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16 - Mass Dispensing of Antibiotics and Vaccines

from PART II - OPERATIONAL ISSUES

Published online by Cambridge University Press:  05 August 2011

By
Susan E. Gorman  and
Nicki T. Pesik
Edited by
Kristi L. Koenig  and
Carl H. Schultz
Kristi L. Koenig
Affiliation:
University of California, Irvine
Carl H. Schultz
Affiliation:
University of California, Irvine
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Summary

The findings and conclusions in this chapter are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention (CDC).

OVERVIEW

Following a terrorist event or other large-scale public health emergency, the need to distribute rapidly antibiotic prophylaxis or vaccinations to a large population may be necessary. To accomplish this task successfully a significant amount of planning and preparation must occur in advance of such an event. The ability to respond in the initial phase of an infectious event at the local, regional, state, national or international levels is a key component of public health preparedness. This was demonstrated in the U.S. in 2001, when more than 30,000 people were advised to take antibiotics during the anthrax event. Although the need to plan for mass dispensing is essential, many areas have not engaged in the process. A survey in one U.S. state showed that less than half of 138 community health centers polled in 2004 had begun to address bioterrorism issues in their planning efforts; only 19% surveyed were included in their county's mass prophylaxis plan. In the same survey, only 46% had sufficient space to create a mass immunization or vaccination area, and 23% had plans to communicate bioterrorism events with the public and media. Results such as these emphasize the need for enhanced planning. The inability of a community to dispense needed pharmaceuticals efficiently and effectively to its population may result in the loss of lives.

Keywords

antibioticscold chain managementdispensing lawsmass vaccinationmedication-related adverse eventsfederal assistancemass dispensingpoints of dispensingStrategic National Stockpile
Type
Chapter
Information
Koenig and Schultz's Disaster Medicine
Comprehensive Principles and Practices
 , pp. 213 - 227
Publisher: Cambridge University Press
Print publication year: 2009

