The 2009 H1N1 Influenza Vaccination Campaign Summary of a Workshop Series (2010) / Chapter Skim
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3 Vaccine Distribution
3 Vaccine Distribution
Pages 15-24
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From page 15... ...
States developed many kinds of distribution plans. Some states distributed vaccine to a combination of state and local public health authorities, private healthcare providers, and pharmacies.
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From page 16... ...
Vaccines for Children Program The prototype of the national vaccine distribution strategy was the federal VFC program, through which healthcare providers routinely work with their state and local health departments to provide recommended pediatric vaccines to eligible children. McKesson Corporation, the distributor for the VFC program, provided centralized distribution of vaccine directly to the public and private provider sites, as specified in orders from each state.
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From page 17... ...
Tennessee also worked through existing relationships with the pharmacy association and the board of pharmacy to engage chain and independent pharmacies; in Tennessee, the Board of Pharmacy allows trained pharmacists to vaccinate anyone over age 3. Large employers with occupational health clinics (which had the necessary systems to maintain cold storage of vaccine)
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From page 18... ...
"We could have clinics set up within 2 hours of receipt of any vaccine within our public health system, and get that information out in real time," Cooper noted. North Carolina: Amanda Fuller of the North Carolina Department of Health and Human Services described the state's distribution system.
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From page 19... ...
Illinois: Chicago, also a direct grantee, decided to distribute the vaccine it received to as many facilities as possible. Part of the rationale, explained Julie Morita, medical director of Chicago Public Health, was that her department knew that the vaccination administration sites and healthcare provider offices did not already have systems in place to vaccinate all of their patients at once.
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Alaska had four streams of vaccine coming into the state: The state allocation, vaccine for federal employees from the federal occupational health program, vaccine for the military, and vaccine shipped directly to pharmacy chains. Through strong relationships with each entity, the state was able to track where each stream of vaccine supply was headed and take that into account for the state's distribution plans.
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From page 21... ...
With regard to the distribution system specifically, some state and local public health authorities, healthcare providers, and pharmacy representatives described problems receiving upto-date communications about the timing and content of shipments en route to their offices or locations. Some noted that the shipments arrived several days later than expected, or with different amounts or formulations than ordered.
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From page 22... ...
Some tribes felt frustration during the vaccination campaign because they believed they were not treated as sovereign governments, but rather as healthcare providers or clinics, reported Joe Finkbonner, executive director of the Northwest Portland Area Indian Health Board. He noted that the tribes wanted more flexibility to develop vaccine distribution and administration plans, including the ability to transfer vaccine to other tribes that had none.
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From page 23... ...
For example, some local health departments and healthcare providers reported receiving sharps containers that were too large to be usable. Ann Salyer-Caldwell, associate director of Tarrant County Public Health in Texas, reported having to dip into the public health department's own supplies to give vaccinations, which was not a problem until they tried to buy more syringes and found there was a lock on purchasing.
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From page 24... ...
They are as follows: • Develop better systems for tracking vaccine distribution to ensure improved situational awareness. Integrating existing systems and technologies, such as bar coding and electronic tracking, would improve the ability to track vaccine throughout the distribution system.
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