1. 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

2. 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

3. 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.

4. 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

5. 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

6. 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

7. collect and distribute the flu distribution data?
How is CDC going to
collect and distribute
the flu distribution data?

8. FLU DISTRIBUTION DATA FLOW
DISTRIBUTOR
FLU STAKEHOLDERS
FLU FINDER

12. Questions?

13. Cumulative Monthly Influenza Vaccine Distribution (01/12/2007)
102.5 83
81.2
Doses (Millions)
This graph, produced by Greg Wallace at CDC, shows the timing of influenza vaccine distribution by month for 2000, 2002, 2004, and The white dotted oval will help you to focus on the month of October, a time when vaccination activities are solidly underway and when delays in vaccine arrival begin to become increasingly problematic.
The light blue line represents 2000, a season in which there was a delay that resulted in only about 30% of doses being delivered by the end of October. In contrast, the orange line represents 2002, a season in which nearly 100% of doses were distributed by the end of October.
The most recent season, shown in yellow, falls somewhat between 2000 and 2002 in terms of vaccine availability during October.

14. Distribution by HHS Region
Region I: CT, ME, MA, NH, RI, VT
Region II: NY, NJ, PR, VI
Region III: DE, MD, PA, VA, WV, DC
Region IV: AL, FL, GA, KY, MS, NC, SC, TN
Region V: IL, IN, OH, MI, MN, WI
Region VI: AR, LA, NM, OK, TX
Region VII: IA, KS, MO, NE
Region VIII: CO, MT, ND, SD, UT, WY
Region IX: AZ, CA, HI, NV, Pacific Islands (6)
Region X: AK, ID, OR, WA

15. Influenza Vaccine Distribution by HHS Region
Doses/1,000 Population
Doses distributed as of 1/12/2007

16. Influenza Vaccine Distribution by Provider Type
Million

17. Source: Unpublished data from a Gallup telephone survey conducted on behalf of CDC in 2005.

18. 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%

20. Percentage of Influenza Vaccine Doses Received by a Distributor by HHS Region