To the Editor.—
The EDITORIAL, "October—Immunization Action Month," (234:416, 1975) states quite well the problem caused by declining immunization levels. The solution, however, will never be found utilizing primarily the news media. The recession and escalation of medical care costs will compound the difficulties for states and communities to expand their immunization activities as federal appropriations decline.National immunization data are of little help in assessing local needs. We have found that inexpensive immunization surveys1 pinpoint deficiencies, and campaigns can be organized where necessary. Other approaches such as comprehensive immunization-motivation efforts have also been shown to be effective.Immunizations are among the most cost effective medical procedures available. It is difficult to believe that with health care expenditures exceeding $118 billion, we are still unable to immunize all our preschool children.