Abstract
THE FIRST steps on the road to a nationwide, broad-based immunization program for US children have been taken. If the plans being discussed come to fruition—and it seems likely that they will—major changes are coming in the way vaccine-preventable diseases will be managed in this country. These changes will affect the entire spectrum of immunization, from the development of new types of vaccines, through their distribution, to the ways in which they are used in the population. For a start, the National Vaccine Program Office in the Department of Health and Human Services has been overhauled. Donald A. Henderson, MD, deputy assistant secretary for health, has appointed Anthony Robbins, MD, professor of public health, Boston (Mass) University School of Medicine, as the office's director. Robbins, who replaces Kenneth J. Bart, MD, is an experienced public health official who was a member of the Committee on Energy and Commerce in the
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