Immunization
Local health departments vaccinate people in their communities, providing one of the most successful and cost-effective services to prevent disease and death. NACCHO is dedicated to strengthening local health departments' immunization infrastructure and building local health departments' capacity to implement evidence-based public health programs, policies, and services to meet national standards in preventing and controlling vaccine-preventable diseases.
In addition to supporting a range of projects, NACCHO convenes a workgroup of individuals working in local immunization programs to provide a forum for discussing policy development, sharing relevant news updates, exchanging information and experiences, and developing tools for immunization programs and local health departments. Learn more about our work below and be sure to sign up for our monthly and weekly newsletters, The Transmission Digest, The COVID-19 Digest, and MPX Digest to receive the latest updates directly to your inbox.
With the support of the Centers for Disease Control and Prevention, NACCHO is pleased to offer a funding opportunity for local and tribal health departments (LHD) to support LHDs in identifying and addressing inequities in influenza and COVID-19 vaccination coverage among racial and ethnic minority adults. Through this funding opportunity, NACCHO will award LHDs in the amount of $75,000 or $150,000 based on the scope of work chosen. For full details and instructions, please review the Request for Applications.
Informational Webinar: NACCHO will host an optional webinar on Monday, June 5, 2023, at 3:00pm EST. If you’d like to attend, please register here.
Applications must be submitted no later than June 30, 2023. Please see the RFA for the online application link and instructions. Questions about the RFA and application process can be directed to NACCHO’s Immunization Program at [email protected]
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Request for Applications: Partnering for Vaccine Equity
NACCHO, with support from the Centers for Disease Control and Prevention (CDC),...
May 22, 2023 | Victoria Thompson, Katherine Waters
Request for Applications: Partnering for Vaccine Equity
With support from the Robert Wood Johnson Foundation, NACCHO, Johns Hopkins, AIM, ASTHO, NIHB, and the Institute for Vaccine Safety collaborated on a project to better understand how people are approaching decision-making regarding COVID-19 vaccination and what additional information they need to make an informed decision for themselves, their family, and their community. This project was multi-pronged and included a series of focus groups with African American, Latinx, and Native American community members to better understand decision-making factors as they consider a vaccine; and two national surveys to better understand interests, preferences, and factors that influence decision-making across the nation. The project findings are summarized in an infographic as well as reports from waves one, two, and three of the project.
On October 14, CDC released a Pediatric COVID-19 Vaccination Operational Planning Guide which focuses on key differences between an adult and adolescent vaccination program and one designed for younger children. The guide is based on current assumptions and will be updated as more information is available. NACCHO summarized this guide and pulled some of the high-level considerations from the guide for LHDs as they prepare to vaccinate this population here.
Innovative Ways to Maintain Immunization Coverage During a Pandemic: This Story from the Field highlights innovative ways some of NACCHO's Immunization workgroup members have worked to maintain immunization coverage in their communities during the pandemic.
High-Level Notes for CDC’s COVID-19 Vaccination Program Interim Playbook for Jurisdiction Operations: On September 16, 2020, the Department of Health and Human Services (HHS) along with the Department of Defense (DOD) released multiple documents outlining the Trump Administration’s strategy for delivering and administering a COVID-19 vaccine as quickly and efficiently as possible once one is approved. NACCHO has reviewed the Playbook and pulled out the key messages that are particularly relevant for local health departments from each section and compiled them into a digest.
To view letters to Congress and the Administration that NACCHO has written or participated in regarding COVID-19, please see Immunization's tab on NACCHO's Policy and Advocacy page.
To subscribe to NACCHO's weekly COVID-19 Digest and Vaccine Round up, click here to create or access a MYNACCHO account. After you have logged in, click on My Subscriptions and then select “COVID19 Response Newsletter” on the e-newsletter subscription page. For more detailed instructions, click here.
The Immunizations Team's work is dedicated to strengthening local health departments' immunization infrastructure. Learn more about our past work here.
School-Located Influenza Vaccination Toolkit
Annual influenza immunization is recommended for all children from six months to 18 years of age and multiple approaches are necessary to ensure adequate influenza vaccination coverage among this population. Local health departments have partnered with schools on school-located influenza immunization programs.
