Public Health Information Network - Countermeasure and Response Administration


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CIC

Novel Influenza A
(H1N1) Response

CRA Pandemic Influenza Activities

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Novel Influenza A (H1N1) Response

Novel Influenza A (H1N1) Vaccine Doses Administered Response
Project Area Requirements
Age Group Tracking

H1N1 Vaccine Doses Administered Event Planning

At Project Area Level
At the CDC Level
Supporting Information

Novel Influenza A (H1N1) Vaccine Doses Administered Response

Due to the emergence of the novel influenza A (H1N1) virus over recent months and its potential to become a pandemic, the CDC Countermeasure and Response Administration (CRA) team has refocused efforts to tracking H1N1 vaccine doses administered during the fall of 2009. All Public Health Emergency Preparedness (PHEP) grantees (collectively referred to as Project Areas and include the 50 states, 8 island territories and 4 major metropolitan areas) are expected to report vaccine doses administered to the CDC according to age groups determined by the Advisory Committee on Immunization Practices (ACIP) using one of three options via the CRA system.

Current efforts towards vaccine manufacture and production are ongoing, and H1N1 vaccine is estimated to be ready for distribution by mid to late fall of 2009. Timely and complete reporting of H1N1 vaccine doses administered is critical for both the federal government and Project Areas to monitor the utilization of vaccine while it is in limited supply. To support this effort, the CDC CRA team is currently enhancing CRA’s capabilities and preparing for this extensive event.

Over the previous two years, Project Areas have prepared for a large scale vaccine doses administered event by participating in the 2007 pilot test and DAX2008 exercise. With the emergence of pandemic potential novel H1N1 Influenza A, the planned DAX2009 has been put on hold indefinitely with efforts refocused to reporting H1N1 vaccine doses administered. The H1N1 vaccine is expected to be limited in supply during the initial months of availability and will need to be monitored to ensure the US population is vaccinated according to ACIP determined age groups. CRA will be used to collect, aggregate, report and analyze H1N1 vaccine doses administered data. In addition, CDC will monitor timeliness and completeness of reporting data to maintain quality control.

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Project Area Requirements

H1N1 vaccine doses administered is several magnitudes larger and more complex than CRA exercises to date. However, all of the methods and approaches used for the exercises are applicable and help serve Project Area preparedness to support the H1N1 event. Project Areas will be required to expand efforts to include all mass immunizations state-wide. Requirements for the H1N1 response include:

Prepare, collect and report all mass vaccination clinic aggregate or detail data, depending on option chosen
Data collection and reporting to include all local jurisdictions and identified clinic sites
Aggregate and report data weekly to CDC by Tuesday for the previous reporting week (Sunday through Saturday; MMWR week)
Report the minimum data set beginning from when the vaccine is first received until CDC signals to stop

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Age Group Tracking

Vaccinees must be assigned to ACIP determined Age Groups.
Project Areas must have a method in place to screen vaccinees into these age groups.

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H1N1 Vaccine Doses Administered Event Planning at Project Area Level

To help ensure an effective mass vaccine event, Project Areas are advised to begin planning efforts immediately. Resources and needs for the administration and tracking of the H1N1 vaccine, as well as evaluation and improvements in communication flow should be identified as necessary within each Project Area. Planning efforts should include, but are not limited to, the following:

Select a Data Reporting Option

Designate option choice as one of the following:

Data exchange (Option 1)
Direct web entry, aggregate (Option 2)
Direct web entry, individual (Option 3)

Confirm option choice with CDC CRA point of contact

Resources

Coordinate, identify, and recruit all necessary staffing and volunteer resources
Coordinate technical resources (e.g. digital certificates, IT, etc.)
Prepare and communicate training materials
Coordinate with preparedness officer and local health departments

Clinic Sites

Coordinate with local health departments to identify clinic sites, staff, volunteers and other necessary resources.
Plan for mass vaccination clinics as necessary; identify volunteers to support, administer vaccine and set up such clinics.
Ensure clinics have an internet connection system and have digital certificates.
Determine changes needed in order for clinics to be prepared for the real event.

Vaccine Administration Sites

Coordinate with preparedness and immunization programs to set up vaccine administration sites for the vaccine doses.
Many vaccine administration sites will be the clinics used for influenza vaccine; however; there may also be additional mass vaccination clinics.

Communication

Communicate and set expectations and guidance for both strategic and operational resources in order to report to CRA.
Establish call-back system for every clinic/operating site in order to follow up for timely information.

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H1N1 Vaccine Doses Administered Event Planning at CDC Level

CDC will be preparing for the H1N1 vaccine doses administered event in parallel with Project Areas. Included in these efforts are:

Modifications in CRA application
Reconfirming CRA option choice with Project Areas
Completing necessary changes in data exchange specifications
Developing and communicating training materials and guidance
Investigating alternatives to digital certificates
Developing process and layout for reporting data

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Supporting Information

CRA H1N1 Project Area Update Webinar, October 21, 2009
10/21/2009 Webinar Update
10/21/2009 Webinar Recording
10/21/2009 Webinar Transcript
CRA H1N1 Project Area Update Webinar, September 23, 2009
09/23/2009 Webinar PowerPoint)
Recording of CRA H1N1 Project Area Update Webinar, September 23, 2009
09/23/2009 Webinar Recording
09/23/2009 Webinar Transcript

CRA H1N1 All Options Refresher Training Webinar, September 9, 2009
09/09/2009 Webinar (Powerpoint)
09/09/2009 Webinar Recording
09/09/2009 Webinar Transcript

Recording of CRA H1N1 Response Conference Call, June 24, 2009
06/24/2009 Webinar Recording (MP3)
06/24/2009 Webinar Transcript

CRA H1N1 Response Webinar, May 13, 2009
05/13/2009 Webinar (Powerpoint)
Recording of CRA H1N1 Response Webinar, May 13, 2009
05/13/2009 Webinar Recording
05/13/2009 Webinar Transcript

Recording of CRA H1N1 Response Conference Call, April 29, 2009
04/29/2009 Conference Call Recording
04/29/2009 Conference Call Transcript

H1N1 Preparation Resources
Option 1 Technical Checklist/Preparation Guide
Option 2 Technical Checklist/Preparation Guide
Option 3 Technical Checklist/Preparation Guide
Data Exchange Specifications Document
H1N1 Vaccine Doses Administered Forms - sample paper based report templates and guidance for local use
2009 H1N1 Vaccine Doses Administered FAQs
09/18/2009 CRA Data Entry Specialist Lite for H1N1