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Vaccine availability in the United States during the 2009 H1N1 outbreak

Stan N. Finkelstein, MD, Kallie J. Undergraduate Student, Julia A. Hopkins, Undergraduate Student, Sahar Hashmi, MD, Richard C. Larson, PhD

Abstract


Objective: After initial flu cases are reported, months elapse before vaccine becomes available. The authors report the experience of US states during the fall of 2009 on H1N1 vaccine availability in relation to the occurrence of disease.
Design: The authors used data from the Centers for Disease Control and prevention and state health departments to approximate second wave H1N1 epidemic curves. The authors compared these curves to two sources of vaccine distribution data—shipment and administration.
Results: Ten states received their first shipments of vaccine after the epidemic peaked, four states during the week of the peak, and 10 states only 1 week prior to the peak. In nearly half of all states, the epidemic had already begun to decline before any individuals could have been protected.
Conclusions: A sensible approach would be to highlight the importance of diligent hygienic behavior and to reduce the rate of human-to-human contacts before vaccine is available.


Keywords


vaccine availability, influenza, H1N1, nonpharmaceutical interventions

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References


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Centers for Disease Control and Prevention: CDC, Seasonal influenza (flu),Weekly Report: Influenza summary update; updated May 28, 2010. Available at http://www.cdc.gov/flu/weekly/. Accessed July 29, 2010.

Centers for Disease Control and Prevention: CDC, Seasonal influenza (flu), 2009 to 10 influenza (flu) season; updated January 27, 2010. Available at http://www.cdc.gov/flu/about/season/currentseason.htm. Accessed July29, 2010.

Centers for Disease Control and Prevention: Graph and table of 2009 H1N1 influenza vaccine doses allocated, ordered, and shipped; updated February 2, 2010. Available at http://www.cdc.gov/h1n1flu/vaccination/vaccinesupply.htm. Accessed July 29, 2010.

Centers for Disease Control and Prevention: Doses-administered reporting. Available at http://www.cdc.gov/H1N1flu/vaccination/statelocal/pdf/H1N1_DosesAdministered.pdf. Accessed January 25, 2011.

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DOI: https://doi.org/10.5055/ajdm.2011.0041

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