| Titre : | Survey of State Practices During the 2004-2005 Influenza Vaccine Shortage. (2007) |
| Auteurs : | Tom-T SHIMABUKURO ; Barbara BARDENHEIER ; BRESNITZ (Eddy-A) : USA. New Jersey Department of Health and Senior Services. Trenton. NJ. ; DEBLOIS (Anna-M) : USA. Association of State and Territorial Health Officials. Washington. DC. ; HAHN (Christine-G) : USA. Idaho Department of Health and Welfare. Boise. ID. ; MANGIONE (Ellen-J) : USA. Colorado Department of Public Health and Environment. Denver. CO. ; Pascale-M WORTLEY ; Epidemic Intelligence Service. Office of Workforce and Career Development. Centers for Disease Control and Prevention. Atlanta. GA. USA ; Health Services Research and Evaluation Branch. Immunization Services Division. National Center for Immunization and Respiratory Diseases. Centers for Disease Control and Prevention. Atlanta. GA. USA |
| Type de document : | Article |
| Dans : | Public health reports (vol. 122, n° 3, 2007) |
| Pagination : | 311-318 |
| Langues: | Anglais |
| Mots-clés : | Grippe ; Surveillance ; Enquête ; Vaccin ; Prévention santé ; Virose ; Infection ; Amérique ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS EFk7R0xI. Diffusion soumise à autorisation]. To describe state-level actions and policies during the 2004-2005 influenza vaccine shortage and determine whether these or other factors were related to vaccination coverage, we surveyed all state health departments (including the District of Columbia). We included 2004-2005 Behavioral Risk Factor Surveillance System data to examine whether state-level actions, policies, or other factors like vaccine supply were related to changes in vaccination coverage in adults aged>=65 years from the previous non-shortage year. We found that 96% (n=49) of states reported adopting or recommending adherence to the initial national interim influenza vaccination recommendations. Of these, at some point during the season, 22% (n=11) reported local public health agencies issued prioritization recommendations that differed from the state health department's guidance. Eighty percent (n=41) initiated at least one emergency response activity and 43% (n=22) referred to or implemented components of their pandemic influenza plans. In 35% (n=18), emergency or executive orders were issued or legislative action occurred. In a multivariable linear regression model, the availability and use of practitioner contact lists and having a relatively high vaccine supply in early October 2004 were associated with smaller decreases in coverage for adults aged>=65 years from the previous non-shortage season (p=0.003, r2=0.26). States overwhelmingly followed national vaccination prioritization guidelines and used a range of activities to manage the 2004-2005 vaccine shortage. The availability and use of practitioner contact lists and having a relatively high vaccine supply early in the season were associated with smaller decreases in coverage from the previous non-shortage season. |
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