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The HHS National Vaccine Program and Global Immunization VOLUME 129 SUPPLEMENT 3 • SEPTEMBER/OCTOBER 2014 The HHS National Vaccine Program and Global Immunization NVAC Report and Recommendations Approved by the National Vaccine Advisory Committee on Public September 12, 2013 COMMENTARY HHS—Supporting Global Immunization through Policies, Programs, and Partnerships . 1 Health N Daulaire Global Immunizations through the Lens of Development . 4 AK Shen, R Clay, A Pablos-Mendez Reports The Contribution of Immunization: Publishing since 1878 Saving Millions of Lives, and More . 7 M Chan www.publichealthreports.org Global Health and U.S. Health— Inextricably Linked . 9 C Elias, T Mundel NVAC REPORT Enhancing the Work of the Department of Health and Human Services National Vaccine Program in Global Immunization: Recommendations of the National Vaccine Advisory Committee . 12 National Vaccine Advisory Committee Executive Summary . 12 National Vaccine Advisory Committee . 17 Introduction . 21 NVAC Analysis and Recommendations . 28 NVAC Recommendation 1: tackling time- limited opportunities to complete polio eradication and to advance measles mortality reduction and regional measles/rubella elimination goals . 28 NVAC Recommendation 2: strengthening global immunization systems . 38 NVAC Recommendation 3: enhancing global capacity for vaccine safety monitoring and post-marketing surveillance . 54 NVAC Recommendation 4: building global immunization R&D capacity . 60 NVAC Recommendation 5: strengthening the capacity for vaccine decision making . 70 NVAC Recommendation 6: unifying ©Juan Andres Rodriguez ©Juan Andres HHS global immunization efforts: leadership and coordination . 73 Photo: Conclusions . 74 References . 75 Public Health Reports is the journal of the U.S. Public Health Service and the Office of the Surgeon General and is published through an official agreement with the Association of Schools and Programs of Public Health. Frederic E. Shaw, MD, JD Senior Advisor, Center for Surveillance, Epidemiology and Laboratory Services, Office of Public Health Scientific Services, Centers for Disease Control and Prevention, Department of Health and Human Services Acting Editor Julie Keefe Brandi Bryant Baker Lauren Bailey Rachana Sikka Managing Editor Production Assistant Elliott Churchill ORISE Fellow Jenny Reising Scientific Editors Deputy Editors Associate Editors William Aldis, MD, FACP, Assistant Professor, Philip J. Smith, PhD, Mathematical Statistician, Stephen J. Bertke, PhD, Statistician, National School of Global Studies, Thammasat National Center for Immunization and Institute for Occupational Safety and Health, University Respiratory Diseases, Centers for Disease Centers for Disease Control and Prevention, Joseph H. Bates, MD, MS, Deputy State Health Control and Prevention, U.S. Department U.S. Department of Health and Human Officer, Chief Science Officer, Arkansas of Health and Human Services Services Department of Health; Associate Dean, Betsy L. Thompson, MD, DrPH, CAPT, U.S. Geoffrey M. Calvert, MD, MPH, Senior Medical University of Arkansas Medical School Public Health Service, Deputy Health Epidemiologist, Division of Surveillance, Hazel D. Dean, ScD, MPH, Deputy Director, Administrator, Region IX, Office of Hazard Evaluations, and Field Studies, National Center for HIV/AIDS, Viral the Assistant Secretary for Health, U.S. National Institute for Occupational Safety Hepatitis, STD, and TB Prevention, Centers Department of Health and Human Services and Health, Centers for Disease Control and for Disease Control and Prevention, U.S. Prevention, U.S. Department of Health and Department of Health and Human Services Contributing Editors Human Services Zygmunt F. Dembek, PhD, MS, MPH, LHD, Sara Rosenbaum, JD, Harold and Jane Hirsh Sean D. Cleary, PhD, MPH, Associate Professor, COL (Ret), Senior Scientist, Center for Professor of Health Law and Policy, School School of Public Health and Health Services, Disaster and Humanitarian Assistance of Public Health and Health Services, The The George Washington University Medicine; Associate Professor, Uniformed George Washington University Adele L. Franks, MD, Centers for Disease Services University of the Health Sciences David Rosner, PhD, MPH, Ronald H. Control and Prevention, U.S. Department of Russell Kirby, PhD, MS, Professor and Marrell Lauterstein Professor of Sociomedical Health and Human Services (Ret) Endowed Chair, Department of Community Sciences and History, Co-Director, Center T. Stephen Jones, MD, MPH, Centers for and Family Health, College of Public for the History & Ethics of Public Health, Disease Control and Prevention, U.S. Health, University of South Florida Columbia University Department of Health and Human Services Jan Lowery, PhD, MPH, Assistant Professor, Sandra