New York State Pre-Event Experience 11/28/2019

Overview NYS approach to smallpox pre-event initiative was sufficiently different from the CDC model that we developed our own Smallpox Pre-Event System (NYS PVS). The current NYS PVS is not a part of the New York State Immunization Information System (NYSIIS). 11/28/2019

Presentation Objectives Why NYS choose to develop it’s own PVS Why the New York State Immunization Information System (NYSIIS) wasn’t used Problems Suggestions 11/28/2019

Why NYS Developed it’s Own PVS Different Clinic Model Different Data Requirements Additional NYS Requirements 11/28/2019

Clinic Model Differences CDC: Only a few clinic sites NYS planned on many clinic CDC: Keep track of not vaccinated NYS only wanted to know who was vaccinated CDC: Only one vial open per clinic NYS clinics could have more than one vial open   11/28/2019

Data Requirement Differences CDC: Preferred getting identifying info NYS wanted to keep it in the state CDC: Batches are reported with shots info NYS for inventory keep track of inactive, active, expired, spoiled CDC: Consent NYS had it’s own consent 11/28/2019

Additional NYS Requirements Vaccine's to complete Vaccination Diary PHRT had to be listed on NYS Communications Directory Section C of Medical History Form used as vaccination record Selective access to data   11/28/2019

Why Registry wasn’t used Technical Addition PVS requirements don’t fit registry functionality   Time Wasn’t time to fully develop within the existing registry design. Politically Wanted to restrict access to PVS data 11/28/2019

Problems Information from different CDC groups I was not part of NYS initial planning for BT Neither CDC or projects had enough time CDC Required Forms couldn’t be modified Information from different CDC groups Forms Education / Training PVS Non-PVS Adverse Event Worksheet VAERS 11/28/2019

Suggestions No more “one-trick ponies” Continue to work on PVS Work together with CDC on Post Event No more “one-trick ponies” Formalize AIRA-BT / CDC relations 11/28/2019

NYS PVS Profile as of 10/16/03 Clinics 90 clinics held (5 were state sponsored) 3 clinics had 50+ vaccinated 5 clinics had 25-49 vaccinated 7 clinics had 10-24 vaccinated 75 clinics <10 vaccinated   11/28/2019

NYS PVS Profile as of 10/16/03 Vaccinee 774 Individuals were vaccinated: 740 (96%) Major 26 Equivocal 8 Overdue NOTE: Immune status of the twice equivocal pending review of new CDC guidelines.   11/28/2019

NYS PVS Profile as of 10/16/03 Batches Total of 34 vials reconstituted Active : 8 vials 15 shots have been administered Expired: 23 pass 90 days 671 shots were administered Spoiled: 8 vials 4 “clumped” immediately and not used 111 shots administered before “spoiling”     Diary and Adverse Event Worksheet Of the 740 that had a Major take -         602 (81%) completed the diary o       40 individuals reported missing work for an average of 3.72 day   -         723 (98%) completed the CDC Adverse Event Worksheet o       56 (8%) said yes to one of the questions and required a follow-up call -         20 VAERS reports 11/28/2019

NYS PVS Profile as of 10/16/03 Diary and Adverse Event Worksheet  Of the 740 that had a Major take 602 (81%) completed the diary 40 individuals reported missing work for an average of 3.72 day 723 (98%) completed the CDC Adverse Event Worksheet 56 (8%) said yes to one of the questions and required a follow-up call 20 VAERS reports 11/28/2019

Contact Information Michael Flynn NYS DOH Immunization Program mkf06@health.state.ny.us (518) 473-4437 11/28/2019