Healthy People 2000 Citizens Chart the Course (1990) / Chapter Skim
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21 Infectious Disease
21 Infectious Disease
Pages 164-169
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From page 164... ...
Educational campaigns, improved strategies to encourage individuals to choose to be vaccinated, research on vaccines with fewer side effects, free or subsidized immunizations, and mass immunization programs are among the strategies recommended to increase the immunization rates. Linda Randolph of the New York State Department of Health identifies several immunization goals
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From page 165... ...
Several witnesses expressed concern about the low influenza immunization rates among the elderly. Carter notes that only about 20 percent of persons aged 65 and older receive the influenza vaccine in any given year.3 He reports that a pilot program at several Veterans Administration hospitals and health maintenance organizations succeeded in increasing the immunization rate to more than 50 percent during the first year.
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From page 166... ...
Katherine Hunter, a clinical microbiologist in Birmingham, Alabama, suggests that a 1990 objective stating that all nursing homes should have a results-oriented infection control committee analogous to those in hospitals must be continued for the year 2000. She identified three strategies to reduce nursing home inactions: upgrade inspection criteria by agencies to be more clinically relevant; increase the training level of nursing home employees to at least 85 percent skilled level; and initiate one-on-one working relationships between nursing home and infection control personnel or organizations, such as the Association for Practitioners in Infection Control.
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From page 167... ...
One such overarching issue is the need for better surveillance, reporting, and data collection. A number of needs were identified Examples include broadening participation in the CDC's National Nosocomial Infection Survey (#4384; increasing uniformity in the definition and calculation of nosocomial infection rates (#619~; monitoring illnesses brought in by immigrants or foreign travelers (~177; #2014; improving data collection on conditions associated with environmental factors and disseminating data to health officials in a useful form (~348~; and establishing a standardized reporting system for infectious diseases throughout the United States that is compatible with the health objectives.
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From page 168... ...
095 Hendee, William; American Medical Association 108 Jarrett, Michael; South Carolina Department of Health and Environmental Control 115 King, Caroler American Academy of Pediatrics 177 Randolph, Linda; New York State Department of Health 201 Smith, George; Tennessee Department of Health and Environment 247 Carter, William; Seattle Veterans Administration Medical Center 259 Hunter, Katherine; Baptist Medical Centers, Montclair (Alabama) 298 Williams, Robert; Baylor College of Medicine 312 Dickson, Bob; Texas Commission on Alcohol and Drug Abuse 168 Healthy People 2000: Citizens Chart the Course
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From page 169... ...
Thomas; University of Washington 789 Carpenter, Charles C J.; Brown University 790 Weller, Thomas; Harvard University 791 Lucas, Adetokunbo; Carnegie Corporation of New York Infectious Disease 169
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