H1N1 Influenza Webhall Questions and Answers
The following are answers to questions submitted to the H1N1 Influenza Webhall event held Nov. 10 at health.mil/flu. These answers were provided by members of the same panel of subject matter experts who answered questions during the live event on Nov. 10. To read the questions and answers from the live event, please visit health.mil/flu
Norma
Are you vaccinating all active duty yet? What about their families?
DoD receives vaccine from 3 different sources. One represents vaccine purchased by the Department to maintain operational effectiveness. This vaccine targets active duty, reservists, national guardsmen and some DoD civilians. The first to receive this vaccine are the following groups: Deployed and deploying, Ship a float, large training sites and health care workers. After these groups are protected then the remaining operational segments of the Department will receive vaccine. We have purchased a total of 2.7M doses of vaccine for this purpose. We have already begun to receive vaccine and anticipate that we will have received all of our 2.7 M doses by 25 December 2009.
Another source of vaccine is part of a program run the by the CDC (Centers for Disease Control) that targets civilian employees of the US government. Because the DoD has such a large proportion of this population we are providing medical and logistic support to the CDC. In this program DoD civilians who are considered essential or who are included in one of the ACIP (see below) target groups should receive vaccine first. This vaccine is also available for our dependents who reside in foreign countries.
The third way that DoD gets vaccine targets our dependents and retirees living in one of the states, possessions or territories. Medical treatment facilities serving this population receive vaccine through the CDC as part of a state allocation program designed to provide vaccine for all those who wish to be immunized. Except for AD members who have a high risk condition such as pregnancy, heart or lung disease and some chronic medical conditions this vaccine is limited to our dependents and retirees who are enrolled for care at a military treatment facility.
The target groups for the general population recommended by the ACIP (Advisory Committee on Immunization Practices) are:
- pregnant women
- people who live with or care for children younger than 6 months of age
- healthcare and emergency medical services personnel
- persons between the ages of 6 months through 24 years
- people ages 25 through 64 who are at higher risk for novel NOVEL INFLUENZA A (H1N1) 2009 because of chronic health disorders or compromised immune systems
Joe
If I believe I have H1N1 flu, should I seek treatment at a MTF? If so, should I go in person or obtain a telephone triage so as not to possible infect others?
You should contact you local MTF.
Guest
Is it authorized to use state H1N1 for active duty?
Only if the active duty member has one of the following high risk conditions:
pregnancy, chronic pulmonary (including asthma), cardiovascular (except hypertension), renal, hepatic, cognitive, neurological neuromuscular, hematologic or metabolic disorders (including diabetes mellitus), and immunosuppression (including immunosuppression caused by medications or by human immunodeficiency virus as described in the Centers for Disease Control and Prevention document: Use of Influenza A (HINI) 2009 Monovalent Vaccine. Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009 (http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5810al.htm).
Navy Labor Relations
What is the DoD's rapid response plan for pandemics?
Angel
Will H1N1 vaccine be mandatory for all DOD staff, active, Guard and Reserve? Are the criteria for screening before vaccination the same as for seasonal flu
The 2009 H1N1 vaccine is mandatory for all uniformed personnel and high encouraged for all others. Because this vaccine is identical to the seasonal flu vaccine, except for the flu strain in which it protects against, the same screening that is done before seasonal influenza vaccine administration is completed for the 2009 H1N1 vaccine.
Rob
As part of Total Force protection, why doesn't the DoD offer flu vaccine to all civilians and contractos who work side-by-side with Active Duty?
DoD does offer the 2009 H1N1 vaccine for our DoD civilians. However, first priority for vaccine does go to Service Members who are deployed or are deploying, those on ships a float, those in large training venues and health care workers. DoD also offers this vaccine to certain contractors. Because of legal restrictions the vaccine can only be offered to some contractors in deployed settings only.
MAJ Neal, PA-C
To the Group: Do you think that H1N1 vaccine will be a yearly requirement?
It will likely be included in the seasonal vaccine next year.
D.
Is there a DoD wide policy or guidance on when to run a PCR or other definitive test to confirm a diagnosis of H1N1 disease?
Yes, that guidance can be found at www.dod.mil/pandemicflu. As a rule, definitive testing should only be used for hospitalized or high risk individuals. Very limited additional testing may be indicated based on specific operational requirements and for overall surveillance purposes.
Lisa
Our unit (National Guard) has been told that pregnant women will not be given the flu shot. Will the H1N1 shot be given to National Guard pregnant women? If not, Why?
