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Pigheaded Strategy

When it comes to swine—or at least swine flu—Tacoma and Pierce County are a step ahead.

King County likes to think of itself as more urbane and better-run than Pierce County, but our neighbors to the south sure seem to be doing a superior job administering the H1N1 (commonly referred to as swine flu) vaccine.

Locally, it's been madness with little method. Public Health–Seattle & King County has been distributing vaccinations to health clinics and pharmacies without any guidelines about which of the various high-risk groups—kids, pregnant women, health-care workers, people with other illnesses—should be vaccinated first. Consequently, health-care providers have set up their own rules. Some of the 44 pharmacies which got vaccines earlier this month gave them to anyone aged 3 and up, while others set the bar at age 9 or 14. And most set up vaccination times during school hours, creating an obvious conflict for younger clients.

Both clinics and pharmacies have been inundated. At Virginia Mason's Sand Point Way clinic on Nov. 7, parents and kids started lining up at 4 a.m. By 8:40—40 minutes after the clinic opened—it was turning people away. Meanwhile, the TacomaPierce County Health Department set a clear priority for who would be vaccinated first—kids—and opened vaccination clinics in the most obvious place: schools. Clinics at two Tacoma high schools vaccinated 3,800 students free of charge on successive Saturdays. And on Nov. 7, health-care workers vaccinated everyone who came to Clover Park High School, bringing back 1,000 unadministered doses. Now Pierce County's health department is making pregnant women and health-care workers a priority.

"There's no perfect way to get vaccine out, and each county has its own," says James Apa, spokesperson for King County's health department.

Originally the department had planned to open school clinics, but scrapped the plan when vaccine shortages arose. Apa says the plan may be resurrected as supplies increase.

 
  • James Apa 11/19/2009 2:16:00 AM

    Nina -- Thanks for covering this issue and raising important questions about H1N1 vaccine availability. The delays in vaccine production have been challenging for everyone, as there isn't enough right now to meet the demand for people who need it. Availability is gradually improving, and more people are getting vaccinated every week, but we know it�s still tough for many people to locate vaccine. Our approach in King County has been to get most of the available vaccine directly to health care providers, including pediatricians, so they can identify their adult and youth patients in priority groups who need it most. To date, over 250,000 doses of vaccine have either been received on the ground (with many already vaccinated) or are in the process of order and delivery. As more vaccine becomes available, we�ll continue to provide vaccine to health care providers to vaccinate more of their patients, but also allocate a portion for distribution more widely through public venues. We've started to make a limited amount of vaccine available to pharmacies as part of this widening distribution strategy. Pharmacies do have different age ranges for vaccination based on existing systems and policies, and many do not allow them to vaccinate babies and young children. At our request, some are finding ways to quickly expand their vaccinations to age ranges for younger children. We expect that we'll be able to make additional pharmacy options available soon for young children. And as supplies continue to improve, we�ll look to widen vaccination options further, including some school-based clinics. For more details on our distribution plans and current availability at local pharmacies, I'd encourage readers to check out our H1N1 website at www.kingcounty.gov/health/H1N1.

 

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