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HRD-93-12R 1 (1993-02-08)

handle is hein.gao/gaobackfu0001 and id is 1 raw text is: (3-z\(I) United States General Accounting Office Washington, D.C. 20548 Human Resources Division B-251995 February 8, 1993 The Honorable John D. Dingell Chairman, Committee on Energy and Commerce House of Representatives 148519 Dear Mr. Chairman: This letter responds to your request for information on (1) the federal government's efforts to collect and analyze data on immunization rates during the 1980s and its current efforts, (2) the reasons for any changes in federal policy to collect childhood immunization data, and (3) the effects of such changes. \ BACKGROUND Immunizing children against a variety of communicable diseases is one of the nation's highest public health priorities. The Centers for Disease Control (CDC) is the primary federal agency responsible for childhood disease S prevention services. CDC, an agency of the Department of Health and Human Services (HHS), provides grants to all state and some local health departments to purchase . * 0 vaccines and to support their immunization programs. With the widespread use of vaccines, the incidence of vaccine-preventable childhood diseases has been reduced by more than 90 percent. Moreover, as a result of school . immunization laws, about 98 percent of children enter ^ school vaccinated against vaccine-preventable childhood 'Utl 1.) diseases. While virtually all children are vaccinated at the time they enter school, major measles outbreaks in 1989 and 1990 demonstrated that immunizing children when they reach school age is too late to prevent major childhood disease outbreaks. Children should be immunized in early childhood, preferably before age 2. In 1979, HHS's Public Health Service established broad national health goals for 1990. One of the goals was to immunize 90 percent of all U.S. children with the basic GAO/HRD-93-12R, Childhood Immunizations 7 1 -4/ Hq

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