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Impact of organizational structure on vaccination of first responders: A case study

Christine McGuire-Wolfe, MPH, EMT-P (Doctoral Candidate)

Abstract


The experience of H1N1 vaccine delivery to public safety personnel in a suburban county in Florida suggests a relationship between the degree of hierarchy of an agency and successful implementation of a vaccination program for novel 2009 H1N1 influenza virus. This case study describes the structural organization of the Sheriff’s Office and Fire Rescue in County X, provides timelines for vaccine program implementation and numbers of personnel vaccinated, and illustrates the impact of autonomy on the timeliness of vaccine implementation. An “emergency approval pathway” is recommended for organizations or departments that are likely to encounter delays in disaster or pandemic response due to organizational structure.

Keywords


first responders, H1N1 vaccine, organizational structure, pandemic influenza

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References


Centers for Disease Control and Prevention: The 2009 H1N1 pandemic: Summary highlights, April 2009 to April 2010. Centers for Disease Control and Prevention Web site; June 16, 2010.Available at http://www.cdc.gov/h1n1/cdcresponse.htm. Accessed September 19, 2010.

Centers for Disease Control and Prevention: Use of influenza A (H1N1) 2009 monovalent vaccine: Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009. MMWR Recomm Rep. 2009; 58: 1-8.

Klaiman T, Ibrahim JK: State health department structure and pandemic planning. J Public Health Manage Pract. 2010; 16(2): E1-E7.

Centers for Disease Control and Prevention: H1N1: Meeting the challenge; April 30, 2010.Available at http://www.flu.gov/timeline. Accessed September 19, 2010.




DOI: https://doi.org/10.5055/ajdm.2011.0047

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