influenza vaccination distribution and coverage, united ... · october 26, 2011 national center for...

Influenza Vaccination Distribution and Coverage United States 2010-11 and 2011-12 Seasons

Presented by James A Singleton MS

Assessment Branch ISDNCIRDCDC

Contributors Lina Balluz Carolyn Bridges Leah Bryan Helen Ding Gary Euler

Carolyn Furlow Amparo Gonzalez-Feliciano Erin Kennedy Liz Monsell Peng-Jun Lu Tammy Santibanez Raymond Strikas Cindy Weinbaum

Meeting of the ACIP October 26 2011

National Center for Immunization and Respiratory Diseases

Immunization Services Division 1

2010-11 Influenza Season Challenges

bull First ldquopost-pandemicrdquo season

ndash High seasonal vaccine coverage in 2009-10 driven by pandemic

ndash Public interest in vaccination

bull First season with universal flu vaccination recommendations (added group was 18-49 healthy non household contactsmdash15 of US population)

bull New andor expanded venues for vaccinationmdash(schools and pharmacies)

bull Unprecedented vaccine supply

2

Cu

mu

lati

ve

nu

mb

er

of

do

ses

dis

trib

ute

d

in m

illi

on

s

1582m

0

20

40

60

80

100

120

140

160

180

Cumulative doses of influenza vaccines distributed by month 2004-05 -- 2010-11 seasons US

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

July

wk

1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4

Month

Source Biologics data 3

2010-11 Vaccination Data Sources

bull National Immunization Survey (NIS) (for children)

bull Behavioral Risk Factor Surveillance System (BRFSS) (for adults)

bull Internet Panel Surveys for health care personnel and pregnant women November 2010 and April 2011

bull National Flu Survey (NFS) November 2010 and March 2011

bull National Health Interview Survey (NHIS)

bull Pregnancy Risk Assessment Monitoring System (PRAMS)

bull Vaccinations administered in physician offices (claims data)

bull CMS Minimum Data Set (nursing home residents)

4

2010-11 Season Vaccination Data Methods bull Final estimates from NIS interviews Sept 2010-June 2011

(6mo-17yrs n=116799) and BRFSS (ge18yrs n=377569)copyndash Online report at httpwwwcdcgovfluprofessionalsvaccinationcoverage_1011estimateshtm

ndash Updates interim estimates from MMWR June 10 2011 Vol 60 No

22 Pg 737 - 743

ndash Trends in adults for BRFSS 2007-08 through 2010-11 seasons

bull April 2011 internet panel surveys

ndash Healthcare personnel (n=1931)

bull MMWR August 19 2011 Vol 60 No 32 Pg 1073 - 1077

ndash Pregnant women (n=1457)


bull Place of flu vaccination data from BRFSS

ndash January-March 2011 data from 46 states and District of Columbia

ndash MMWR June 17 2011 Vol 60 No 23 Pg 781-785 5

Influenza Vaccination Coverage by Month 2009-10 and 2010-11 Seasons

Online at httpwwwcdcgovfluprofessionalsvaccinationcoverage_1011estimateshtm

00

100

200

300

400

500

600 A

UG

SE

P

OC

T

NO

V

DE

C

JAN

FE

B

MA

R

AP

R

MA

Y

Co

ve

rag

e (

)

Month

2010-11

2009-10 seasonal

2009-10 seasonal andor H1N1

00

100

200

300

400

500

600

AU

GS

EP

OC

TN

OV

DE

CJA

NF

EB

MA

RA

PR

MA

Y

Co

ve

rag

e (

)

Month

2010-11

2009-10 seasonal


Children 6 mo ndash 17 yrs Adults ge18 yrs

6

Influenza Vaccination (trivalent) Coverage by Age 2008-09 through 2010-11 Seasons

