1. CDC Director’s Perspective Immunization Program Managers Meeting Thomas R. Frieden, MD, MPH Director, CDC Administrator, ATSDR

2. CDC – 2010 priorities Strengthen epidemiology, surveillance, laboratory services Increase ability to support state and local health departments Increase global health impact Increase policy impact Better prevent illness, disability, and death

3. H1N1 response was challenging but effective >50 million doses within 6½ months of discovery of novel virus More people protected Expanded availability of treatment Response stretched local infrastructures Uncertainty about future course of flu State-to-state variability Perseverance

4. H1N1 – moving forward Improve vaccine technology Better anticipate vaccine delivery schedule Improve vaccination School-based seasonal Pregnant women Risk groups Stronger communication between public health departments and providers Stronger surveillance systems

5. Immunization Information Systems (IIS) Immunization registries Potential benefits Link providers and immunization programs Improve response to vaccine shortage, outbreak, coverage assessment More cost-effective assessment and quality improvement activities Must align with Electronic Health Records (EHR) Standardization is essential Grantees are critical to success!

6. New vaccines Pneumococcal 13-valent vaccine available within months (should cover 19A type) Seasonal influenza High-dose trivalent vaccine newly licensed, more effective for elderly

7. Other priority vaccines…HPV Progress in vaccine implementation Post licensure vaccine monitoring ongoing Communication challenge with 2 different vaccines Policy issues Need more data on male vaccine Vaccinating women >26 years old

8. Poliovirus transmission, 2009 Endemic areasRe-established transmissionRecent importation

9. U.S. vaccine programs still face challenges Vaccine acceptance Danger of losing past gains Reimbursement in public health clinics Need to recoup costs lost to vaccinating privately insured patients in public clinics Enabling clinics to bill private insurance could save states millions in 317 funds Savings could expand immunization efforts

10. New opportunities to enhance vaccination programs Health reform Preventive coverage for adults could boost adult immunization ARRA Section 317 funds for vaccine purchase Public sector Develop immunization policy Quality assurance for immunization practice Provider education

11. Thank you