Remarks by the President on Child Immunization (12/11/00)
                    THE WHITE HOUSE

              Office of the Press Secretary
For Immediate Release                  December 11, 2000

                         REMARKS BY THE PRESIDENT
                           ON CHILD IMMUNIZATION

                            The Roosevelt Room

12:54 p.m. EST

     THE PRESIDENT:  Thank you very much.  And let me say, I took a lot of
pride, just listening to Mrs. Carter speak here.  She seemed right at home.

     When Hillary and I moved into the Arkansas governor's mansion in 1979,
Betty Bumpers began her lifelong campaign to wear me out about
immunizations.  (Laughter.)  And I reminded Rosalynn that it was in 1979 or
1980 that we actually did an immunization event in the backyard of the
Arkansas governor's mansion.  I can't remember whether it was '79 or '80
now, but it was, anyway, a year or two ago.

     So I can't thank these two women enough for what they have done.  And
I was marveling, when Mrs. Carter was going through all those issues, at
just how well she knows and understands this issue.  So I'm very grateful
to both of them, because we wouldn't be here today if it weren't for them.

     I also want to thank Secretary Shalala and Secretary Glickman, and, in
her absence, Hillary.  They have worked very hard on this for the last
eight years, and we have made some remarkable progress.

     I want to recognize also Dr. Walter Ornstein of the CDC and Shirley
Watkins of the Department of Agriculture, who will be very active in the
steps that I'm going to announce today.

     I think it's worth noting that we're meeting in the Roosevelt Room,
which was named for our two presidents and Eleanor Roosevelt.  And Franklin
Roosevelt spent almost half his life in a wheelchair as a result of polio.
And I was part of the first generation of Americans to be immunized against

     And I remember, as a child, seeing other children in iron lungs.  And
I remember what an enormous elation it was for me and my classmates when we
first got our polio vaccines, to think that that's one thing we didn't have
to worry about anymore.  It's hard for people now who weren't alive then
and weren't part of it to even imagine what that meant to a whole
generation of children.  But it was profoundly important.

     We now know that vaccines save lives and agony.  They also save money;
they're a good investment.  And we have done what we could, over the last
eight years, to make sure that our children get the best shot in life by
getting their shots.  And we have, as Rosalynn said, made progress.

     In 1993, almost two out of five children under the age of three had
not been fully vaccinated.   And Secretary Shalala and Hillary and the rest
of our team went to work with the Childhood Immunization Initiative to
improve immunization services, make the vaccines safer and more affordable,
and increase the immunization rates.  We enacted the Vaccines for Children
program to provide free vaccines to uninsured and underinsured children.
And thanks to the work of people in this room and people like you all
across America, these rates, as Mrs. Carter said, are at an all-time high.
And the incidence of diseases such as measles, mumps and rubella are at an
all-time low.

     In recent years, we've been able to say that for the first time in our
nation's history 90 percent of our children have been immunized against
serious childhood diseases.  And just as important, vaccine levels are
almost the same for preschool kids across racial and ethnic lines.  So our
children are safer and healthier.

     But, as has already been said today, there is still a lot to do.  At
least a million infants and toddlers are not fully immunized.  Too many
children continue to fall victim to diseases that a simple immunization
could have prevented.  Low-income children are far less likely to be
immunized.  In some urban areas, for example, immunization rates are 20
percent below the national average.

     In Houston, just 63 percent of low-income kids are vaccinated.  In
Detroit and Newark, it's 66 percent.  And we know areas with below-average
immunization rates are at greater risk of potentially deadly outbreaks,
such as what we saw with the measles epidemic in the early '80s -- the late
'80s.  So today, we are here to announce three new steps that we hope will
build on the record and meet the outstanding challenges.

     First, we have to go where the children are, as Mrs. Carter said.
Over 45 percent of infants and toddlers nationwide are being served by the
Women, Infants and Children program.  It's the single largest point of
access to health care for low-income preschool children, who are at highest
risk of low vaccination coverage.  The immunization rates for children in
WIC in some cases is 20 percent lower than the rates for other children.
So WIC is clearly the place to start on the outstanding challenge.

     Today I am directing WIC to conduct an immunization assessment of
every child participating in the program, all five million of them.  Each
time a child comes in, their immunization status would be evaluated.
Children who are behind schedule or who don't have records will be referred
to a local health care provider.  I am asking the CDC to provide WIC's
staff with the information they need to conduct immunization assessments
accurately and efficiently.  We know this will work.  WIC centers that have
experimented with this type of approach have seen vaccination coverage
increase by up to 40 percent in just one year.

     Second, I am directing Secretary Shalala and Secretary Glickman to
develop a national strategic plan to further improve immunization for
children at risk -- so they'll have something to do in this last 40 days.
(Laughter.)  This would include steps to utilize new technology, share best
practices, and examine how we can enlist other federal programs serving
children in the effort to improve immunization rates.

     But it isn't a job just for government alone.  We need to work with
other caring organizations to succeed.  So third and finally, I'm
announcing that the American Academy of Pediatrics is launching a new
campaign to urge all 55,000 of its members to remind WIC-eligible parents
to bring their immunization records with them when they visit WIC sites.  I
want to thank the members of the AAP for their initiative as well.  We need
to keep working until every child in every community is safe from
vaccine-preventable disease.

     Dr. Jonas Salk, the father of the polio vaccine, once said, "the
greatest reward for doing is the opportunity to do more."  We've done a lot
together, and we have more to do.  Thank you very much.  (Applause.)

     Q    President Clinton, any comment on the Supreme Court today and
what they might do?

     THE PRESIDENT:  No, I think we ought to just wait and see what they
do.  One way or the other, it will be an historic decision that we'll live
with forever.

     Q    Mr. President, on Northern Ireland, you're going to be traveling
to Britain and Ireland later this evening.  Do you have any particular
message for Sinn Fein on the issue of IRA disarmament?

     THE PRESIDENT:  Well, I think I'll save my words for when I get to
Ireland.  But let me just observe what the state of play is here.  We've
had a peace now for a couple of years, overwhelmingly endorsed by the
people of Northern Ireland, the people of the Irish Republic, the majority
of both communities in Ireland.  We've had a functioning government where
people worked together across lines and did things that amazed one another
in education and other areas.

     No one wants to go back to the way it was.  But there are differences
about the implementation of the new police force and how that -- and also
about the schedule and method of putting the arms beyond use.  And those
are the two things that could still threaten the progress that we're
making.  And if there's something I can do before I leave to make one more
shot to resolve this, I will do it.

     The main thing is the people there are doing well.  The Irish Republic
has the highest growth rate, economic growth rate, in Europe now.  And
things are happening that were unimaginable just a few years ago.  So I
don't believe the people will let it slip back.

     We have just got to get over -- ironically, both issues, though they
are related to one another, independently reflect kind of the lingering
demons of the past, and we just have to get over there and try to purge a
few more.  And I hope I can make a contribution.

     Thank you very much.  (Applause.)

                         END              1:05 P.M. EST

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