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Balancing Act: Launching Pentacel during the Hib Shortage

Balancing Act: Launching Pentacel during the Hib Shortage. Jan Hicks-Thomson, MSW, MPA Washington State Department of Health. Problems Identified. Wait Lists. Worried Parents. Limiting Shots. Extra Work. Missed Doses. Concern. Extra Visits. Disease Concern. Response. No New Doses.

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Balancing Act: Launching Pentacel during the Hib Shortage

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  1. Balancing Act: Launching Pentacel during the Hib Shortage Jan Hicks-Thomson, MSW, MPAWashington State Department of Health

  2. Problems Identified Wait Lists Worried Parents Limiting Shots Extra Work Missed Doses Concern Extra Visits Disease Concern

  3. Response No New Doses No ACIP Change “Enough” Listen Respond Guidance from VAC Transfer Reallocate

  4. Was the Allocation Enough? Order History Birth Cohort 87,000 (projected births 08) x3 (shortage series) 261,000 (sub-total) % 12 (monthly average) 21.750 (@ 100%) x .90 (expected rate) 19,574 (calculated need)

  5. Spreading the News at Light Speed Communication

  6. Support Tools

  7. Population Based 2 Product Allocation Allocation Strategy

  8. Overlay High Volume Providers

  9. Beginning Provider Participation Whatcom 1 Okanogan Pend Oreille Ferry Skagit 3 Stevens Snohomish 6 Clallam Chelan Jefferson Spokane 2 Kitsap Douglas Lincoln King 23 Mason Grays Harbor Grant Kittitas Adams Whitman Pierce Pacific Lewis Franklin Yakima 2 Garfield Thurston 2 Columbia Cowlitz Asotin Skamania Benton Klickitat Walla Walla 1 9 Counties 45 Provider Sites Clark 5

  10. Hib Containing Vaccine Before and After PentacelMay 2008 – Feb. 2009 322 45 66 158 413

  11. Ending Provider Participation N.E. Tri 1 Whatcom 10 Island 1 Okanogan 2 Ferry Skagit 6 Stevens Pend Oreille Snohomish 32 Clallam 5 Jefferson 1 Chelan / Douglas 6 Spokane 16 Kitsap 10 Lincoln King 171 Mason 1 Grant 4 Grays Harbor 2 Kittitas Pierce 49 Adams1 Whitman 2 Pacific Lewis 1 Yakima 19 Benton / Franklin 24 Garfield Thurston 15 Columbia Cowlitz 2 Asotin Klickitat Wahkiakum 27 Counties 413 Provider Sites Walla Walla 5 Clark 26 Skamania 1

  12. Trouble Shooting Medical Errors Lot Numbers Inventory Management New Vaccine Single Dose Disease Risk

  13. Vaccine Supply IssuesPentacel, Hep. B and PediarixJuly 2008 – Feb 2009

  14. Inventory Management

  15. How Are We Doing? HiB Disease Reported in Washington

  16. How Are We Doing? Getting Kids Vaccinated in Washington Based on Immunization Registry Data

  17. National Immunization Survey Results

  18. How Are We Doing? Implementation – System Indicators Successful Integration Balance with CDC Reports Within Reason of ACIP Responsive to Providers Never over Allocation Secured Additional Vaccine Held our own with rates!

  19. Acknowledgements Blessed are the Balanced, for they shall outlast us all! Wendy Bowman Janna Bardi Mike Bin Chris Halsell Lin Watson Flo Zikas Contact: Jan Hicks-Thomson, MSW, MPA Jan.Hicks-Thomson@doh.wa.gov 360-236-3578

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