Group 2008-09

() 1

2009-10

() 2

2010-11

() 3

Overall (persons aged gt 6 mo) Not Available 412 430

Children 6 mos-17 years 291 437 510

Persons gt 18 yrs 402 404 405

Persons 18-49 yrs all 282 299 305

Persons 18-49 yrs high risk 387 382 390

Persons 50-64 yrs 459 450 445

Persons ge 65 yrs 736 696 666

1 BRFSS 2008-09 for adults child estimate from 2009 NHIS ages 6 mo ndash 18 years online at

httpwwwcdcgovvaccinesstats-survnhis2009-nhishtm

2 BRFSS and National 2009 H1N1 Flu Survey (NHFS) estimates 2009-10 Online at

httpwwwcdcgovfluprofessionalsvaccinationcoverage_0910estimateshtm

3 BRFSS and NIS estimates 2010-11 Online at httpwwwcdcgovfluprofessionalsvaccinationcoverage_1011estimateshtm

7

Two-dose influenza vaccination coverage for children lt9 years 2010-11 season

80

Most children 6-11 months on 1112010 need 2 doses to be fully vaccinated

From the September 2010 ndash June 2011 National Immunization Survey receipt of two or

more influenza vaccinations by end of May 2011 as reported by parentsguardians without

provider confirmation prior season vaccinations not ascertained

69 63

52

62 62 60 57 55 53

33

22

13 12 12 13 8 10 10

6-11 mo

V

acc

ina

ted

70

60

50

40

30

20

10

0

ge 1 dosescopyge2 dosescopy

1 yr 2 yr 3 yr 4 yr 5 yr 6 yr 7 yr 8 yr

Age on November 1 2010

8

Influenza Vaccination (trivalent) Coverage by RaceEthnicity 2008-09 through 2010-11 Seasons

Group 2008-09

() 1

2009-10

() 2

2010-11

() 3

Adults by Raceethnicity

White non-Hispanic 435 441 432

Black non-Hispanic 350 328 342

Hispanic 284 293 323

Children by Raceethnicity

White non-Hispanic Not Available 432 485

Black non-Hispanic Not Available 370 508

Hispanic Not Available 469 551

Statistically significant difference compared to non-Hispanic whites (plt005)

1 BRFSS 2008-09 for adults

2 BRFSS and National 2009 H1N1 Flu Survey estimates 2009-10 Online at


3 BRFSS and NIS estimates 2010-11 Online at


9

Influenza Vaccination Coverage by State Children 6mo-17 years 2010-11 Season

Source National Immunization Survey September 2010-June 2011

Online at httpwwwcdcgovfluprofessionalsvaccinationreporti1011reportI

10

Influenza Vaccination Coverage by State Adults ge18 years 2010-11 Season

Source Behavioral Risk Factor Surveillance System September 2010-June 2011


11

Estimated Influenza Vaccination (trivalent) Coverage Healthcare Personnel

V

acc

ina

ted

90

80

70

60

50

42 44 45

53 53

56

62 64

HP 2020 target is 90 percent

40

30

20

10

0

NHIS

BRFSS

NHFS

Internet Panel

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

Influenza Season

Estimates from the National Health Interview Survey (NHIS) Behavioral Risk Factor Surveillance System (BRFSS) National 2009

H1N1 Flu Survey (NHFS) and internet panel surveys (MMWR August 19 2011 60(32)1073-1077)

12

Estimated Influenza Vaccination (trivalent) Coverage Pregnant Women

80

70

60

50

40

30 27

19

21

21

25

26

36

51 51

27 32

27

51

32

49


V

acc

ina

ted

BRFSS Pregnant BRFSS Not Pregnant PRAMS (10 states) NHFS Internet Panel 20

10

0 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

Influenza Season Behavioral Risk Factor Surveillance (BRFSS) data from December interviews only for women 18-44 years pregnant or not pregnant when

interviewed Differences in influenza vaccination coverage between pregnant and not pregnant women were statistically significant

(plt005) only for the 2009-10 and 2010-11 seasons Other estimates for pregnant women from PRAMS (MMWR December 3 2010

59(47)1541-1545) NHFS (Ding et al Am J Obstetrics amp Gynecology June 2011 Supplement) and an internet panel survey (MMWR August

19 2011 60(32)1078-1082)

13

Place of Influenza Vaccination Among Adults ndashlaquoUnited States 2010-11 Season

