Prioritization of Healthcare Worker Vaccination NVAC/ACIP Influenza Pandemic Planning Working Group June 15-16, 2005 James Bentley Carolyn Bridges Matt Cartter Victoria Davey Steve Gordon Debra Levy Kristin Nichol Peggy Rennels Patrician Simone LJ Tan Rick Zimmerman
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NVAC/ACIP Influenza Pandemic Planning Working Group
June 15-16, 2005
Rick ZimmermanHCW Prioritization Subgroup Members
*Excludes residential care
*excludes not include assisted living facilities
Meltzer, MI EID 1999;5:659-71
AHA Hospital Statistics, 2004 Edition
Staff include FTE physicians, RNs, LPNs,
dentists, medical and dental trainees
Assume 25% decrease in staff
Vaccinate direct patient care staff (physicians and nurses)
Limitation: Will not be able to maintain other essential services, such as housekeeping, dietary.
Vaccinate “frontline” healthcare workers and those who provide care to (ED, ICUs, geriatric units, transplant units) and essential healthcare service workers
Limitation: High-risk patient not geographically separated within the facility
Vaccinate “comprehensive” healthcare team* that would be comprised of workers across specialties to provide a range of services to ill patients (e.g, surgery, obstetrics, pediatrics, gen medical, etc) who could be cohorted or physically separated on “flu wards”
Limitation: Would only be a potential strategy during early phase on pandemic when case load is low
*Include essential healthcare services staff
Vaccinate direct patient care workers and a proportion of those needed to maintain essential healthcare services. Leave some autonomy to local decision makers regarding allocation of vaccine within these groups.
Limitation: May create chaos/confusion due to variability in prioritization
Includes Healthcare practitioners, Healthcare support,
management/ admin support/ maintenance