Transcript Overarching Concepts

Influenza Vaccine Distribution
2006-07
National Immunization Conference
March 6, 2007
Eddie L. Wilder, Lisa Galloway, Jeanne Santoli
Immunization Services Division
National Center for Immunization and Respiratory Diseases
Centers for Disease Control and Prevention
Historical Perspective
• Tracking the distribution of flu vaccines
began in 2004 flu season
– 2004 flu season – shortage; Chiron
– 2005 flu season – capacity restored; timing
– 2006 flu season – strain change; timing
2006/7 Flu Season
• Meeting in April 2006 to discuss issues
with stakeholders
• Received pre-booking data from limited
sources on August 17, 2006
• Began tracking distribution of flu data
from manufacturers and distributors on
September 1, 2006
• Tracking distribution data began much
earlier in the 2006/7 flu season than in the
2005/6 flu season.
Tracking Flu Distribution Data
• Aide in visibility of flu vaccine distribution
• Available to state and local grantees
• Data mapped to common variables
– Internal order identifier
– State where flu vaccines are distributed
– Zip code where flu vaccines are distributed
– National Drug Code (NDC) of vaccine distributed
– Number of doses distributed
– Type of provider where vaccines are distributed
Provider Types
•
•
•
•
•
•
•
•
•
•
•
•
Corporation/Occupational Health
Corrections
Distributors
Federal Government
Hospitals/EDs/Dialysis Centers
Long Term Care
Military
Other Private
Other Public
Pharmacy
Private Providers
State/Local Health
Distribution Reports
Data management
– Received weekly from distributors and manufacturers
• ASD Healthcare
• Cura Script
• FFF Enterprises
• Henry Schein/GIV
• McKesson
• Physician Sales and Service (PSS)
• Seacoast Medical
• GSK
• MedImmune
• Novartis
• Sanofi pasteur
FLU DISTRIBUTION DATA FLOW
Flu
Data
DISTRIBUTOR
FLU FINDER
FLU STAKEHOLDERS
Cumulative Monthly Influenza
Vaccine Distribution
(01/12/2007)
2000
2002
2004-05
2005-06
102.5
100
Doses (Millions)
2006
83
80
81.2
70.4
60
57.1
40
20
0
July
Aug
Sept
Oct
Nov
Dec
Jan
Feb
Distribution by HHS Region
Region I:
Region II:
Region III:
Region IV:
Region V:
Region VI:
Region VII:
Region VIII:
Region IX:
Region X:
CT, ME, MA, NH, RI, VT
NY, NJ, PR, VI
DE, MD, PA, VA, WV, DC
AL, FL, GA, KY, MS, NC, SC, TN
IL, IN, OH, MI, MN, WI
AR, LA, NM, OK, TX
IA, KS, MO, NE
CO, MT, ND, SD, UT, WY
AZ, CA, HI, NV, Pacific Islands (6)
AK, ID, OR, WA
Influenza Vaccine Distribution
by HHS Region
Doses/1,000 Population
700
600
500
Region 1
Region 2
400
Region 3
Region 4
Region 5
Region 6
300
Region 7
Region 8
200
Region 9
Region 10
100
0
DHHS Region
Doses distributed as of 1/12/2007
Influenza Vaccine Distribution by
Provider Type
Corporation/OCC Health
Distributors
Hospitals/Eds/Dialysis Centers
Military
Other Public
Private Providers, Outpatient Clinics/Facilities
Corrections
Federal Governmet
Long Term Care
Other Private
Pharmacy
State/Local HD/Govt
Million
50
45
40
35
30
25
20
15
10
5
0
Provider Type Category
Where do Adults Receive Influenza
Vaccination?
Dr. Office/HMO
2%
4%
4%
Workplace
6%
Other clinic/health center
39%
8%
Store (grocery/pharmacy)
Health Dept
Hospital
10%
Senior/Rec Center
School
10%
17%
Source: Unpublished data from a Gallup telephone survey
conducted on behalf of CDC in 2005.
Other
How does Distribution of Vaccine
Compare with Self-reported
Vaccination Sites?
• Comparison is difficult
due to differences in
categories
• We don’t know the
final destination of
16% of doses
• Comparison of
selected categories
reveals similarities
Provider
type
% of total
doses
distributed
% of Adults
reporting
vaccination
at this site
(2005)
Private
practice
42%
39%
Hospital
9.8%
6%
State/local
public
health
12.4%
8%
Percentage of Influenza Vaccine Doses
Received by a Distributor by HHS Region
25%
Region
Region
Region
Region
Region
Region
Region
Region
Region
Region
20%
15%
10%
5%
0%
HHS Region
1
2
3
4
5
6
7
8
9
10