Preganant women should be at the highest priority to receive the flu vaccine. The H1N1 vaccine will certainly be given to pregnant women serving in the Guard.
Patte
I have read through who will receive H1N1 but there is no direct mention of retirees and spouses who have underlying health conditions under 64. What group will they fall into?
Retirees and spouses fall into the initial target group (below). If you receive your medical care at a military treatment facility, contact them to see if they have vaccine available. If not, check with your state medical department for the availability of vaccine in your area.
The target groups for the general population recommended by the ACIP (Advisory Committee on Immunization Practices) which includes retirees and spouses who have underlying health conditions under 64 are:
· pregnant women
· people who live with or care for children younger than 6 months of age
· healthcare and emergency medical services personnel
· persons between the ages of 6 months through 24 years
· people ages 25 through 64 who are at higher risk for NOVEL INFLUENZA A (H1N1) 2009 because of chronic health disorders or compromised immune systems
Linda
I took the mandatory flu vaccination at Fort Irwin about 6 weeks ago - ordered for all soldiers and DOD Army personnel. I haven't recovered completely from that with headaches, runny nose and typical flu symptoms. I am 62 - should I take the H1N1?
It is important to know that you cannot get the flu from the shot. Chances are, you may have had a flu like illness prior to or after being vaccinated against seasonal influenza. We advise that you talk with your healthcare provider about your concerns of potential side effects prior to receiving the H1N1 vaccine. If you are medically cleared by your healthcare provider, we recommend you get the H1N1 vaccine when it becomes available.
Keith
I have noticed that most people I know who have had H1N1 received little if any meds. Why do doctors not do the math to figure out how much meds are required for a certain weight rather than use age as a determiner?
Diane
Will Army and Air National Guard receive their vaccine from their armories and air fields?
Prioritization of immunization, Service policy synchronization and distribution of the 2.7 million doses of DoD-purchased novel A(H1N1) influenza vaccine is based on the established seasonal influenza program model. Army and Air National Guard units will receive their allotment of vaccine in the same manner as they receive and distribute seasonal influenza vaccine.
Shelby
When will the H1N1 vaccine be available at Military Health Clinics for Dependents to receive?
Vaccine for military dependents is being distributed to military treatment facilities through the state distribution programs. Vaccine is shipped as it becomes available, taking into account state allocations and orders. Doses are first being given to high-risk individuals.
Military treatment facilities are receiving the H1N1 vaccine for military dependents as it becomes available. Contact your local military treatment facility to find out if they have vaccine available.
TRICARE beneficiaries can get the H1N1 vaccine from network and non-network providers without paying a deductible or making a co-payment. A temporary waiver allows TRICARE beneficiaries to get the H1N1 immunization from non-network providers without a referral or authorization, eliminating point-of-service charges. Prime enrollees will not be charged a co-payment or cost share. This waiver does not apply to the seasonal flu vaccine.
John
When will H1N1 vaccine be available at our MTF (Robins AFB) for retirees and their families?
Vaccine for military dependents is being distributed to military treatment facilities through the state distribution programs. Vaccine is shipped as it becomes available, taking into account state allocations and orders. Doses are first being given to high-risk individuals.
Military treatment facilities are receiving the H1N1 vaccine for military dependents as it becomes available. Contact your local military treatment facility to find out if they have vaccine available. The number for the immunization clinic at Robins Air Force base is 478-327-7921.
lucy
when can we get the H1N1 shots.
Vaccine is shipped as it becomes available, and larger amounts of vaccine are expected to arrive in the next few weeks. Contact your local military treatment facility or your physician’s office to find out if they have vaccine available.
TRICARE beneficiaries can get the H1N1 vaccine from network and non-network providers without paying a deductible or making a co-payment. A temporary waiver allows TRICARE beneficiaries to get the H1N1 immunization from non-network providers without a referral or authorization, eliminating point-of-service charges. Prime enrollees will not be charged a co-payment or cost share. This waiver does not apply to the seasonal flu vaccine.
Viktoriya
When is the H1N1 vaccine going to be available in RACH Fort Sill, OK for the healthy adults group
Vaccine is shipped as it becomes available, and larger amounts of vaccine are expected to arrive in the next few weeks. It will first be given to those who are at higher risk for influenza complications. Contact your local military treatment facility to find out if they have vaccine available for you. The number for Reynolds Army Community Hospital is (580) 558-2800
Orlando
Will DOD vaccinate with the H1N1 to the retired community? We are all part of the DOD family.
