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Project Immunize Virginia. Diane Helentjaris, MD, MPH Director, Office of H1N1 Response Virginia Department of Health March 25, 2010 West Henrico Health Department. H1N1 – the Virginia Experience. 20 th Century Influenza Pandemics. Credit: U.S. National Museum of Health and Medicine.

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project immunize virginia
Project Immunize Virginia
  • Diane Helentjaris, MD, MPH
  • Director, Office of H1N1 Response
  • Virginia Department of Health
  • March 25, 2010
  • West Henrico Health Department

H1N1 – the Virginia Experience

20 th century influenza pandemics
20th Century Influenza Pandemics

Credit: U.S. National Museum of Health and Medicine

1918-1919: Spanish Flu (H1N1)

1957-1958: Asian Flu (H2N2)

1968-1969: Hong Kong Flu (H3N2)

1-4 million deaths worldwide

34,000 excess U.S. deaths

20-100 million deaths worldwide

675,000 U.S. deaths

1-4 million deaths worldwide

70,000 excess U.S. deaths

rapid spread
Rapid Spread
  • April 2009: First U.S. cases
  • April 26,2009: U.S. declares public health emergency.
  • May 1, 2009: First Virginia cases
  • May 2009: Outbreak at VA university
  • June 2009: World Health Organization declares a pandemic
h1n1 response pillars
H1N1 Response Pillars
  • Surveillance
  • Communication
  • Mitigation
  • Direct Medical Care / Surge
  • Vaccination
h1n1 deaths
H1N1 Deaths
  • 37 deaths confirmed to have 2009 H1N1 influenza
    • Ages 6-83
      • 34 adults
      • 3 children
    • 1 pregnant or post-partum
    • 36 with underlying medical conditions
vaccine information google flu vaccine locator
Vaccine information - Google Flu Vaccine Locator
  • Allows users to find vaccination locations by ZIP code
dear colleague letters
“Dear Colleague” Letters

Reaches over 120,000 licensed professionals

health commissioner s infectious disease advisory committee
Frederick G. Hayden, MD

Professor of Internal Medicine and Pathology,

Division of Infectious Diseases

University of Virginia Health Systems

Thomas M. Kerkering, MD

Chief of Infectious Diseases

Virginia Tech, Carilion School of Medicine

Edward C. Oldfield, III, MD

Chief of Division of Infectious Disease

Eastern Virginia Medical School

Donald Poretz, MD, FACP, IDSA

Clinical Professor of Medicine, MCV School of Medicine

And Georgetown University School of Medicine

Richard P Wenzel, MD, MSc

Chair of Internal Medicine

Virginia Commonwealth University School of Medicine

Michael B. Edmond, MD, MPH, MPA

Chair of the Division of Infectious Disease

Virginia Commonwealth University Health System

James L. Pearson, DPh, BCLD

Director, Division of Consolidated Laboratories

Department of General Services

Ronald B. Turner, MD

Professor of Pediatrics

Associate Dean for Clinical Research

Department of Pediatrics

University of Virginia School of Medicine

Mark J. Levine, MD, MPH

Deputy Commissioner of Emergency Preparedness & Response Programs

Virginia Department of Health

Diane Helentjaris, MD, MPH

Deputy Director, Office of Epidemiology

Virginia Department of Health

James E. Burns, MD, MBA

Deputy Commissioner of Public Health

Virginia Department of Health

Karen Remley, MD, MPH, FAAP


Virginia Department of Health

Health Commissioner’s Infectious Disease Advisory Committee
direct medical care surge
Direct Medical Care /Surge
  • Treatment and infection control information
  • State antiviral stockpile
  • Hospital bed tracking
vaccination campaign tenets
Fair and ethical

Public and Private partnership

Focus initially on priority groups

Virginia Immunization Information System required

Distribute 100% of Allocated Vaccine

Vaccination Campaign Tenets
vaccine allocation variables




Vaccine Allocation Variables
  • Partnerships key
  • School-based vaccinations effective
  • Virginia Department of Health Web site:;

  • Toll-free VDH Inquiry Center:
  • 1-877-ASK-VDH3 (1-877-275-8343)
  • Google Flushot Locator
  • CDC H1N1 Web site:
  • U.S. Dept. of Health & Human Services Flu center:
  • VDH staff
  • CDC
  • CDC Public Health Image Library
  • Google