Elizabeth T. Luman

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Since Kenya first reported Rift Valley fever (RVF)-like disease in livestock in 1912, the country has reported the most frequent epizootics of RVF disease. To determine the pattern of disease spread across the country after its introduction in 1912, and to identify regions vulnerable to the periodic epizootics, annual livestock disease records at the(More)
OBJECTIVE To examine trends in alcohol use among pregnant women in the United States and to characterize pregnant women who use alcohol, with an emphasis on frequent use (at least five drinks per occasion or at least seven drinks per week). METHODS We used the Behavioral Risk Factor Surveillance System data from 1988 through 1995 to obtain the percentage(More)
OBJECTIVES To determine the feasibility of distributing insecticide-treated nets (ITNs) through routine immunization services, to increase ownership and use of ITNs among high-risk groups, whereas maintaining or improving timely completion of routine vaccinations. METHODS Free ITNs were provided with timely completion of routine vaccinations in two(More)
CONTEXT Only 18% of children in the United States receive all vaccinations at the recommended times or acceptably early. OBJECTIVE To determine the extent of delay of vaccination during the first 24 months of life. DESIGN, SETTING, AND PARTICIPANTS The 2003 National Immunization Survey was conducted by random-digit dialing of households and mailings to(More)
OBJECTIVE Mothers can be instrumental in gaining access to vaccination services for their children. This study examines maternal characteristics associated with vaccination in US preschool children. METHODS We analyzed data from 21 212 children aged 19 to 35 months in the National Immunization Survey. Bivariate and multivariate analyses were used to(More)
Immunization programs frequently rely on household vaccination cards, parental recall, or both to calculate vaccination coverage. This information is used at both the global and national level for planning and allocating performance-based funds. However, the validity of household-derived coverage sources has not yet been widely assessed or discussed. To(More)
OBJECTIVE We examined the timeliness of vaccine administration among children aged 24 to 35 months for each state of the United States and the District of Columbia. METHODS We analyzed the timeliness of vaccinations in the 2000-2002 National Immunization Survey. We used a modified Bonferroni adjustment to compare a reference state with all other states.(More)
CONTEXT In July 1999, the longstanding preference to begin hepatitis B vaccination of all US infants at birth was temporarily suspended because of concerns about exposure to mercury contained in the vaccine preservative thimerosal. The suspension was lifted in September 1999 when preservative-free hepatitis B vaccine became available. OBJECTIVE To(More)
BACKGROUND Assessment of vaccination coverage is an important component of the U.S. vaccination program and is primarily measured by the National Immunization Survey (NIS). METHODS The 1999 NIS is a nationally representative sample of children aged 19 to 35 months, verified by provider records, that is conducted to obtain estimates of vaccination coverage(More)
OBJECTIVE Little is known about when-and why-children fall behind in their recommended vaccinations. Vaccination status throughout the first 2 years of life was examined to identify vulnerable transition periods that account for attrition and to determine whether children fell behind because they missed vaccination visits or because of missed opportunities(More)