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Project Immunize Virginia

Project Immunize Virginia. Diane Helentjaris, MD, MPH Director, Office of H1N1 Response Virginia Department of Health March 25, 2010 West Henrico Health Department. H1N1 – the Virginia Experience. 20 th Century Influenza Pandemics. Credit: U.S. National Museum of Health and Medicine.

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Project Immunize Virginia

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  1. Project Immunize Virginia • Diane Helentjaris, MD, MPH • Director, Office of H1N1 Response • Virginia Department of Health • March 25, 2010 • West Henrico Health Department H1N1 – the Virginia Experience

  2. 20th Century Influenza Pandemics Credit: U.S. National Museum of Health and Medicine 1918-1919: Spanish Flu (H1N1) 1957-1958: Asian Flu (H2N2) 1968-1969: Hong Kong Flu (H3N2) 1-4 million deaths worldwide 34,000 excess U.S. deaths 20-100 million deaths worldwide 675,000 U.S. deaths 1-4 million deaths worldwide 70,000 excess U.S. deaths

  3. Rapid Spread • April 2009: First U.S. cases • April 26,2009: U.S. declares public health emergency. • May 1, 2009: First Virginia cases • May 2009: Outbreak at VA university • June 2009: World Health Organization declares a pandemic

  4. H1N1 Response Pillars • Surveillance • Communication • Mitigation • Direct Medical Care / Surge • Vaccination

  5. Surveillance in Virginia

  6. Percent of ED and Urgent Care Visits for ILI by Month, April 2009 – September 2009

  7. Percent of ED and Urgent Care Visits for ILI by Month, October 2009 – January 2010

  8. ILI Visits by Age Group

  9. School Absenteeism

  10. Lab Surveillance

  11. H1N1 Deaths • 37 deaths confirmed to have 2009 H1N1 influenza • Ages 6-83 • 34 adults • 3 children • 1 pregnant or post-partum • 36 with underlying medical conditions

  12. H1N1 Communications:A critical pillar with three key components Prevent

  13. VDH Inquiry Center 877-1-ASK-VDH3

  14. Vaccine information - Google Flu Vaccine Locator • Allows users to find vaccination locations by ZIP code

  15. Vaccination media campaign

  16. “Dear Colleague” Letters Reaches over 120,000 licensed professionals

  17. Frederick G. Hayden, MD Professor of Internal Medicine and Pathology, Division of Infectious Diseases University of Virginia Health Systems Thomas M. Kerkering, MD Chief of Infectious Diseases Virginia Tech, Carilion School of Medicine Edward C. Oldfield, III, MD Chief of Division of Infectious Disease Eastern Virginia Medical School Donald Poretz, MD, FACP, IDSA Clinical Professor of Medicine, MCV School of Medicine And Georgetown University School of Medicine Richard P Wenzel, MD, MSc Chair of Internal Medicine Virginia Commonwealth University School of Medicine Michael B. Edmond, MD, MPH, MPA Chair of the Division of Infectious Disease Virginia Commonwealth University Health System James L. Pearson, DPh, BCLD Director, Division of Consolidated Laboratories Department of General Services Ronald B. Turner, MD Professor of Pediatrics Associate Dean for Clinical Research Department of Pediatrics University of Virginia School of Medicine Mark J. Levine, MD, MPH Deputy Commissioner of Emergency Preparedness & Response Programs Virginia Department of Health Diane Helentjaris, MD, MPH Deputy Director, Office of Epidemiology Virginia Department of Health James E. Burns, MD, MBA Deputy Commissioner of Public Health Virginia Department of Health Karen Remley, MD, MPH, FAAP Commissioner Virginia Department of Health Health Commissioner’s Infectious Disease Advisory Committee

  18. Direct Medical Care /Surge • Treatment and infection control information • State antiviral stockpile • Hospital bed tracking

  19. Mitigation

  20. Vaccination

  21. Seasonal Influenza Vaccine Timetable

  22. H1N1 Vaccine Development

  23. Fair and ethical Public and Private partnership Focus initially on priority groups Virginia Immunization Information System required Distribute 100% of Allocated Vaccine Vaccination Campaign Tenets

  24. Targeted Vaccination and After Action Analysis

  25. Availability Formulation Distribution Preferences Vaccine Allocation Variables

  26. Results

  27. H1N1 Vaccine Administered in Virginia

  28. Vaccine Distribution by Provider Type

  29. Vaccination – School-age children

  30. Conclusions • Partnerships key • School-based vaccinations effective

  31. Resources • Virginia Department of Health Web site: www.vdh.virginia.gov;www.H1N1Get1.com • Toll-free VDH Inquiry Center: • 1-877-ASK-VDH3 (1-877-275-8343) • Google Flushot Locator • www.google.com/flushot • CDC H1N1 Web site: • www.cdc.gov/h1n1flu • U.S. Dept. of Health & Human Services Flu center: • www.flu.gov

  32. Acknowledgements • VDH staff • CDC • CDC Public Health Image Library • Google

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