MMWR June 17 201160(23)781-785

Doctors officeHMO

HospitalED

Other clinichealth center

Health Department

Store

Workplace

Senior reccomm center

School

Other non-medical

0 10 20 30 40 50 60

18+ yrs

18-49

50-64

65+

40 18+ yrs

18 18+ yrs

17 18+ yrs

26 65+

52 65+

26 18-49

of vaccinated by place eg supermarket or drug store

BRFSS January-March 2011 data from 46 states and District of Columbia 14


MMWR June 17 2011

Doctorrsquos office is most important medical setting

Workplace and store important non-medical settings

Increase in store vaccination (184) compared to

1998-99 (5) and 2006-07 (7)

Increases in persons vaccinated since 2006-07

Doctorrsquos office 28 million (2006-07) to 37 million (2010-11)

Store 6 million (2006-07) to 17 million (2010-11)

vaccinated in non-medical settings higher for

whites (44) vs blacks (29) Hispanics (34)

Attended college (47) vs lt high school education (28)

15

Summary 44 million more seasonal (trivalent) influenza vaccine

doses distributed than in 2009-10 Coverage levels by census population estimates can provide estimates of doses

administered in the civilian non-institutionalized population

Moderate increase in childrenrsquos coverage since 2009

large increases since 2008

Similar coverage for adults as for 2009-10 trivalent

Coverage among adults ge65 years declining past two seasons

Racialethnic disparities among all adults persist

Non-Hispanic white adults significantly higher levels

Children nH-whites did not have higher coverage vs

other racialethnic groups in 2010-11

Wide variations among states

Maintained last seasonrsquos increases for pregnant women

and healthcare personnel 16

Limitations Self-reported vaccination not validated by medical records

Survey estimates may not be representative

BRFSS does not reach households with only cell phones (will do so next year)

Telephone survey response rates low

Representativeness of internet panel survey estimates needs further evaluation

Tracking trends by season complicated by multiple data sources

with different timeliness and possibly validity

Comparisons to 2009-10 season estimates complicated by unique

circumstances of pandemic and persons could have received

either 2009 H1N1 vaccine only seasonal vaccine only or both

17

Vaccination in the 2010-11 Influenza Season What did the US achieve

bull Despite the expected challenge of ldquoflu fatiguerdquo overallcopyvaccine coverage maintained last seasonrsquos increasescopyndash Significant increases in Hispanic and non-Hispanic black children

bull Multiple venues were accessed for vaccination

bull Challenges for the coming season

ndash Maintain the gains

ndash Improve vaccination coverage among adults with risk conditions

and older adults

ndash Improve full vaccination of children recommended for two doses

18

Source Biologics data

166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19




bull Internet Panel Surveys for health care personnel and pregnant women November 2011 and March or April 2012






20

Preliminary Influenza Vaccination Coverage in Children 6mo-17yrs 2011-12 Season

Estimated coverage by October 15 2011 22-32

Higher than 17-20 by this date last season

Intended vaccination for children

44 to 56 already have or ldquodefinitely willrdquo be vaccinated

bull Consistent with 2010-11 coverage by end of May 2011 (51)

bull Adult estimates not yet available from the Behavioral Risk Factor Surveillance System (BRFSS)

bull Child estimates from the National Immunization Survey with vaccinations reported by parentsguardians without

provider confirmation Estimated coverage based on interviews conducted 912011-1082011 Projected coverage

including ldquodefinite intentrdquo based on interviews conducted 1012011-1082011 (n=2135)

21

Upcoming Data Releases

bull National Influenza Vaccination Week

(NIVW ) December 4-10 2011

ndash CDC media briefing Dec 5

bull Results from November 2011

ndash National Flu Survey

ndash Panel surveys

raquo Pregnant women

raquo Health Care Personnel

bull Monthly estimates for children and adults from NIS and BRFSS (schedule to be determined)

