Regular meetings are scheduled a year in advance but generally the next meeting’s date and key topics are agreed upon at each meeting. Additionally, extraordinary meetings are called in cases of emergency. Regular meetings occur approximately three times per year. The meetings are prepared by the institution that serves as the Secretariat of the Council, in this case the EPI as part of the Health Secretariat. Initially NCCI members were appointed by the Secretariat of Health through the EPI. The selection of new members is now carried out by the NCCI itself according to needs it identifies [5]. Before a selection is made, a medical association (e.g.

the Honduran Pediatric Association) presents its candidate Selleckchem Wnt inhibitor to the EPI in response to the solicited profile. The NCCI subsequently examines the proposal and confirms the selection of the candidate by notifying the association. The successful candidate is eventually asked ABT-888 chemical structure to formally meet with the Superior Ministerial Council (CONSUMI) of the Health Secretariat. NCCI members do not receive

any salary for the activities they carry out for the Council and are appointed for 2 years. A member can be asked to stay on for a longer period of time, however, in the event of another member resigning and the Council not wanting to look outside for a replacement. If a member resigns, he or she presents a letter of resignation to the board of directors. The resignation is then discussed by all the members gathered in a Council meeting, to decide whether it will be accepted, or not. Once accepted, the resignation procedure requires that the association, to which the resigning person belongs, appoint another person. If the person resigning is not part of any association, the EPI itself will identify another candidate, perhaps a member whose term is ending.

If a member resigns for a temporary period of time, he or she can be reappointed. There are no ex officio members. However, there is opportunity for external individuals (PAHO, industry experts, and others) to participate in NCCI meetings when required. These persons are considered “liaison members”. As mentioned earlier, Council discussions are closed. Recommendations are reached through consensus. If the experts do not agree, they have to provide a scientific basis for discussing the matter further or they may vote and below accept the decision of the majority. Recommendations are made on the following topics: the use of new vaccines, vaccine schedules, VPDs (mainly those in the process of eradication or elimination), support of the EPI Health Promotion Plan, Adverse Events Following Immunization (AEFI), and other topics. Besides relying on their own expertise, members make use of the following sources of external data: official reports; WHO position statements; reports and recommendations from international meetings; positions of invited ad hoc experts; publications; and Internet websites (USA’s Advisory Committee for Immunization Practices – ACIP: http://www.cdc.