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National Perspectives on the Immunization System
Pages 12-15

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From page 12...
... As the measles epidemic from 1989 to 1991 demonstrated, however, some vaccine-preventable diseases remain a threat if rates of immunization coverage are low. Despite improvements made during the l990s, national immunization coverage rates for 2-year-olds and adults aged 65 years and older have not yet reached the current public health sector objective of 90 percent.
From page 13...
... VFC, a federal entitlement program, funds the purchase of vaccines for use by participating health care providers to serve eligible children. CDC estimates that more than 40,000 private providers are participating in VFC.
From page 14...
... State officials also reported pressure from health care providers to supply publicly purchased vaccine for children who are not eligible for VFC. In addition, they felt that the Advisory Committee on Immunization Practices (ACIP)
From page 15...
... States that fund public clinics for the delivery of immunization services may require larger budgets for immunization infrastructure than states that primarily rely on private providers. Immunization programs in some states also benefit from in-kind support provided by other state agencies, such as the education department if school personnel are responsible for assessing the immunization status of children entering school.


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