Adult Immunization at CDC Gina T. Mootrey, DO, MPH NVAC, October 22, 2007

ASSOCIATE DIRECTOR for EPIDEMIOLOGIC SCIENCE ASSOCIATE DIRECTOR for COMMUNICATIONS ASSOCIATE DIRECTOR for HEALTH POLICY Respiratory Diseases Global Immunizations Division Global Measles Polio Eradication Division of Viral Diseases Gastroenteritis and Respiratory Viruses Polio and Picornavirus Laboratory Epidemiology MMR and Herpes Influenza Division Epidemiology and Prevention Immunology and Pathogenesis Molecular Virology and Vaccines Virus Surveillance and Diagnosis Immunization Services Division* Assessment Education, Information, and partnership Health Services Research and Evaluation Immunization Information Systems Support Program Operations Vaccine Supply and Assurance Meningitis and Vaccine Preventable Diseases Division of Bacterial Diseases Office of the Director Anne Schuchat DIRECTOR Melinda Wharton DEPUTY DIRECTOR ASSOCIATE DIRECTOR FOR MANAGEMENT & OPERATIONS Updated: April 13, 2007 EXECUTIVE SECRETARIAT, ACIP ASSOCIATE DIRECTOR for LABORATORY SCIENCE *Acting National Center for Immunization and Respiratory Diseases

Immunization Services Division Associate Director for Adult Immunization –Current ACIP –Adult Immunization Schedule –Working Groups National Influenza Vaccine Summit Adult Vaccine Action Committee (AVAC) Coordination –Planned Adult Immunization Coordinators Interagency collaboration Research

Collaboration within NCIRD Assessment –Vaccination coverage data NIS NHIS BRFSS

Collaboration within NCIRD Education, Information and Partnership –Net conferences, satellite broadcasts, podcasts –Presentations In 2007, 31 talks targeted adults, 38 general immunization talks included adult topics –Liaison to ACOG –Technical assistance ACP – train providers on best practices and tracking APhA – train pharmacists to vaccinate

Collaboration within NCIRD Health Services Research and Evaluation –Focus groups to evaluate Adult Immunization Schedule –Racial Ethnic Adult Disparities in Immunization (READII) Demonstration –Evaluation of inpatient standing orders –Evaluation of different approaches to increasing vaccination of nursing home staff –Economics

Collaboration within NCIRD Immunization Information Systems Support –Registries Program Operations –Grantees Vaccine Supply and Assurance –Vaccine contracts

Collaboration within NCIRD Communications –National Influenza Vaccine Week –Seasonal influenza –Qualitative research Factors influencing immunization of health care workers Barriers to vaccination

Collaboration within NCIRD Vaccine and Disease Expertise –Influenza –Viral Diseases –Bacterial Diseases

Collaboration with the Coordinating Center for Infectious Diseases National Center for Immunization and Respiratory Diseases (NCIRD) National Center for Zoonotic, Vector-Borne and Enteric Diseases (NCZVED) National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP) –Division of Viral Hepatitisis –Division of STD Prevention National Center for Preparedness, Detection and Control of Infectious Diseases (NCPDCID)

Collaboration within CDC Coordinating Center for Health Promotion –Division of Adult and Community Health Healthy Aging Program* –Division of Cancer Prevention and Control –Division of Diabetes Translation –Division for Heart Disease and Stroke Prevention *Current collaboration

Section 317 Program As funding permits, the Section 317 program provides vaccines to uninsured and underinsured adults In 2005, 4.5% of Section 317 funding purchased adult vaccines

Public Sector Leads for Childhood and Adult Immunization Routine Childhood Routine Adult Targeted, High Risk Adult EpidemiologyCDC / state RecommendationsCDC Control of vaccineCDC/ stateSmallMinimal Assurance of vaccination CDC/ stateCMS / QIOs No clear lead