Download - Carol Friedman, D.O. Associate Director for Adult Immunization Immunization Services Division
Carol Friedman, D.O.
Associate Director for Adult Immunization
Immunization Services Division
National Center for Immunization and Respiratory Diseases
Centers for Disease Control and Prevention
Seasonal Flu Vaccine Update2009-2010
Seasonal Flu Vaccine Supply
• June 2009 vaccine manufacturers state 118 million doses of seasonal flu vaccine will be produced
• August 2009 numbers revised to 114 million doses produced
• Represents ~3% reduction from original projection
• Amount of vaccine distributed similar to 2008-2009 flu season
U.S. Seasonal Influenza Vaccine: Production and Use
Doses Produced (millions)
Doses Distributed (millions)
2006 120.9 102.5
2007 140.6 112.8
2008 135.9 113
2009 114 (est) 112.7*
*Amount reported by manufacturers to CDC which is being validated.
Vaccine Supply Challenges
• Vaccine available much earlier
• Increased demand
• Facilities switched to production of H1N1 vaccine production
• Delay in availability of vaccine
• Pre-booked orders canceled or reduced
0.0
0.5
1.0
1.5
2.0
2.5
7-Aug 21-Aug 4-Sep 18-Sep 2-Oct 16-Oct 30-Oct 13-Nov 27-Nov 11-Dec 25-Dec 8-Jan
Mill
ion
s
Week of Incidence
2004 2005 2006
2007 2008 2009
# o
f Vac
cin
atio
ns
Weekly Flu Vaccinations in Medicare Population in 2009 Compared to 2004-2008Measurement Criteria: Procedure on Any Claim Processed as of Week 2 in Jan10
Long-Term Care Facilities (LTCF) Affected
• Reports of vaccine shortages among LTCFs– Orders canceled or reduced
• Additional 500,000 doses made available for LTCF in December
• Pharmacies, supermarkets, community vaccinators provided vaccine
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10
20
30
40
50
60
70
80
90
100
7-Aug 21-Aug 4-Sep 18-Sep 2-Oct 16-Oct 30-Oct 13-Nov 27-Nov 11-Dec 25-Dec 8-Jan
Week of Incidence
2006 2007 2008 2009
Rate
of V
accin
atio
ns (p
er
1,0
00)
Weekly Flu Vaccination Rate in 2009 Compared to 2006-2008Measurement Criteria: Procedure on Any Claim Processed as of Week 2 in Jan10
Population: Part D Medicare Institutionalized
Demand Remains High
• Cumulative seasonal influenza vaccination coverage since August was 42% by Jan 2
• Demand for seasonal vaccine remains higher than supply (139-173 million vs. 114 available)– Majority of people report they have gotten, will
definitely get, or will probably get seasonal flu vaccine (58%)
Outlook for Next Season
• ACIP Influenza Work Group considering universal flu recommendation
– Begin 2010-2011
– Two stage
• Encourage for 2010-2011
• Full implementation 2011-2012
• Fluzone High Dose Vaccine
– High-dose seasonal flu vaccine for persons ≥65 years
– Contains 4 x amount of antigen
– FDA licensed December
Outlook for Next Season (2)
• Preliminary reports indicate manufacturers plan to make at least as much vaccine as this year
– Will this be enough?
• Vaccine composition
– Strains will be identified at VRBPAC* meeting in February
– Likely include 2009 H1N1 strain
*Vaccines and Related Biological Products Advisory Committee
Thank You!!
Questions??