The Immunization Coalition of Washington, DC (ICDC) recognizes the key role that school nurses and other school health staff play in increasing immunization rates among children in the District. Since 2003, the Coalition has hosted an Appreciation Luncheon to recognize nurses and other health staff working in schools that have high vaccine coverage rates. The number of individuals honored at the luncheon has increased each year, with nearly 200 in attendance at the 2007 event. The Appreciation Luncheon has also raised awareness about immunization among DC school administrators, resulting in increased enforcement of vaccine mandates and strengthened support for the work of school nurses and other school health staff.