SETTING THE COURSE
A STRATEGIC VISION FOR IMMUNIZATION
PART 3 SUMMARY OF THE LOS ANGELES WORKSHOP
THE NATIONAL ACADEMIES PRESS
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NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.
Support for this project was provided by the Centers for Disease Control and Prevention. The views presented in this report are those of the Institute of Medicine Committee on the Immunization Finance Dissemination Workshops and are not necessarily those of the funding agencies.
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COMMITTEE ON THE IMMUNIZATION FINANCE DISSEMINATION WORKSHOPS
DAVID R. SMITH, M.D. (Chair), President,
Texas Tech University Health Sciences Center, Lubbock, TX
BRIAN BILES, M.D., Professor and Chair,
Department of Health Services Management and Policy, The George Washington University
STEVE BLACK, M.D., Co-Director,
Vaccine Study Center, Kaiser Permanente, Oakland, CA
GORDON H. DeFRIESE, Ph.D., President and Chief Executive Officer,
North Carolina Institute of Medicine, Woodcroft Professional Center, Durham
DIANNE WHITE DELISI, M.A., State Representative,
Texas House of Representatives
R. GORDON DOUGLAS, JR., M.D., Former President,
Merck Vaccines (retired), Princeton, NJ
JONATHAN FIELDING, M.D., M.P.H., Director of Public Health and Health Officer,
Los Angeles County Department of Health Services
MAXINE HAYES, M.D., M.P.H., State Health Officer,
Washington State Department of Health, Olympia
ROBERT L. JOHNSON, M.D., Professor and Chair,
Division of Adolescent and Young Adult Medicine, University of Medicine and Dentistry of New Jersey–New Jersey Medical School
SAMUEL L. KATZ, M.D., Wilburt C. Davison Professor Emeritus,
Department of Pediatrics, Duke University Medical Center
WILLIAM KISSICK, M.D., M.P.H., Dr.P.H.,
George Seckel Pepper
Professor of Public Health,
The Leonard Davis Institute, The Wharton School, Philadelphia
RONALD J. SALDARINI, Ph.D., President,
Wyeth Lederle Vaccines and Pediatrics (retired), Mahwah, NJ
WILLIAM SCHAFFNER, M.D., Professor and Chairman,
Department of Preventive Medicine, Vanderbilt University School of Medicine
GARTH SPLINTER, M.D., M.B.A., Associate Professor, Chief Medical Officer,
University Hospital Trust, Oklahoma City, OK
Committee Staff
ROSEMARY CHALK, Senior Program Officer
JANE DURCH, Consultant
RYAN PALUGOD, Senior Project Assistant
ACKNOWLEDGMENTS
The Institute of Medicine workshop on immunization finance was organized through the efforts of numerous health care organizations and health care providers throughout the state of California. We acknowledge in particular the logistical support and gracious hospitality of the faculty and staff of the School of Public Health at the University of California in Los Angeles, under the leadership of Dean Linda Rosenstock and the guidance and assistance of Karen Markus. Natalie Smith and John Dunajski from the Immunization Branch of the California State Department of Health provided valuable guidance in identifying expert resources throughout the state. Jonathan Fielding, Cheri Todoroff, and David Gambill from the Los Angeles County Department of Health, Sandra Ross from the San Diego County Department of Health, and Kristin Brusuelas from the National Immunization Program of the Centers for Disease Control and Prevention did the same in pointing us toward experts in the Los Angeles and San Diego areas. Lynn Denton from the Texas Department of Health and Richard Butler from the Texas Tech University Health Sciences Center also provided helpful assistance and support in preparing for the workshop.
Additional guidance was provided by the Pacific Business Group on Health, the California chapters of the American Academy of Pediatrics, the California Medical Association, Michael Marcy from Kaiser Permanente in Los Angeles, and Steve Baranov from Immunize LA Kids. Staff from the National Immunization Program of the Centers for Disease Control and Prevention in Atlanta helped to identify immunization program directors and public health advisers throughout the state of California and also prepared data analyses and exhibits to inform the workshop discussions.
The Center for the Advancement of Distance Education at the University of Illinois provided on-site technical support in audiocasting the January 17 workshop to a national audience. An archival file of the speakers’ remarks and electronic slides can be found at the IOM website: www.iom.edu/iom/iomhome.nsf/pages/hcs+immunization+finance+dissemination.
REVIEWERS
This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the NRC’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the following individuals for their review of this report:
Bernard Guyer, M.D., M.P.H., The Johns Hopkins University
Sara Rosenbaum, J.D., The George Washington University
Sandra Ross, P.H.N., Health and Human Services Agency, San Diego, CA
Cheri Todoroff, M.P.H., Los Angeles Immunization Program
Although the reviewers listed above have provided many constructive comments and suggestions, they were not asked to endorse the conclusions nor did they see the final draft of the report before its release. The review of this report was overseen by Neal A. Vanselow, M.D., Rio Verde, Arizona. Appointed by the National Research Council and Institute of Medicine, he was responsible for making certain that an independent examination of this report was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this report rests entirely with the authoring committee and the institution.
Tables, Figures, and Box
TABLES
1 |
Change in annual morbidity from vaccine-preventable diseases: Prevaccine baseline and 2001, |
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2 |
Estimated vaccination coverage for the 4:3:1:3 series among children ages 19 to 35 months, United States and California, 1996–2000, |
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3 |
Vaccine-preventable diseases, Los Angeles County, 1990–2000, |
FIGURES
1 |
Estimated vaccination coverage with the 4:3:1:3 series, by coverage level and state, |
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2 |
Six roles of the national immunization system, |
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3 |
Sources of eligibility for children participating in the Vaccines for Children (VFC) program in Los Angeles and San Diego counties, 1999, |
BOX
1 |
Partial list of necessary procedures to immunize a child, |