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2004-05 Influenza Vaccine Shortage: The State Perspective

2004-05 Influenza Vaccine Shortage: The State Perspective. Anna DeBlois ASTHO Director, Immunization Policy Presentation to the National Vaccine Advisory Committee February 8, 2005. October 5, 2004. Chiron’s license to produce flu vaccine suspended; US supply of vaccine cut by nearly 50%

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2004-05 Influenza Vaccine Shortage: The State Perspective

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  1. 2004-05 Influenza Vaccine Shortage:The State Perspective Anna DeBlois ASTHO Director, Immunization Policy Presentation to the National Vaccine Advisory Committee February 8, 2005

  2. October 5, 2004 • Chiron’s license to produce flu vaccine suspended; US supply of vaccine cut by nearly 50% • States initially affected differently, in part due to varying amounts ordered from each manufacturer • Where is the vaccine right now?

  3. Mounting an Immediate Response • A federal, state, and local partnership • Emergency orders • ASTHO survey • a “first look” at state vaccine surveillance capacity; 36 respondents, including 35 states and 1 territory

  4. Initial Challenges • Identifying private sector providers • Locating vaccine shipped before October 5th • Communications • Price gouging • VFC vaccine

  5. Allocation and Distribution • Phase 1 distribution • State and local public health orders “made whole,” remaining vaccine allocated to states based on need • State Health Officials assume responsibility for distributing the state’s allotment of vaccine to providers in their jurisdictions

  6. A Sampling of State Efforts • Communicating with the public and providers • Assessing supply • Web-based and telephone surveys • Health Alert Network • Targeting vaccine • Working with local health departments, providers • Mass vaccination clinics • Lotteries • Implementing recommendations • Emergency Orders • Subprioritization

  7. Financial and Programmatic Impact • Phone calls • Staff time • Postponed and cancelled activities

  8. ASTHO’s Activities • Surveys • Website updates • Partner’s Calls • Bi-weekly/weekly calls with CDC, NACCHO, AIM, CSTE, APHL • ASTHO Position statement: Vaccine Supply, Immunization Infrastructure, and Emergency Shortages

  9. Challenges Throughout the Season • Immunization recommendations • Sub-prioritization • Expanding access • Vaccine surveillance & access to data • Rapid evolution of events • Quick decision-making • Communications

  10. Lessons Learned (so far) • Remember the good things • Ensure adequate vaccine supply • Build immunization infrastructure • Develop a national vaccine shortage response plan • Plan for a pandemic

  11. Anna DeBlois adeblois@astho.org www.astho.org

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