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Pandemic Influenza Vaccine Priority Groups: Data Reporting. Pandemic Influenza Vaccine: Doses Administered and Safety Training Conference Tom Shimabukuro, MD, MPH, MBA Immunization Services Division Centers for Disease Control and Prevention (CDC) August 21, 2008.
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Pandemic Influenza Vaccine Priority Groups:Data Reporting Pandemic Influenza Vaccine: Doses Administered and Safety Training Conference Tom Shimabukuro, MD, MPH, MBA Immunization Services Division Centers for Disease Control and Prevention (CDC) August 21, 2008
Implementation Plan for the National Strategy (May 2006) • 300(+) actions for Federal Departments/Agencies HSC Action Item 6.1.13.9 • “HHS in coordination with … shall develop/refine mechanisms to … track vaccine and antiviral medication coverage and adverse events …”
HHS Pandemic Influenza Plan (Nov 2005) • Part 1: HHS strategic plan • Part 2: Public health guidance for state and local partners • Part 3: HHS Agencies’ operational plans (in development) • Updates • March 2006 • June 2006 • November 2006
CDC pandemic plans: monitoring vaccine utilization • CDC Influenza Pandemic Operation Plan (OPLAN) • ISD Influenza Pandemic Operation Plan (OPLAN) “… develop plans to monitor pre-pandemic and pandemic influenza vaccine doses administered through the CDC’s Countermeasure and Response Administration system (CRA).” “Develop plans for using population-based surveys to obtain national and State-level pandemic influenza vaccine coverage estimates …”
U.S. Pan Flu Vaccine Strategic Current & Possible New Goals • Vaccines • Goal #1: Establish and maintain a dynamic pre-pandemic influenza vaccine stockpile available for 20 M persons (2 doses/person) or more persons depending on vaccine mfg. capacity & results of dose-sparing adjuvant studies and prime-boost immunization studies: H5N1 vaccine stockpiles • Goal #2: Provide pandemic vaccine to all U.S. citizens within 6 months of a pandemic declaration: pandemic vaccine (600 M doses) National Strategy for Pandemic Influenza (Nov 2005) and HHS Pandemic Influenza Plan (Nov 2005) www.pandemicflu.gov Courtesy Robin Robinson, PhD, Director – BARDA (ASPR/HHS)
U.S. Pan Flu Vaccine Capacity Forecast: Antigen Alone Vaccines 2010 Cell-capacity Effect #1 2011 Cell-capacity Effect #2 2009 Egg-capacity Effect #2 2008 Egg-capacity Effect #1 Courtesy Robin Robinson, PhD, Director – BARDA (ASPR/HHS)
14 priority group “buckets” • Homeland and national security Tiers 1-3 • 3 buckets • Health care and community support services Tiers 1-3 • 3 buckets • Critical infrastructure Tiers 1-3 • 3 buckets • General population Tiers 1-5 • 5 buckets
Vaccination periods Take into account both timing and supply: • Preparation period • Pre-pandemic influenza vaccination period • Manufacturing period • Early pandemic influenza vaccination period • Later pandemic influenza vaccination period
The findings and conclusions in this presentation have not been formally disseminated by CDC and should not be construed to represent any agency determination or policy.