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How Public Health Centers in Suffolk County, NY Strove to
Leave No Vaccine Behind
Mary Beth Koslap-Petraco, MS, CPNP
Brian L. Harper, MD, MPH
Suffolk County Department of Health Services
Background
• Supply issues have affected influenza immunization delivery
• Providers vaccinated from September through November
• Many high-risk individuals were vaccinated
• Many went without vaccination– Vaccine unavailable
Background
• Influenza season generally runs from September to June in northern hemisphere
• Peak season for influenza illness is generally February– Many variations– December in one year– Second peak may appear in May
Background
• Focus had been on immunization during early fall– Late arriving vaccine went unused
• SCDHS developed and implemented a plan to utilize as much vaccine as possible– Vaccinate until vaccine runs out– Vaccinate until vaccine expires in June
Background
• SCDHS uses standing orders
• Nurses take proactive role
• Nurses must “buy in” for immunization program to be successful
• Every patients was potential recipient of influenza vaccine
Objectives
• Identify strategies to encourage health care providers to provide influenza immunizations during entire immunization season
• Identify methods to fully utilize influenza vaccine regardless of vaccine delivery time
Methods
• Data collected to determine number of doses of vaccine utilized on monthly basis
• Measure against total number of doses secured for division of Patient Care Services in SCDHS
Utilization of Influenza Vaccine 10/05-1/06
0
50
100
150
200
250
300
350
Oct.17
Oct.27
Nov.10
Nov.18
Jan. 6
# of Vials
Distribution of Influenza Vaccine
0
2000
4000
6000
8000
10000
12000
14000
16000
Pediatric Adult
Intial VaccineRemaining Vaccine
Results
• Influenza immunizations are provided beyond usual fall immunization season
• Improved utilization of vaccine
• Less waste of vaccine
Conclusions
• Providing influenza vaccine well after the usually accepted immunization period results in less wasted vaccine and more individuals immunized
• Full utilization of doses encourages increased vaccine production in succeeding years
• Longer vaccination period promotes concept of year round program– Potential preparation in event of pandemic influenza