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CDC Director’s PerspectiveImmunization Program Managers Meeting
Thomas R. Frieden, MD, MPHDirector, CDC Administrator, ATSDR
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CDC – 2010 priorities
• Strengthen epidemiology, surveillance, laboratory services
• Increase ability to support state and local health departments
• Increase global health impact
• Increase policy impact
• Better prevent illness, disability, and death
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H1N1 response was challenging but effective
• >50 million doses within 6½ months of discovery of novel virus
• More people protected
• Expanded availability of treatment
• Response stretched local infrastructures
• Uncertainty about future course of flu
• State-to-state variability
• Perseverance
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H1N1 – moving forward
• Improve vaccine technology
• Better anticipate vaccine delivery schedule
• Improve vaccination
• School-based seasonal
• Pregnant women
• Risk groups
• Stronger communication between public health departments and providers
• Stronger surveillance systems
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Immunization Information Systems (IIS)
• Immunization registries
• Potential benefits• Link providers and immunization programs
• Improve response to vaccine shortage, outbreak, coverage assessment
• More cost-effective assessment and quality improvement activities
• Must align with Electronic Health Records (EHR) • Standardization is essential
• Grantees are critical to success!
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New vaccines
• Pneumococcal• 13-valent vaccine available within months
(should cover 19A type)
• Seasonal influenza• High-dose trivalent vaccine newly licensed,
more effective for elderly
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Other priority vaccines…HPV
• Progress in vaccine implementation
• Post licensure vaccine monitoring ongoing
• Communication challenge with 2 different vaccines
• Policy issues• Need more data on male vaccine
• Vaccinating women >26 years old
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Poliovirus transmission, 2009
Endemic areas Re-established transmission Recent importation
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U.S. vaccine programs still face challenges
• Vaccine acceptance• Danger of losing past gains
• Reimbursement in public health clinics• Need to recoup costs lost to vaccinating privately
insured patients in public clinics
• Enabling clinics to bill private insurance could save states millions in 317 funds
• Savings could expand immunization efforts
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New opportunities to enhance vaccination programs
• Health reform• Preventive coverage for adults could boost
adult immunization
• ARRA• Section 317 funds for vaccine purchase
• Public sector• Develop immunization policy
• Quality assurance for immunization practice
• Provider education
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Thank you