22

FluVaxView CDC Source for Influenza Vaccination Coverage Data

httpwwwcdcgovfluprofessionalsvaccinationvaccinecoveragehtm 23

Thank You

For more information please contact Centers for Disease Control and Prevention

1600 Clifton Road NE Atlanta GA 30333

Telephone 1-800-CDC-INFO (232-4636)TTY 1-888-232-6348

E-mail cdcinfocdcgov Web wwwcdcgov




Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180

among those with ge1

dose

bull From the September 2010 ndash June 2011 National Immunization Survey receipt of two or

more influenza vaccinations by end of May 2011 as reported by parentsguardians

without provider confirmation prior season vaccinations not ascertained

bull Coverage with two or more doses will underestimate fully vaccinated coverage because

some older children may have received influenza vaccinations in prior seasons and need

only one 2010-11 season vaccination to be fully vaccinated Of children 6-11 months as

of 1112010 none were age-eligible for influenza vaccination as of 312010 for prior

season vaccination of children 12-23 months as of 1112010 asymp 7 out of 12 were ge6

months old as of 1212009

25

Seasonal (Trivalent) Influenza Vaccination Trends by Age Group BRFSS and NHFS (2009-10)

Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26

Seasonal (Trivalent) Influenza Vaccination Trends for Persons 18-49 yrs BRFSS and NHFS (2009-10)

100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0

18minus49 yrs at High Risk

18minus49 yrs

2007-08 2008-09 2009-10 2010-11

Influenza Season Selected high-risk conditions limited to people with asthma

diabetes or heart disease

27




28




29

Influenza vaccination coverage for adults aged ge65 years by

raceethnicity---Behavioral Risk Factor Surveillance System (BRFSS)

United States 2000--2010 (MMWR Supplement January 14 2011 60(01)38-41)

30

2010-11 Influenza Season Challenges

bull First ldquopost-pandemicrdquo season

ndash High seasonal vaccine coverage in 2009-10 driven by pandemic

ndash Public interest in vaccination

bull First season with universal flu vaccination recommendations (added group was 18-49 healthy non household contactsmdash15 of US population)

bull New andor expanded venues for vaccinationmdash(schools and pharmacies)

bull Unprecedented vaccine supply

2

Cu

mu

lati

ve

nu

mb

er

of

do

ses

dis

trib

ute

d

in m

illi

on

s

1582m

0

20

40

60

80

100

120

140

160

180


2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

July

wk

1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4

Month











4




22 Pg 737 - 743












00

100

200

300

400

500

600 A

UG

SE

P

OC

T

NO

V

DE

C

JAN

FE

B

MA

R

AP

R

MA

Y

Co

ve

rag

e (

)

Month

2010-11

2009-10 seasonal


00

100

200

300

400

500

600

AU

GS

EP

OC

TN

OV

DE

CJA

NF

EB

MA

RA

PR

MA

Y

Co

ve

rag

e (

)

Month

2010-11

2009-10 seasonal



6


Group 2008-09

() 1

2009-10

() 2

2010-11

() 3




Persons 18-49 yrs all 282 299 305


Persons 50-64 yrs 459 450 445







7


80





69 63

52

62 62 60 57 55 53

33

22

13 12 12 13 8 10 10

6-11 mo

V

acc

ina

ted

70

60

50

40

30

20

10

0




8


Group 2008-09

() 1

2009-10

() 2

2010-11

() 3















9




10




11


V

acc

ina

ted

90

80

70

60

50

42 44 45

53 53

56

62 64


40

30

20

10

0

NHIS

BRFSS

NHFS

Internet Panel

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

Influenza Season



12


80

70

60

50

40

30 27

19

21

21

25

26

36

51 51

27 32

27

51

32

49


V

acc

ina

ted


10

0 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11





19 2011 60(32)1078-1082)

13


MMWR June 17 201160(23)781-785

Doctors officeHMO

HospitalED


Health Department

Store

Workplace


School

Other non-medical

0 10 20 30 40 50 60

18+ yrs

18-49

50-64

65+

40 18+ yrs

18 18+ yrs

17 18+ yrs

26 65+

52 65+

26 18-49




MMWR June 17 2011




1998-99 (5) and 2006-07 (7)







