Abstract
Abstract Campus outbreaks and campus-associated cases together accounted for 51.1% of all reported measles cases in the first 26 weeks of 1983. This proportion is of particular concern because measles is a more serious disease in adults than in schoolchildren. For a substantial number of highly mobile young adults, college may be the last opportunity to ensure protection against measles and other preventable infections. Unfortunately, immunization levels on campuses are difficult to assess because very few institutions require immunization records. Nevertheless, colleges and universities have an obligation to their students to provide a safe and healthy learning environment; they also have a need to avoid costly and disruptive outbreaks on their campuses. To break the remaining chains of measles transmission on campus, colleges and universities should require all students born after 1956 to present a complete and up-to-date immunization record for matriculation and registration. Incoming freshmen should be instructed to obtain their immunization records from their high schools, physicians, or parents—before leaving for college.
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