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Program implementation. Pascale Wortley, MD, MPH January 22, 2010 Program Managers Meeting. H1N1 Response: overall structure. Deputy Incident Manager. Incident Manager. Chief of Staff. Chief Health Officer. Epi/surveillance Task Force. Vaccine Task Force. Medical

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Program implementation

Program implementation

Pascale Wortley, MD, MPH

January 22, 2010

Program Managers Meeting


Program implementation

H1N1 Response: overall structure

Deputy

Incident

Manager

Incident

Manager

Chief of

Staff

Chief Health Officer

Epi/surveillance

Task Force

Vaccine Task Force

Medical

Countermeasures

Task Force

Community

Mitigation

Task Force

State

Coordination

Task Force


Program implementation

H1N1 Vaccine Task Force

Task ForceSenior Deputy for ScienceCynthia Whitney

Task Force Director

Jay Butler

Task ForceChief of StaffDave Brownell

H1N1

Vaccine

Steering

Committee

Vaccine Task Force DeputyTom Shimabukuro

Vaccine

Data Management TeamDavid Walker

Vaccine Task

Force Operations Analyst

Eric Marble

Doses Administered TeamJeanne Tropper Warren Williams

Vaccine Coverage & Monitoring team

Jim Singleton Gary Euler

Vaccine Implementation TeamPascale Wortley

Vaccine DistributionTeamJeanne Santoli

Vaccine Communication& Education TeamKris Sheedy

VaccineSafety TeamClaudia VellozziFrank DeStefano

Vaccine

Effectiveness

Team

David Shay

Vaccine EOC DeskDuane KilgusVicki Evans


Status update

Status Update

  • Doses ordered to date (Sept 31-January 15): 120 million doses

  • VFC program annual ordering: 80 million doses

  • Almost 120,000 provider agreements signed

  • Almost 70,000 unique ship-to sites


Cumulative number of provider agreements h1n1 vaccine program sept 2009 jan 2010

Cumulative Number of Provider Agreements, H1N1 Vaccine Program, Sept 2009-Jan 2010

Pre-launch


Cumulative number of ship to sites h1n1 vaccine program oct 2009 jan 2010

Cumulative Number of Ship-to Sites, H1N1 Vaccine Program, Oct 2009-Jan 2010


Program implementation

As of 15 Jan 2009

Pro-Rata Allocation: 139,334,000

Advance Allocation: 5,691,500

Retail Allocation: 5,521,800


Program implementation

Number of Doses Shipped From Each Depot (7-Day Moving Averages)

CA Depot: AZ, CA, CO, HI, NV, OR, UT, WA, Pacific Territories

OH Depot: IN, MI, MN, NE, NJ, NY, NYC, OH, PA, Philly, WI


Program implementation

Number of Doses Shipped From Each Depot (7-Day Moving Averages)

GA Depot: AL, CT, DE, FL, GA, KY, ME, MD, MA, NH, NC, RI, SC, TN, VA

TN Depot: AK, AR, DC, ID, IL, Chicago, IA, KS, LA, MS, MO, MT, NM, ND, OK, PR, SD, TX, VT, VI, WV, WY, Federal Employees


Program implementation

Reported intention to be vaccinated

Note: Among the general population, 43% of those who intend to get vaccinated for H1N1 have already done so.


Program implementation

H1N1 Influenza Vaccination Coverage by ACIP Target Groups, NHFS Dec 27, 2009-Jan 02, 2010

*Estimate may not be reliable, (CI half-width/estimate)≥0.6 or (CI half-width)≥10.

**Estimates with an unweighted denominator of <30 observations are not reported and are coded as NA.


H1n1 influenza vaccination coverage children source national h1n1 flu survey

H1N1 Influenza Vaccination Coverage - childrenSource: National H1N1 Flu survey

  • Month of Dec 2009 - picture of mid Dec

    Age

  • 6-23 months 33.4±6.4

  • 2-4 years 30.0±5.5

  • 5-18 years 24.2±3.2

    • 5-9 years 32.6±5.8

    • 10-12 years 21.8±5.6

    • 13-18 years 18.7±4.6


Program implementation

Note: The proportion of people in non-initial target groups receiving H1N1 vaccine has increased as states have relaxed prioritization.


Program implementation

Note: In some weeks, black non-Hispanics appear to have somewhat lower coverage rates than other groups.


Program implementation

Cumulative H1N1 influenza vaccination coverageamong children aged 6 months-17 years, by statebased on combined estimates from the December 2009 BRFSS and NHFS interviews

Combined national estimate=27.6%

Significantly >30%: Indiana, Massachusetts, Connecticut, South Dakota, Maine, Rhode Island.

Significantly >20%: Washington, New York, Ohio, Virginia, Nebraska, Kansas, Iowa, Delaware, Hawaii, New Hampshire, Pennsylvania, Minnesota, Illinois, West Virginia, South Carolina, Vermont, Arkansas.

Significantly <20%: Texas.


Program implementation

Cumulative H1N1 influenza vaccination coverageamong persons 6 months and older, by statebased on combined estimates from the December 2009 BRFSS and NHFS interviews

National estimate: 13.6% (12.5-13.7)

Range: 6.2-23.1%


Program implementation

Note: In December, more people reported receiving H1N1 vaccine in non-medical locations, particularly schools and worksites, than in October and November.

Totals do not equal 100% due to “don’t know”


Weekly uptake of seasonal and h1n1 influenza vaccines through january 02 2010 sdi

Weekly uptake of seasonal and H1N1 influenza vaccines through January 02, 2010, SDI

Note: An uptick in billing for seasonal and H1N1 influenza vaccinations in physician offices occurred after the Thanksgiving holiday week, but decreased again during the Christmas holidays.


H1n1 influenza vaccine uptake in physician offices through january 2 2010 sdi

H1N1 Influenza Vaccine Uptake in Physician Offices, through January 2, 2010, SDI

Note: Observed dips in billing for H1N1 vaccinations represent Thanksgiving and Christmas holiday weeks.


Situational awareness project univ of michigan

Situational Awareness Project (Univ of Michigan)


Next steps

Next steps

  • Completing the campaign, determining how to scale back efforts

  • Evaluation: what are the most important things to learn

    • for seasonal vaccination

    • for future responses


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