Wednesday, December 5

Priorities in the Draft Guidance

or view the entire dialogue agenda


Topic Brief

The Draft Guidance is focused on how to prioritize the distribution of scarce vaccine: who gets it, and who must wait? Participants in this part of the dialogue will discuss the prioritization proposed within each major population grouping in the Draft Guidance. There will also be discussion about how this prioritization may change depending upon the severity of the strain of pandemic influenza and other factors.

Panelists

  • Terry Adirim, Medical Advisor, Department of Homeland Security
  • Victoria Davey, Deputy Chief Officer, Public Health and Environmental Hazards, Department of Veterans Affairs
  • Jeffrey Duchin, Chief of the Communicable Disease Control, Epidemiology & Immunization Section for Public Health, Seattle & King County, Washington
  • Brant Goode, Career Epidemiology Field Officer, CDC
  • Til Jolly, Associate Chief Medical Officer for Medical Readiness, Office of Health Affairs, U.S. Dept. of Homeland Security
  • Yvonne Madlock, Director, Memphis and Shelby County Health Department
  • Julie Morita, Medical Director, Chicago Department of Public Health
  • Eleanor Peters, Epidemiology Specialist, St. Louis County Department of Health
  • Benjamin Schwartz, Senior Science Advisor, National Vaccine Program Office, DHHS
  • Tom Shimabukuro, Pandemic Influenza Vaccine Coordinator, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention

Focus Point Discussions

Prioritization in the Homeland and National Security (HNS) Group

Participants in this part of the dialogue will discuss the prioritization proposed for the HNS Group in the Draft Guidance. Participants should review the Draft Guidance document at this website, and in particular Table 1 (Categories and target groups) of the Draft Guidance.

Key Reference Documents (linked at the bottom of today's agenda). Keep these handy - you'll need them to understand the discussion:
Facts and Assumptions about the Next Influenza Pandemic
Quick reference: Target groups, tiers for severe pandemic & public values on the goals

Desired outcomes:
Clear understanding of the various concerns that are raised by participants about the way that the implementation of the Draft Guidance would affect us all in the face of pandemic influenza.
Identification of priorities that have not been recognized in the Draft Guidance or of items that need different prioritization, so that public health authorities can consider modifying the Draft Guidance.
Identification of perplexing issues about vaccine prioritization that the WebDialogue team can consider including in the opinion poll on Thursday morning.



Prioritization in the Critical Infrastructure (CI) Group

Participants in this part of the dialogue will discuss the prioritization proposed for the CI Group in the Draft Guidance. Participants should review the Draft Guidance document at this website, and in particular Table 1 (Categories and target groups) of the Draft Guidance.

Key Reference Documents (linked at the bottom of today's agenda). Keep these handy - you'll need them to understand the discussion:
Facts and Assumptions about the Next Influenza Pandemic
Quick reference: Target groups, tiers for severe pandemic & public values on the goals

Desired outcomes:
Clear understanding of the various concerns that are raised by participants about the way that the implementation of the Draft Guidance would affect us all in the face of pandemic influenza.
Identification of priorities that have not been recognized in the Draft Guidance or of items that need different prioritization, so that public health authorities can consider modifying the Guidance.
Identification of perplexing issues about vaccine prioritization that the WebDialogue team can consider including in the opinion poll on Thursday morning.



Prioritization in the Health Care and Community Support Services (HC/CSS) Group

Participants in this part of the dialogue will discuss the prioritization proposed for the HC/CSS Group in the Draft Guidance. Participants are requested to review the Draft Guidance document at this website, and in particular Table 1 (Categories and target groups) of the Draft Guidance.

Key Reference Documents. Keep these handy - you'll need them to understand the discussion:
Facts and Assumptions about the Next Influenza Pandemic
Quick reference: Target groups, tiers for severe pandemic & public values on the goals

Desired outcomes:
Clear understanding of the various concerns that are raised by participants about the way that the implementation of the Draft Guidance would affect us all in the face of pandemic influenza.
Identification of priorities that have not been recognized in the Draft Guidance or of items that need different prioritization, so that public health authorities can consider modifying the Draft Guidance.
Identification of perplexing issues about vaccine prioritization that the WebDialogue team can consider including in the opinion poll on Thursday morning.



Prioritization in the General Population (GP) Group

Participants in this part of the dialogue will discuss the prioritization proposed for the GP Group in the Draft Guidance. Participants should review the Draft Guidance document at this website, and in particular Table 1 (Categories and target groups) of the Draft Guidance.

Key Reference Documents. Keep these handy - you'll need them to understand the discussion:
Facts and Assumptions about the Next Influenza Pandemic
Quick reference: Target groups, tiers for severe pandemic & public values on the goals

Desired outcomes:
Clear understanding of the various concerns that are raised by participants about the way that the implementation of the Draft Guidance would affect us all in the face of pandemic influenza.
Identification of priorities that have not been recognized in the Draft Guidance or of items that need different prioritization, so that public health authorities can consider modifying the Guidance.
Identification of perplexing issues about vaccine prioritization that the WebDialogue team can consider including in the opinion poll on Thursday morning.



Changes in Prioritization Depending on Influenza Pandemic Severity

Participants in this part of the dialogue will discuss the ways that the Draft Guidance proposes prioritization should be changed depending on different levels of severity of pandemic influenza. Participants should review the Draft Guidance document at this website, and in particular Table 2 (Vaccination Target Groups) of the Draft Guidance.

Key Reference Documents. Keep these handy - you'll need them to understand the discussion:
Facts and Assumptions about the Next Influenza Pandemic
Quick reference: Target groups, tiers for severe pandemic & public values on the goals

Desired outcomes:
Clear understanding of the various concerns that are raised by participants about the way that the implementation of the Draft Guidance would affect us all in the face of pandemic influenza.
Identification of priorities that have not been recognized in the Draft Guidance or of items that need different prioritization, so that public health authorities can consider modifying the Guidance.
Identification of perplexing issues about vaccine prioritization that the WebDialogue team can consider including in the opinion poll on Thursday morning.



Library Items

Draft Guidance on Allocating and Targeting Pandemic Influenca Vaccine , HHS, CDC, October 17, 2007. Draft guidance document developed by the Federal Government that is intended to provide strong advice to support planning an effective and consistent pandemic response by State and communities.

Facts and Assumptions about the Next Influenza Pandemic CDC's National Center for Immunization and Respiratory Diseases, November 2006. A concise one page overview addressing; Impact of the Pandemic and Vaccine, Drugs and other Responses to the Pandemic.

Quick reference: Target groups, tiers for severe pandemic & public values on the goals , Centers for Disease Control and Prevention, November 2007. Three slides: Shows target groups for pandemic vaccination by pandemic severity vaccination tiers for a severe pandemic, and public values on the goal of a pandemic vaccination program.

Scenario for Public Engagement on Community Control Measures Against Pandemic Influenza CDC's National Center for Immunization and Respiratory Diseases, November 2006. A one page fictitional scenario of an influenza pandemic at home, school, work and play.