Seasonal Influenza Vaccine Update

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Seasonal Influenza Vaccine Update

• Jeanne M. Santoli, MD, MPH
• National Center for Immunization and Respiratory
  Diseases
• Centers for Disease Control and Prevention
• September 2006
• jsantoli_at_cdc.gov

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Outline

• Recommendations
• Supply
• Vaccine Distribution Tracking
• Communications
• Update from the National Influenza Vaccine Summit

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Expanded Recommendations Annual Vaccination of
24-59 month old children

• Beginning with the 2006-07 season
• Based upon increased risk of clinic and ED visits
• Includes household contacts and out-of-home
  caregivers
• Timing of the recommendation and limited supply
  of vaccine for young children will impact
  implementation

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Estimated Size of ACIP Recommended Groups
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Projected Production
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Timing of Vaccine Distribution (Products
Currently Licensed)

• Majority of doses to be distributed by the end of
  October
• 75 million doses by end of October
• This is 15 million doses more than were
  delivered by the end of October in 2005
• Goal Provide some vaccine to all who ordered it
  (by the end of October)
• Virtually all doses distributed by the end of
  November

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Anticipated Supply Problem Vaccine for 3 Year
Old Cohort

• CDC anticipates that providers may be unable to
  obtain sufficient vaccine for their 3 year old
  patients
• Single supplier of vaccine for this age-group
• Timing of expanded recommendation (occurred after
  pre-booking period)
• For providers without sufficient vaccine for all
  6-59 month olds, CDC recommends providers
  consider prioritizing 6-23 months olds.

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ACIP Priority Groups for Influenza Vaccination,
2006-07
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Influenza Vaccine Distribution Tracking Activities

• Weekly updates of influenza vaccine distribution
  data available via CDCs Secure Data Network
• Meeting in April 2006 with key stakeholders to
  plan for this season
• What is new this season?
• Application up and running on September 8, 2006
• Access for up to 5 public health officials per
  jurisdiction
• One time report of pre-book data at the beginning
  of the season from a small number of distributors

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Example Summary Report 05-06
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Communication Campaign Core Elements

• Web Content, www.cdc.gov/flu
• Media Outreach and Activities
• Radio and television PSAs, video and audio news
  releases, radio news tours, matte articles for
  small daily and weekly papers, magazine and
  newspaper ads, web banners
• Print Campaign
• Web-based gallery at www.cdc.gov/flu/gallery
• Education and Outreach to Clinicians
• Audience Research and Message Testing

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Free Posters and Flyerswww.cdc.gov/flu/gallery
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Early September Communication About Supply and
Distribution Timing
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Key Concepts in the Development of Messages about
Supply/Distribution

• Talk about distribution in terms of actual
  timing, rather than using terms like delay
• What is a normal or good season is ambiguous
• Setting realistic expectations
• Dont want to deter the public from seeking
  vaccination
• Address the misconception that it is too late to
  be vaccinated in December and beyond, while still
  emphasizing the benefits of October/November
  vaccination

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Optimizing Influenza Vaccine Utilization in
2006-07 Efforts of the National Influenza
Vaccine Summit
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Second 2006 National Influenza Vaccine Summit
Meeting (June)

• Objective Discuss, develop, and implement a plan
  to increase utilization of influenza vaccine for
  the 2006-07 season
• Focus
• Vaccination of priority groups, contacts, and the
  general public
• Helping health care providers to better promote
  influenza vaccination
• Communication strategies to facilitate increased
  utilization of influenza vaccine

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Meeting Outcomes

• Six teams identified to develop plans for the
  short-term goal of increasing utilization for
  this upcoming season
• Team One Targeting Healthcare Workers  
• Team Two Targeting children aged 6 mos. through
  18 years  
• Team Three All Contacts of High-Priority
  Populations with an eye towards Universal" 
• Team Four Extending the Vaccination Season  
• Team Five Unifying/Creating Provider Toolkit  
• Team Six Utilizing Partnerships (to improve
  education, reduce barriers for immunizing, and
  sharing fiscal risk of influenza vaccine)

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Team 1 - HCWs

• Objective
• Develop tools and resources to encourage HCWs to
  get vaccinated, address common misperceptions
• Activities
• Joint AMA/CDC letters to administrators of health
  care facilities and individual HCWs
• Tools on summit website
• Full-page advertisement in JAMA

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Team 2 - Pediatrics

• Objective
• Increase utilization of influenza vaccine in
  children aged 6-59 months and in those attending
  kindergarten through eighth grade (5 to 14 yr
  olds)
• Activities
• Toolkit to providers serving 24-59 month olds
• Flashcards and other educational materials to
  distribute to providers serving 5-14 y olds, as
  well as school and day care classes
• Reach children through grandparents (AARP tool)

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Team 3 Universal

• Objective
• Target high-risk persons and general population
  who wish to decrease risk of influenza
• Activities
• Target certain settings/populations
• Colleges and university students joint
  CDC/American Health Association letter to all
  ACHA members
• Employees in their worksites Webinar conducted
  to National Business Group on Health members
• Faith-based groups developing network and plans

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Team 4 Extending Vaccination Season

• Objective
• Address the misperception that flu vaccination
  season end in December
• Activities
• Recognition award for provider or organization
  with innovative approach to deliver vaccine
  throughout season
• Vaccination day in January to promote
  vaccination

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Team 5 Provider Tool Kit

• Objective
• Develop a model tool kit for health care
  providers to address vaccine ordering, vaccine
  storage, vaccine distribution, vaccine payment,
  vaccine clinics
• Activities
• Collect existing tool kits from health depts,
  vaccine manufacturers, and other stakeholder
  organizations
• Unify and customize existing materials into a
  model tool kit

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Team 6 Partnerships

• Objective
• Utilize partnerships to improve education, reduce
  vaccination barriers, and investigate ways of
  sharing fiscal risks of healthcare providers
  offering vaccinations
• Activities
• Co-sponsor 3 educational conference calls with
  partner organizations to target adult and child
  health care providers, and promotion of late
  season vaccination
• Sharing fiscal risk being discussed

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Extra slides
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Influenza Vaccine Production and Distribution,
US, 1980-2005
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Cumulative Monthly Influenza Vaccine Distribution
Doses (Millions)
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81.2