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The Perceived Importance of Vaccine Storage Problems and Variability of Storage and Handling Policies Among Immunization

2. The Association of Immunization Managers (AIM). Non-profit, created in 1999, funded through cooperative agreement with CDCMembers include all 64 state, city and territorial NCIRD immunization grantees (programs").Standing committees and working groups include: Vaccine Storage and HandlingFin

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The Perceived Importance of Vaccine Storage Problems and Variability of Storage and Handling Policies Among Immunization

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    1. 1 The Perceived Importance of Vaccine Storage Problems and Variability of Storage and Handling Policies Among Immunization Programs in the US Kelly L. Moore, MD, MPH Medical Director, Tennessee Immunization Program & Katelyn Wells, MS Research Coordinator Association of Immunization Managers (AIM)

    2. 2 The Association of Immunization Managers (AIM) Non-profit, created in 1999, funded through cooperative agreement with CDC Members include all 64 state, city and territorial NCIRD immunization grantees (“programs”). Standing committees and working groups include: Vaccine Storage and Handling Finance Epidemiology/Surveillance Registry Vaccine Management Programmatic Research

    3. 3 The Problem Every day Immunization Programs make difficult decisions Vaccine storage equipment choices What are the best options? Vaccine storage failures Is the vaccine ruined? Is revaccination needed? Little evidence based guidance available

    4. 4 Available resources - ACIP CDC-ACIP General Recommendations (2006) On storage failures: “After the vaccine has been moved, determine if the vaccine is still useable by contacting the manufacturer or state/local health department.” On revaccination: “As a general rule, vaccines that have been mishandled or stored at inappropriate temperatures should not be administered. Guidance for specific situations is available from the state health department or CDC.”

    5. 5 Available resources - Other Vaccine Manufacturers Data for their recommendations is typically proprietary Recommendations may conflict with those given in the past or with data in other sources Other Sources WHO Temperature Stability of Vaccines (2006) Research articles (e.g., in the journal Vaccine)

    6. 6 AIM Vaccine Storage and Handling (VSH) Working Group Early 2006, AIM established the VSH Working Group Discuss and advocate for solutions to VSH challenges First step: characterize programs’ needs

    7. 7 Objectives of 2008 AIM VSH Survey Characterize the range of VSH policy and procedures across immunization programs Characterize support for more evidence-based standards or national policies for VSH Characterize the importance of VSH issues to programs

    8. 8 Survey Methods Questions developed and reviewed by AIM Research Coordinator and VSH Working Group Survey Monkey questionnaire to all 64 AIM member projects January 2008 Data cleaned; basic descriptive data reported

    9. 9 Survey Response 55 of 64 programs responded 48 of 50 state programs 6 of 6 city programs 1 of 8 territories Aggregate data presented here includes only state and city respondents (n=54)

    10. 10 Vaccine Storage Equipment

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