Extension Collaborative on Immunization Teaching & Engagement

EXCITE Impact by the Numbers

51,611,354

Reach

194,764

Engagement
Activities

1,214

Vaccination
Clinics

52,875

Immunizations

updated June 2025

The Extension Collaboration on Immunization Teaching and Engagement (EXCITE) is a nationwide initiative led by U.S. Cooperative Extension to provide adult immunization education. EXCITE is made possible through an interagency agreement between the United States Department of Agriculture – National Institute of Food and Agriculture (USDA-NIFA) and the Centers for Disease Control and Prevention (CDC), with a cooperative agreement with the Extension Foundation in partnership with the ECOP Health Program Action Team.

EXCITE’s goals are to help rural and other key audiences make informed decisions around vaccinations, strengthen connections between communities and healthcare systems, and support local community partners in implementing programs that increase health outcomes.

Why Cooperative Extension?

Since 1862, Cooperative Extension has been a trusted source of evidence-based information across the country, helping people informed decisions for themselves, their families, and their communities. Recognizing this reach, the CDC partnered with Cooperative Extension to launch EXCITE and help bridge gaps in adult vaccine education, particularly in rural areas. EXCITE works with local partners to boost public confidence in adult immunizations and respond to outbreaks of vaccine-preventable diseases.


Extension Foundation’s Role

On behalf of the Cooperative Extension System (CES), the Extension Foundation serves as Principal Investigator and provides Grant administration and fiscal oversight, operational and technological support, system-wide communication and innovation processes, data collection and dashboards, and partnership development.

Current EXCITE Initiatives

  • Dairy Farmers & Workers & H5N1: Raising awareness and providing education on animal and human health related to H5N1.
  • Adult Immunization Education Integration & Awareness: 
    • Incorporating vaccine education into existing Extension programs
    • Vaccine Messaging Tools: Developing ready-to-use education materials for CES programs and events
  • EXCITE 3 – Implementation Phase
    • Local-level immunization education for rural and medically underserved communities
    • Strengthening confidence in the COVID-19 vaccine through land-grant university engagement
  • New Partnerships & Expansions
    • National Rural Health Association (NRHA) and Cooperative Extension Service collaboration on immunization education
    • Bridge Funding Initiative: Expanding immunization education by integrating it into EFNEP (Expanded Food and Nutrition Education Program) and social media campaigns
  • Innovative Vaccine and Health Education Strategies
    • Getting to the Heart and Mind of the Matter – A Toolkit designed to increase vaccine confidence using evidence based and brain science based strategies. The purpose of this toolkit is to better equip and empower all Extension professionals to participate as active agents in vaccine education and any other health education initiatives in their communities. Link to the Toolkit. 

EXCITE Program News

EXCITE Pubic Health Partners Interviews