Two documents are presented here. One is a report of the Texas state health department concerning the immunization needs of the state's population, the extent of federal, state, and private financial support for public vaccination programs, legislation and current efforts to extend immunization to all children, and future directions for immunization outreach. The second document is a teacher's guide for educating limited-English-speaking or low-literate adults about the need for and sources of immunization. Materials for both teacher and students are included for a lesson at three different ability levels: beginning English-as-a-Second-Language (ESL) students, intermediate ESL students, and advanced ESL and ABE students. Suggestions are offered to teachers for using the materials, which contain, depending on level: cartoons with dialogues; illustrations; new vocabulary words; dialogue practice exercises; a reading passage containing a woman's personal narrative; comprehension exercises; exercises in calling a clinic, recording an appointment, and filling out a form; a group project using a telephone directory; homework assignments; and additional information about childhood diseases. (MSE) (Adjunct ERIC Clearinghouse on Literacy Education)