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Executive Summary
Pages 1-3

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From page 1...
... , Calling the Shots: Immunization Finance Policies and Practices (IOM, 2000) , pointed to the instability of the fundamental infrastructure that supports immunization programs throughout the United States, including unpredictable federal funding levels, growing financial burdens and operational complexities in immunization services, shortcomings in public- and private-sector investments in vaccine purchases and immunization programs, and fluctuations in coverage plans in the public and private health care sectors that create uncertainties regarding vaccine purchase and service delivery arrangements.
From page 2...
... This report of the Los Angeles workshop summarizes the findings of the IOM study, reviews progress in responding to the IOM recommendations at the federal level, and highlights continuing challenges in immunization finance for the nation and at the state and local levels in California. Progress in responding to the IOM recommendations includes increases in federal funding for immunization infrastructure grants, discussions with the states to define a formula for the distribution of those grant funds, and efforts to improve the measurement of immunization coverage.
From page 3...
... Also emphasized at the workshop is the special difficulty that public health and the immunization system face. These services can seem invisible when they work because people are not getting sick, but the public health system has suffered from neglect because of its invisibility.


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