# Presentation: 094220

## Adult Immunization at CDC

**Gina T. Mootrey, DO, MPH**
**NVAC, October 22, 2007**** **

## National Center for Immunization and Respiratory Diseases

- ASSOCIATE DIRECTOR for EPIDEMIOLOGIC SCIENCE

- ASSOCIATE DIRECTORfor COMMUNICATIONS

- ASSOCIATE DIRECTOR for HEALTH POLICY

**Global****Immunizations Division**

**Global Measles**

**Polio Eradication**

**Division of Viral****Diseases**

**Gastroenteritis and****Respiratory Viruses**

**Polio and Picornavirus **
**Laboratory**

**Epidemiology**

**MMR and Herpes**

**Influenza Division**

**Epidemiology and ****Prevention**

**Immunology and ****Pathogenesis**

**Molecular Virology****and Vaccines**

**Virus Surveillance  **
**and Diagnosis  **

**Immunization****Services Division***

**Assessment **

**Education, Information,**
** ****and partnership**

**Health Services Research**
** ****and Evaluation**

**Immunization Information**
**Systems Support**

**Program Operations**** **

**Vaccine Supply and **
**Assurance**

**Meningitis and Vaccine****Preventable Diseases**

**Division of** **Bacterial****Diseases**

**Office of the Director**
**Anne Schuchat**
- DIRECTOR
**Melinda Wharton**
- DEPUTY DIRECTOR
- ASSOCIATE DIRECTORFOR MANAGEMENT & OPERATIONS

- Updated:  April 13, 2007

- EXECUTIVE SECRETARIAT, ACIP

- ASSOCIATE DIRECTOR for LABORATORY SCIENCE

***Acting**

## Immunization Services Division

**Associate Director for Adult Immunization**
**Current**
**ACIP**
**Adult Immunization Schedule**
**Working Groups**
**National Influenza Vaccine Summit**
**Adult Vaccine Action Committee (AVAC)**
**Coordination **
**Planned**
**Adult Immunization Coordinators**
**Interagency collaboration**
**Research **

## Collaboration within NCIRD

**Assessment**
**Vaccination coverage data **
**NIS**
**NHIS**
**BRFSS**

## Collaboration within NCIRD

**Education, Information and Partnership**
**Net conferences, satellite broadcasts, podcasts**
**Presentations **
**In 2007, 31 talks targeted adults, 38 general immunization talks included adult topics**
**Liaison to ACOG **
**Technical assistance**
**ACP – train providers on best practices and tracking**
**APhA – train pharmacists to vaccinate**

## Collaboration within NCIRD

**Health Services Research and Evaluation**
**Focus groups to evaluate Adult Immunization Schedule**
**Racial Ethnic Adult Disparities in Immunization (READII) Demonstration**
**Evaluation of inpatient standing orders**
**Evaluation of different approaches to increasing vaccination of nursing home staff**
**Economics**

## Collaboration within NCIRD

**Immunization Information Systems Support **
**Registries**
**Program Operations**
**Grantees**** **
**Vaccine Supply and Assurance**
**Vaccine contracts**

## Collaboration within NCIRD

**Communications**
**National Influenza Vaccine Week**
**Seasonal influenza**
**Qualitative research**
**Factors influencing immunization of health care workers**
**Barriers to vaccination**

## Collaboration within NCIRD

**Vaccine and Disease Expertise**
**Influenza **
**Viral Diseases **
**Bacterial Diseases **

## Collaboration with the Coordinating Center for Infectious Diseases

**National Center for Immunization and Respiratory Diseases (NCIRD)**
**National Center for Zoonotic, Vector-Borne and Enteric Diseases (NCZVED)**
**National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP)**
**Division of Viral Hepatitisis**
**Division of STD Prevention**
**National Center for Preparedness, Detection and Control of Infectious Diseases (NCPDCID)**

##  Collaboration within CDC

**Coordinating Center for Health Promotion**
**Division of Adult and Community Health**
**Healthy Aging Program***
**Division of Cancer Prevention and Control**
**Division of Diabetes Translation**
**Division for Heart Disease and Stroke Prevention**

- *Current collaboration

## Section 317 Program

**As funding permits, the Section 317 program provides vaccines to uninsured and underinsured adults**** **
**In 2005, 4.5% of Section 317 funding purchased adult vaccines **

## Public Sector Leads for Childhood and Adult Immunization

|  | Routine Childhood | Routine Adult | Targeted, High Risk Adult |
| --- | --- | --- | --- |
| Epidemiology | CDC / state | CDC / state | CDC / state |
| Recommendations | CDC | CDC | CDC |
| Control of vaccine | CDC/ state | Small | Minimal |
| Assurance of vaccination | CDC/ state | CMS / QIOs | No clear lead |