Yes, DoD will vaccinate retired military dependents with the H1N1 vaccine. Vaccine for dependents is shipped to military treatment facilities as it becomes available, and larger amounts of vaccine are expected to arrive in the next few weeks. Vaccine will first be given to those who are at higher risk for influenza complications. Contact your local military treatment facility to find out if they have vaccine available for you.
John
Why isn't there a nasal spray option for the H1N1 novel vaccine like there was for the seasonal flu? I understand Novartis has the contract for swine flu shots both containing mercury. What is the FDA limit on mercury injestion? Servicemembers have a right to know what foreign material is being injected that "May not be effective for eveyone" as the product sheet states. Are service members provided the opportunity to get the vaccine outside a MTF like CVS or family doctor?
There are two kinds of 2009 H1N1 vaccines being produced: a 2009 H1N1 "flu shot" that is given with a needle, usually in the arm; and the 2009 H1N1 intranasal flu vaccine, given via a nasal sprayer. The same manufacturers who produce seasonal flu vaccines are producing 2009 H1N1 vaccines for use in the United States and the vaccines are being made in the same way that the seasonal vaccines are made. Service members will be vaccinated using the DoD supply of injectable vaccine. This vaccine contains thimerosal as a preservative to prevent contamination, and has trace amounts of mercury, less than you would ingest by simply eating a tuna fish sandwich.
TRICARE covers the Seasonal and H1N1 flu vaccines as long as the vaccine is obtained from a TRICARE-authorized provider. A TRICARE-authorized provider is a provider who meets TRICARE's licensing and certification requirements and has been certified by TRICARE to provide care to TRICARE beneficiaries. Please understand that pharmacists are not recognized by TRICARE as authorized providers to administer immunizations.
Debbie
Would like to know if this is the same strain of Swine flu that was going around in 1976. I suppose the vaccination for that so many years ago would not in any way be effective now.
The Novel H1N1 influenza virus is a new strain of flu that emerged this year. There is little evidence of pre-existing immunity from the novel H1N1 virus in people born after 1950, and no evidence of cross-protection from the 2009-10 seasonal influenza vaccine. Only the new H1N1 vaccine will protect you from the novel H1N1 strain.
Amber
Will military members and their dependents have the option for a mercury-free H1N1 vaccine?
The 2009 H1N1 influenza vaccines that the FDA approved are being manufactured in several formulations. Some will come in multi-dose vials and will contain thimerosal as a preservative. Multi-dose vials of seasonal influenza vaccine also contain thimerosal to prevent potential contamination after the vial is opened. The mercury contained in the vaccine is less than you would ingest by eating a tuna fish sandwich. Some 2009 H1N1 influenza vaccines will be available in single-dose units, which do not contain thimerosal as a preservative. In addition, the live-attenuated version of the vaccine, which is administered intranasally (through the nose), is produced in single units and does not contain thimerosal.
wendy
my husband is going to get the h1n1 this weekend on base and i am very worried about it. we have two kids who are 5 and 10, i have 3 chronic pain illnesses and we have a friend of the family living here who is on chemo.. he said the base told him he would be able to spread the swine flu to us for 5 days after he gets the shot?? is the so?? what can we do to protect ourselves if it is. locally there isn’t any way we can get the h1n1 here(base is over a hour away). my doctor doesn’t even know what advice to give me b/c she cant even get her hands on the normal flu shot let alone the h1n1.. i just don’t want us all to get sick... i know me and the family friend on chemo would be the first to get sick b/c we aren’t healthy.. thank you
The viruses in the flu shot are killed (inactivated), so you cannot get the flu or spread the virus from a flu shot. Some minor side effects that could occur are:
- Soreness, redness, or swelling where the shot was given
- Fever (low grade)
- Aches
- Nausea
Keith
I received the H1N1 vaccine via nasal mist in the morning and went to our Occupational Medicine Center to have the seasonal vaccine. I was advised I would be receiving the seasonal vac via nasal as well. I advised them that I was told not to have 2 live virus vaccines via the nasal mist within 28 days of each other. The provider said that the military operates under a different directive than the outside. (I am a paramedic and had attended a train-the-trainer course that morning on how to give the vaccine and received the information from the instructors). I rechecked what the CDC recommends and it clearly states that the two should not be given together via the mist (within 28 days). What is the correct military directive? Thank you.
You can receive other live vaccines in addition to your live intranasal H1N1 vaccine but you should not receive two live intranasal vaccines on the same day. If you have recently received any live vaccines you should wait at least 28 days before receiving the live intranasal H1N1 vaccine. Inactivated influenza vaccines (injectable) do not interfere with the scheduling of live or inactive vaccines.
