Summary.ppt

Document Sample
Summary.ppt Powered By Docstoc
					       Seasonal Flu Vaccine Update
               2009-2010

                  Carol Friedman, D.O.
        Associate Director for Adult Immunization
             Immunization Services Division
National Center for Immunization and Respiratory Diseases
       Centers for Disease Control and Prevention
 Seasonal Flu Vaccine Supply
• June 2009 vaccine manufacturers state 118
  million doses of seasonal flu vaccine will be
  produced
• August 2009 numbers revised to 114 million
  doses produced
• Represents ~3% reduction from original
  projection
• Amount of vaccine distributed similar to 2008-
  2009 flu season
     U.S. Seasonal Influenza
   Vaccine: Production and Use
                       Doses Produced Doses Distributed
                          (millions)     (millions)
        2006                  120.9                   102.5

        2007                  140.6                   112.8

        2008                  135.9                    113

        2009                114 (est)                 112.7*


*Amount reported by manufacturers to CDC which is being validated.
  Vaccine Supply Challenges

• Vaccine available much earlier
• Increased demand
• Facilities switched to production of
  H1N1 vaccine production
• Delay in availability of vaccine
• Pre-booked orders canceled or
  reduced
                          Weekly Flu Vaccinations in Medicare Population in 2009 Compared to 2004-2008
                                       Measurement Criteria: Procedure on Any Claim Processed as of Week 2 in Jan10
                    2.5
   Millions
                               2004            2005           2006
                               2007            2008           2009



                    2.0
# of Vaccinations




                    1.5




                    1.0




                    0.5




                    0.0
                      7-Aug   21-Aug     4-Sep     18-Sep     2-Oct     16-Oct    30-Oct    13-Nov    27-Nov     11-Dec   25-Dec   8-Jan


                                                                   Week of Incidence
    Long-Term Care Facilities
        (LTCF) Affected
• Reports of vaccine shortages among
  LTCFs
    – Orders canceled or reduced
•    Additional 500,000 doses made
    available for LTCF in December
• Pharmacies, supermarkets,
  community vaccinators provided
  vaccine
                                                      Weekly Flu Vaccination Rate in 2009 Compared to 2006-2008
                                                       Measurement Criteria: Procedure on Any Claim Processed as of Week 2 in Jan10
                                                                        Population: Part D Medicare Institutionalized

                                   100

                                             2006        2007       2008        2009
                                    90


                                    80
Rate of Vaccinations (per 1,000)




                                    70


                                    60


                                    50


                                    40


                                    30


                                    20


                                    10


                                     0
                                     7-Aug   21-Aug     4-Sep   18-Sep     2-Oct    16-Oct    30-Oct    13-Nov 27-Nov       11-Dec    25-Dec   8-Jan

                                                                                       Week of Incidence
   Demand Remains High
• Cumulative seasonal influenza vaccination
  coverage since August was 42% by Jan 2
• Demand for seasonal vaccine remains
  higher than supply (139-173 million vs. 114
  available)
  – Majority of people report they have gotten, will
    definitely get, or will probably get seasonal flu
    vaccine (58%)
  Outlook for Next Season
• ACIP Influenza Work Group considering universal
  flu recommendation
  – Begin 2010-2011
  – Two stage
     • Encourage for 2010-2011
     • Full implementation 2011-2012
• Fluzone High Dose Vaccine
  – High-dose seasonal flu vaccine for persons ≥65 years
  – Contains 4 x amount of antigen
  – FDA licensed December
    Outlook for Next Season (2)

   • Preliminary reports indicate manufacturers
     plan to make at least as much vaccine as
     this year
       – Will this be enough?
   • Vaccine composition
       – Strains will be identified at VRBPAC* meeting in
         February
       – Likely include 2009 H1N1 strain

*Vaccines and Related Biological Products Advisory Committee
Thank You!!

Questions??

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:2
posted:7/19/2012
language:
pages:11