To support these efforts, NACCHO developed the School-Located Influenza Immunization Toolkit, a comprehensive collection of information, best practices, and lessons learned from health departments working with schools to conduct school-located influenza immunization clinics.
2017 NACCHO Assessment of Local Health Department Immunization Programs
In November 2017, NACCHO, with support from CDC and the Association of Immunization Managers (AIM), conducted the 2017 NACCHO Assessment of Local Health Department Immunization Programs. The assessment results showcase the strengths and best practices of high-performing immunization programs and highlight opportunities to enhance and leverage federal, state, and local resources to improve local immunization program efforts. As part of the assessment, NACCHO conducted stakeholder interviews with a number of local health departments to collect stories of how they are working to improve immunization coverage and services in their communities. These stories are collected in the report, From the Field: Improving Immunization Coverage and Services at the Local Level.
NACCHO's HPV Prevention Project
This project provided support for local health departments to identify strategies to improve vaccination rates for HPV, the leading cause of cervical and several other types of cancers. During the project, two cohorts of 10 local health departments developed and implemented action plans to identify strategies to improve HPV vaccination rates. From this work, NACCHO developed a Guide to HPV Resources for Local Health Departments — a collection of fact sheets, webinars, infographics, print material, and videos to help local health departments develop HPV projects and campaigns to increase vaccination rates — as well as the following resources:
- Ten Local Health Departments Share Their Strategies to Increase HPV Vaccination Rates
- NACCHO Helps Three West Virginia Health Departments Strategize How to Increase HPV Vaccination Rates
- Barren River District Health Department Partners with Western Kentucky University for HPV Prevention Efforts
Learn more about NACCHO's HPV work and view an interactive map of NACCHO's HPV prevention project sites.
Vaccines for Children Radio PSAs
The federal government program, Vaccines for Children (VFC), provides vaccines to eligible children and teens at no- or low cost. NACCHO, with support from Sanofi Pasteur, developed a campaign to increase awareness of the VFC program and educate parents about how they can access no- or low-cost vaccines for their children and teens. Campaign materials include radio Public Service Announcements (PSAs) in English and Spanish and radio interviews. Posters and tear pads are available for local health departments to order and share with community partners.
In 2009–2010, NACCHO conducted a formative evaluation of CDC’s Adult Hepatitis B Vaccination Initiative at 10 select local health departments. Through this evaluation, these local health departments identified the successes, challenges, and lessons learned that others can use to guide their own vaccination efforts for high-risk adult populations. While the project concluded in late 2010, valuable resources are still available to help local health departments with hepatitis B vaccination and general adult vaccination planning. NACCHO developed the Adult Hepatitis B Virus (HBV) Vaccination: An Implementation Guide for Local Public Health to help LHDs and their partners begin or enhance their hepatitis B vaccination initiatives.
| Title | Date | Description |
|---|---|---|
| Podcast from Washington: NACCHO’s ACIP Liaison Matt Zahn | November 12, 2021 | NACCHO government affairs team members Ian Goldstein and Adriane Casalotti discuss NACCHO’s letter to Attorney General Merrick Garland. They also discuss a House subcommittee markup on the Public Health Workforce Loan Repayment Act, as well as updated Build Back Better Act (BBBA) legislative text. Later in the program, Ian Goldstein speaks with Deputy Health Officer for the Orange County Health Care Agency and the NACCHO liaison to the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices Matt Zahn. They discuss the role of the liaison as well as the role of local health officials on the ACIP. |
| Pediatric Vaccine Guidance (Link not available) | November 9, 2021 | As an important step in the prevention of COVID-19, Pfizer-BioNTech has submitted an application for authorization of their COVID-19 vaccine for use in children ages 5 to 11 years. On October 26, FDA's advisory committee endorsed the vaccine, however further action is still needed from the FDA and CDC before emergency use authorization is granted and recommendations for pediatric use are approved. |
| COVID-19 Booster Vaccines (Link not available) | November 5, 2021 | COVID-19 vaccine booster doses have been approved, recommended, and are available for three COVID-19 vaccines in the United States. Eligible individuals may choose which vaccine they receive as a booster dose. Join NACCHO on November 4th to hear from vaccine manufacturers on updates and recommendations for the COVID-19 booster vaccine. This webinar will not be recorded but resources will be available afterwards. |