TSgt
I am 6 months pregnant and ws told by my doctor to get eh H1N1 flu shot without mercury in it. Can you provide more information about this shot and advise if the military will have this available for pregnant members any time soon? If not, where can we go to get this? Thank you TSgt Ryan
Every effort should be made to vaccinate pregnant women with a preservative-free or live-virus vaccine, but vaccination should not be withheld if preservative-free vaccine is not available.
You should stay in contact your local military treatment facility to find out when the vaccine will be available.
michael
can i get the H1N1 Flu Mist and the regular intramuscular seasonal flu vaccine the same day and viceversa? can i get both H1N1 Flu Mist and Seasonal Flu Mist the same day?
Yes, you can receive the H1N1 Flu Mist and the inactivated seasonal influenza vaccine flu vaccine on the same day or vice versa.
No, you cannot receive the H1N1 Flu Mist (live) and the Seasonal Flu Mist (live) on the same day. Additionally, if you have recently received any other injectable live vaccines, you should wait at least 28 days before receiving the live intranasal H1N1or seasonal influenza vaccine.
Mary
I saw on the news last night that uninsured people in major cities are receiving the H1N1 vaccine. Why aren't active duty personnel getting vaccinated? My civilian co-worker down the hall was just diagnosed with the swine flu. Why aren't civilians who pay every month for insurance not getting vaccinated? Am I missing something here? Thank you.
Vaccine is being shipped nationwide to civilian healthcare facilities as it becomes available, and larger amounts of vaccine are expected to arrive in the next few weeks. As vaccine becomes available, all citizens requiring vaccination can receive the H1N1 vaccine.
It is important to note that DoD has implemented a plan to maintain mission readiness of the active duty personnel while ensuring those beneficiaries at greatest risk get vaccinated as soon as possible. DoD has started receiving H1N1 vaccine and distribution of doses has begun. DoD expects more shipments of vaccine to arrive in the coming weeks. It will be enough to satisfy all vaccination requirements for uniformed personnel and military dependents.
Jessica
Why does it seem as though the H1N1 vaccinations are delayed reaching the military medical facilities; as our civilian equals out in town have already received, distributed and have what seems to be a surplus in stock? How is the priority decided? Being military, operational readiness and national defense, are we under the wrong impression that the military community should be first priority? Additionally, seeing how the media is reporting that "twenty-somethings" are the population most heavily effected and given that, that age makes up a bulk of our troops who live in close quarters, and the other half of the community are either pregnant women or very young children, why are we still waiting?
DoD has implemented a plan to maintain mission readiness while ensuring those at greatest risk get vaccinated as soon as possible. DoD has started receiving H1N1 vaccine and distribution of doses has begun. DoD expects more shipments of vaccine to arrive in the coming weeks. It will be enough to satisfy all vaccination requirements for uniformed personnel and military dependents.
For uniformed personnel, vaccine first will be made available to deployed personnel, bases that receive new military accessions, such as basic training installations and the service academies, and all health-care workers assigned to military medical treatment facilities.
Military dependents will receive the vaccine under a separate distribution program managed by Health and Human Services through supplies allocated to states based on population data. This vaccine will be provided to DoD through this system for its enrolled population.
Additionally, TRICARE beneficiaries can get the H1N1 vaccine from network and non-network providers without paying a deductible or making a co-payment. A temporary waiver allows TRICARE beneficiaries to get the H1N1 immunization from non-network providers without a referral or authorization, eliminating point-of-service charges. Prime enrollees will not be charged a co-payment or cost share. This waiver does not apply to the seasonal flu vaccine.
Vaccine is being shipped nationwide as it becomes available, and larger amounts of vaccine are expected to arrive in the next few weeks.
If you are a military dependent, you may contact your local military treatment facility to find out if they have vaccine available.
Vicki
While I keep seeing information about getting the H1N1 vaccine for dependents from civilian providers, no one in Texas has the vaccine. We have no way of knowing when it will arrive or whether military installations are affected by the state distribution. Is there any way to get answers to these questions? Does the late arrival of the vaccine mean that it isn't worth getting? Hasn't exposure already happened? We're being told there will be enough vaccine for everyone, but we were told this about the flu mist, and military facilities in San Antonio ran out of the mist early. If the amount delivered to each clinic isn't enough, is there a way to get more vaccine? The Town Hall meeting is scheduled for late in the afternoon the day before a holiday. This means low turnout is almost guaranteed.
