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Record W2028063718 · doi:10.1136/adc.2008.138776

Action on immunisation: no data, no action

2008· article· en· W2028063718 on OpenAlexaff
Natasha S. Crowcroft

Bibliographic record

VenueArchives of Disease in Childhood · 2008
Typearticle
Languageen
FieldSocial Sciences
TopicVaccine Coverage and Hesitancy
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsMedicineInterimAgency (philosophy)Government (linguistics)Health careEconomic growthLawPolitical science

Abstract

fetched live from OpenAlex

In the UK, the national immunisation programme is delivered free at point of care through the National Health Service (NHS) primary healthcare teams, led by general practitioners (GPs), and to a smaller and locally variable extent through child health clinics. Nearly all British children are vaccinated through the NHS, rather than privately. The UK national immunisation programme has been run by Child Health Systems which are in the process of being replaced as part of the National Programme for Information Technology (NPfIT) implemented by Connecting for Health, a Government agency. The Health Protection Agency (HPA) expressed concerns about the first system to be rolled out in August 2005. Since then, some of the problems which have resulted from the new systems have been well publicised, including the inability of systems to track children and calculate vaccination coverage.1 2 3 In London, two systems, the Child Health Interim Application (CHIA) and the Electronic Care record system (RiO) have been implemented without a call and recall function, with clear implications for patient safety. The opportunity was lost to improve immunisation in London, the worst place for this to have happened because London’s coverage is poor — and is the reason that the UK fails to meet its World Health Organization targets on immunisation.4 The city stands in contrast to other European capitals such as Paris, and to other cities in the UK which face similar challenges in having large mobile and deprived populations. London’s bad coverage has gone hand in hand with bad data, and bad data are toxic.5 Immunisation keeps us all healthy. Its global priority is shown by the excess of $1.7 billion given to childhood vaccines by Bill and Melinda Gates in 1999–2007, mainly to the World Health Organization and Global Alliance for Vaccines and Immunization …

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.190
Threshold uncertainty score0.358

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.053
GPT teacher head0.326
Teacher spread0.272 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations17
Published2008
Admission routes1
Has abstractyes

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