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References

Inglesby, T, O'Toole, T, Henderson, D, et al. Consensus statement–anthrax as A biological weapon, 2002 update recommendations for management. JAMA. 2002;287(17):2236–2252.Google Scholar
Clawson, A, Menachemi, N, Beitsch, L, Brooks, RG. Are community health centers prepared for bioterrorism? Biosecur Bioterror. 2006;4(1):55–63.Google Scholar
Sepkowitz, KA. The 1947 smallpox vaccination campaign in New York City, revisited. Emerg Infect Dis. 2004;10(5):960–961.Google Scholar
Fenner, F, Henderson, DA, Arita, I, Jezek, Z, Ladnyi, ID. Smallpox and Its Eradication. Geneva: World Health Organization; 1988.
Sencer, DJ, Millar, JD. Reflections on the 1976 swine flu vaccination program. Emerg Infect Dis. 2006;12(1):29–33.Google Scholar
Slater, PE, Anis, E, Leventhal, A. Preparation for an outbreak of smallpox in Israel. Israel Med Assoc J. 2002;4:507–512.Google Scholar
,United Kingdom Department of Health. Guidelines for Smallpox Response and Management in the Post Eradication Era, Version 2, (2003). Available at: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4070832.pdf. Accessed November 16, 2008.
,United Kingdom Department of Health. Smallpox vaccination: an operational planning framework (2005). Available at: http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4114018.pdf. Accessed November 16, 2008.
,Public Health Agency of Canada. The Canadian Pandemic Influenza Plan for the Health Sector Annex E: Planning Recommendations for the Use of Anti-influenza (antiviral) Drugs in Canada during a Pandemic (2006). Available at: http://www.phac-aspc.gc.ca/cpip-pclcpi/pdf-e/CPIP-2006_e.pdf. Accessed November 16, 2008.
,World Health Organization. Guidelines for the Establishment and Use of the Stockpile of Oseltamivir. Available at: http://searo.who.int/LinkFiles/Avian_Flu_Stockpile_Oseltamivir.pdf. Accessed November 16, 2008.
,World Health Organization. WHO Pandemic Influenza Draft Protocol for Rapid Response and Containment (2006). Available at: http://www.who.int/csr/disease/avian_influenza/guidelines/protocolfinal30_05_06a.pdf. Accessed November 16, 2008.
Wynia, MK. Ethics and public health emergencies: rationing vaccines. Am J Bioeth. 2006;6(6):4–7.Google Scholar
Hick, JL, O'Laughlin, DT. Concept of operations for triage of mechanical ventilation in an epidemic. Acad Emerg Med. 2006:13(2):223–229.Google Scholar
Hupert, N, Cuomo, J, Callahan, MA, and Mushlin, AI. Community-based Mass Prophylaxis: A Planning Guide for Public Health Preparedness. Rockville, MD: Agency for Healthcare Research and Quality; 2004.
,Centers for Disease Control and Prevention. Mass Antibiotic Dispensing: A Primer. Webcast. Atlanta: U.S. Centers for Disease Control and Prevention; June 24, 2004. Available at: http://www2a.cdc.gov/PHTN/antibiotic/default.asp. Accessed November 16, 2008.
Heymann, DL, Aylward, RB. Mass vaccination: when and why. In: Plotkin, SA, ed. Mass Vaccination: Global Aspects–Progress and Obstacles. Current Topics in Microbiology and Immunology. Berlin Heidelberg: Springer; 2006:1–16.
Lane, JM. Mass vaccination and surveillance/containment in the eradication of smallpox. In: Plotkin, SA, ed. Mass Vaccination: Global Aspects–Progress and Obstacles. Current Topics in Microbiology and Immunology. Berlin Heidelberg: Springer; 2006:17–29.
Centers for Disease Control and Prevention. Receiving, Distributing, and Dispensing Strategic National Stockpile Assets: A Guide for Preparedness. Version 10. Atlanta, GA: Centers for Disease Control and Prevention Division of Strategic National Stockpile; 2005.
Giovachino, M, Calhoun, T, Cary, N, et al. Optimizing a District of Columbia Strategic National Stockpile dispensing center. J Public Health Manage. 2005;11:282–290.Google Scholar
Lien, O, Maldin, B, Franco, C, Gronvall, GK. Getting medicine to millions: new strategies for mass distribution. Biosecur Bioterror. 2006;4:176–182.Google Scholar
Cohen, H. Pandemic Flu and Medical Biodefense Countermeasure Liability Legislation: P.L. 109–148, Division C (2005). Washington, DC: Congressional Research Service; January 6, 2006.
,Department of Health and Human Services Office of the Secretary. Amendment to extend the January 24, 2003 declaration regarding administration of smallpox countermeasures as amended on January 24, 2004, January 24, 2005, and January 24, 2006. Fed Reg. 2007;72(18):4013–4014.Google Scholar
