Résumé :
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[BDSP. Notice produite par INIST vfR0x8ZZ. Diffusion soumise à autorisation]. Objective Following an outbreak of measles in 1989-1991, a blueprint for change was developed to improve immunization coverage by addressing deficiencies in the immunization delivery system. A review was undertaken by the National Vaccine Advisory Committee (NVAC) to assess progress in improving immunization coverage, decreasing disease incidence, and developing an immunization delivery system to serve children in the United States. Based on this review, strategies were recommended to sustain success in immunization coverage. Participants A Subcommittee on Immunization Coverage was appointed by the chairman of the NVAC in 1995 and included representatives from federal agencies, professional organizations, vaccine manufacturers, state and regional health departments, and academic centers. Evidence Presentations on immunization programs, strategies, and financing were made to the subcommittee by representatives from federal, state, and local agencies ; professional organizations ; insurers ; businesses ; and public and private health care providers. Evidence from the published literature also was reviewed. Consensus Process After review and discussion of evidence presented, conclusions and recommendations were crafted and endorsed by members of the subcommittee. The subcommittee's report was submitted to the NVAC for review, comment, and approval. (...)
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