Section of Infectious Disease and International Health, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Geisel School of Medicine, Dartmouth, Hanover, New Hampshire, USA.
Disaster Med Public Health Prep. 2024 Sep 18;18:e121. doi: 10.1017/dmp.2024.99.
2022 - 2023 mpox outbreak necessitated rapid distribution of JYNNEOS vaccines from US Strategic National Stockpile to state and local public health agencies. New Hampshire's centralized public health structure required partnering with healthcare facilities to reach at-risk persons. Among the 67 organizations contacted to partner with, only 7 established public JYNNEOS vaccine clinics. The study objective was to identify barriers and resources needed for emergency public vaccination.
In March 2023, mixed-method surveys were developed and sent to 20 non-participating organizations and 7 participating organizations ("vaccine-partners").
35% (7/20) of non-participating organizations and 100% (7/7) vaccine-partners responded. Non-participating organizations (n = 5) identified lack of staffing (100%) and insufficient provider time or clinical resources (80%) as the most common barriers. Staffing needs reported by non-participating organizations included: administrative (100%); medical doctor or advanced practice practitioner (67%); and registered nurse, medical assistant, or licensed nursing assistant (67%). Vaccine partners reported similar staffing requirements. Estimated additional monthly funding needs were $3,750 for non-participating organizations and $1,680 for vaccine-partners.
A minority of NH healthcare facilities established public JYNNEOS vaccination clinics. The primary barrier was insufficient staffing; additional resources and funding needs were modest. Success of the next emergency vaccination campaign depends on sustained advocacy, resources, and partnership.
2022-2023 年猴痘疫情需要从美国战略国家储备中迅速向州和地方公共卫生机构分发 JYNNEOS 疫苗。新罕布什尔州集中的公共卫生结构需要与医疗机构合作，以接触到高风险人群。在联系的 67 个合作组织中，只有 7 个建立了公共 JYNNEOS 疫苗诊所。本研究的目的是确定紧急公共接种所需的障碍和资源。
2023 年 3 月，开发了混合方法调查，并发送给 20 个未参与的组织和 7 个参与的组织（“疫苗合作伙伴”）。
35%（7/20）的非参与组织和 100%（7/7）的疫苗合作伙伴做出了回应。未参与的组织（n=5）认为缺乏人员配备（100%）和提供者时间或临床资源不足（80%）是最常见的障碍。未参与的组织报告的人员配备需求包括：行政人员（100%）；医生或高级执业医师（67%）；注册护士、医疗助理或持照护理助理（67%）。疫苗合作伙伴报告了类似的人员配备要求。未参与的组织每月额外需要 3750 美元的资金，疫苗合作伙伴则需要 1680 美元。
新罕布什尔州的少数医疗保健机构建立了公共 JYNNEOS 疫苗接种诊所。主要障碍是人员配备不足；额外的资源和资金需求适中。下一次紧急疫苗接种活动的成功取决于持续的宣传、资源和伙伴关系。
