Thank you for your interesting letter, “Impact of Mass Communication in the Implementation of Influenza Vaccination for Infants.” You wrote that our article1 showed that “costs, lack of immunization clinics, and limits of recall systems are barriers to widespread [influenza] vaccination. . . . ” While our survey suggested that these issues were perceived by physicians as potential barriers, subsequently the US Vaccines for Children Program2 has made influenza vaccine available for only the administration charge to children for whom it is not covered as an insurance benefit. Also, in our survey “influenza immunization clinics” specifically referred to times set aside for part or all of the primary care office and staff to be dedicated to rapid, focused, systematic influenza vaccination, not to public vaccination centers, as is the vaccination delivery system in Italy. It is interesting to speculate if your study is generalizable to the United States, where immunization primarily occurs within the medical home.
Humiston SG. Impact of Mass Communication in the Implementation of Influenza Vaccination for Infants—Reply. Arch Pediatr Adolesc Med. 2005;159(6):596–599. doi:10.1001/archpedi.159.6.596-b
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