| Flu Season Preparedness and Strategies during the COVID-19 Pandemic | October 19, 2021 | In preparation for the 2021-2022 influenza season, NACCHO is hosting a webinar focused on strategic flu planning to share information and experiences with our membership. The objective of the webinar is to support Local Health Departments by sharing communications activities and campaign efforts from the Centers for Disease Control and Prevention, as well as to highlight two local health departments, Pima County, AZ and Bismarck-Burleigh, ND, that developed best practices for promoting uptake of influenza vaccination during a pandemic. |
| Shots at the Shop: How Local Health Departments Can Increase COVID-19 Vaccinations by Supporting Barber Shops and Salons | September 23, 2021 | Shots at the Shop is a program that has engaged 1,000 Black-owned barbershops and hair salons nationwide to act as health advocates, assisting their clients in making informed COVID-related decisions, dispelling misinformation and hosting COVID-19 vaccination clinics in their shops. This webinar will provide an overview of the program, provide an update on its successes, and describe how local health departments can play an important role supporting enrolled shops. |
| Cultural Contexts of Resilience and Vulnerability: Global Lessons from the COVID-19 Pandemic | September 2, 2021 | Vulnerabilities and resilience operate along a spectrum, produced by social and cultural factors as well as biological risks. A health-in-all-policies approach is essential to addressing the compounding risk factors that lead to vulnerability. Assessing the factors that produce resilience and vulnerability should be ongoing to prepare for future emergencies. During this webinar, we will hear more about: 1. The Cultural Contexts of Health approach 2. Vulnerability, Resilience, and Vaccines in the COVID pandemic 3. Highlight: Addressing health vulnerabilities in Houston |
| Improving Adolescent Vaccine Coverage – Situation Assessment, Insights, and Tools You Can Use | July 29, 2021 | Focus on improving adolescent vaccine coverage rates to prepare for a healthy and safe return to in-person school and activities. Unity Consortium will present current adolescent immunization data reflecting the adverse impact of the COVID-19 pandemic and related insights on adolescent and parent preventive healthcare beliefs, intentions and behaviors. We will share Unity's Don't Wait. Vaccinate Campaign and Toolkit to support LHDs and their clinical partners to improve adolescent routine and COVID-19 immunization coverage. |
| Building Vaccine Confidence for COVID-19 Vaccines in Adolescents | June 22, 2021 | The U.S. Food and Drug Administration expanded the emergency use authorization (EUA) for the Pfizer-BioNTech COVID-19 Vaccine for the prevention of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) to include adolescents 12 through 15 years of age. During this webinar, Pfizer will provide a vaccine confidence overview, discuss the importance of COVID-19 vaccination in adolescents, review Pfizer BioNTech adolescent clinical trial data for ages 12-15, and provide Pfizer-BioNTech COVID-19 storage and handling updates. |
| CDC Federal Snapshot: Updated Guidance for Fully Vaccinated People | June 15, 2021 | On May 13th, CDC released updated guidance for fully vaccinated people. This includes the following updates: - Update that fully vaccinated people no longer need to wear a mask or physically distance in any setting, except where required by federal, state, local, tribal, or territorial laws, rules, and regulations, including local business and workplace guidance - Update that fully vaccinated people can refrain from testing following a known exposure unless they are residents or employees of a correctional or detention facility or a homeless shelter. To support this guidance, the Science Brief has been updated as well to include the evidence behind these recommendations. In addition, the Guidance for Operating Youth Camps and Guidance for Institutions of Higher Education has been updated to include recommendations for those who are vaccinated. |
| COVID-19 Vaccine Distribution Text Messaging Strategies | June 8, 2021 | Join NACCHO and CareMessage on Tuesday, June 8th at 3pm ET to hear how safety net organizations throughout the country are using text messaging to execute their vaccine communication strategy for their underserved patients. This session will be focused on helping NACCHO members maximize the power of text messaging for both COVID-19 vaccine patient communication and additional clinical workflows. |
