Book Summary:
Americans often take for granted our nationwide system for immunization against infectious disease. Now this system is being weakened, by factors including reduced federal resources, increasing disadvantaged populations, a shift from public to private immunization services, and the impact of managed care. Calling the Shots identifies the key roles of the national immunization system and evaluates how well these roles are fulfilled in the current health care climate. The committee recommends measures for strengthening the federal-state partnership that supports the system and suggests a specific strategy for funding this partnership. This comprehensive volume, rich with data, examines: * The evolution of the system in light of changing U.S. demographics, development of new vaccines, and other factors.
* The effectiveness of "Section 317" and other federal immunization initiatives.
* The condition of the infrastructure for control of infectious disease, surveillance of vaccines rates and safety, and efforts to sustain high coverage. |