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Influenza Vaccine Distribution 2006-07. National Immunization Conference March 6, 2007 Eddie L. Wilder, Lisa Galloway, Jeanne Santoli Immunization Services Division National Center for Immunization and Respiratory Diseases Centers for Disease Control and Prevention. Historical Perspective.
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Influenza Vaccine Distribution2006-07 National Immunization Conference March 6, 2007 Eddie L. Wilder, Lisa Galloway, Jeanne Santoli Immunization Services Division National Center for Immunization and Respiratory Diseases Centers for Disease Control and Prevention
Historical Perspective • Tracking the distribution of flu vaccines began in 2004 flu season • 2004 flu season – shortage; Chiron • 2005 flu season – capacity restored; timing • 2006 flu season – strain change; timing
2006/7 Flu Season • Meeting in April 2006 to discuss issues with stakeholders • Received pre-booking data from limited sources on August 17, 2006 • Began tracking distribution of flu data from manufacturers and distributors on September 1, 2006 • Tracking distribution data began much earlier in the 2006/7 flu season than in the 2005/6 flu season.
Tracking Flu Distribution Data • Aide in visibility of flu vaccine distribution • Available to state and local grantees • Data mapped to common variables • Internal order identifier • State where flu vaccines are distributed • Zip code where flu vaccines are distributed • National Drug Code (NDC) of vaccine distributed • Number of doses distributed • Type of provider where vaccines are distributed
Provider Types • Corporation/Occupational Health • Corrections • Distributors • Federal Government • Hospitals/EDs/Dialysis Centers • Long Term Care • Military • Other Private • Other Public • Pharmacy • Private Providers • State/Local Health
Distribution Reports Data management • Received weekly from distributors and manufacturers • ASD Healthcare • Cura Script • FFF Enterprises • Henry Schein/GIV • McKesson • Physician Sales and Service (PSS) • Seacoast Medical • GSK • MedImmune • Novartis • Sanofi pasteur
How is CDC going to collect and distribute the flu distribution data?
Flu Data FLU FINDER FLU STAKEHOLDERS FLU DISTRIBUTION DATA FLOW DISTRIBUTOR
Cumulative Monthly Influenza Vaccine Distribution(01/12/2007) 102.5 83 81.2 Doses (Millions)
Distribution by HHS Region Region I: CT, ME, MA, NH, RI, VT Region II: NY, NJ, PR, VI Region III: DE, MD, PA, VA, WV, DC Region IV: AL, FL, GA, KY, MS, NC, SC, TN Region V: IL, IN, OH, MI, MN, WI Region VI: AR, LA, NM, OK, TX Region VII: IA, KS, MO, NE Region VIII: CO, MT, ND, SD, UT, WY Region IX: AZ, CA, HI, NV, Pacific Islands (6) Region X: AK, ID, OR, WA
Influenza Vaccine Distribution by HHS Region Doses/1,000 Population Doses distributed as of 1/12/2007
Source: Unpublished data from a Gallup telephone survey conducted on behalf of CDC in 2005.
How does Distribution of Vaccine Compare with Self-reported Vaccination Sites? • Comparison is difficult due to differences in categories • We don’t know the final destination of 16% of doses • Comparison of selected categories reveals similarities
Percentage of Influenza Vaccine Doses Received by a Distributor by HHS Region