| Community-Led COVID-19 Messaging that Supports Vaccine Confidence | May 11, 2021 | The National Association of County and City Health Officials invites local health department leadership and staff to participate in a webinar, Community-Led COVID-19 Messaging that Supports Vaccine Confidence. The National Resource Center for Refugees, Immigrants, and Migrants (NRC-RIM) worked with IDEO.org, a nonprofit design studio to build vaccination campaigns in genuine partnership with RIM communities. During this webinar, learn how to develop a community-led, hyperlocal communications strategy and learn about templates and tools available from NRC-RIM that will allow you to customize the campaign for your community. This webinar will be useful for local health departments looking to learn about or improve community led collaboration to increase COVID-19 vaccine uptake and message to special populations effectively. |
| COVID-19 Vaccine Breakthrough Cases & Updated Guidance for Fully Vaccinated People | May 4, 2021 | Nationwide, local health departments are working tirelessly to administer COVID-19 vaccinations in their communities, but post-vaccination infections with SARS-CoV-2, or breakthrough cases, are appearing across the country. This webinar will cover vaccine breakthrough cases, including what we know about COVID illness after vaccination and case investigations and reporting. A presenter from the Chicago Department of Health will also discuss the findings highlighted in a recent MMWR: Postvaccination SARS-CoV-2 Infections Among Skilled Nursing Facility Residents and Staff Members — Chicago, Illinois, December 2020–March 2021. This webinar will include an update on the guidance from CDC and allow participants to ask questions. This webinar is limited to the first 1000 registrants so please register in advance |
| Global, Regional, and Local Approaches to COVID-19 Vaccine Equity: Sharing lessons for World Immunization Week | April 27, 2021 | In celebration of World Immunization Week, the NACCHO Immunization and Global Health teams are hosting a webinar that will connect global, regional and local experiences related to COVID-19 immunization equity. Through presentations from the US Centers for Disease Control and Prevention Division of Global Health Protection, the Pan American Health Organization’s Regional Immunization Program and the Virginia Department of Health’s Eastern Shore Health District, our goal is to provide a multi-level exchange of information and share lessons learned to better facilitate effective strategies that support equitable uptake of, access to, and demand for COVID-19 vaccines, among refugee, immigrant and migrant populations. |
| Janssen COVID-19 Vaccine and API for Vaccine Appointment Availability | March 23, 2021 | This webinar featured important information about the Janssen COVID-19 Vaccine which last month was authorized by FDA for emergency use in the United States and recommended by CDC for people 18 and older. Additionally, we heard from the United States Digital Service (USDS), Centers for Disease Control and Prevention (CDC) & Office of the National Coordinator for Health Information Technology (ONC) on how they work with key stakeholders (state and local officials, pharmacies) to deploy a standard vaccine appointment availability application programming interface. |
| COVID-19 Vaccination Stories from the Field: Local Health Department Practices to Facilitate Equitable Vaccine Distribution and Access | March 18, 2021 | This webinar featured three local health departments discussing their work to identify communities at highest risk for COVID-19 infection and complications and highlighted their best practices and lessons learned in ensuring equitable COVID-19 vaccine distribution within their community. |
| Federal Snapshot: CDC Guidance: When You've Been Fully Vaccinated | March 16, 2021 | This webinar featured an overview of the Centers for Disease Control and Prevention (CDC) guidance: Interim Public Health Recommendations for Fully Vaccinated People. |
| COVID-19 Vaccination Stories from the Field: Local Health Department & Pharmacy Partnerships | February 25, 2021 | This webinar featured an overview of the Federal Retail Pharmacy Program from the Centers for Disease Control and Prevention and highlighted examples of pharmacies and local health departments discussing their efforts to ensure equitable distribution of COVID-19 vaccination within their community. |
| Important Information for Healthcare Providers about Moderna COVID-19 Vaccine | January, 28, 2021 | Moderna provided information about the Moderna COVID-19 vaccine which has been authorized for emergency use in the US. |
| Increasing Vaccination Coverage Among Racial and Ethnic Groups: Lessons Learned from CDC’s REACH Program | January, 26, 2021 | Three local health departments discussed their work to increase adult flu vaccination coverage among racial and ethnic groups experiencing disparities. |
| Understanding Diverse Communities to Support Equitable and Informed COVID-19 Vaccine Decision Making | January 21, 2021 | Presentation and discussion around findings and insights on public views of COVID-19 vaccination and how health departments and tribal governments can support their communities in making decisions about getting vaccinated against COVID-19. |
