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16 - Mass Dispensing of Antibiotics and Vaccines

from PART II - OPERATIONAL ISSUES

Published online by Cambridge University Press:  05 August 2011

By
Susan E. Gorman  and
Nicki T. Pesik
Edited by
Kristi L. Koenig  and
Carl H. Schultz
Kristi L. Koenig
Affiliation:
University of California, Irvine
Carl H. Schultz
Affiliation:
University of California, Irvine
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Summary

The findings and conclusions in this chapter are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention (CDC).

OVERVIEW

Following a terrorist event or other large-scale public health emergency, the need to distribute rapidly antibiotic prophylaxis or vaccinations to a large population may be necessary. To accomplish this task successfully a significant amount of planning and preparation must occur in advance of such an event. The ability to respond in the initial phase of an infectious event at the local, regional, state, national or international levels is a key component of public health preparedness. This was demonstrated in the U.S. in 2001, when more than 30,000 people were advised to take antibiotics during the anthrax event. Although the need to plan for mass dispensing is essential, many areas have not engaged in the process. A survey in one U.S. state showed that less than half of 138 community health centers polled in 2004 had begun to address bioterrorism issues in their planning efforts; only 19% surveyed were included in their county's mass prophylaxis plan. In the same survey, only 46% had sufficient space to create a mass immunization or vaccination area, and 23% had plans to communicate bioterrorism events with the public and media. Results such as these emphasize the need for enhanced planning. The inability of a community to dispense needed pharmaceuticals efficiently and effectively to its population may result in the loss of lives.

Keywords

antibioticscold chain managementdispensing lawsmass vaccinationmedication-related adverse eventsfederal assistancemass dispensingpoints of dispensingStrategic National Stockpile
Type
Chapter
Information
Koenig and Schultz's Disaster Medicine
Comprehensive Principles and Practices
 , pp. 213 - 227
Publisher: Cambridge University Press
Print publication year: 2009

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