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 <subject>Immunization services</subject>
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 <subject>Prices and pricing</subject>
 <subject>Swine influenza</subject>
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<titleInfo>
 <title>Flu Vaccine: Supply Problems Heighten Need to Ensure Access for High-Risk People</title>
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<abstract>Until the 2000-2001 flu season, production and distribution of
flu vaccine generally occurred without major difficulties. The	 
fall of 2000, however, produced many stories about delays in	 
obtaining flu vaccines. GAO reviewed (1) the circumstances that  
contributed to the delay and the effects the delay had on prices 
paid for vaccine, (2) how effectively current distribution	 
channels ensure that high-risk populations receive vaccine on a  
priority basis, and (3) what the federal government is doing to  
better prepare for possible disruptions of influenza vaccine	 
supply. GAO found that manufacturing difficulties resulted in an 
overall delay of about 6-8 weeks in shipping vaccine to most	 
customers and a temporary price spike. Manufacturers experienced 
unprecedented problems growing a new viral strain, while 2 of 4  
manufacturers halted production--one permanently--to address	 
safety and quality control concerns. There is currently no system
to ensure that high-risk patients have priority when the supply  
of vaccine is short. While the federal government has no direct  
control over how influenza vaccine is purchased and distributed  
by the private sector and state and local governments, the	 
Department of Health and Human Services (HHS) has several	 
initiatives underway to help mitigate the adverse effects of	 
future influenza vaccine shortages and delays. For example, the  
Centers for Disease Control and Prevention (CDC) revised	 
guidelines to extend the recommended timeframe for receiving	 
immunizations, and is helping to bring together manufacturers,	 
distributors, providers, and others in the private and public	 
sectors to explore ways to improve distribution to high-risk	 
individuals.</abstract>
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 <topic>Immunization services</topic>
 <topic>Medical supplies</topic>
 <topic>Prices and pricing</topic>
 <topic>Swine influenza</topic>
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