Receiving the H1N1 vaccine is still the best way to protect yourself from getting the H1N1 virus.
Vaccine for military dependents is being distributed to military treatment facilities through the state distribution programs. Vaccine is shipped as it becomes available, taking into account state allocations and orders. Doses are first being given to high-risk individuals.
Contact your local military treatment facility to find out if they have vaccine available.
TRICARE beneficiaries can get the H1N1 vaccine from network and non-network providers without paying a deductible or making a co-payment. A temporary waiver allows TRICARE beneficiaries to get the H1N1 immunization from non-network providers without a referral or authorization, eliminating point-of-service charges. Prime enrollees will not be charged a co-payment or cost share. This waiver does not apply to the seasonal flu vaccine.
Virginia
I am a 69 year old asthmatic. I was vaccinated with the seasonal flu vaccine approximately 3 weeks ago. I am unable to locate the swine flu vaccine in my area. There are hopeful promises.
Vaccine is being shipped nationwide as it becomes available, and larger amounts of vaccine are expected to arrive in the next few weeks.
If you are a military dependent, you may contact your local military treatment facility to find out if they have vaccine available.
Please note that your asthma places you at a higher risk for influenza-related complications. According to DoD policy dated October 30, 2009, available vaccine at a military treatment facility should be provided to any beneficiary wishing to be immunized who has a medical condition that places them at a higher risk for influenza-related complications, regardless of the vaccine source or intended target population. Therefore, you may receive the vaccine at the military treatment facility. (The policy is available as a PDF document at http://www.vaccines.mil/documents/13052009_H1N1_Provision.pdf)
jenn
Why is the h1n1 shot version of the vaccine not available at military
treatment facilities? I have an 11 month old with severe breathing problems, who is considered high risk for complications if he is infected. The MTF does not have the shot version and has no expected date for arrival. Local pediatricians should have the vaccine, and according to TRICARE this shot would be covered under TRICARE prime if received at a network provider. This like many other plans sounds great on paper, but in reality this is not an option as the local doctors are saving the shot for their patients. And since my son is not allowed to see a doctor in town for his PCM he is unable to receive the vaccine he so badly needs. It is sad that our military children get caught in these situations. I'd like to know what is being done to help in this situation.
Vaccine for military dependents is being distributed to military treatment facilities through the state distribution programs which include injectable and mist. Vaccine is shipped as it becomes available, taking into account state allocations and orders. Doses are first being given to high-risk individuals to include your son.
Military treatment facilities are receiving the H1N1 vaccine for military dependents as it becomes available. Continue to stay in touch with your local military treatment facility to find out if they have vaccine available.
Additionally, TRICARE beneficiaries can get the H1N1 vaccine from network and non-network providers without paying a deductible or making a co-payment. A temporary waiver allows TRICARE beneficiaries to get the H1N1 immunization from non-network providers without a referral or authorization, eliminating point-of-service charges. Prime enrollees will not be charged a co-payment or cost share. This waiver does not apply to the seasonal flu vaccine.
Peter
Army retired, age 72 with a rare blood disorder and my spouse and I are
going to the Philippines in January 2010 and we both need the H1Ni vaccine, so when will this vaccine be available.
Vaccine is being shipped nationwide as it becomes available, and larger amounts of vaccine are expected to arrive in the next few weeks.
If you are a military beneficiary, you may contact your local military treatment facility to find out if they have vaccine available.
Please note that your condition may place you at a higher risk for influenza-related complications. According to DoD policy dated October 30, 2009, available vaccine at a military treatment facility should be provided to any beneficiary wishing to be immunized who has a medical condition that places them at a higher risk for influenza-related complications, regardless of the vaccine source or intended target population. (The policy is available as a PDF document at http://www.vaccines.mil/documents/13052009_H1N1_Provision.pdf)
J.W
"When will the H1N1 Vaccine become more readily available. Every time I go to get it there out,,or they say just certain individuals.!!!"
The target groups for the general population recommended by the ACIP (Advisory Committee on Immunization Practices) are:
· pregnant women
· people who live with or care for children younger than 6 months of age
· healthcare and emergency medical services personnel
· persons between the ages of 6 months through 24 years
· people ages 25 through 64 who are at higher risk for NOVEL INFLUENZA A (H1N1) 2009 because of chronic health disorders or compromised immune systems
Vaccine is being shipped nationwide as it becomes available, and larger amounts of vaccine are expected to arrive in the next few weeks.
