How influenza vaccination policy may affect vaccine logistics.

TitleHow influenza vaccination policy may affect vaccine logistics.
Publication TypeJournal Article
Year of Publication2012
AuthorsAssi T-M, Rookkapan K, Rajgopal J, Sornsrivichai V, Brown ST, Welling JS, Norman BA, Connor DL, Chen S-I, Slayton RB, Laosiritaworn Y, Wateska AR, Wisniewski SR, Lee BY
JournalVaccine
Volume30
Issue30
Pagination4517-23
Date Published2012 Jun 22
ISSN1873-2518
KeywordsHealth Policy, Humans, Immunization Programs, Influenza Vaccines, Influenza, Human, Models, Theoretical, Population Density, Software, Thailand, Time Factors
Abstract

BACKGROUND: When policymakers make decision about the target populations and timing of influenza vaccination, they may not consider the impact on the vaccine supply chains, which may in turn affect vaccine availability.PURPOSE: Our goal is to explore the effects on the Thailand vaccine supply chain of introducing influenza vaccines and varying the target populations and immunization time-frames.METHODS: We Utilized our custom-designed software HERMES (Highly Extensible Resource for Modeling Supply Chains), we developed a detailed, computational discrete-event simulation model of the Thailand's National Immunization Program (NIP) supply chain in Trang Province, Thailand. A suite of experiments simulated introducing influenza vaccines for different target populations and over different time-frames prior to and during the annual influenza season.RESULTS: Introducing influenza vaccines creates bottlenecks that reduce the availability of both influenza vaccines as well as the other NIP vaccines, with provincial to district transport capacity being the primary constraint. Even covering only 25% of the Advisory Committee on Immunization Practice-recommended population while administering the vaccine over six months hinders overall vaccine availability so that only 62% of arriving patients can receive vaccines. Increasing the target population from 25% to 100% progressively worsens these bottlenecks, while increasing influenza vaccination time-frame from 1 to 6 months decreases these bottlenecks.CONCLUSION: Since the choice of target populations for influenza vaccination and the time-frame to deliver this vaccine can substantially affect the flow of all vaccines, policy-makers may want to consider supply chain effects when choosing target populations for a vaccine.

DOI10.1016/j.vaccine.2012.04.041
Alternate JournalVaccine
PubMed ID22537993
PubMed Central IDPMC3592980
Grant List1U54GM088491-0109 / GM / NIGMS NIH HHS / United States
U54 GM088491 / GM / NIGMS NIH HHS / United States
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