| Pfizer-BioNTech COVID-19 Training and Education | January 12, 2021 | Pfizer presented on the shipping, handling, and education of the Pfizer/BioNTech COVID-19 vaccine. |
| Engaging Communities to Increase Confidence in COVID-19 Vaccines | January 7, 2021 | This webinar, hosted by the Association of Schools and Programs of Public Health (ASPPH) and NACCHO, highlights national COVID-19 vaccine efforts, as well as explores local and academic partnerships to engage communities and individuals and address confidence in COVID-19 vaccines. |
| Technology Approaches to Managing COVID-19 Vaccines | December 17, 2020 | An informative presentation from our partners at Amazon Web Services and Maryland Partnerships for Prevention on themes emerging from jurisdictions' COVID-19 vaccination plans on the use of technology for managing COVID-19 vaccination. |
| Podcast from Washington: National Influenza Vaccination Week | December 11, 2020 | Ian Goldstein spoke with Dr. L.J. Tan, Chief Strategy Officer for the Immunization Action Coalition and Co-Chair for the National Adult Immunization Summit and National Influenza Vaccine Summit. They discussed how this year's flu season will help prepare the field for the rollout and distribution of a COVID-19 vaccine, and the role of the National Adult and Influenza Immunization Summit's (NAIIS) work to address and resolve influenza immunization issues. |
| Vaccine Administration Planning: Drive-thru Clinics and Other Innovative Ideas | November 12, 2020 | Informative presentations from Boulder County Public Health, Ottawa County Department of Public Health, and Loudoun County Health Department on lessons learned, best practices, and experiences with drive-thru vaccination clinics. |
| Pediatric Vaccine Guidance | November 9, 2021 | As an important step in the prevention of COVID-19, Pfizer-BioNTech has submitted an application for authorization of their COVID-19 vaccine for use in children ages 5 to 11 years. On October 26, FDA's advisory committee endorsed the vaccine, however further action is still needed from the FDA and CDC before emergency use authorization is granted and recommendations for pediatric use are approved. |
| The Impact of COVID-19 on School Re-Opening | October 1, 2020 | Insight on how the COVID-19 pandemic is impacting the virtual and in-person return to school, as well as current back to school guidance including social distancing, infection control, screening and testing, and immunization requirements. |
| COVID-19 Vaccination Program Interim Playbook and Planning for Local Health Departments | September 24, 2020 | Information on CDC’s COVID-19 Vaccination Program Interim Playbook and insights on local issues and practices that may inform implementing the distribution of a COVID-19 vaccine. |
| Podcast from Washington: World Immunization Week with CDC's Dr. William Schluter and NACCHO CEO Lori Tremmel Freeman | April 16, 2020 | Ian Goldstein is joined by NACCHO CEO Lori Tremmel Freeman to discuss the importance of World Immunization Week. They also talk about the 2019 novel coronavirus pandemic and how NACCHO is serving local health departments. Ian Goldstein also talks with Dr. William Schluter, Director of the Global Immunization Division in the Center for Global Health at the U.S. Centers for Disease Control and Prevention. Mr. Goldstein and Dr. Schluter discussed World Immunization Week (April 24 to 30) and the importance of immunization in improving the health and well-being of individuals worldwide. They also discussed the many gains that have been made in immunization globally and where challenges still exist. |
| Mumps in U.S. Detention Facilities | August 28, 2019 | Speakers discussed the mumps outbreaks in U.S. detention facilities; the complex operations for managing custody of detainees in detention facilities; the important roles of local, state, and federal partners in responding to outbreaks in detention facilities; and resources to assist with response efforts. |
| Talking About Vaccines: Lessons Learned from CDC Research with Parents and Healthcare Professionals | August 1, 2019 | Allison Fisher (CDC/NCIRD) and Elizabeth Ryan (Northrop Grumman-TEKsystems Contractor, CDC/NCIRD) presented key findings from CDC’s communication research with pregnant women, parents of young children, adolescents, and healthcare professionals. |
| Communications Principles to Address Vaccine Hesitancy | June 13, 2019 | Discussed ways to dispel common myths and misinformation associated with vaccine-preventable diseases and illustrate effective ways to address groups resistant to embrace the benefits of vaccines in a non-confrontational way. |