15

























17







and older adults


18


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30

Cu

mu

lati

ve

nu

mb

er

of

do

ses

dis

trib

ute

d

in m

illi

on

s

1582m

0

20

40

60

80

100

120

140

160

180


2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

July

wk

1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4

Month











4




22 Pg 737 - 743












00

100

200

300

400

500

600 A

UG

SE

P

OC

T

NO

V

DE

C

JAN

FE

B

MA

R

AP

R

MA

Y

Co

ve

rag

e (

)

Month

2010-11

2009-10 seasonal


00

100

200

300

400

500

600

AU

GS

EP

OC

TN

OV

DE

CJA

NF

EB

MA

RA

PR

MA

Y

Co

ve

rag

e (

)

Month

2010-11

2009-10 seasonal



6


Group 2008-09

() 1

2009-10

() 2

2010-11

() 3




Persons 18-49 yrs all 282 299 305


Persons 50-64 yrs 459 450 445







7


80





69 63

52

62 62 60 57 55 53

33

22

13 12 12 13 8 10 10

6-11 mo

V

acc

ina

ted

70

60

50

40

30

20

10

0




8


Group 2008-09

() 1

2009-10

() 2

2010-11

() 3















9




10




11


V

acc

ina

ted

90

80

70

60

50

42 44 45

53 53

56

62 64


40

30

20

10

0

NHIS

BRFSS

NHFS

Internet Panel

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

Influenza Season



12


80

70

60

50

40

30 27

19

21

21

25

26

36

51 51

27 32

27

51

32

49


V

acc

ina

ted


10

0 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11





19 2011 60(32)1078-1082)

13


MMWR June 17 201160(23)781-785

Doctors officeHMO

HospitalED


Health Department

Store

Workplace


School

Other non-medical

0 10 20 30 40 50 60

18+ yrs

18-49

50-64

65+

40 18+ yrs

18 18+ yrs

17 18+ yrs

26 65+

52 65+

26 18-49




MMWR June 17 2011




1998-99 (5) and 2006-07 (7)







15

























17







and older adults


18


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30










4




22 Pg 737 - 743












00

100

200

300

400

500

600 A

UG

SE

P

OC

T

NO

V

DE

C

JAN

FE

B

MA

R

AP

R

MA

Y

Co

ve

rag

e (

)

Month

2010-11

2009-10 seasonal


00

100

200

300

400

500

600

AU

GS

EP

OC

TN

OV

DE

CJA

NF

EB

MA

RA

PR

MA

Y

Co

ve

rag

e (

)

Month

2010-11

2009-10 seasonal



6


Group 2008-09

() 1

2009-10

() 2

2010-11

() 3




Persons 18-49 yrs all 282 299 305


Persons 50-64 yrs 459 450 445







7


80





69 63

52

62 62 60 57 55 53

33

22

13 12 12 13 8 10 10

6-11 mo

V

acc

ina

ted

70

60

50

40

30

20

10

0




8


Group 2008-09

() 1

2009-10

() 2

2010-11

() 3















9




10




11


V

acc

ina

ted

90

80

70

60

50

42 44 45

53 53

56

62 64


40

30

20

10

0

NHIS

BRFSS

NHFS

Internet Panel

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

Influenza Season



12


80

70

60

50

40

30 27

19

21

21

25

26

36

51 51

27 32

27

51

32

49


V

acc

ina

ted


10

0 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11





19 2011 60(32)1078-1082)

13


MMWR June 17 201160(23)781-785

Doctors officeHMO

HospitalED


Health Department

Store

Workplace


School

Other non-medical

0 10 20 30 40 50 60

18+ yrs

18-49

50-64

65+

40 18+ yrs

18 18+ yrs

17 18+ yrs

26 65+

52 65+

26 18-49




MMWR June 17 2011




1998-99 (5) and 2006-07 (7)







15

























17







and older adults


18


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30




22 Pg 737 - 743












00

100

200

300

400

500

600 A

UG

SE

P

OC

T

NO

V

DE

C

JAN

FE

B

MA

R

AP

R

MA

Y

Co

ve

rag

e (

)

Month

2010-11

2009-10 seasonal


00

100

200

300

400

500

600

AU

GS

EP

OC

TN

OV

DE

CJA

NF

EB

MA

RA

PR

MA

Y

Co

ve

rag

e (

)

