H1N1 Influenza Vaccination in Massachusetts. April 15, 2010 Massachusetts Department of Public Health

Transcription

1 H1N1 Influenza Vaccination in Massachusetts April 15, 2010 Massachusetts Department of Public Health

2 Initial Target Groups For H1N1 Vaccine Pregnant women HH contacts/caregivers of infants < 6 m/o HCP and EMS Persons 6 mos 24 yrs/old HR persons yrs/old 3.4 M in MA

3 H1N1 Vaccine Allocation in MA Registered 4,500 provider sites, including 1,500 new to MDPH Vaccine Program 5 d/wk morning allocation meetings Any vaccine received distributed by COB Senior level steering committee developed evolving prioritization strategy

4 3.7 Million H1N1 Doses Distributed in MA 1.5 M doses to public sites 1.08 M to LHDs & VNAs 177,000 to CHCs 2.2 M doses to private sites 43,000 to OBs (8x increase in OB sites) 555,000 to pediatric practices 504,000 to private hospitals

5 H1N1 Vaccine and Target Group Timeline Dev. web-based system; reg. 2, ,000 doses of H1N1 vax < 9; Preg ; HCP; Contacts of <6 mos All children < M doses HR adults < M doses Everyone 3.7 M doses Sep Oct Nov Dec Jan Feb Mar

6 Cumulative Allocations of H1N1 Vaccine in MA by Provider Type 1,500,000 Doses Allocated 1,000, , /2/09 11/2/09 12/2/09 1/2/10 2/2/10 3/2/10 Week Ending Pedi/OB/FP/MS/CHC BOH/VNAs Hospitals Other

7 School H1N1 Flu Clinics in MA

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11 Eligible for H1N1 Vaccine 12/21/09 Healthy people y/o People > 65 y/o Risk for infection less Still target group for: Seasonal flu vaccine Pneumococcal vaccine

12 H1N1 Provider Registration H1N1 Help Desk Provider Registration Distribution/redistribution Reporting Requests for additional doses 3,000 calls Oct -Jan 2,597 providers registered 1,935 secondary sites

13 H1N1 Vaccine Help Desk Worked with Vaccine Unit & IT Provider Registration Distribution/redistribution Reporting Requests for vaccine Handles 3,000 calls

14 Manufacturer Dose/ Presentation Age Group sanofi pasteur Novartis CSL Biotherapies 0.25 ml prefilled syringe 0.5 ml prefilled syringe 0.5 ml vial single dose vial 5.0 ml multidose vial 0.5 ml prefilled syringe 5.0 ml multidose vial 0.5 ml prefilled syringe 5.0 ml multidose vial New! NEW! 6-35 mos > 36 mos > 36 mos > 6 mos > 4 yrs > 4 yrs > 36 mos > 6 mos GSK 0.5 ml multidose vial > 18 yrs NEW! MedImmune Nasal Spray Healthy, non-pregnant 2 49 yrs

15 H1N1 Vaccine System in MA Developed web-based system for provider registration, vaccine ordering and reporting Registered 4,500 provider sites, including 1,500 new to MDPH Vaccine Program Est. Help Desk with 10 new staff Distributed 3.7 M doses of H1N1 vaccine Maintained distribution of 3.4 doses of routine vaccines, inc. 890,000 doses of seasonal flu vax

16 3.7 Million H1N1Doses Distributed in MA 1.5 M doses to public sites 919,176 to boards of health 176,650 to community health centers 2.1 M doses to private sites 81,205 to obstetricians 552,490 to pediatric practices 504,092 to private hospitals

17 H1N1 Vaccine Allocations in MA Allocated 3.5 M doses as of Jan 14 18% LAIV 1.3 M doses since Christmas Now able to order as much as needed

18 % of Pop. Vaccinated Proportion of Population Vaccinated by Week, Compared with National Average First 7 weeks (Oct 5 Nov 21, 2009) 12% 10% 8% 6% 4% 2% 0% 0% 0% 0% 0% 2% 1% 3%2% 5% 3% 7% 4% 10% Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 5% MA CDC. CRA Novel Influenza (H1N1) 09 Event Summary. U.S.

19 % of Doses Admnistered MA Doses Reported by Age Group, Compared with National Average, in First 7 Weeks 80% 60% 40% 20% 64% 53% 7% 6% 20% 25% 10% 16% 0% 6m - 18y 19-24y 25-49y 50+ y MA U.Ss CDC. CRA Novel Influenza (H1N1) 09 Event Summary.

20 250,000 H1N1 Doses Reported in MA by Age and Week No. of Doses Reported 200, , ,000 50, /5/09 11/21/09 11/7/09 10/24/09 10/10/09 1/2/10 12/19/09 2/13/10 1/30/10 1/15/10 3/27/2010 3/13/2010 2/27/10 Week Ending 0-24 years years >65 years

21 Percentage of MA H1N1 Doses Administered by Age Group 3/27/ yrs, 27% 6 mos - 18 yrs, 49% > 49 yrs, 23% 6 mos - 18 yrs yrs > 49 yrs

22 Jan 27, 2010: 1,245 clinics posted 765 clinics offered seasonal flu vax 870 clinics offered H1N1 vax 101 clinics offered PPV23

23 Vaccinators Emergency regulations to permit certain HCP to administer vaccine Pharmacists Paramedics Dentists Nursing and medical students Required special training, protocols

24 Vaccinator Training 31 regional 4-hr training/practice sessions Competency checklist 610 participants Paramedic train-the-trainer course

25 Vaccinator Training NE University School Health Institute 3 regional H1N1 sessions 461 school and PH nurses 11 vaccination refresher courses 542 school and PH nurses On-line Pediatric Immunization Refresher 99 nurses

26 Vaccinator Training MA Medical Society on-line course 3 CME modules Defining flu types Vaccinee Management Vaccine preparation and management Slides, forms, templates and resources Credit for 300 modules awarded

27 H1N1 Vaccination Rates by Age Group as of 1/31/2010 BRFSS and National 2009 H1N1 Flu Survey 60% Percent Vaccinated 60% 40% 20% 37% 28% 20% 0% 6 mos - 17 yrs > 18 yrs MMWR 2010;59: MA US Median

28 H1N1 Flu Vaccination Rates, by Initial Target Groups and Population as of 1/31/10 BRFSS and National 2009 H1N1 Flu Survey Percent Vaccinated 60% 40% 20% 51% 33% 37% 24% 0% Initial Target Groups Everyone > 6 mos MMWR 2010;59: MA US Median

29 Local Public Health LHDsand VNAs: Received 1.08 M doses 29% of all doses allocated Administered 515,822 doses 48% of doses received 23% of all doses administered