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Vaccine Preventable Diseases

In the United States, childhood immunizations of seven vaccines (DTap, Td, Hib, polio, MMR, Hepatitis B, and varicella) prevent over 14 million cases of disease over the lifetime of a child born in any given year. Significant disparities exist in vaccination delivery by age group (eg, child vs. adolescent vs. adult), race/ethnicity and socioeconomic status.

Since the inception of COR ten years ago (now the ACCORDS Child Program), vaccine delivery research has been one of our strongest areas of research.  Investigators at ACCORDS (Drs. Kempe, Daley, Berman, Dickinson, Crane, O’Leary, Suh, Kelminson) have studied a variety of issues related to vaccine delivery at the level of the patient (acceptability of different vaccines, barriers to vaccination, preferences regarding location of childhood vaccination and vaccine refusal and hesitancy), the practice (financing issues, reminder/recall of patients, innovative delivery methods for different vaccines), the state (comparison of practice-based versus county-based recall methods for immunizations, evaluations of school-based immunization delivery) and nationally (primary care physicians’ practices, attitudes and beliefs regarding numerous vaccines and vaccine delivery issues). 

The ACCORDS Child Program's work in vaccine delivery research has directly affected state and national policy through our publications, through our contributions to a report of the Institute of Medicine and through numerous presentations to the immunization policy-making branch of the CDC, the Advisory Committee on Immunization Practices (ACIP).  The vaccine delivery research group has been continuously funded with multiple R01 level grants and currently has four R01 grants, one of which is an NIH Challenge grant.


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Current Grants