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In the post shortage period the community 24-month immunization rate rebounded to a level higher than the pre-shortage rate 84.0%.
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However, the varicella vaccination rate rebounded to pre-shortage rates and appears to continue to be on an upward trend post-shortage.
In both institutions the varicella immunization up to date rate for children 18 and 24 months rebounded in the post-shortage period.
For children immunized between 12 and 18 months of age, the mean age at varicella immunization decreased from 395.2 days for the pre-shortage cohort to 386.8 days for the post-shortage cohort.
These data suggest that studying the functioning of immunization registries in these post-shortage periods could provide important and useful insight into the strengths and weakness of existing immunization registry designs.
In an unexpected result, the data indicated that children who received the varicella vaccine in the post-shortage period were being immunized at a slightly younger age than during the pre-shortage period (p <.0001).
Because the exact date of the beginning and end of the varicella vaccine shortage period was known for the health care clinics in Olmsted County, Minnesota (December 2001 through August 2002), it was possible to tailor the pre-shortage, intra-shortage and post-shortage birth cohorts to exactly match the shortage period.
The rate of MMR immunization by age 18 months declined slightly in the post varicella shortage period but was stable by the time children were 24 months of age suggesting that the MMR shortage may have resulted in a slight delay in MMR administration to past 18 months of age in a small group of children.
And scientists disagree about the long-term damage, thanks partly to the post-Soviet shortage of funding for the huge task of monitoring the lake.
Cities farther north along China's coast are also running low on labor; Wenzhou alone posted a shortage of up to one million workers.
My friend said he felt like he had the whole country to himself at times, and indeed he was posting no shortage of fabulous selfies of himself alone at the King David Hotel's pool and walking around the Church of the Holy Sepulcher, the Wailing Wall, and the Mount of Olives without anyone else in sight.
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