Researchers used spatial analysis software and electronic health records to identify clusters of under-immunization and vaccine refusal among Kaiser Permanente members in northern California.

A study published in the journal Pediatrics reviewed the immunization records of more than 154,000 Kaiser Permanente Northern California members between birth and 3 years old. All the children were born between 2000 and 2011 and were covered continuously by Kaiser Permanente, which provides healthcare for about 40 percent of the insured population in 13 northern California counties.

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