because there have been a couple vaccine preventable issues that are in the news and renewed taensh to vax seens. there was a pertussis outbreak in 2014 that was significant and a measles outbreak that is occurring now and in both cases the outbreaks have been said or fostered by the presence of individuals that are unimue nizeed. it is a complicated issue and think there is a important relationship is the one between the patient or the parent and the medical provider and i think a lot of the dialogue and kind of perhaps helping people to kind of reconsider the decisions that they may have made is probably more likely to happen in the context of that primary care relationship. i think a very-that said, i think a very important role that the department can play is just general promotion of immunization and the importance of immunization in the community and the removal of barriers to immunization. i'll give a example, there is a program called vaccines for children that provides free vaccines to clinics that serve uninsured and med ical children and this has been-this program has been around for