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Published online by Cambridge University Press: 14 October 2009
If the visionary goals of the Children's Vaccine Initiative (CVI) are to be achieved, it will have to be an initiating, integrating, and propelling force in the development, manufacturing, and use of vaccines. Success in solving the major technological challenges may depend first on solving the problem of incorporating the major players into the CVI. Today's relationship between private vaccine manufacturers and publicsector purchasers must give way to a new era of cooperation and coordination.