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Indeed, the decline in immunization rate from 2001 to 2003 could indicate such a scenario.
Such "Departmented" pattern of immunization, observed in conditions of a similar exposure to the pandemic vaccine and a similar pattern of at-risk patients, suggests that local practice and behaviours are involved strongly in immunization rate differences.
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In a letter to ABC executives on Friday, Dr. Renee R. Jenkins, the president of the pediatrics academy, warned that the episode "could lead to a tragic decline in immunization rates".
The media and advocacy groups routinely lament a "growing distrust of vaccinations" (12) and a resulting "erosion in immunization rates" (13), claims belied by CDC statistics.
The country is ahead of India and Pakistan in terms of enrollment in primary and secondary education and has leapfrogged both in immunization rates and child mortality reduction.
None of the changes in immunization rates were significant statistically.
Similarly, recent dramatic decreases in TANF Medicaid enrollments contributed to the decrease in immunization rates since 2004.
After 2001 New Mexico experienced a turn-around in immunization rates, increasing from approximately 63% to 83.5% in 2004.
Visual comparison of temporal trends in immunization rates and TANF Medicaid enrollment levels revealed very similar patterns (Figure 2).
New Mexico's improvement and subsequent deterioration in immunization rates corresponded with changing Medicaid coverage, rather than the state's efforts to change immunization practices.
We examined temporal trends in immunization rates by using published results from statistical comparisons provided by the CDC and bivariate plots describing trends in rate estimates.
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