Director’s Update Brief

• 37 pages
• Day 119
• August 14, 2009

– Key events:
– novel 2009-H1N1 Declarations

• WHO: Pandemic Phase 6 (11 JUN 2009 1600 EDT)
• Outbreaks in at least one country in > two WHO regions
• USG: Public Health Emergency declared (26 Apr 2009)
• Renewed by HHS Secretary Kathleen Sebelius
• HHS: Downgraded to Phase 1 – Awareness (9 May 2009)

– US Cases (as of 13 Aug 2009; next update 21 August 2009)
– No longer reporting total cases.

• Centralized distribution by contractor receiving vaccine from 5 manufacturers and ancillary supplies from up to 4 manufacturers and shipping to sites (up to 80,000), under direction of state health departments
• System similar to VFC
• Vaccine record cards provided by CDC and included in the ancillary supply kit
• VIS posted on the CDC website

~August 18
– Posting of ACIP recommendations
– Family of related communication products and information, such as

• Additional description of program
• School-located vaccination guidance
• Provider information on enrollment
• Adverse Events drill: CDC, FDA, HHS—mid-Sept
• Novel influenza A (H1N1) is now the predominate influenza subtype in circulation

– 66% of influenza viruses in the Northern Hemisphere
– 89% of influenza viruses in the Southern Hemisphere

• Epidemiology and clinical characteristics in Southern Hemisphere are similar to United States experience in spring
• No changes in the virus

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