Month

2010-11

2009-10 seasonal



6


Group 2008-09

() 1

2009-10

() 2

2010-11

() 3




Persons 18-49 yrs all 282 299 305


Persons 50-64 yrs 459 450 445







7


80





69 63

52

62 62 60 57 55 53

33

22

13 12 12 13 8 10 10

6-11 mo

V

acc

ina

ted

70

60

50

40

30

20

10

0




8


Group 2008-09

() 1

2009-10

() 2

2010-11

() 3















9




10




11


V

acc

ina

ted

90

80

70

60

50

42 44 45

53 53

56

62 64


40

30

20

10

0

NHIS

BRFSS

NHFS

Internet Panel

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

Influenza Season



12


80

70

60

50

40

30 27

19

21

21

25

26

36

51 51

27 32

27

51

32

49


V

acc

ina

ted


10

0 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11





19 2011 60(32)1078-1082)

13


MMWR June 17 201160(23)781-785

Doctors officeHMO

HospitalED


Health Department

Store

Workplace


School

Other non-medical

0 10 20 30 40 50 60

18+ yrs

18-49

50-64

65+

40 18+ yrs

18 18+ yrs

17 18+ yrs

26 65+

52 65+

26 18-49




MMWR June 17 2011




1998-99 (5) and 2006-07 (7)







15

























17







and older adults


18


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30



00

100

200

300

400

500

600 A

UG

SE

P

OC

T

NO

V

DE

C

JAN

FE

B

MA

R

AP

R

MA

Y

Co

ve

rag

e (

)

Month

2010-11

2009-10 seasonal


00

100

200

300

400

500

600

AU

GS

EP

OC

TN

OV

DE

CJA

NF

EB

MA

RA

PR

MA

Y

Co

ve

rag

e (

)

Month

2010-11

2009-10 seasonal



6


Group 2008-09

() 1

2009-10

() 2

2010-11

() 3




Persons 18-49 yrs all 282 299 305


Persons 50-64 yrs 459 450 445







7


80





69 63

52

62 62 60 57 55 53

33

22

13 12 12 13 8 10 10

6-11 mo

V

acc

ina

ted

70

60

50

40

30

20

10

0




8


Group 2008-09

() 1

2009-10

() 2

2010-11

() 3















9




10




11


V

acc

ina

ted

90

80

70

60

50

42 44 45

53 53

56

62 64


40

30

20

10

0

NHIS

BRFSS

NHFS

Internet Panel

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

Influenza Season



12


80

70

60

50

40

30 27

19

21

21

25

26

36

51 51

27 32

27

51

32

49


V

acc

ina

ted


10

0 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11





19 2011 60(32)1078-1082)

13


MMWR June 17 201160(23)781-785

Doctors officeHMO

HospitalED


Health Department

Store

Workplace


School

Other non-medical

0 10 20 30 40 50 60

18+ yrs

18-49

50-64

65+

40 18+ yrs

18 18+ yrs

17 18+ yrs

26 65+

52 65+

26 18-49




MMWR June 17 2011




1998-99 (5) and 2006-07 (7)







15

























17







and older adults


18


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30


Group 2008-09

() 1

2009-10

() 2

2010-11

() 3




Persons 18-49 yrs all 282 299 305


Persons 50-64 yrs 459 450 445







7


80





69 63

52

62 62 60 57 55 53

33

22

13 12 12 13 8 10 10

6-11 mo

V

acc

ina

ted

70

60

50

40

30

20

10

0




8


Group 2008-09

() 1

2009-10

() 2

2010-11

() 3















9




10




11


V

acc

ina

ted

90

80

70

60

50

42 44 45

53 53

56

62 64


40

30

20

10

0

NHIS

BRFSS

NHFS

Internet Panel

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

Influenza Season



12


80

70

60

50

40

30 27

19

21

21

25

26

36

51 51

27 32

27

51

32

49


V

acc

ina

ted


10

0 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11





19 2011 60(32)1078-1082)

