The majority of official State Health Departments (such as California, Michigan, and Texas) and some large local health departments (such as New York and Chicago) have ongoing disease control programs utilizing these grants.
Immunization Projects: The national program goals for immunization are to reduce morbidity and mortality due to vaccine-preventable diseases; maintain interruption of indigenous measles transmission; prevent perinatal transmission of hepatitis b; maintain 95 percent immunization levels for school enterers, and 90 percent immunization levels for children enrolled in licensed day-care centers against measles, poliomyelitis, diphtheria, tetanus, pertussis, rubella, mumps, and Haemophilus influenza type b (Hib); develop, test, and implement systems for use in the States to ensure that 90 percent or more of children complete basic immunizations by age 2; and promote appropriate immunization programs for adults.
Effective comprehensive programs, include the following elements: (1) Surveillance of vaccine-preventable diseases; (2) development and implementation of specific plans to raise immunization levels within preschool age high-risk groups; (3) assessment of immunization status in public clinics, private physician offices, and schools; (4) public information and education programs; (5) participation of citizens groups and volunteers; and (6) consistent enforcement of compulsory school immunization laws.
The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.
The nation's childhood immunization coverage rates are at record high levels for most vaccines and for all the vaccination series measures. As childhood immunization coverage rates increase, cases of vaccine preventable disease decline significantly. One performance measure is used to ensure that children are appropriately vaccinated by age two. For the past five years, the 90 percent coverage target has been exceeded for four of the seven routinely recommended childhood vaccine (Hib, MMR, hepatitis B, and polio) and has almost reached the 90 percent target for varicella (currently at 89 percent). Another important performance measure is the increased proportion of adults who are vaccinated annually against influenza and ever vaccinated against pneumococcal disease among persons 65 years of age and older. Influenza vaccination coverage levels among the elderly have increased from 30 percent in 1989 to 64 percent in 2006 and pneumococcal vaccination levels have increased form 15 percent in 1989 to 57 percent in 2006.
Uses and Use Restrictions
Grant funds may be used for costs associated with planning, organizing, and conducting immunization programs directed toward vaccine-preventable diseases and for the purchase of vaccine; and for the implementation of other program elements, such as assessment of the problem; surveillance and outbreak control; information and education; adequate notification of the risks and benefits of immunization; compliance with compulsory school immunization laws; vaccine storage, supply, and delivery; citizen participation; and use of volunteers.
Vaccine will be available "in lieu of cash" if requested by the applicants.
Requests for personnel and other items "in lieu of cash" will also be considered.
Vaccine purchased with grant funds may be provided to private practitioners who agree not to charge for vaccine.
Grant funds may be used to supplement (not substitute for) existing immunization services and operations provided by a State or locality.
Any State, and in consultation with State health authorities, political subdivisions of States and other public entities may apply; private individuals and private nonprofit agencies are not eligible for immunization grants.
Any State, political subdivision (as described above), and other public entities will benefit.
Applicants should document the need for assistance, state the objectives of the project, outline the method of operation, describe the evaluation procedures, and provide a budget with justification of funds. Costs will be determined in accordance with OMB Circular No. A-87 for State and local governments.
Aplication and Award Process
Preapplication coordination is not required.
This program is eligible for coverage under E.O.
12372, "Intergovernmental Review of Federal Programs." An applicant should consult the office or official designated as the single point of contact in his or her State for more information on the process the State requires to be followed in applying for assistance, if the State has selected the program for review.
Information on the submission of applications may be obtained from the Grants Management Officer, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention. Telephone: (770) 488-2716. This program is subject to the provisions of 45 CFR 92. The standard application forms, as furnished by PHS and required by 45 CFR 92 for State and local governments, must be used for this program.
After review and approval of an application, a Notice of Award is prepared and processed, along with appropriate notification to the public.
Contact Headquarters Office for application deadlines.
Public Health Service Act, Section 301, 42 U.S.C. 241, and Section 317, 42 U.S.C. 247b, as amended; Health Services and Centers Amendments of 1978, Public Law 95-626; Omnibus Budget Reconciliation Act of 1981, as amended, Public Law 97-35; Preventive Health Amendments of 1984, Public Law 98-555; Social Security Act, Section 1928.
Range of Approval/Disapproval Time
From 3 to 4 months.
Same as Application Procedure.
Formula and Matching Requirements
This program has no statutory or matching requirements. Although there are no matching requirements, applicants must assume part of the project costs and fiscal information must be provided in the budget portion of the application pursuant to provisions of Section 317(b)(2).
Length and Time Phasing of Assistance
Project Period: Variable. Budget Period: About 12 months.
Post Assistance Requirements
Annual performance reports are required.
Financial status reports are required no later than 90 days after the end of each specified reporting period.
A report is required on the extent of the problems presented by the diseases and conditions, including the reporting of adverse events following immunization.
Final financial status and progress reports are required 90 days after the end of a project.
Financial Status Reports are not required for VFC funds.
In accordance with the provisions of OMB Circular No. A-133 (Revised, June 24, 1997), "Audits of States, Local Governments, and Nonprofit Organizations," nonfederal entities that expend financial assistance of $300,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $300,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.
Financial records, supporting documents, statistical records, and all other records pertinent to the grant program shall be retained for a minimum of 3 years, or until completion and resolution of any audit in process or pending resolution. In all cases records must be retained until resolution of any audit questions. Property records must be retained in accordance with PHS Grants Policy Statement requirements.
(317 Grants) FY 07 $428,004,655; FY 08 est $438,400,517; and FY 09 est $438,400,517. (VFC Grants) FY 07 $2,510,051,999; FY 08 est $2,402,707,330; and FY 09 est $2,489,910,709.
Range and Average of Financial Assistance
(317 Grants): From $338,434 to $52,577,481; $6,442,693. (VFC Grants): From $609,621 to $270,856,761; $37,268,840.
Regulations, Guidelines, and Literature
Regulations governing this program are published under 42 CFR 51b. Guidelines are available. PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994, is available.
Regional or Local Office
Program Contact: Dr. Lance Rodewald, Director, Immunization Services Division, Centers for Disease Control and Prevention, Department of Health and Human Services, 1600 Clifton Road, NE., Atlanta, GA 30333. Telephone: (404) 639-8208; Fax: (404) 639-8627; E-mail: LAR9@cdc.gov. Grants Management Contact: Ms. Peaches Brown, Grants Management Specialist, Grants Management Branch, Procurement and Grants Office, Centers for Disease Control and Prevention, Department of Health and Human Services, 2920 Brandywine Road, Room 3623, Atlanta, GA 30341. Telephone: (770) 488-2738.
Criteria for Selecting Proposals
Applications will be evaluated based on: (1) The extent of the problem; (2) the establishment of specific and measurable objectives to address the problem; and (3) the development of a sound operational plan which will ensure the implementation of each program element.