Journal of public health management and practice : JPHMP
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J Public Health Manag Pract · Jan 1995
Immunization outreach at Income Support Centers, New York City, 1992-1993.
An increase in measles occurred in New York City (NYC) during 1989-1990, affecting primarily unvaccinated preschool-aged children. Many of these children were also enrolled in Aid to Families with Dependent Children (AFDC) programs. To determine the immunization status of children receiving AFDC, immunization records were reviewed at three NYC income support centers. ⋯ Seventy-six percent of the children were found eligible for vaccination on the day of their visit. Vaccination levels at two years of age were among the lowest measured in New York. Future immunization efforts should be directed toward this population.
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Public health is rife with ethical challenges. Ethical principles and values are intrinsic to public health decision making, although they are generally not identified explicitly. ⋯ A second purpose is to introduce frameworks for public health decision making that incorporate ethical considerations into community and health promotion perspectives of public health decision makers. Public health policy makers and providers are urged to explore ethical/value dimensions of the health care system and to use the ethical frameworks in their decision making, expanding the more individualistic perspective of traditional bioethics.