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2001 APR 4 - (NewsRx.com & NewsRx.net) --
Vaccination rates in the United States are at a record high, but the system is starting to show signs of strain. Federal funds dedicated to supporting the immunization network are shrinking. State and local public health agencies are not adequately prepared to deliver new vaccines, step up efforts to immunize adults with chronic health problems, or eliminate persistent disparities in vaccine coverage between low-income groups and the general population.
"Calling the Shots: Immunization Finance Policies and Practices," a new report by the Institute of Medicine, calls for an investment of US$1.5 billion during the next five years - an increase of $175 million annually over current spending by state and federal governments - to strengthen the public health infrastructure needed to manage the immunization system.
The report is a result of an 18-month study that was requested by the U.S. Senate Committee on Appropriations and sponsored by the National Immunization Program of the U.S. Centers for Disease Control and Prevention. The IOM study examines the finance strategies of the U.S. immunization system, which includes vaccine purchase, service delivery, disease control and prevention, surveillance of vaccine coverage rates and vaccine safety, and efforts to sustain and improve immunization coverage rates for children and adults.
Among the principal conclusions of the report:
* The repetitive ebb and flow cycles in the distribution of public resources for immunization programs have created instability and uncertainty, eroding the continued success of ...