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State of North Carolina Department of Environment, Health, and Natural Resources Division of Epidemiology P.O. Box 27687 · RaJeigh, North Carolina 27611-7687 James G. Martin, Governor William W, Cobey, Jr., Secretary November 30, 1992 J.N. MacCormack, M.D.,M.P.H. Director MEMORANDUM TO: FROM: SUBJECT: Local Health Department Directors ~ Annette Byrd, R.N., M.P.H., Hea~ Immunization Branch Immunization Action Plan (IAP) Funding For many years the immunization rates for North Carolina's school children have been 95 percent or higher. Unfortunately, the immunization rates for these children as preschoolers are far lower. Recent surveys suggest that as many as 40 percent of our two-year-old's immunizations are not up-to-date, and measles, mumps and pertussis rates have rebounded to levels not seen since the 1970's and early 1980's. As you are aware, the Immunization Branch, with your support and input, developed a statewide plan that identified barriers to immunization and proposed methods to overcome these barriers. In September, you received a copy of this plan, called the Immunization Action Plan (IAP). It outlined specific objectives to immunize 90 percent or more of the state's two-year-olds by the year 2000. In October, 1992, the Centers for Disease Control (CDC) awarded $781,104 to help you implement the IAP. Approximately $550,000 (70%) of this award will be appropriated to local health departments via aid-to-counties contracts. Another $100,000 will be available through a request for proposal to conduct immunization demonstration projects, beginning in March, 1993. The amount of your county's award is listed on Attachment "A". We regret that the funding level is not enough to meet the needs identified in our original IAP proposal. However, this is a significant beginning, and as we increase age-appropriate immunization levels we will be in a good competitive position to receive additional federal grant funds.