Pandemic Flu Vaccine Prioritization

According to the WHO in their Global Pandemic Influenza Action Plan published in 2006, “At the present time, if an influenza pandemic were to occur, the potential vaccine supply would fall several billion doses short of the amount needed to provide protection to the global population,” http://www.who.int/csr/resources/publications/influenza/CDS_EPR_GIP_2006_1.pdf

The amount of vaccine in the U.S. that would be available during the early stages of a pandemic also falls short of the amount needed to immunize our entire population . This mismatch between demand for vaccine and supply of vaccine during the first wave of a pandemic requires some difficult decisions about vaccine prioritization. A Federal interagency working group comprised of members of all sectors of the government has tackled this difficult problem and recently produced the Draft Guidance on Allocating and Targeting Pandemic Influenza Vaccine. http://www.pandemicflu.gov/vaccine/prioritization.pdf

The work-group considered scientific and ethical issues and solicited public input in developing their prioritization . Their primary objectives for vaccination are well thought out and they have a tiered approach based on the severity of the pandemic. The document is posted for public comment at the following link. http://www.aspe.hhs.gov/panflu/vaccinepriorities.shtm

Guidance about rationing of scarce vaccine should be made well in advance of a pandemic and the committee has tackled this very difficult task. I encourage everyone to look at where you potentially fall in the vaccination prioritization and to comment if you do not believe it is based on sound reasoning.

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2 Responses to Pandemic Flu Vaccine Prioritization

  1. mikelove says:

    and to cut to the chase… 🙂

    General Population (GP)

    A
    * Pregnant women
    * Infants and toddlers, 6 – 35 months old

    B
    * Household contacts of infants under 6 months old
    * Children 3 – 18 years old with high-risk medical conditions
    * Children 3 – 18 years old without high-risk medical conditions

    C
    * High risk persons 19 – 64 years old
    * Persons 65 years and older

    D
    * Healthy adults, 19 – 64 years old, not included in other categories

    Homeland & National Security (HNS)

    A
    * Deployed and mission critical personnel

    B
    * Essential support and sustainment personnel
    * Intelligence services
    * Border protection personnel
    * National Guard personnel (who are not already included in Level A)
    * Other domestic national security personnel

    C
    * Remaining active duty military and essential support personnel

    Health Care & Community Support Services (HC/CSS)

    A
    * Public health personnel
    * Inpatient health care providers
    * Outpatient and home health care providers
    * Health care providers in long-term care facilities (LTCFs)

    B
    * Community support services and emergency management personnel

    C
    * Other important health care personnel

    Critical Infrastructure (CI)

    A
    * Emergency Medical Services personnel
    * Law enforcement personnel
    * Fire services personnel
    * Manufacturers of pandemic vaccine, antiviral drugs, and other key pandemic response materials
    * Key government leaders

    B
    * Energy sector personnel (electricity and natural gas)
    * Communications personnel (telephony and IT)
    * Water sector personnel (potable and waste water)
    * Government personnel

    C
    * Transportation sector personnel
    * Food and agriculture sector personnel
    * Banking and finance sector personnel
    * Pharmaceutical sector personnel
    * Chemical sector personnel
    * Oil sector personnel
    * Postal and shipping sector personnel
    * Other important government personnel

  2. suelove says:

    Thanks Mike.

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