1. To provide an overview of the current status of coverage of the traditional childhood vaccinations worldwide, including the polio eradication initiative.
2. Describe new vaccines that are deliverable and the challenges in their use in targeted populations.
3. To outline the potential "side effects" of enhanced vaccine programs, such as problems related to needle use or other unintended outcomes.
4. Be able to discuss the issues of international multiagency collaboration in the area of vaccine programming globally.

I believe that along with sanitation, immunization is medicine's greatest and most cost-effective benefit to mankind. In this lecture I will focus on the major gaps in immunization throughout the world. I will talk about how availability and distribution varies. Hepatitis B vaccine is a great example of how we have to think about different strategies of immunizations for different parts of the world. I will expand on the primary problems identified with global immunizations such as limited investment in research and lack of introduction of new efficacious vaccines to children in developing countries. I will also tell you about structures such as Global Alliance for Vaccines and Immunization (GAVI), and the Global Fund for Children's Vaccines and how they are working in a variety of ways to address these issues.

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