Local health department responses during the 2004-2005 influenza vaccine shortage
Local health department responses during the 2004-2005 influenza vaccine shortage
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DOI：
10.1007/s10900-007-9049-5
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发表时间：
2007-08-01
影响因子：
5.9
通讯作者：
Phillips, Cynthia
中科院分区：
文献类型：
--
作者：
Ransom, James;Bashir, Zarnaaz;Phillips, Cynthia
在2004-2005年流感疫苗短缺期间，疾病控制和预防中心(CDC)协调将2004年10月5日后的流感疫苗分发给州和地方卫生部门，后者随后向社区提供者分发疫苗。全国县市卫生官员协会(NACCHO)在2004-2005年流感季节进行了三次基于网络的调查，以实时评估LHD的情况：1)处理疫苗短缺问题，2)执行免疫实践咨询委员会(ACIP)的临时建议，3)努力将流感疫苗剂量重新分配和分配给社区内的高优先级人群。本文重点介绍了在这一突发公共卫生事件中减轻不利影响的LHD应对措施。第一项调查要求LHD量化其社区的疫苗供应；第二项调查要求他们描述他们对危机的具体反应；第三项调查要求他们反映和评估他们在危机期间为高优先群体接种疫苗的努力的有效性。在44个州的717名LHD中，有650人(605人)(84%)回答了这三项调查。结果表明，土地卫生发展机构利用备灾计划，建立战略社区伙伴关系，并进行疫苗接种演习，以解决因疫苗短缺而出现的高优先级和难以接触到的人群接种疫苗的问题。LHD在这一短缺期间使用的做法可能提供宝贵的应对经验教训，以最大限度地减少未来流感疫苗短缺和其他公共卫生紧急情况的影响。
During the 2004-2005 influenza vaccine shortage, the Centers for Disease Control and Prevention (CDC) coordinated distribution of post-October 5th 2004 doses of influenza vaccine to state and local health departments (LHDs), who subsequently distributed vaccine to community providers. The National Association of County and City Health Officials (NACCHO) conducted three Web-based surveys throughout the 2004-2005 influenza season to assess in real-time how LHDs were 1) dealing with the vaccine shortage, 2) implementing the interim recommendations from the Advisory Committee on Immunization Practices (ACIP), and 3) making efforts to reallocate and redistribute doses of influenza vaccine toward high-priority populations within their communities. This paper highlights LHD responses that alleviated adverse impacts during this public health emergency. The first survey asked LHDs to quantify their community's vaccine supply; the second survey asked them to describe their specific responses to the crisis; and the third survey asked them to reflect and evaluate the effectiveness of their efforts to vaccinate high-priority groups during the crisis. Six hundred five (605) of 717 (84%) LHDs in 44 states responded to the three surveys. Results show that LHDs leveraged preparedness plans, formed strategic community partnerships, and practiced vaccination drills to address the problems of vaccinating high-priority and hard-to-reach populations that arose out of the vaccine shortage. The practices used by LHDs during this shortage may provide valuable response lessons to minimize the impact of future influenza vaccine shortages and other public health emergencies.