Setting the Course A Strategic Vision for Immunization: Part 2: Summary of the Austin Workshop (2002) / Chapter Skim
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Immunization Issues in Texas
Immunization Issues in Texas
Pages 16-23
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are more encouraging but still fall short of the national public health goal of 90 percent. For 1999, 70 percent of older adults in Texas reported that they had received a vaccination against influenza in the previous year, compared with a 67 percent rate nationally, and 56 percent reported that they had ever received a vaccination against pneumococcal pneumonia, compared with a 54 percent rate nationally (CDC, 2001~.
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TEXAS DEPARTMENT OF HEALTH Sharilyn Stanley, associate commissioner for disease control and prevention at the Texas Department of Health, reviewed trends in public funding for immunization activities in Texas and some of the challenges facing the state. For 2001, the immunization program budget amounted to $151.8 million (Figure 2~.
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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.
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Under an immunization improvement plan adopted in May 2000, the state health department will work to improve community involvement in immunization efforts, to enhance provider awareness and participation in VFC and other immunization activities, to improve data systems such as the immunization registry, and to increase the immunization program's coordination with other key health and human services agencies, including Medicaid and WIC. Coordination with Medicaid, in particular, could be important in raising immunization rates, since many low-income children are enrolled in the Medicaid program.
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In 2001,104 E1 Paso providers, primarily pediatricians and family physicians, participated in VFC, down from 128 providers in 1998. In addition, a prenatal care program in health department clinics that had helped link new mothers with immunization services has been transferred to local hospitals and is less likely to serve the uninsured.
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In 1997, a state-sponsored pilot study demonstrated that VFC providers in E1 Paso were not assessing immunization coverage accurately and also were not documenting children's immunization histories. Since 1997, the health district has worked with limited numbers of providers who participate in VFC to conduct systematic record assessments using CDC's AFIX (assessment, feedback, incentives, exchange)
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