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2 <br />fee of $55 per vaccination covers the cost of the vaccine to OCHD, plus $7 for administration <br />costs. <br />FINANCIAL IMPACT: The $55 fee will cover the direct costs of the vaccine, materials, and a <br />small amount for staff time. Approximately 20 persons requesting this service would generate <br />$1,100 that would be used to defray vaccine cost and materials such as syringes, band aids, <br />and alcohol swabs. <br />RECOMMENDATION(S): The Manager recommends that the Board approve the $55 fee for <br />MMR vaccinations and increase the Health Department budget to reflect the projected fees and <br />expenses. <br />