Smith, MPH, Consultant and Public (Ret) Colorado School of Public Health, Affairs Officer (Ret), National Center Richard S. Kurz, PhD, Professor and Dean, University of Colorado Denver for Health Statistics, Centers for Disease University of North Texas Health Science Beth A. Resnick, MPH, Associate Scientist, Control and Prevention, U.S. Department Center, School of Public Health Johns Hopkins Bloomberg School of Public of Health and Human Services Marlynn L. May, PhD, Professor Emeritus and Health (JHBSPH); Director, Office of Public Adam J. Spanier, MD, PhD, MPH, Physician Interim Associate Head, Texas A&M Health Health Practice and Training and the MSPH and Assistant Professor of Pediatrics and Science Center, School of Public Health, Program in Health Policy, JHBSPH Public Health Sciences, Milton S. Hershey Department of Public Health Sciences Mark G. Robson, PhD, DrPH, Dean of Medical Center, Pennsylvania State Lance E. Rodewald, MD, Team Leader, Agricultural and Urban Programs and University Expanded Program on Immunization, China Professor of Entomology, School of Lorna E. Thorpe, PhD, MPH, Professor and Country Office, World Health Organization; Environmental and Biological Sciences, Program Director, Epidemiology and Global Immunization Division, Centers Rutgers, The State University of New Jersey Biostatistics, City University of New York for Disease Control and Prevention, U.S. School of Public Health Department of Health and Human Services Publications that index or abstract articles from Public Health Reports include the following: MEDLINE/PubMed, CAB Abstracts/Global Health, EBSCO, EMBASE/Excerpta Medica, JSTOR, OVID, Pais International, and Statistical Reference Index (SRI)/LexisNexis. A subscription form appears on the back cover. Please visit the Journal’s website at http://www.publichealthreports.org U.S. DEPARTMENT OF HEALTH PUBLIC HEALTH SERVICE ASSOCIATION OF SCHOOLS AND PROGRAMS AND HUMAN SERVICES Howard K. Koh, MD, MPH OF PUBLIC HEALTH Sylvia Mathews Burwell Assistant Secretary for Health John R. Finnegan, Jr., PhD Secretary Boris D. Lushniak, MD, MPH Chair, Board of Directors RADM, USPHS Acting Surgeon General Public Health Reports (PHR) (ISSN 0033-3549; USPS 324-990) is the journal of the U.S. Public Health Service (USPHS) and is published bimonthly by the Association of Schools and Programs of Public Health (ASPPH) (EIN: 56-0734192). Business, accounting, and circulation offices: 1900 M St. NW, Ste. 710, Washington, DC 20036; tel. 202-296-1099; e-mail <[email protected]>. Periodicals postage paid at Washington, DC 20036 USA, and additional mailing offices. All manuscripts are peer reviewed. Opin- ions expressed are the authors’ and do not reflect the views ofPHR , USPHS, or ASPPH. Trade names are used for identification only and do not represent an endorsement by USPHS or ASPPH. Printed on 30% recycled paper. POSTMASTER: Send address changes to Public Health Reports, c/o ASPPH, 1900 M St. NW, Ste. 710, Washington, DC 20036. Writing for Public Health Reports Public Health Reports (PHR) welcomes contributions that complement the mission and purpose of the Journal: • To facilitate the movement of science into public health practice and policy to positively affect the health and wellness of the American public. • To publish scholarly manuscripts that describe new and innovative ways to deliver essential services, leading to improved quality, enhanced efficiency, and reduced costs. • To publish evaluations of public health programs that describe models of practice that can be replicated by others and that describe les- sons learned. PHR conforms to Uniform Requirements for Manuscripts Submitted to Abstract: The abstract is published in various medical indexes; Biomedical Journals, which is available online at http://www.icmje therefore, it should be written clearly and succinctly. Structured .org/index.html, including all ethical considerations. International abstracts of research articles (250-word maximum) should contain authors are strongly encouraged to seek writing and editing as- four parts labeled Objectives, Methods, Results, and Conclusions. sistance from a native English-speaking editor prior to submitting Unstructured abstracts should be a maximum of 150 words without their manuscript. Submit manuscripts electronically as one inclusive abbreviations, symbols, or references to tables or figures. Numerical attachment in a Microsoft® Word or PDF file to: Editor, Public Health references should not be included in the abstract. Reports, e-mail <[email protected]>. References: References follow Citing Medicine: The NLM Style Guide We accept manuscripts in each of the following categories: origi- for Authors, Editors, and Publishers [Internet]. 2nd edition. Available nal research (qualitative and quantitative), public
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