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April 28, 1993

Vaccine Program Advisory Committee Sticks Secretary Lee With Plan to Fix Vaccination System

JAMA. 1993;269(16):2062-2063. doi:10.1001/jama.1993.03500160024007

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A LONG-AWAITED plan for more effective use of vaccines is in the hands of the assistant secretary for health, Philip Lee, MD.

By unanimous vote, an advisory committee to the National Vaccine Program Office approved the plan and recommended that the program office's director, Kenneth J. Bart, MD, send it to Lee. If it is put into effect, the plan's drafters believe that some 25 major human diseases caused by viruses or bacteria can be eliminated or at least controlled by vaccines.

Given the Clinton administration's much-publicized Comprehensive Childhood Vaccination Initiative, which calls for universal immunization of all eligible children, the plan amounts to a blueprint for almost certain action. Although the emphasis is on fully immunizing children by the age of 2 years, the plan also deals with the need to immunize adults.

(The most recent "Standards for Pediatric Immunization Practices," recommended by the National Vaccine Advisory Committee and