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October 2007 NVAC Meeting Minutes - page 26 / 40





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October 2007 NVAC Meeting Minutes

Report: Subcommittee Update: Subcommittee on Immunization Coverage—Dr. Jon R. Almquist

The first agenda item of the Subcommittee on Immunization Coverage was to discuss the adult immunization issues that were presented during the morning presentations. The Subcommittee agreed that adult immunization issues do need to be addressed by NVAC. They also agreed that the Subcommittee on Immunization Coverage could potentially be the Committee that addresses these issues. They envisioned the Committee working like the Working Group on finance or adolescent immunizations. They proposed having a brainstorming session where they would identify issues that they could address in a reasonably short time period and then set up smaller groups to develop recommendations. The Subcommittee hoped they could have these recommendations ready for the new administration by the end of 2008 or early 2009.

The Subcommittee then reported on the fact that one of the products from the Subcommittee, the “Immunization Information Systems National Vaccine Advisory Committee Progress Report,” had been published in the Journal of Public Health Management Practice.

Next, the Subcommittee recommended that there be a stakeholders’ conference on immunization information systems (IIS) immediately following the next NVAC meeting. They reported that Dr. Gellin is going to send out letters asking key stakeholders to attend.

The last part of the Subcommittee meeting consisted of a presentation by Dr. Philip J. Smith on the new modules of the NIS. These new modules have now incorporated adolescent information as well as updated information about the insurance status of children and how that affects their health.

Dr. Almquist then provided the Committee with a few of the study’s findings:

Results from the study showed that VFC-eligible children, who have a medical home and use it consistently to receive all vaccine doses, can have vaccination coverage rates that are comparable to non-VFC children living in more affluent households.

Results from that study confirmed that children who were insured with public insurance or who were uninsured were significantly less well vaccinated than children covered by private insurance.

Results also showed that children who were covered by health insurance at the time of the NIS interview and who had no breaks in health insurance coverage were significantly better vaccinated than children who were currently insured but who had breaks in coverage, than children who were currently uninsured but previously insured, and than children who were never insured.


Dr. Humiston asked if the insurance module was going to be added to the NIS for adolescents. Dr. Almquist explained that it already existed. Dr. Riley asked if the data had been broken down by ethnicity. Dr. Almquist explained that ethnicity data were not given as part of the presentation but that that does not mean that they are not available. Dr. Santoli explained that ethnicity data in children will be available in the future on a national level.

Report: Subcommittee Update: Subcommittee on Public Communication, Consultation, and Participation (PCCP)—Dr. Sharon Humiston

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