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Calling the Shots
IOM Report Calls for Immunization Revisions
Charles Marwick
JAMA. 2000;284:683-684.
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Washington—A new report issued by the Institute of Medicine (IOM) warns that although the US immunization system is still strong, it is failing to immunize significant segments of the population against vaccine-preventable diseases.
The report, Calling the Shots: Immunization Finance Policies and Practices, was commissioned by the US Senate Committee on Appropriations and sponsored by the Centers for Disease Control and Prevention (CDC). It states that the immunization system must be modernized to meet the challenges of new vaccines and increasingly complex administration schedules. There are 13 childhood vaccines currently recommended, and it is estimated that in the next 20 years there will be 34.
Another principal point is that the way immunization is financed should be overhauled. Funding is erratic and should be provided on a long-term basis to meet the challenges that are occurring in health care. And immunization of adults, particularly against influenza . . . [Full Text of this Article]
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