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http://www.cdc.gov/mmwr/preview/mmwr...cid=mm5932a3_e

Quote:
In 2009, vaccination coverage among adolescents aged 13--17 years increased substantially. As in 2008, adolescent vaccination coverage in 2009 also continued to vary widely among states and local areas, a variation that might be explained, in part, by different vaccination-promoting initiatives. Some of these initiatives include communication campaigns, strong partnerships with local professional organizations, universal funding of adolescent vaccinations, and middle school entry vaccination requirements. During the 2009--10 school year, for entry to middle school, 27 states required Tdap, seven required MenACWY, and two had requirements for HPV with opt-out provisions (4).