title: Lessons learned from making and implementing vaccine recommendations in the U.S.
abstract: After publication of certain vaccine recommendations made by the Advisory Committee on Immunization Practices, several unexpected events have occurred during implementation of these recommendations. These have included changes in recommendations following adverse events involved with a particular vaccine and the conferral of community protection as an offshoot of vaccination of a specific population. Vaccine shortages and hesitancy have also been proven impediments to full implementation, and vaccine recommendations have not gone unaffected by either public perception of a vaccine or by cost considerations.
authors.affiliation: National Center for Immunization and Respiratory Tract Diseases, CDC, Atlanta, GA, United States.
authors.forename: L Reed
authors.initials: LR
authors.lastname: Walton
authors.affiliation: Emory Vaccine Center, Emory University School of Medicine, Atlanta, GA, United States.
authors.forename: Walter A
authors.initials: WA
authors.lastname: Orenstein
authors.affiliation: National Center for Immunization and Respiratory Tract Diseases, CDC, Atlanta, GA, United States; Emory University School of Medicine, Department of Pediatrics, Atlanta, GA, United States. Electronic address: lpickering007@gmail.com.
authors.forename: Larry K
authors.initials: LK
authors.lastname: Pickering
mesh_terms: D003153:Community Health Services / Q000191:economics; D006801:Humans; D017589:Immunization Programs; D007115:Immunization Schedule; D016312:Treatment Refusal; D014481:United States; D014611:Vaccination / Q000523:psychology; D014612:Vaccines / Q000009:adverse effects / Q000191:economics
chemical_list: D014612:Vaccines