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2009 H1N1 Vaccine Program Implementation

2009 H1N1 Vaccine Program Implementation. Jay C. Butler MD Director, H1N1 Vaccine Task Force Centers for Disease Control and Prevention August 24, 2009. Vaccine Implementation: Distribution.

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2009 H1N1 Vaccine Program Implementation

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  1. 2009 H1N1 Vaccine Program Implementation Jay C. Butler MD Director, H1N1 Vaccine Task Force Centers for Disease Control and Prevention August 24, 2009

  2. Vaccine Implementation: Distribution *Providers may include clinician’s offices, hospitals, occupational health clinics, public health centers, pharmacies, facilities for in-state distribution, etc • Vaccine will be allocated to states/grantees pro rata • Centralized distribution by contractor (McKesson Specialty) receiving vaccine from 5 manufacturers and shipping to providers* under direction of health departments • System similar to Vaccines for Children Program (VFC) • Providers place orders with health department • Orders are transmitted to CDC for processing and forwarded to the distributor • Vaccine shipped directly to provider as directed by health departments (up to ~90,000 sites)

  3. Vaccine Implementation: Distribution • Ancillary supplies received from 4 manufacturers and kitted by 3rd party contractor to shipping by distributor • All orders must be placed and will be filled in increments of 100 doses • Vaccine record cards provided by CDC and included in the ancillary supply kit • VIS posted on the CDC website • Federal Employees: CDC will play role of “state health department”, receiving and submitting orders from Federal agencies

  4. Vaccine Implementation: Distribution • Plan developed in collaboration with state and local health officials • Provides • State and local direction • Flexibility in keeping with local needs • Distribution of vaccine without rebuilding infrastructure for in-state distribution

  5. Vaccine Implementation: Tracking and Coverage Assessment • Tracking of doses • Countermeasures Response Administration (CRA) • Web-based aggregate data reporting by age group • Coverage • National Immunization Survey • Can begin collecting data as early as the week of Oct 10 and provide weekly national coverage estimates • BRFSS: • will provide a more complete picture of vaccine coverage by state and in specific risk groups • updated data will be available as frequently as twice monthly

  6. Vaccine Implementation: Current Unknowns • Proportion of vaccine that will be delivered in private sector • Willingness of clinicians to provide H1N1 vaccine, particularly if given under EUA • Level of success in enrolling providers not currently providing vaccines through VFC • Maximum capacity to deliver vaccine • Public demand for vaccine • Acceptability of 2-dose regimen Thank you to the Vaccine Implementation Steering Committee

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