Fitzgerald Thomas J, Moulia Danielle L, Graitcer Samuel B, Vagi Sara J, Dopson Stephanie A
Thomas J. Fitzgerald, Danielle L. Moulia, and Samuel B. Graitcer are with the Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, GA. Thomas J. Fitzgerald and Danielle L. Moulia are also with IHRC, Inc, Atlanta. Sara J. Vagi and Stephanie A. Dopson are with the Division of State and Local Readiness, Office of Public Health Preparedness and Response, CDC, Atlanta.
Am J Public Health. 2017 Sep;107(S2):S177-S179. doi: 10.2105/AJPH.2017.303952.
To assess how US Public Health Emergency Preparedness (PHEP) awardees plan to respond to an influenza pandemic with vaccination.
The Centers for Disease Control and Prevention developed the Pandemic Influenza Readiness Assessment, an online survey sent to PHEP directors, to analyze, in part, the readiness of PHEP awardees to vaccinate 80% of the populations of their jurisdictions with 2 doses of pandemic influenza vaccine, separated by 21 days, within 16 weeks of vaccine availability.
Thirty-eight of 60 (63.3%) awardees reported being able to vaccinate their populations within 16 weeks; 38 (63.3%) planned to allocate more than 20% of their pandemic vaccine supply to points of dispensing (PODs). Thirty-four of 58 (58.6%) reported staffing as a challenge to vaccinating 80% of their populations; 28 of 60 (46.7%) reported preparedness workforce decreases, and 22 (36.7%) reported immunization workforce decreases between January 2012 and July 2015.
Awardees relied on PODs to vaccinate segments of their jurisdictions despite workforce decreases. Planners must ensure readiness for POD sites to vaccinate, but should also leverage complementary sites and providers to augment public health response.
评估美国公共卫生应急准备（PHEP）受奖者计划如何通过接种疫苗应对流感大流行。
疾病控制与预防中心开展了流感大流行准备情况评估，这是一项发送给PHEP主任的在线调查，部分用于分析PHEP受奖者在疫苗可用后的16周内，为其辖区内80%的人口接种两剂间隔21天的大流行性流感疫苗的准备情况。
60名受奖者中有38名（63.3%）报告能够在16周内为其人口接种疫苗；38名（63.3%）计划将超过20%的大流行性流感疫苗供应分配到接种点（POD）。58名中有34名（58.6%）报告人员配备是为80%的人口接种疫苗的一项挑战；60名中有28名（46.7%）报告在2012年1月至2015年7月期间，应急准备工作人员减少，22名（36.7%）报告免疫工作人员减少。
尽管工作人员减少，但受奖者仍依赖接种点为其辖区内部分人群接种疫苗。规划者必须确保接种点做好接种准备，但也应利用补充地点和提供者来加强公共卫生应对措施。
