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Appendix VII. Standards for Child and Adolescent Immunization Practices
Standards for Child and Adolescent Immunization Practices 535
Recommended by the National Vaccine Advisory Committee
Approved by the United States Public Health Service
Endorsed by the American Academy of Pediatrics
The Standards represent consensus of the National Vaccine Advisory Committee (NVAC) and are endorsed by a variety of medical and public health organizations, including the American Academy of Pediatrics. The Standards constitute the most essential and desirable immunization practices and represent an important element in our national strategy to protect America's children against vaccine-preventable diseases. The Standards can be useful in helping health care professionals identify needed changes in their office practices and obtain resources to implement the desirable immunization practices.
Since the Standards were published initially in 1992, vaccine delivery in the United States has changed in several important ways. First, immunization coverage rates among preschool children have increased substantially and now are monitored by the National Immunization Survey. Second, immunization of children has shifted markedly from the public to the private sector, with an emphasis on immunization in the context of primary care and the medical home.
536 The Vaccines for Children Program has provided critical support to this shift by covering the cost of immunizations for the most
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