1. Judy Monroe, MD Indiana State Health Commissioner ASTHO President
Immunizations Blazing the Trail to Healthier Living 43rd National Immunization Conference March 30, 2009
Judy Monroe, MD
Indiana State Health Commissioner
ASTHO President

3. 1951

7. Young parents today have never seen polio.

8. First Polio Vaccine Licensed Last Wild-Virus Polio Case
Poliomyelitis – U.S.
First Polio Vaccine Licensed
1955
Last Wild-Virus Polio Case
1979
Speaker Notes:
Polio is one of the classic examples of how effective vaccines are at reducing disease. In fact, polio is near eradication. This would not have happened without the routine use of the polio vaccine.
Polio:
Is a viral disease, once America's most feared disease, causing death or paralysis. Its most famous victim was President Franklin Roosevelt.
From paralytic polio struck nearly 20,000 Americans every year, killing nearly 1,900.
First polio vaccine was licensed in 1955.
Last wild-virus polio transmission in the U.S. was in 1979.
Polio elimination certified in the Western Hemisphere in 1994.
The exclusive use of inactivated polio vaccine (IPV) was recommended in 1999.
Today, there are no reports of polio in the United States, but the disease still exists in some parts of the world.

9. Strategic Triangle Source: Moore, M. H
Strategic Triangle Source: Moore, M.H.(1995) Creating Public Value: Strategic Management in Government

10. 1984

12. Many young doctors today have never seen invasive Hemophilus influenza

13. Hemophilus influenza Incidence of Invasive Hib* 1987-2000
* Per 100,000 children < age 5
Speaker Notes:
HIB is a perfect example of how effective vaccines are!
Haemophilus influenzae type b (Hib) Meningitis:
Is a severe bacterial infection that usually strikes children under age 5.
Causes infection of the blood, brain, lungs, throat, bones, and joints.
Hib can cause meningitis, a serious infection of the surface of the brain and spinal cord which can lead to mental retardation, deafness, or death.
Before 1985, an estimated 20,000 children developed Hib every year, with 600 deaths.
First Hib vaccine was licensed in 1985.
Fewer than 10 Hib deaths were reported in 1998.

14. 2000

15. First Measles Vaccine Licensed
1963
Speaker Notes:
Measles is another example of how effective vaccines are at reducing disease.
Measles:
Is a highly contagious viral disease that may lead to death.
From more than a half million cases of measles were reported each year with 432 measles-related deaths occurring on average each year.
In 1963, the measles vaccine was licensed.
By 2000, only 86 cases were reported in all of the U.S.

16. 2005

18. When disease is out of sight, concerns of vaccine safety increase.

19. 2009

21. The power of prevention was evident to these parents and students.

22. Strategic Triangle Source: Moore, M. H
Strategic Triangle Source: Moore, M.H.(1995) Creating Public Value: Strategic Management in Government

23. Growth in Cost of Vaccines to Immunize 1 Child vs
Growth in Cost of Vaccines to Immunize 1 Child vs. Annual Federal Vaccine Purchase Appropriations
$1,407*
Vaccine cost to
immunize 1 child
$251 M
Vaccine purchase appropriation
$186
$138 M
* This figure represents the cost to fully vaccinate a female; the cost to fully vaccinate a male is $1105 because males do not receive the HPV vaccine.
March The Association of State and Territorial Health Officials

24. IOM – Six Aims
Safe – avoiding injuries from care that is intended to help them
Effective – providing services that are based on scientific knowledge and avoiding those not likely to benefit
Patient-centered – care that is respectful and responsive to individual patient preferences, needs, values, and includes patient values in clinical decision making

25. IOM – Six Aims
Timely – reducing waits and sometimes harmful delays for those who receive and give care
Efficient – avoiding waste, in particular – equipment, supplies, ideas and energy
Equitable – care that does not vary in quality due to personal characteristics

27. “Do not go where the path may lead; go
instead where there is no path and leave a
trail” –Ralph Waldo Emerson