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Volume 4, Number 4—December 1998

Commentary

Does Restricted Distribution Limit Access and Coverage of Yellow Fever Vaccine in the United States?

Thomas P. Monath*, Judith A. Giesberg†, and Edward Garcia Fierros‡
Author affiliations: *OraVax Inc., Cambridge, Massachusetts, USA and Harvard School of Public Health, Boston, Massachusetts, USA; †Boston College, Chestnut Hill, Massachusetts, USA; ‡Harvard Graduate School of Education, Cambridge, Massachusetts, USA

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Table

Populations (1990 censusa) inside and outside 25-mile radius 'catchment areas' of intrastate authorized yellow fever vaccinating centers

Population x103
Region State Total Inside catchment area (%) Outside catchment area (%)
East New York 17,991 17,679 (98.3) 312 (1.7)
Massachusetts 6,016 5,965 (99.2) 51 (0.8)
Connecticut 3,287 3,287 (100) 0 (0)
Vermont 563 418 (74.2) 145 (25.8)
South Florida 12,938 12,410 (95.9) 528 (4.1)
Louisiana 4,220 3,767 (89.3) 453 (10.7)
Central Illinois 11,431 10,125 (88.6) 1,306 (11.4)
Wisconsin 4,892 4,331 (88.5) 561 (11.5)
Nebraska 1,578 1,293 (81.9) 285 (18.1)
Oklahoma 3,146 2,317 (73.6) 829 (26.4)
Mountain Montana 799 595 (74.5) 204 (25.5)
Wyoming 454 350 (77.1) 104 (22.9)
Pacific California 29,758 29,138 (97.9) 620 (2.1)
Oregon 2,842 2,676 (94.2) 166 (5.8)
Hawaii 1,108 983 (88.7) 125 (11.3)
15 states 101,023 95,334 (94.4) 5,689 (5.6)

aU.S. Bureau of the Census, 1990 Decennial Census.

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