Continue to stay in touch with your local military treatment facility to find out if they have vaccine available.
Hilda
"The big and obvious question is when are ANG units receiving H1N1?
Army and Air National Guard units will receive their allotment of vaccine in the same manner as they receive and distribute seasonal influenza vaccine. Vaccine is being shipped nationwide as it becomes available, and larger amounts of vaccine are expected to arrive in the next few weeks.
Sam White
Is there mercury present in the vaccine?
The multi-dose vials of injectable vaccine purchased by DoD contains trace amounts of mercury, less than you would ingest by eating a tuna fish sandwich. The vaccine contains thimerosal to preserve it against possible contamination.
TSgt Vincent Bland
What is the status of the shipment to OCONUS?
The military has already started to receive the H1N1 vaccine. Our military treatment facilities (MTFs) have started to receive vaccine intended for non-uniformed beneficiaries through the State distribution system. DoD's deployed forces have received vaccine as well as some DoD beneficiaries living overseas. The vaccine will continue to arrive at DoD healthcare facilities in greater amounts over the next few weeks. Contact your local MTF to find out if they have H1N1 vaccine available.
Justin
When is the military scheduled to get H1N1 vaccinations?
The military has already started to receive the H1N1 vaccine. Our military treatment facilities (MTFs) have started to receive vaccine intended for non-uniformed beneficiaries through the State distribution system. DoD's deployed forces have received vaccine as well as some DoD beneficiaries living overseas. The vaccine will continue to arrive at DoD healthcare facilities in greater amounts over the next few weeks. Contact your local MTF to find out if they have H1N1 vaccine available.
Chris
"Is the H1N1 vaccine going to be available to Reserve Centers, soon?"
The military has already started to receive the H1N1 vaccine. Our military treatment facilities (MTFs) have started to receive vaccine intended for non-uniformed beneficiaries through the State distribution system. DoD's deployed forces have received vaccine as well as some DoD beneficiaries living overseas. The vaccine will continue to arrive at DoD healthcare facilities in greater amounts over the next few weeks. Contact your local MTF to find out if they have H1N1 vaccine available.
David Nee
I understand that different supplies (state vs DoD) of vaccines are for designated people. Is there flexibility in that?
Yes, on a case by case basis.
D.
Since there is a shortage/delay of H1N1 vaccine, why does the DoD policy still recommend giving the vaccine to those with a PCR confirmed diagnosis of H1N1? Shouldn't the doses be saved for those who have no protection/immunity?
There is no definitive test to determine whether infection with the H1N1 virus produces adequate immunity that would allow someone to forgo the vaccination. For this reason, DoD is requiring the vaccination be given regardless of a past exposure to the H1N1 virus, as it is the best way to ensure adequate protection from infection.
Mark Olson
"So far, we've only received H1N1 Nasal Mist vaccine from the state health department...is there any indication as to when the shot will be delivered?"
The military has already started to receive the H1N1 vaccine. Our military treatment facilities (MTFs) have started to receive vaccine intended for non-uniformed beneficiaries through the State distribution system. DoD's deployed forces have received vaccine as well as some DoD beneficiaries living overseas. The vaccine will continue to arrive at DoD healthcare facilities in greater amounts over the next few weeks. Contact your local MTF to find out if they have H1N1 vaccine available.
Nick
Can you explain how the revised DOD pandemic phases relate to the US Gov phases. It appears that US Gov/world are at phase 6 were as NORTHCOM is at phase 1.
DoD is still considered to be in phase 0 worldwide. While the phase concept is still officially in use, it isn't a very practical at this point. The phases were designed to guide preparedness and planning activities based upon a pandemic virus having its origins outside the Western Hemisphere. Now that we are in an execution mode with a novel virus in the United States, there may be better ways to describe response activities.
Rellen
Realizing that the H1N1 vaccine seems to be in such short supply, can we civilians expect that the DoD shall provide vaccines to us as is usually the process here at the AFFTC?
In general, DoD civilians who are not TRICARE beneficiaries should receive their vaccination through State distribution channels.
Vaccine is being shipped nationwide as it becomes available, and larger amounts of vaccine are expected to arrive in the next few weeks. Contact your local Military Treatment Facility to see if vaccinations are being offered to DoD civilians.
Roy
I work as an EMS provider with an MTF. Can I get the nasal spray vaccine?
Yes if it available at your local MTF. The live attenuated flu vaccine spray is approved for people from 2 through 49 years of age, who are not pregnant and do not have certain health conditions.
