The American Association of Pediatrics has revised its vaccine policy. Although 90 percent of children between 19 and 35 months have received recommended vaccines (according to the 2007 National Immunization Survey), the AAP says that there are obstacles to full immunization that health care professionals must work to overcome.
Obstacles include problems with the payment system for vaccines and a "dramatic" increase in cost (it would be interesting to know whether vaccine rates have fallen during the recession, as workers lose their jobs and their health care coverage), new vaccine combinations, vaccine shortages and delivery problems, and a well-organized anti-vax movement.