National Immunization Program
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The National Center for Immunization and Respiratory Diseases (NCIRD), formerly known as the National Immunization Program until April 2006, is charged with responsibility for the planning, coordination, and conduct of
immunization Immunization, or immunisation, is the process by which an individual's immune system becomes fortified against an infectious agent (known as the antigen, immunogen). When this system is exposed to molecules that are foreign to the body, called ' ...
activities in the
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. NCIRD is a part of the
Centers for Disease Control and Prevention The Centers for Disease Control and Prevention (CDC) is the National public health institutes, national public health agency of the United States. It is a Federal agencies of the United States, United States federal agency under the United S ...
, located in
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, and housed in the CDC's Coordinating Center for Infectious Diseases (CCID). The National Center for Immunization provides consultation, training, statistical, promotional, educational,
epidemiological Epidemiology is the study and analysis of the distribution (who, when, and where), patterns and Risk factor (epidemiology), determinants of health and disease conditions in a defined population, and application of this knowledge to prevent dise ...
, and technical services to assist state and local health departments across the US in planning, developing, contracting and implementing immunization programs.


Mandate

NCIRD supports and supervises state and local agencies working on immunization activities and commercial contracting for
vaccine A vaccine is a biological Dosage form, preparation that provides active acquired immunity to a particular infectious disease, infectious or cancer, malignant disease. The safety and effectiveness of vaccines has been widely studied and verifi ...
supply and distribution. NCIRD supports a national framework for
surveillance Surveillance is the monitoring of behavior, many activities, or information for the purpose of information gathering, influencing, managing, or directing. This can include observation from a distance by means of electronic equipment, such as ...
of diseases for which immunizing agents are increasingly becoming available from commercial
pharmaceutical Medication (also called medicament, medicine, pharmaceutical drug, medicinal product, medicinal drug or simply drug) is a drug used to diagnose, cure, treat, or prevent disease. Drug therapy ( pharmacotherapy) is an important part of the ...
companies, and assists health departments in developing vaccine information management systems to facilitate identification of children whose parents may have not complied with local
vaccination Vaccination is the administration of a vaccine to help the immune system develop immunity from a disease. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins or toxins from the organism. In stimulating ...
laws. NCIRD helps parents and
healthcare Health care, or healthcare, is the improvement or maintenance of health via the preventive healthcare, prevention, diagnosis, therapy, treatment, wikt:amelioration, amelioration or cure of disease, illness, injury, and other disability, physic ...
providers ensure compliance with vaccination laws so that all children without health or religious exemptions can be immunized at specific ages in full compliance with local laws. NCIRD also administers research and operational programs for the prevention and control of vaccine-preventable diseases, assesses vaccination levels in state and local areas, and monitors the safety and
efficacy Efficacy is the ability to perform a task to a satisfactory or expected degree. The word comes from the same roots as '' effectiveness'', and it has often been used synonymously, although in pharmacology a distinction is now often made betwee ...
of vaccines by linking vaccine administration information with
disease A disease is a particular abnormal condition that adversely affects the structure or function (biology), function of all or part of an organism and is not immediately due to any external injury. Diseases are often known to be medical condi ...
outbreak patterns and
adverse event In pharmaceuticals, an adverse event (AE) is any unexpected or harmful medical occurrence that happens to a patient during medical treatment or a clinical trial. Unlike direct side effects, an adverse event does not necessarily mean the medicati ...
mandated reporting requirements. NCIRD's proposed mission is to prevent disease, disability, and death through immunization and control of respiratory and related diseases. The new center will support both domestic and global immunization and respiratory disease prevention and control priorities, and will link epidemiology and laboratory science around vaccine-preventable diseases and acute respiratory infections with prevention and control programs and strong communication science. NCIRD will also work within CDC to synthesize vaccine-related information from other parts of CDC with immunization expertise.


History

In May 1993,
Secretary of Health and Human Services The United States secretary of health and human services is the head of the United States Department of Health and Human Services, and serves as the principal advisor to the president of the United States on all health matters. The secretary is ...
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announced that the Division of Immunization would be moved from the Center for Prevention Services to the Office of the CDC Director and renamed the National Immunization Program.Sternberg, Steve. "CDC plans big push for vaccination]". ''The Atlanta Journal-Constitution''. May 7, 1993. p. C3. The director of the Division of Immunization, Dr. Walter Orenstein, was the first director of the National Immunization Program. In April 2006, the National Immunization Program became the National Center for Immunization and Respiratory Diseases (NCIRD). At the time, NCIRD was led by
Anne Schuchat Anne Schuchat (born 1960) is an American medical doctor. She is a former rear admiral and assistant surgeon general in the United States Public Health Service Commissioned Corps. She also served as the principal deputy director of the Centers ...
, MD, who earlier had been the director of the NIP since December 2005. The changes reorganized the NIP into five divisions and expand its activities. High visibility NIP activities have been retained, including its support for the
Advisory Committee on Immunization Practices The Advisory Committee on Immunization Practices (ACIP) is a National Immunization Technical Advisory Group, committee within the United States Centers for Disease Control and Prevention (CDC) that provides advice and guidance on effective control ...
(ACIP) and
Vaccines for Children Program The Vaccines for Children Program (VFC) is a federally funded program in the United States providing no-cost vaccines to children who lack health insurance or who otherwise cannot afford the cost of the vaccination. The VFC program was created b ...
. NCIRD director Schuchat indicated a willingness to expand immunization surveillance and enforce
vaccination schedule A vaccination schedule is a series of vaccinations, including the timing of all doses, which may be either recommended or compulsory, depending on the country of residence. A vaccine is an antigenic preparation used to produce active immunity t ...
compliance, "I think we have a long way to go with adolescent immunization programs, as well as adult programs... There are so many opportunities for health impact in this group, and the new vaccines really offer us this whole new chance to revitalize
health care Health care, or healthcare, is the improvement or maintenance of health via the preventive healthcare, prevention, diagnosis, therapy, treatment, wikt:amelioration, amelioration or cure of disease, illness, injury, and other disability, physic ...
for adolescents and prevention as an adolescent health issue." Incorporating new vaccines into routine practice became a big priority for the NCIRD under Schuchat’s leadership.


NCIRD divisions

NCIRD has five divisions: * Division of Bacterial Diseases (DBD) * Division of Viral Diseases (DVD) * Coronavirus and Other Respiratory Viruses Division (CORVD) * Immunization Services Division (ISD) * Influenza Division (ID)


See also

*
Vaccine Safety Datalink The Vaccine Safety Datalink Project (VSD) was established in 1990 by the United States Centers for Disease Control and Prevention (CDC) to study the adverse effects of vaccines. Four large health maintenance organizations, including Kaiser Perm ...


References


External links

*
Immunization and Respiratory Diseases
account on
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HHS.gov
- 'National Vaccine Program',
Centers for Disease Control The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency under the Department of Health and Human Services (HHS), and is headquartered in Atlanta, ...

IDInChildren.com
- 'IDC talks with new NIP leader: Meet Anne Schuchat: She talks about the changes the NIP faces, the hot topics in immunization and what pediatricians can do to keep vaccine-preventable diseases at bay', Judith Rusk (April 2006) {{authority control Organizations based in Atlanta Vaccination-related organizations based in the United States Centers for Disease Control and Prevention 1993 establishments in Georgia (U.S. state) Organizations established in 1993