Health Affairs October 23, 2024
Angela K. Shen, Kristina Crane, Rebecca Coyle

Chronic underinvestment in public health at the federal, state, and local levels has weakened the nation’s infrastructure and threatens its ability to address basic disease prevention and maintain economic stability. One underfunded piece of infrastructure is the network of state and local immunization information systems (IIS), often called registries, that exchange immunization data with electronic health records (EHRs) and other systems.

IIS were the lynchpin of vaccination campaigns. During the COVID-19 pandemic, 58 IIS across the US and its territories captured patient data on vaccination regardless of where individuals were vaccinated (for example, a Federal Emergency Management Agency pop-up clinic, public health department, pharmacy) and made data available to immunization providers and public health authorities to manage the vaccination campaign....

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