13


MMWR June 17 201160(23)781-785

Doctors officeHMO

HospitalED


Health Department

Store

Workplace


School

Other non-medical

0 10 20 30 40 50 60

18+ yrs

18-49

50-64

65+

40 18+ yrs

18 18+ yrs

17 18+ yrs

26 65+

52 65+

26 18-49




MMWR June 17 2011




1998-99 (5) and 2006-07 (7)







15

























17







and older adults


18


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30


80





69 63

52

62 62 60 57 55 53

33

22

13 12 12 13 8 10 10

6-11 mo

V

acc

ina

ted

70

60

50

40

30

20

10

0




8


Group 2008-09

() 1

2009-10

() 2

2010-11

() 3















9




10




11


V

acc

ina

ted

90

80

70

60

50

42 44 45

53 53

56

62 64


40

30

20

10

0

NHIS

BRFSS

NHFS

Internet Panel

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

Influenza Season



12


80

70

60

50

40

30 27

19

21

21

25

26

36

51 51

27 32

27

51

32

49


V

acc

ina

ted


10

0 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11





19 2011 60(32)1078-1082)

13


MMWR June 17 201160(23)781-785

Doctors officeHMO

HospitalED


Health Department

Store

Workplace


School

Other non-medical

0 10 20 30 40 50 60

18+ yrs

18-49

50-64

65+

40 18+ yrs

18 18+ yrs

17 18+ yrs

26 65+

52 65+

26 18-49




MMWR June 17 2011




1998-99 (5) and 2006-07 (7)







15

























17







and older adults


18


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30


Group 2008-09

() 1

2009-10

() 2

2010-11

() 3















9




10




11


V

acc

ina

ted

90

80

70

60

50

42 44 45

53 53

56

62 64


40

30

20

10

0

NHIS

BRFSS

NHFS

Internet Panel

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

Influenza Season



12


80

70

60

50

40

30 27

19

21

21

25

26

36

51 51

27 32

27

51

32

49


V

acc

ina

ted


10

0 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11





19 2011 60(32)1078-1082)

13


MMWR June 17 201160(23)781-785

Doctors officeHMO

HospitalED


Health Department

Store

Workplace


School

Other non-medical

0 10 20 30 40 50 60

18+ yrs

18-49

50-64

65+

40 18+ yrs

18 18+ yrs

17 18+ yrs

26 65+

52 65+

26 18-49




MMWR June 17 2011




1998-99 (5) and 2006-07 (7)







15

























17







and older adults


18


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30




10




11


V

acc

ina

ted

90

80

70

60

50

42 44 45

53 53

56

62 64


40

30

20

10

0

NHIS

BRFSS

NHFS

Internet Panel

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

Influenza Season



12


80

70

60

50

40

30 27

19

21

21

25

26

36

51 51

27 32

27

51

32

49


V

acc

ina

ted


10

0 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11





19 2011 60(32)1078-1082)

13


MMWR June 17 201160(23)781-785

Doctors officeHMO

HospitalED


Health Department

Store

Workplace


School

Other non-medical

0 10 20 30 40 50 60

18+ yrs

18-49

50-64

65+

40 18+ yrs

18 18+ yrs

17 18+ yrs

26 65+

52 65+

26 18-49




MMWR June 17 2011




1998-99 (5) and 2006-07 (7)







15

























17







and older adults


18


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30




11


V

acc

ina

ted

90

80

70

60

50

42 44 45

53 53

56

62 64


40

30

20

10

0

NHIS

BRFSS

NHFS

Internet Panel

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

Influenza Season



12


80

70

60

50

40

30 27

19

21

21

25

26

36

51 51

27 32

27

51

32

49


V

acc

ina

ted


10

0 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11





19 2011 60(32)1078-1082)

13


MMWR June 17 201160(23)781-785

Doctors officeHMO

HospitalED


Health Department

Store

Workplace


School

Other non-medical

0 10 20 30 40 50 60

18+ yrs

18-49

50-64

65+

40 18+ yrs

18 18+ yrs

17 18+ yrs

26 65+

52 65+

26 18-49




MMWR June 17 2011




1998-99 (5) and 2006-07 (7)







