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Pages 12-13

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From page 12...
... the role and financing level for efforts by the Center for Disease Control and Prevention In supporting state immunization activities to vaccinate adults and achieve national goals for influenza and pneumococcal vaccines. 5A comprehensive history of the evolution of federal immunization policy In the period 1955-198 is included In a John Hopkins University doctoral dissertation by Patrick Vivier (Viv~er, 19961.
From page 13...
... to infrastructure over the last turo years have resulted in major cutbacks on the state level including: reductions in every aspect of programs, from development of matenals to staffing of clinics, cancellations of contracts with WIC, private providers, community heady centers, TANF, and community coalitions; severe reductions In registry development and maintenance, reductions In clinic hours and the delivery of shots; and cancellation of assessment programs, evaluation and surveillance improvements. In addition He severe cutbacks do not allow for states to plan and implement the institutionalization of vaccine delivery strategies that work...".


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