Hodge, JG. Assessing the legal environment concerning mass casualty event planning and response. In: Providing Mass Medical Care With Scarce Resources: A Community Planning Guide. Rockville, MD: Agency for Healthcare Research and Quality; 2006:24–37.
D'Heilly, SJ, Blade, MA, Nichol, KL. Safety of influenza vaccinations administered in non-traditional settings. Vaccine. 2006;24:4024–4027.Google Scholar
,Hearings before the House Committee on Energy and Commerce Subcommittee on Health, Subcommittee on Oversight and Investigations, March 10, 2003 (testimony of Carlos A. Ruiz, Pharmacy Director, Navarro Discount Pharmacies). Available at: http://energycommerce.house.gov/reparchives/108/Hearings/03102003hearing816/Ruiz1330.htm. Accessed November 16, 2008.
,Centers for Disease Control and Prevention. Adult immunization programs in non-traditional settings: quality standards and guidance for program evaluation: a report of the National Vaccine Advisory Committee. MMWR. 2000;49(RR-01):1–13.Google Scholar
May, L, Cote, T, Hardeman, B, et al. A model “go-kit” for use at Strategic National Stockpile points of dispensing. J Public Health Manage. 2007;13:23–30.Google Scholar
Schwartz, B, Wortley, P. Mass vaccination for annual and pandemic influenza. In: Plotkin, SA, ed. Mass Vaccination: Global Aspects–Progress and Obstacles. Current Topics in Microbiology and Immunology. Berlin Heidelberg: Springer; 2006:131–152.
Phillips, FB, Williamson, JP. Local health department applies incident management system for successful mass influenza clinics. J Public Health Manage. 11(4)(2005), 269–273.Google Scholar
Karras, BT, Huq, S, Bliss, D, Lober, WB. National pharmaceutical stockpile drill analysis using XML data collection on wireless java phones. Proc AMIA Symposium. 2002:365–391.Google Scholar
Anonymous. Mass dispensing authorization to pick up medicine form. Available at: http://www.madisonct.org/Emergency_Mgmt/MASS%20DISPENSING%20AUTHORIZATION%20TO%20PICK%20UP%20MEDICINE.pdf. Accessed November 16, 2008.
Philadelphia Department of Public Health. Head of household form. In: Point of Dispensing (POD) Operations Manual 2006. Available at: http://www.phila.gov/ready/pdfs/POD%20Operations%20Manual%20&%20Appendices%206_06.pdf. Accessed November 16, 2008.
Anonymous. Parent, head of household, or guardian form. Available at: http://www.pottcounty.org/EmergencyMngt/SOG/SNS%20SOG%20Final/Attachment%2015/HOH%20GUARDIAN%20PARENT%20FORM%20from%20SNS.pdf. Accessed November 16, 2008.
Stergachis, A, Wetmore, CM, Pennylegion, M, et al. Evaluation of a mass dispensing exercise in a Cities Readiness Initiative setting. Am J Health-Syst Ph. 2007;64(3):285–93.Google Scholar
Zerwekh, T, McKnight, J, Hupert, N, Wattson, D, Hendrickson, L, Lane, D. Mass medication modeling in response to public health emergencies: outcomes of a drive-thru exercise. J Public Health Manage. 2007;13:7–15.Google Scholar
,U.S. Department of Agriculture. National Center for Animal Health Emergency Management. Available at: http://www.aphis.usda.gov/vs/ep/functions.html. Accessed November 16, 2008.
,Centers for Disease Control and Prevention. Mass Antibiotic Dispensing: Using Public Information to Enhance POD Flow (Webcast). Atlanta: U.S. Centers for Disease Control and Prevention; December 1, 2005. Available at: http://www2a.cdc.gov/PHTN/antibiotic4/default.asp. Accessed November 16, 2008.
,Centers for Disease Control and Prevention. Mass Antibiotic Dispensing: Streamlining POD Design and Operations (Webcast). Atlanta: U.S. Centers for Disease Control and Prevention; April 14, 2005. Available at: http://www.phppo.cdc.gov/PHTN/webcast/antibiotic3/media.asp. Accessed November 16, 2008.
Beaton, RD, Stevermer, A, Wicklund, J, Owens, D, Boase, J, Oberle, MW. Evaluation of the Washington state National Pharmaceutical Stockpile dispensing exercise, part II: dispensary site worker findings. J Public Health Manage. 2004;10(1): 77–85.Google Scholar
Blank, S, Moskin, LC, Zucker, JR. An ounce of prevention is a ton of work: mass antibiotic prophylaxis for anthrax, New York City, 2001. Emerg Infect Dis. 2003;9:615–622.Google Scholar
Andress, K. A postevent smallpox mass vaccination clinic exercise. Disaster Manage Response. 2003;1(2):54–48.Google Scholar
,Office of the Surgeon General. Medical Reserve Corps. Available at: http://www.medicalreservecorps.gov/HomePage. Accessed November 16, 2008.
Banner, G. The Rhode Island medical emergency distribution system (MEDS). Disaster Manage Response. 2004;2:53–57.Google Scholar
