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Vaccines are unavailable at least once a month, and 19% to 38% of shipments have temperature issues.
Most recipients produced antibodies, but 34% had no immune response to the outbreak strain.
Bernstein HH, Monty M, Yang P, et al. Increasing Tdap coverage among postpartum women: a quality improvement intervention. Pediatrics 2017 (published online Feb 8)
Jain A, van Hoek AJ, Boccia D, et al. Lower vaccine uptake amongst older individuals living alone: a systematic review and meta-analysis of social determinants of vaccine uptake. Vaccine 2017 (published online Mar 27)
Kim DK, Riley LE, Harriman KH, et al. Recommended immunization schedule for adults aged 19 years or older, United States, 2017. Ann Intern Med 2017 Feb 7;166:209-19
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