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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