Abstract
Drs Derauf and Derauf make an important point. The reduction of missed immunization opportunities is a very cost-effective way to deal with low vaccination rates in our cities, and the portable record might overcome one of the major obstacles to using immunization opportunities, namely, lack of immunization status information at the medical encounter. As suggested, the effectiveness of the portable record might be vastly improved by making it more attractive through use of baby pictures. Complimentary ideas include the use of reminder stickers on these cards for the next appointment and expanding the cards into "baby passports" that include developmental data and other screening information.
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