Young, D. Pharmacist's software design aids mass dispensing clinics. Am J Health-Syst Ph. 2006;63:400–402.Google Scholar
Hupert, N, Mushlin, AI, Callahan, MA. Modeling the public health response to bioterrorism: using discrete event simulation to design antibiotic distribution centers. Med Decis Making. 2002;22(Suppl):S17-S25.Google Scholar
Washington, ML, Mason, J, Meltzer, MI. Maxi-vac: planning smallpox vaccination clinics. J Public Health Manage. 2005;11(6):542–549.Google Scholar
Aaby, K, Abbey, RL, Herrmann, JW, Treadwell, M, Jordan, CS, Wood, K. Embracing computer modeling to address pandemic influenza in the 21st century. J Public Health Manage. 2006;12(4):365–372.Google Scholar
Lee, EK, Maheshwary, S, Mason, J, Glisson, W. Decision support system for mass dispensing of medications for infectious disease outbreaks and bioterrorist attacks. Ann Oper Res. 2006;148(1):25–53.Google Scholar
,Centers for Disease Control and Prevention. Smallpox Vaccination Clinic Guide Template. Available at: http://www.bt.cdc.gov/agent/smallpox/response-plan/files/annex-3.pdf. Accessed November 16, 2008.
,Centers for Disease Control and Prevention. Mass Antibiotic Dispensing-Managing Volunteer Staffing (Webcast). December 2, 2004. Available at: http://www2a.cdc.gov/PHTN/webcast/antibiotic2/default.asp. Accessed November 16, 2008.
Young, D. Iowa pharmacists dispense from Strategic National Stockpile during drill. Am J Health-Syst Ph. 2003;60:1304–1306.Google Scholar
Partridge, R, Alexander, J, Lawrence, T, Suner, S. Medical counterbioterrorism: the response to provide anthrax prophylaxis to New York City US Postal Service employees. Ann Emerg Med. 2003;41:441–446.Google Scholar
Pine, AE. Vaccination ventures: explanation and outcomes of a mass smallpox vaccination clinic exercise held June 17, 2003. San Francisco Department of Public Health; 2003.
Beaton, RD, Oberle, MW, Wicklund, J, Stevermer, A, Boase, J, Owens, D. Evaluation of the Washington state National Pharmaceutical Stockpile dispensing exercise. Part I: patient volunteer findings. J Public Health Manage. 2003;9:368–376.Google Scholar
Taylor, L, Tan, CG, Liu, S, Miro, S, Genese, CA, and Bresnitz, EA. New Jersey's smallpox vaccination clinic experiences, 2003. J Public Health Manage. 2005;11(3):216–221.Google Scholar
Osterholm, MT. How to vaccinate 30,000 people in three days: realities of outbreak management. Public Health Rep. 2002;116(Suppl 2):74–78.Google Scholar
Gibson, WA. Mass smallpox immunization program in a deployed military setting. Am J Emerg Med. 2004;22:267–269.Google Scholar
Poland, GA, Grabenstein, JD, and Neff, JM. The US smallpox vaccination program: a review of a large modern era smallpox vaccination implementation program. Vaccine. 2005;23:2078–2081.Google Scholar
Folio, LR, Lahti, RL, Cockrum, DS, Bills, S, Younker, MR. Initial experience with mass immunization as a bioterrorism countermeasure. J Am Osteopath Assoc. 2004;104(6):240–243.Google Scholar
Fontanesi, J, Hill, L, Olson, R, Bennett, NM, and Kopald, D. Mass vaccination clinics versus appointments. J Med Practice Manage. 2006;March/April:288–294.Google Scholar
,National Advisory Committee on Children and Terrorism. Recommendations to the Secretary. 2003. Available at: http://www.bt.cdc.gov/children/PDF/working/Recommend.pdf. Accessed November 16, 2008.
Walz, BJ, Bissell, RA, Maguire, B, and Judge, JA. Vaccine administration by paramedics: a model for bioterrorism and disaster response preparation. Prehosp Disast Med. 2003;18(4):321–326.Google Scholar
,The White House. President details project bioshield. Available at: http://www.whitehouse.gov/news/releases/2003/02/print/20030203.html. Accessed November 16, 2008.
,The White House. Fact sheet: progress in the war on terror. Available at: http://www.whitehouse.gov/news/releases/2004/07/print/20040721-9.html. Accessed on November 16, 2008.
Hupert, N, Wattson, D, Cuomo, J, Benson, S. Anticipating demand for emergency health services due to medication-related adverse events after rapid mass prophylaxis campaigns. Acad Emerg Med. 2007;14:268–274.Google Scholar
Trust for America's Health. Ready or Not? Protecting the Public's Health from Diseases, Disasters, and Bioterrorism. Washington, DC: Trust for America's Health; 2006.
Glenn, GM, Kenney, RT. Mass vaccination: solutions in the skin. In: Plotkin, SA, ed. Mass Vaccination: Global Aspects–Progress and Obstacles. Current Topics in Microbiology and Immunology. Berlin Heidelberg: Springer; 2006:247–268.

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