This cooperative agreement would support continuing and new public health immunization activities conducted by the New York State Department of Health (NYSDOH) in NYS outside of New York City (NYC). Anticipated short-term outcomes of this component include the implementation of immunization activities statewide and locally; implementation of activities to improve immunization coverage across the lifespan; Vaccines for Children (VFC) provider adherence to public vaccine ordering, administration and storage and handling policies; provision of sufficient quantities of public vaccines to VFC providers while minimizing vaccine wastage; increased numbers of hepatitis B-exposed infants receiving post-exposure prophylaxis (PEP), the hepatitis B vaccine series and post-vaccination serologic testing (PVST); maintenance of high student vaccine coverage rates; and improved adolescent and adult immunization coverage. The long-term anticipated outcomes are improved and sustained childhood, adolescent and adult immunization coverage rates; reductions in immunization coverage disparities; improved readiness to respond to vaccine-preventable disease (VPD) outbreaks and other public health emergencies; reduced incidences of VPDs and reduced VPD-related morbidity and mortality.
To achieve these outcomes, the NYSDOH will implement a multi-faceted initiative in collaboration with local health jurisdictions, regional and statewide coalitions, health professional associations, healthcare providers and other stakeholders. Major focuses will include program management and sustainability to ensure program operations, stability and accountability; evaluation of program effectiveness and of activities to improve immunization coverage rates and reduce disparities; administration of the NYS VFC and Vaccines for Adults programs in accordance with federal and state requirements; maintenance and enhancement of the New York State Immunization Information System to support immunization programs and meet the CDC IIS Functional Standards; engagement, training and education of key stakeholders, community partners and the general population to support efforts to improve immunization coverage; implementation of quality improvement strategies with VFC providers; VPD surveillance, reporting and outbreak control; perinatal hepatitis B surveillance and case management to identify and ensure that hepatitis B-exposed infants receive appropriate PEP, vaccination and PVST; collaboration with preparedness program staff and other stakeholders to prepare for and implement a vaccine response to an influenza pandemic; assessment and communication of school immunization coverage rates; and work with partners to promote continuous quality improvement and implement methods to increase adolescent and adult immunization coverage rates.