15

























17







and older adults


18


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30


V

acc

ina

ted

90

80

70

60

50

42 44 45

53 53

56

62 64


40

30

20

10

0

NHIS

BRFSS

NHFS

Internet Panel

2005-06 2006-07 2007-08 2008-09 2009-10 2010-11

Influenza Season



12


80

70

60

50

40

30 27

19

21

21

25

26

36

51 51

27 32

27

51

32

49


V

acc

ina

ted


10

0 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11





19 2011 60(32)1078-1082)

13


MMWR June 17 201160(23)781-785

Doctors officeHMO

HospitalED


Health Department

Store

Workplace


School

Other non-medical

0 10 20 30 40 50 60

18+ yrs

18-49

50-64

65+

40 18+ yrs

18 18+ yrs

17 18+ yrs

26 65+

52 65+

26 18-49




MMWR June 17 2011




1998-99 (5) and 2006-07 (7)







15

























17







and older adults


18


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30


80

70

60

50

40

30 27

19

21

21

25

26

36

51 51

27 32

27

51

32

49


V

acc

ina

ted


10

0 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11





19 2011 60(32)1078-1082)

13


MMWR June 17 201160(23)781-785

Doctors officeHMO

HospitalED


Health Department

Store

Workplace


School

Other non-medical

0 10 20 30 40 50 60

18+ yrs

18-49

50-64

65+

40 18+ yrs

18 18+ yrs

17 18+ yrs

26 65+

52 65+

26 18-49




MMWR June 17 2011




1998-99 (5) and 2006-07 (7)







15

























17







and older adults


18


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30


MMWR June 17 201160(23)781-785

Doctors officeHMO

HospitalED


Health Department

Store

Workplace


School

Other non-medical

0 10 20 30 40 50 60

18+ yrs

18-49

50-64

65+

40 18+ yrs

18 18+ yrs

17 18+ yrs

26 65+

52 65+

26 18-49




MMWR June 17 2011




1998-99 (5) and 2006-07 (7)







15

























17







and older adults


18


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30


MMWR June 17 2011




1998-99 (5) and 2006-07 (7)







15

























17







and older adults


18


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30

























17







and older adults


18


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30







and older adults


18


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30


166-173m projected for 2011-12 (592011)

0

20

40

60

80

100

120

140

160

180 Ju

ly w

k 1

wk

2

wk

3

wk

4

Au

gu

st w

k 1

wk

2

wk

3

wk

4

Sep

tem

ber

wk

1

wk

2

wk

3

wk

4

Oct

ob

er w

k 1

wk

2

wk

3

wk

4

No

vem

ber

wk

1

wk

2

wk

3

wk

4

Dec

emb

er w

k 1

wk

2

wk

3

wk

4

Jan

ua

ry w

k 1

wk

2

wk

3

wk

4

Feb

rua

ry w

k 1

wk

2

wk

3

wk

4 C

um

ula

tiv

e n

um

be

r o

f d

ose

s d

istr

ibu

ted

in

mil

lio

ns

Month


2011-12

2010-11

2009-10

2008-09

2007-08

2006-07

2005-06

2004-05

asymp1155m by 10072011

19










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30










20











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30











21







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30







ndash Panel surveys




22



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30



Thank You








Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30


Age on 1112010 6-11

mo


with ge1 dose 690 628 518 622 615 602 570 548 533

with ge2 doses 328 217 128 121 116 125 79 103 96

overall

with ge2 doses 475 345 246 194 189 207 139 189 180


dose










25


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30


Co

ve

rag

e E

stim

ate

(

) 100 90 80 70 60 50 40 30 20 10

0 2007-08 2008-09 2009-10 2010-11

ge65 yrs

50minus64 yrs

18minus49 yrs

Influenza Season 26


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30


100 90

Co

ve

rag

e E

stim

ate

(

)

80 70 60 50 40 30 20 10

0


18minus49 yrs

2007-08 2008-09 2009-10 2010-11



27




28




29




30




28




29




30




29




30




30

influenza vaccination distribution and coverage, united ... · october 26, 2011 national center for...

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