The national influenza vaccine summit update
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THE NATIONAL INFLUENZA VACCINE SUMMIT: UPDATE. Raymond A. Strikas, M.D. Immunization Services Division National Immunization Program Coordinating Center for Infectious Diseases Centers for Disease Control and Prevention Department of Health and Human Services NVAC Meeting – Washington, D.C.

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The national influenza vaccine summit update

THE NATIONAL INFLUENZA VACCINE SUMMIT: UPDATE

Raymond A. Strikas, M.D.

Immunization Services DivisionNational Immunization Program

Coordinating Center for Infectious Diseases

Centers for Disease Control and Prevention

Department of Health and Human Services

NVAC Meeting – Washington, D.C.

June 7, 2005


Brief history of the national influenza vaccine summit
(Brief) History of the National Influenza Vaccine Summit

  • Summit conceived in response to delays in influenza vaccine production and distribution in 2000

  • Co-sponsored by AMA and CDC

  • 1st two Summits:March and August 2001

  • Annual meetings 2002-4

  • Most recent meeting May 10-11, 2005


The summit is
The Summit is . . .

  • An annual meeting

  • A concept

  • An informal, action-oriented organization

  • A resource


Composition of the summit 1
Composition of the Summit (1)

  • Vaccine Manufacturers

  • Vaccine Distributors

  • Federal Agencies

  • Professional Medical Organizations

  • Nursing Organizations

  • Public Health

  • Hospitals

  • Pharmacists


Composition of the summit 2
Composition of the Summit (2)

  • Community Immunization Providers

  • Occupational Health Providers

  • Business

  • Private Health Insurance and Managed Care

  • Long-term Care

  • Quality Improvement Organizations

  • Consumers

  • Advocacy Groups


Summit working groups 1
Summit Working Groups (1)

  • Community-based Vaccination Providers

  • Occupational Vaccination Providers

  • Payment Issues

  • Vaccine Distribution

  • Consumer Education


Summit working groups 2
Summit Working Groups (2)

  • Vaccine Reallocation

  • Physicians’ Issues

  • Communications

  • Long-term Care

  • Executive Committee

  • Universal immunization (pending development)


2005 summit participation
2005 Summit Participation

  • 60 organizations

  • 154 individuals



2005 summit themes
2005 Summit Themes

  • Lack of knowledge, indifference, and/or frustration in the general public, priority persons, health care providers

  • Stability of influenza vaccine supply

  • Crisis planning (focus on vaccine supply and pandemic influenza)


Results of theme breakout sessions theme i
Results of Theme Breakout Sessions – Theme I

  • Avoid tiered or staggered vaccination recommendations

  • If tiered recommendations necessary, open vaccination to all as soon as possible

  • Vaccination recommendations should be clear, consistent, and clearly communicated to partners and the public

  • Live attenuated vaccine recommendations should be clearly distinguished from those for inactivated vaccine


Results of theme breakout sessions theme i continued
Results of Theme Breakout Sessions – Theme I (continued)

  • Work towards policy changes encouraging/requiring health care worker (HCW) vaccination with professional groups, JCAHO, CMS

  • Publish HCW vaccination rates by institution


Theme ii results recommendations
Theme II Results/Recommendations

  • Request vaccine pre-booking data from vaccine companies, distributors for state public health authorities

  • Participate in federal government working group planning for 2005-06


Theme ii results recommendations continued
Theme II – Results/Recommendations (continued)

  • Form Universal Immunization working group to consult with ACIP

  • Objectives

    • Ensure equity

    • Ensure proper health infrastructure


Theme ii results recommendations continued1
Theme II – Results/Recommendations (continued)

  • Universal Immunization:

    • Activities may include

      • Write a “White Paper”

      • Engage health insurers

      • Assess

        • Vaccination impact

        • Cost effectiveness

      • Expand vaccination season

      • Identify, employ additional strategies for specific populations, e.g., children

      • Increase research: better vaccines, technology for administration


Theme iii results recommendations
Theme III Results/Recommendations

  • Crisis: 30 million doses of vaccine available

    • Use antigen-sparing vaccination

    • Close schools, day care settings

    • Identify all long-term care settings (LTC), including assisted living, to facilitate vaccine delivery

    • Close LTC to outside visitors

    • Import vaccine if possible – use method other than IND


Theme iii results recommendations continued
Theme III Results/Recommendations (continued)

  • Crisis: Pandemic Influenza

    • Consider Summit meeting on pandemic influenza, specifically vaccine purchase, distribution, administration:

    • Discuss and promote an active government role in vaccine acquisition

    • Promote open and direct private - public sector communication and collaboration to guarantee a rapid and equitable vaccine allocation and distribution

    • Promote transparent allocation of vaccine based on need (priority)

    • Promote the development of local capacity for vaccine allocation and distribution to priority groups

    • Promote local leadership and active role in vaccine allocation and distribution


A vision of the future of the national influenza vaccine summit
A Vision of theFuture of the NationalInfluenza Vaccine Summit

  • Remains a permanent but informal organization at the national level

  • Works year-round on the issues

  • Flexible—can respond to contingencies

  • Member survey to evaluate future directions for the Summit

  • Could expand attention to broader array of adult vaccination issues


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