Calling the Shots
Immunization Finance Policies and Practices
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Americans often take for granted our nationwide system for immunization against infectious disease. Various factors are now weakening this system. Among them, the growing number of vaccines, increased complexity of the immunization schedule, reduced federal resources, and changes in the immunization delivery system. The federal and state partnership that fosters immunization is also growing more fragile. The measles outbreak of 1989 and 1990, which resulted in more than 100 deaths, reminds us that decreased vigilance can make us vulnerable to infectious disease. Calling the Shots examines the ...
Americans often take for granted our nationwide system for immunization against infectious disease. Various factors are now weakening this system. Among them, the growing number of vaccines, increased complexity of the immunization schedule, reduced federal resources, and changes in the immunization delivery system. The federal and state partnership that fosters immunization is also growing more fragile. The measles outbreak of 1989 and 1990, which resulted in more than 100 deaths, reminds us that decreased vigilance can make us vulnerable to infectious disease. Calling the Shots examines the basic strategies that finance the national immunization system in the current health care climate. It is a comprehensive volume, rich with data and highlighted examples, that explores: -- The evolution of the system in light of changing U.S. demographics, development of new vaccines, and other factors. -- The effectiveness of public health and health insurance strategies, with special emphasis on the performance of the "Section 317" program. -- The condition of the infrastructure for control and prevention of infectious disease, surveillance of vaccines rates and safety, and efforts to sustain high coverage.
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