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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


H1N1 Response: overall structure






Chief of


Chief Health Officer


Task Force

Vaccine Task Force



Task Force



Task Force



Task Force


H1N1 Vaccine Task Force

Task ForceSenior Deputy for ScienceCynthia Whitney

Task Force Director

Jay Butler

Task ForceChief of StaffDave Brownell





Vaccine Task Force DeputyTom Shimabukuro


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




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



As of 15 Jan 2009

Pro-Rata Allocation: 139,334,000

Advance Allocation: 5,691,500

Retail Allocation: 5,521,800


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


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


Reported intention to be vaccinated

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


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


  • 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

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


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


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.


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%


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.

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