For the Public Good Highlights from the Institute of Medicine, 1970-1995 (1995) / Chapter Skim
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INSTITUTE OF MEDICINE ACTIVITIES ON VACCINES AND IMMUNIZATION
INSTITUTE OF MEDICINE ACTIVITIES ON VACCINES AND IMMUNIZATION
Pages 99-106
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From page 99... ...
Studies have dealt with the vaccine research and development enterprise, assessments of vaccine safety, and immunization practices, and have taken the form of roundtables and forums, short letter reports, workshops, and fi~-length committee reports. These activities have been housed in various divisions of the IOM, but primanly in the Division of Health Promotion and Disease Prevention.
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From page 100... ...
, contained recommendations that led, in part, to a pivotal Public Health Service (PHS) program, the National Vaccine Injury Compensation Program (discussed in detail in Adverse Events Associated with Childhood Vaccines [19931~.
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From page 101... ...
The Committee on the Children's Vaccine Tnitiative, operating under the auspices of the Division of International Health, released 77'e Chilciren's Vaccine Initiative: Achieving the Vision in 1993. The committee came to several conclusions regarding the problems of vaccine R&D but made only one recommendation: that an entity, which the committee tentatively referred to as the "National Vaccine Authority," should be organized to advance the development, production, and procurement of new and improved vaccines of limited commercial potential but of important public health need.
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From page 102... ...
The National Childhood Vaccine Injury Act resulted from years of concern that fear of liability related to the rare but serious adverse effects of vaccines had decreased private investment in vaccine research and development. The act had a fairly wide impact, including the establishment of a no-fault compensation program for people injured by vaccines.
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From page 103... ...
the committee studying perfuses and rubella vaccines concluded, primarily due to data from the NCES, that these data were insufficient to determine whether DPT could lead to chronic encephalopathy, although these data did support a causal relation between DPT and acute encephalopathy. During the final phases of the work conducted by the committee studying the other childhood vaccines, new, long-term followup data from the NCES were published.
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From page 104... ...
Thus, it seems time, once again, to evaluate whether or not an immunization policy should include the use of a vaccine directed against a very, very rare infection that carries a risk of causing a serious disease when an alternative vaccine that carries no such risk exists. The TOM's Vaccine Safety Forum held a workshop in the spring of 1995 on safety issues related to polio vaccines and current immunization practices.
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From page 105... ...
Rather, the committee concluded that efforts to improve immunization rates among preschoo} children should focus on leadership for action on immunization; accountability, and responsibility for providing immunizations; support for improving provider practices; effective communication with families and communities; and development of better information and more effective information tools to support each of the other efforts. A workshop summary, Overcoming Barriers to Immunization (1994)
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From page 106... ...
Review of an Epidemiologic Study of Neurologic Illness and Vaccination in Children. Letter report to the Centers for Disease Control, October 1990.
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