CDC Director’s PerspectiveImmunization Program Managers Meeting

Thomas R. Frieden, MD, MPHDirector, CDC Administrator, ATSDR

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

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

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

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!

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

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

Poliovirus transmission, 2009

Endemic areas Re-established transmission Recent importation

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

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

Thank you