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

2. 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

3. 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
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4. Why NYS Developed it’s Own PVS
Different Clinic Model
Different Data Requirements
Additional NYS Requirements
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5. 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  
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6. 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
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7. 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  
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8. 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
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9. 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
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10. 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
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11. NYS PVS Profile as of 10/16/03 Clinics
90 clinics held (5 were state sponsored)
3 clinics had 50+ vaccinated
5 clinics had vaccinated
7 clinics had vaccinated
75 clinics <10 vaccinated  
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12. 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.  
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13. 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

14. 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
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15. Contact Information
Michael Flynn NYS DOH Immunization Program (518)
11/28/2019