MidAmerica Alliance Policy Forum September 26, 2005

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Mid-America Alliance Policy ForumSeptember 26,
2005 Doneen B. HollingsworthSecretary of Healt
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Influenza Vaccine Shortage

• 2004-2005 Influenza Season

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Flu vaccine shortage timeline

• 4 Oct 100,000,000 doses anticipated
  nationally.
  
• 5 Oct CDC announces vaccine shortage.
• 6 Oct Statewide conference call, DOH and
  stakeholders. Priority groups defined.
  
• 8 Oct 1st gap survey, 116 facility responses.
• 15 Oct-17 Dec weekly surveys.
• 10 Dec Priority groups widened.
• 20 Dec Vaccinations offered to all.
• 14 Jan 2005 Wrap-up survey, 752 facility
  responses.

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Flu vaccination priority groups

• People 65 years of age and older.
• Children ages 6 to 23 months.
• Adults and children with underlying medical
  conditions.
  
• Pregnant women.
• Residents of nursing homes and long-term care
  facilities.
  
• Children who take aspirin regularly.
• Household contacts and out-of-home caregivers of
  children
• Healthcare workers who provide direct patient
  care.

MMWR 5 Oct 200453(39)923-4
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South Dakota Priority Groups

• 6 23 month babies 15,477 (6)
• Elderly 65 years 108,131 (39)
• Chronic health conditions 87,030 (32)
• Pregnant 9,992 (4)
• Nursing homes and
• Health care workers 27,432 (10)
• Family/caregiver of infants
• Children on daily aspirin therapy ?
• Total SD priority 276,154 people

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Regional Flu Vaccine Coordinator Coverage Areas
Roberts
McPherson
Marshall
Campbell
Corson
Brown
Harding
Edmunds
Walworth
Perkins
Day
Dewey
Grant
Faulk
Potter
Spink
Codington
Clark
Butte
Ziebach
Deuel
Sully
Hamlin
Hyde
Meade
Hand
Beadle
Hughes
Stanley
Brookings
Kingsbury
Lawrence
Haakon
Buffalo
Jerauld
Sanborn
Miner
Moody
Lyman
Lake
Pennington
Jones
Brule
Aurora
McCook
Minnehaha
Hanson
Davison
Custer
Mellette
Jackson
Shannon
Douglas
Turner
Tripp
Hutchinson
Fall River
Todd
Lincoln
Gregory
Bennett
CharlesMix
Bon Homme

Yankton
Clay
Union
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752 Entities Participating in SD Influenza
Vaccine Survey
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(No Transcript)
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SD Statewide Percent Flu Vaccine Priority Need
Fulfillment
192,326 doses
123,300 doses
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Percent of Vaccine Need Fulfilled by Region, 15
October - 17 December 2004
Percent of vaccines available for priority groups
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Where Were the Flu Shots Given? (n192,326)
Hospitals 20
Department of Health 11
Pharmacies 8
Nursing homes 5
Clinics 53
Assisted livings 1
All others 1
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Percentage of Adults in Priority Groups Receiving
Influenza Vaccine, 1 Sept 30 Nov 2004
Wyoming 55 South Dakota 53 Nebraska 53 Col
orado 48 Wisconsin 47 Minnesota 43 Montana 4
1 Kansas 41 North Dakota 39 Iowa 37 Idaho
34 Illinois 26
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Flu vaccination report, South Dakota and USA
current flu season and last years flu season (
BRFSS 2005 data)

All adults
Adults 65 yrs
Children 6 mo -17 yr
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Where did South Dakotans receive their flu
vaccination? (BRFSS 2005 Data)
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Vaccine Coverage Data 2004 2005(BRFSS 2004
05)

• Selected Group
• Ages 18 64, High-risk
• Ages 65
• Ages 6 23 Months
• Ages 2 17, High-risk
• Health Care Workers

• Coverage
• 24.2
• 62.7
• 48.4
• 34.8
• 35.7

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Prevention of Influenza

• Flu shot.
• Avoid close contact with people who are sick.
• Stay home when you are sick.
• Cover your cough.
• Frequent handwashing or hand gel.
• Avoid touching eyes, nose or mouth.
• Antiviral drugs.

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Stop It -- Don't Spread It
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Campaign Stop It -- Don't Spread It

• Press releases 12
• Public service announcements radio, TV,
  newspaper.
  
• Newspaper inserts 114,300
• Kits for school and day care 3,828
• Kits for nursing homes, business, etc 2,419
• Partnerships too many to list

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Does Your Facility Have Access to the Internet to
do Web-based Surveys?
No 22
Yes 69
Dont know 9
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Next Steps

• Move from paper to online vaccine assessment
• Online antiviral assessment
• Identify priority groups if necessary per
  guidelines
  
• Influenza Prevention Campaign
• Pandemic Influenza Planning

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Accomplishments

• Achieved a great vaccination for SD citizens
• Successful Vaccine Redistribution
• Launched Prevention Campaign
• Public and private providers/facilities
  collaborating to solve a public health problem
  
• Build surge capacity for other public health
  events
  

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Thank you

• www.state.sd.us/doh/flu