The Annual Report of the State of the National Vaccine Plan
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THE ANNUAL REPORT OF THE STATE OF THE NATIONAL VACCINE PLAN U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES 2014 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES TABLE OF CONTENTS ACRONYMS AND ABBREVIATIONS ....................................................................................................................................................................................................3 DIRECTOR’S NOTE ......................................................................................................................................................................................................................................6 REPORT INTRODUCTION.........................................................................................................................................................................................................................8 TABLE 1: THE 2010 NATIONAL VACCINE PLAN RESPONSIBLE STAKEHOLDERS ........................................................................................................11 GOAL 1: DEVELOP NEW AND IMPROVED VACCINES ..............................................................................................................................................................12 DISCOVERY AND CREATION OF NEW VACCINES .................................................................................................................................................................... 13 OPTIMIZING VACCINE PREPARATION, USE AND DELIVERY .............................................................................................................................................. 24 SEASONAL INFLUENZA PREVENTION AND PANDEMIC PREPAREDNESS ..................................................................................................................30 GOAL 2: ENHANCE THE VACCINE SAFETY SYSTEM .............................................................................................................................................................. 35 ADVANCING VACCINE SAFETY SYSTEMS ................................................................................................................................................................................... 36 PROGRESSING VACCINE SAFETY RESEARCH ........................................................................................................................................................................... 48 GOAL 3: SUPPORT COMMUNICATIONS TO ENHANCE INFORMED VACCINE DECISION-MAKING ................................................................... 51 FOSTERING COLLABORATION TO COMBAT HPV INFECTION ...........................................................................................................................................52 COMMUNICATION SCIENCE APPROACHES TO IMPROVE DECISION-MAKING AND ACCEPTANCE ............................................................... 58 OTHER SELECTED VACCINE COMMUNICATION EFFORTS ................................................................................................................................................. 63 GOAL 4: ENSURE A STABLE SUPPLY OF, ACCESS TO, AND BETTER USE OF RECOMMENDED VACCINES IN THE UNITED STATES ...........................................................................................................................................64 EXPANDING ACCESS TO VACCINES .............................................................................................................................................................................................. 65 PRIORITIZING ADULT IMMUNIZATION ........................................................................................................................................................................................... 68 INTEGRATING IT SYSTMES FOR IMPROVED IMFORMATION SHARING ......................................................................................................................... 70 OTHER SELECTED ADVANCES IN VACCINE SUPPLY, ACCESS AND USE .................................................................................................................... 76 GOAL 5: INCREASE GLOBAL PREVENTION OF DEATH AND DISEASE THROUGH SAFE AND EFFECTIVE VACCINATION ..................77 REDUCING THE GLOBAL IMPACT OF DISEASE ......................................................................................................................................................................... 78 PROTECTING HEALTH AT HOME AND ABROAD ...................................................................................................................................................................... 87 OTHER SELECTED ADVANCES IN GLOBAL IMMUNIZATION .............................................................................................................................................. 92 APPENDIX 1: UPDATE ON THE NATIONAL VACCINE ADVISORY COMMITTEE ..........................................................................................................94 APPENDIX 2: PROGRESS ON THE IMPLEMENTATION OF THE NATIONAL VACCINE PLAN ...............................................................................101 APPENDIX 3: HEALTHY PEOPLE 2020 BACKGROUND OF IMMUNIZATION AND INFECTIOUS DISEASE GOALS .....................................114 APPENDIX 4: STAKEHOLDER WEBSITE GUIDE .........................................................................................................................................................................115 APPENDIX 5: INFORMATION AND RESOURCES FOR THE PUBLIC .................................................................................................................................. 117 STATE OF THE NATIONAL VACCINE PLAN 2014 2 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ACRONYMS AND ABBREVIATIONS ACV Advisory Commission on Childhood Vaccines ACF Administration for Children and Families ACIP Advisory Committee on Immunization Practices ACOG American Congress of Obstetricians and Gynecologists ACS American Cancer Society AEFI Adverse Event Following Immunization AHRQ Agency for Healthcare Research and Quality AIDS Acquired Immunodeficiency Syndrome AIM Association of Immunization Managers AIRA American Immunization Registry Association APhA American Pharmacists Association AITF Adult Immunization Task Force ASH Assistant Secretary for Health ASPR Assistant Secretary for Preparedness and Response ASTHO Association of State and Territorial Health Officials BARDA Biomedical Advanced Research and Development Authority (within the Office of the Assistant Secretary for Preparedness and Response or ASPR) BMGF Bill & Melinda Gates Foundation BPHC Bureau of Primary Health Care (within the Healthcare Research and Services Administration) BSL Biosafety Level CBER Center for Biologics Evaluation and Research (of the Food and Drug Administration) CICP Countermeasure Injury Compensation Program (within the Healthcare Research and Services Administration) CDC Centers for Disease Control and Prevention CISA Clinical Immunization Safety Assessment CME Continuing Medical Education credit CMS Centers for Medicare & Medicaid Services CRS Congenital Rubella Syndrome CSTS Council of State and Territorial Epidemiologists DHS U.S. Department of Homeland Security DoD U.S. Department of Defense DoJ U.S. Department of Justice DPT Diphtheria-Pertussis-Tetanus vaccine DTaP Diphtheria-Tetanus-Pertussis vaccine EHR Electronic Health Record EIND Emergency Investigational New Drug EUA Emergency Use Authorization FDA Food and Drug Administration FIC Fogarty International Center (within the National Institutes of Health) FQHC Federally Qualified Health Center FY Fiscal Year GAP Global Action Plan for Influenza Vaccines GAVI The GAVI Alliance GBS Guillain-Barré syndrome GPEI Global Polio Eradication Initiative HCP Health Care Professional or Health Care Personnel HCV Hepatitis C Virus HepA Hepatitis A HepB Hepatitis B HepC Hepatitis C HHS U.S. Department of Health and Human Services Hib Haemophilus influenza type b HIE Health Information Exchange HIV Human Immunodeficiency Virus HPV Human Papilloma Virus HRSA Health Resources and Services Administration HSV Herpes Simplex Virus ICT Information and Communication Technologies STATE OF THE NATIONAL VACCINE PLAN 2014 3 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES ACRONYMS AND ABBREVIATIONS IHS Indian Health Service IIS Immunization Information Systems IIV Inactivated Influenza Vaccine IOM Institute of Medicine ISTF Immunization Safety Task Force JE Japanese Encephalitis LTC Long-Term Care MCV Meningococcal Vaccine MD Medical Doctor MenB Meningococcal serogroup B MMR Measles, Mumps, and Rubella vaccine MPH Master of Public Health MSF Médecins Sans Frontières International (Doctors Without Borders) NAIIS National Adult and Influenza Immunization Summit NAIP National Adult Immunization Plan NCIRD National Center for Immunization and Respiratory Diseases (within the Centers for Disease Control and Prevention) NFID National Foundation for Infectious Diseases NIAID National Institute of Allergy and Infectious Diseases (within the National Institutes of Health) NIH National Institutes of Health NNDSS National Notifiable Disease Surveillance System NVAC National Vaccine Advisory Committee NVPO National Vaccine Program Office OGA Office of Global Affairs ONC Office of the National Coordinator for Health Information Technology OPV Oral Polio Vaccine PAHO Pan American Health Organization PCP President’s Cancer Panel PCV Pneumococcal conjugate