for whom vaccines are not contraindicated.<\/jats:p>","DOI":"10.1542\/peds.2010-0743","type":"journal-article","created":{"date-parts":[[2010,5,31]],"date-time":"2010-05-31T20:45:23Z","timestamp":1275338723000},"page":"1295-1304","source":"Crossref","is-referenced-by-count":46,"title":["Increasing Immunization Coverage"],"prefix":"10.1542","volume":"125","author":[{"name":"Committee on Practice and Ambulatory Medicine and Council on Community Pediatrics","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2010,6,1]]},"reference":[{"issue":"Oct","key":"2026100112015300700_B1","first-page":"7","article-title":"AAP national immunization policy","volume":"28","author":"American Academy of Pediatrics","year":"1977","journal-title":"AAP News"},{"key":"2026100112015300700_B2","doi-asserted-by":"crossref","first-page":"S548","DOI":"10.1542\/peds.2009-1542O","article-title":"Financing the delivery of vaccines to children and adolescents: challenges to the current system","volume":"124","author":"Lindley","year":"2009","journal-title":"Pediatrics"},{"issue":"2 pt 1","key":"2026100112015300700_B3","first-page":"360","article-title":"Implementation of the immunization policy","volume":"96","author":"American Academy of Pediatrics","year":"1995","journal-title":"Pediatrics"},{"issue":"6","key":"2026100112015300700_B4","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1001\/archpedi.1996.02170310011001","article-title":"The impact of the Vaccine for Children's program on child immunization delivery: a policy analysis","volume":"150","author":"Wood","year":"1996","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"4","key":"2026100112015300700_B5","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1542\/peds.112.4.958","article-title":"Standards for child and adolescent immunization practices [published correction appears in Pediatrics. 2004;113(1):184]","volume":"112","author":"National Vaccine Advisory Committee","year":"2003","journal-title":"Pediatrics"},{"issue":"4","key":"2026100112015300700_B6","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1542\/peds.112.4.993","article-title":"Increasing immunization coverage","volume":"112","author":"American Academy of Pediatrics","year":"2003","journal-title":"Pediatrics"},{"key":"2026100112015300700_B7","volume-title":"Healthy People 2010: Understanding and Improving Health","author":"US Department of Health and Human Services","year":"2000","edition":"2nd ed"},{"key":"2026100112015300700_B8","unstructured":"US Department of Health and Human Services. 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