| Podcast from Washington: CDC's Dr. Melinda Wharton | December 6, 2018 | Ian Goldstein spoke with the Director of Immunization Services Division at the National Center for Immunization and Respiratory Diseases at the Centers for Disease Control and Prevention Dr. Melinda Wharton. They discussed the history of National Influenza Vaccination Week and how important vaccinations are at all stages of life. They also discussed how local health departments can encourage their communities to get vaccinated. |
| TITLE | DATE | DESCRIPTION |
|---|---|---|
| Assessing Vaccine Hesitant Populations in Minnesota | AUGUST 2021 | NACCHO spoke with two LHDs in Minnesota—Goodhue County Health and Human Services and Polk County Public Health— about how they have reached priority populations in their areas. Their strategies and approaches can help other LHDs do the same. |
| Orange County, NY, administers 800 COVID-19 Vaccines in 24-Hour Period | January 2021 | Orange County Department of Health staff, Medical Reserve Corps, the Orange County Department of Emergency Services, frontline healthcare workers, emergency responders, essential workers and community partners received 800 dosses of the COVID-19 vaccine. |
| Drive-thru Flu Vaccination Clinics | December 2020 | The Genesee County Health Department provided five drive-through flu/immunization clinics this past fall to residents in surrounding cities in the county. This was the health department’s first attempt at providing drive-through clinics to their residents. |
| Innovative Ways to Maintain Immunization Coverage during a Pandemic | July 2020 | We highlight innovative ways some of the workgroup members have worked to maintain immunization coverage in their communities during the pandemic. |
| Utilizing the Minnesota Immunization Registry and Community Partnerships to Identify the Un/Under-vaccinated | June 2020 | When Countryside saw lower than desired rates of vaccination in the 1990’s they looked at the Minnesota Immunization Registry (MIIC) to see what their data showed |
| Controlling Mumps at Detention Facilities Using MMR Vaccine | August 2019 | Tri-County Health Department (CO) managed a mumps outbreak at a contract ICE Processing Center in Aurora, Colorado. In under one week, the facility completed universal MMR vaccination for detainees. |
| Taking Action to Address Critical Gaps in Teen Immunization | October 2018 | Immunization data has revealed significant gaps in vaccination coverage among adolescents, especially those 16-to-18 years of age. There is a significant need to ensure that these adolescents receive timely immunization to prevent the threat of significant health consequences. |
| NACCHO’s Employee Wellness and Flu Vaccination Initiative | September 2018 | To “lead by example,” NACCHO’s Employee Wellness and Flu Vaccination Initiative aims to promote a culture of total wellness among employees with a particular emphasis on preparing employees for the upcoming flu season. |
| How’s My District Doing? Communicating Local Immunization Data to Colorado Legislators | June 2018 | Using newly available data on nearly one million children in Colorado, the Colorado Children’s Immunization Coalition (CCIC) developed custom fact sheets to help each Senate and House district understand its level of community protection and identify areas for improvement. |
| NIC 2018: Uncovering Strategies to Increase Vaccination Coverage | June 2018 | Community members were able to learn strategies for improving their jurisdiction’s immunization rates through attending the 2018 National Immunization Conference. |
NACCHO has multiple policy statements on immunization issues, including:
- Access to School-Based Data
- Comprehensive Adolescent Health
- Comprehensive Immunization Programs- Addressing Immunizations Across the Lifespan
- Immunization Information Systems
- Influenza Vaccination for Health Care Personnel
- School and Child Care Immunization Requirements
- Smallpox Response
- Third-Party Billing for Immunization
- Vaccine Safety
- Vaccine Supply and Distribution
Visit our Policy and Advocacy page to see the policy statements and learn more about how to use policy statements.
The resources below have been developed by the NACCHO team to help your local health department immunization programs
Community Health Program
Matthew Bobo
Senior Director, Immunization/MCAH
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Community Health Program
Katherine Waters
Director, Immunization
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Community Health Program
Amy Maxson
Senior Program Analyst
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Community Health Program
Victoria Thompson
Senior Program Analyst, Immunization
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Community Health Program
Victoria Decea
Program Analyst, Immunization
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Communications
Nicholas Holmes
Communication Specialist
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Community Health Program
Xander Hazel-Groux
Senior Program Assistant, Immunization
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Community Health Program
Eryn Greaney
Project Manager
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