FIGURE 2 Amount and source of funds for the Texas Immunization Program, 2001. Federal funds from the Section 317 program and VFC are for the calendar year. State funds (general revenue and tobacco and other funds) are for the state fiscal year.

aVFC Vaccine (DA) is awarded in multiple installments during the year. The fourth installment was received in November 2001.

SOURCE: Sharilyn Stanley, Texas Department of Health, IOM workshop presentation, 2001.

plus special-use vaccines such as the rabies and meningococcal vaccines. Funding for the immunization infrastructure peaked in 1995, followed by decreases in both federal and state funding (Figure 4). At present, state general revenue is the largest single source of funding for the immunization infrastructure. VFC contributes relatively little to support for the immunization infrastructure, but for 2001 the state received a one-time VFC award of $4.25 million to upgrade the pharmacy inventory control system to help manage vaccine ordering and distribution practices.

In the face of the declining immunization rates for 2-year-olds, Dr. Stanley described the challenges facing the state. She noted that the Texas Immunization Survey, which offers more detailed information than the NIS, shows improving coverage rates for children 3 to 6 months of age but declines in the coverage rates for older children. Immunization rates appear to be improving for African-American children and children enrolled in the Medicaid program but are declining for WIC participants. Evidence of a lag in immunization for Hispanic children is a concern because they account for a growing proportion of the state’s large annual



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