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Health Affairs, 23, no. 5 (2004): 98-111
doi: 10.1377/hlthaff.23.5.98
© 2004 by Project HOPE
 
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Quality & Access

Childhood Vaccine Finance And Safety Issues

Robert Giffin, Kathleen Stratton and Rosemary Chalk

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.


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