Patricia
Will the military/government be offering H1N1 vaccines to civilian DoD personnel?
DoD has implemented a plan to maintain mission readiness while ensuring those at greatest risk get vaccinated as soon as possible. DoD has started receiving H1N1 vaccine and distribution of doses has begun. DoD expects more shipments of vaccine to arrive in the coming weeks. It will be enough to satisfy all vaccination requirements for uniformed personnel and military dependents.
For uniformed personnel, vaccine first will be made available to deployed personnel, bases that receive new military accessions, such as basic training installations and the service academies, and all health-care workers assigned to military medical treatment facilities.
Military dependents will receive the vaccine under a separate distribution program managed by Health and Human Services through supplies allocated to states based on population data. This vaccine will be provided to DoD through this system for its enrolled population.
Additionally, TRICARE beneficiaries can get the H1N1 vaccine from network and non-network providers without paying a deductible or making a co-payment. A temporary waiver allows TRICARE beneficiaries to get the H1N1 immunization from non-network providers without a referral or authorization, eliminating point-of-service charges. Prime enrollees will not be charged a co-payment or cost share. This waiver does not apply to the seasonal flu vaccine.
Vaccine is being shipped nationwide as it becomes available, and larger amounts of vaccine are expected to arrive in the next few weeks.
If you are a military dependant you may contact your local military treatment facility to find out if they have vaccine available.
Guest
Why did installations stop testing for H1N1? How will we know if there is an increase in cases that do not require hospitalization?
The Armed Forces Health Surveillance Center concluded case counting, consistent with the Centers for Disease Control & Prevention and the World Health Organization both of whom concluded case counting this past July. The reason being H1N1 is now globally widespread and there are better ways of monitoring the severity and impact of influenza activity such as monitoring influenza-like illness and hospitalizations.
Thomas Shafer
"I'm a retiree, and have been led to believe that I'm high risk because of some health related problems. When can I expect to receive the H1N1 vaccine from my local base?"
Retirees ages 25 through 64 with chronic health disorders or compromised immune systems fall into the initial target group (below) according to the Advisory Committee on Immunization Practice (ACIP).
· pregnant women
· people who live with or care for children younger than 6 months of age
· healthcare and emergency medical services personnel
· persons between the ages of 6 months through 24 years
· people ages 25 through 64 who are at higher risk for NOVEL INFLUENZA A (H1N1) 2009 because of chronic health disorders or compromised immune systems
Vaccine is being shipped nationwide as it becomes available, and larger amounts of vaccine are expected to arrive in the next few weeks.
Our military treatment facilities (MTFs) have started to receive vaccine intended for retirees through the State distribution system. Continue to stay in contact your local MTF to find out if they have H1N1 vaccine available.
Hilda
Since the only true way of verifying that a person has contracted the H1N1 virus (?) is through the nasal swab testing, should that information be provided to the MTF/MDG/Clinic to put in the members medical record?
Any time a military member seeks treatment for a medical issue, a copy of the information should be placed in their medical records
Hilda
Should we still be sending up to NGB/SGPM (Public Health) information regarding anyone stating they've tested positive for H1N1? What kind of documentation (if any) should we ensure is provided for the members medical record?
Any time a military member seeks treatment for a medical issue, a copy of the information should be placed in their medical records
Angel
Is DOD only providing injectable H1N1 vaccine for uniformed personnel, or will both injectable and intranasal formulations be provided?
The vaccine DOD purchased is injectable.
Guest
When is training on H1N1 on the MILVAX site going to available?
We anticipate completing additional influenza specific training offerings in the near future
Kenn
When will the MILVAX site have training for the enlisted medical service members?
We anticipate completing additional influenza specific training offerings in the near future
Maryanne
what is expected of those of us that are pcsing in dec and have children who we'd like to get the h1n1 vaccine and munson army health center is not making it available to us at this time? if 2 doses are required 4 weeks apart, the later the vaccine is made available to this age group (under 2 yo), the less likely it is that my child will be fully vaccinated by the time we pcs. in addition we are pcsing to a location not on or near a military installation so i will have to wait to get TPR approved, locate a network provider and then make an appt to get the shot or wait in mile long line at a free clinic somewhere. just curious how the govt bought millions of doses yet those working for the govt can't get it? what do you suggest people in my boat do? thank you very much.
