title: Childhood vaccine finance and safety issues.
abstract: The U.S. national immunization system has been extraordinarily successful. But financing of vaccines is fragmented, and the supply of vaccines has become unreliable. Growing public concern about vaccine safety places additional stress on this system. Because vaccines are given to healthy children, adverse events can be particularly troubling. But excessive public concern can negatively affect vaccine supply and delivery by complicating the job of immunizing children and reducing the incentive to produce vaccines. This paper explores a range of vaccine financing and safety issues-and the linkages between them-and considers recent Institute of Medicine studies and recommendations.
authors.affiliation: Institute of Medicine, Board on Health Care Services in Washington, DC, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Giffin
authors.forename: Kathleen
authors.initials: K
authors.lastname: Stratton
authors.forename: Rosemary
authors.initials: R
authors.lastname: Chalk
mesh_terms: D002648:Child; D002669:Child Welfare; D002675:Child, Preschool; D004196:Disease Outbreaks / Q000517:prevention & control; D005380:Financing, Government; D006801:Humans; D017589:Immunization Programs / Q000191:economics* / Q000706:statistics & numerical data; D011057:Politics; D015980:Public Health Practice; D014481:United States / Q000453:epidemiology