All DoD beneficiaries are eligible to receive the H1N1 vaccine based on availability at their managed care organization. Unfortunately, some people, including those like you who are PCSing in December may not be able to get the vaccine (or complete the series) prior to departing. The CDC has determined that the first dose of H1N1 vaccine confers 95% protection, so it’s important to get that shot even if you’ll depart before it’s time for the second. According to the CDC, if the second dose is separated from the first dose by at least 21 days, it can be considered valid. If you will not be near a military clinic after PCS, you’ll unfortunately have to get the vaccination from a civilian provider. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5839a3.htm
ANITA
As a DAC should I be advised of those within the working organization that has been identified as having the H1N1 flu. My specific complaint is that I was required to watch the H1N! video which stated that hand sanitizer would be issued. Hand sanitizer has been provided in the restrooms. I requested thru supply channels and was denied the order. I wanted to place them in the office areas around the copier and fax machines that are used by the directorate personnel and others that visit the directorates to prevent the spread. Apparently information is provided but not followed.
A specific diagnosis of H1N1 flu is generally not made until days or weeks after a person has already recovered from the illness, so it is not possible to identify people while they’re sick. Also, the CDC and the Army recommend that people ill with flu-like symptoms stay home.
Regarding the use of waterless hand sanitizers: the CDC Guidance for Businesses and Employers to Plan and Respond to the 2009 - 2010 Influenza Season, states: “Influenza may be spread via contaminated hands. Instruct employees to wash their hands often with soap and water or use an alcohol-based hand cleaner, especially after coughing or sneezing. Provide soap and water and alcohol-based hand sanitizers in the workplace. Ensure that adequate supplies are maintained. If feasible, place hand sanitizers in multiple locations or in conference rooms to encourage hand hygiene”.
Preventive medicine measures (to include the proper use of waterless hand sanitizers both in the home and in the workplace) are instrumental in preventing/controlling the spread of this infectious disease. This in turn affects mission readiness/accomplishment by reducing disease transmission and subsequent disease infection and absenteeism. Based on CDC and DoD guidelines it is recommended that hand sanitizers be placed in areas of common use such as around copier and fax machines. Army units are currently using appropriated funds to purchase alcohol-based hand sanitizers for common use areas.
BOTTOM LINE: We believe that the purchase of hand sanitizers is a valid mission-essential expenditure, and you should re-submit the purchase request.
Valerie
Why did the pediatrician tell me on Friday that David Grant doesn't care where the vaccines come from, none will be given to dependents before all active duty are vaccinated and I needed to go to a public health clinic if I wanted to vaccinate my kids - one of which has asthma?
According to DoD policy dated October 30, 2009, available vaccine at a military treatment facility should be provided to any beneficiary wishing to be immunized who has a medical condition that places them at a higher risk for influenza-related complications, including asthma, regardless of the vaccine source or intended target population. Therefore your child with asthma may receive the vaccine at the military treatment facility. (The policy is available as a PDF document at http://www.vaccines.mil/documents/13052009_H1N1_Provision.pdf)
Your other children, assuming they are not at high risk for influenza-related complications, are still entitled to receive the vaccine at the military treatment facility if the facility has vaccine available that is designated for military dependents.
Glenn
I am 79yrs old and my wife is 81yrs old and both of us have heart problems. We have took the regular flu Shot. When are we going to take the H1N1 shot. Tripler is my hospital and they do not. We have great grand children living with us, I would rather have it and die then give it to my great grand childen.
Vaccine is shipped as it becomes available, and larger amounts of vaccine are expected to arrive in the next few weeks. Contact your local military treatment facility to find out if they have vaccine available. The number for the Tripler Information Center is 808-433-2778 ext 11
Please note that your heart conditions place you and your wife at a higher risk for influenza-related complications. According to DoD policy dated October 30, 2009, available vaccine at a military treatment facility should be provided to any beneficiary wishing to be immunized who has a medical condition that places them at a higher risk for influenza-related complications, regardless of the vaccine source or intended target population. Therefore you may receive the vaccine at the military treatment facility . (The policy is available as a PDF document at http://www.vaccines.mil/documents/13052009_H1N1_Provision.pdf)
No name given
As a TRICARE For Life beneficiary, how do I get the H1N1 vaccine?
Remember, Medicare is your primary coverage plan and will pay for one or more administrations of the H1N1 vaccine (but, not the H1N1 vaccine itself if it's supplied to providers free of charge). You can't bypass Medicare rules for H1N1.
Medicare pays up to the Medicare allowable amount for the vaccine for services provided by a Medicare-certified provider. If needed, TRICARE pays as second payer as long as a Medicare-certified/TRICARE-authorized provider gives you the vaccine.