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 <subject>Health centers</subject>
 <subject>Health hazards</subject>
 <subject>Elderly persons</subject>
 <subject>Immunization programs</subject>
 <subject>Immunization services</subject>
 <subject>Swine influenza</subject>
 <subject>Oregon</subject>
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<titleInfo>
 <title>Flu Vaccine: Steps Are Needed to Better Prepare for Possible Future Shortages</title>
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<abstract>Until the 2001 flu season, the production and distribution of
influenza vaccine generally occurred without major difficulties. 
Last year, however, several people reported that they wanted but 
could not get flu shots. In addition, physicians and public	 
health departments could not provide shots to high-risk patients 
in their medical offices and clinics because they had not	 
received vaccine they ordered many months in advance, or because 
they were being asked to pay much higher prices for vaccine in	 
order to get it right away. At the same time, there were reports 
that providers in other locations, even grocery stores and	 
restaurants, were offering flu shots to everyone--including	 
younger, healthier people who were not at high risk. This	 
testimony discusses issues relating to the delays in production, 
distribution, and pricing of the 2000-2001 flu vaccine. GAO found
that manufacturing difficulties during the 2000-2001 flu season  
resulted in an overall delay of about six to eight weeks in	 
shipping vaccine to most customers. This delay created an initial
shortage and temporary price spikes. Furthermore, there is no	 
system currently in place to ensure that high-risk people have	 
priority for receiving flu shots when supply is short. Because	 
purchase of the vaccine is mainly done in the private sector,	 
federal actions to help mitigate any adverse effects of vaccine  
delays or shortages need to rely to a great extent on		 
collaboration between the public and private sectors.</abstract>
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<note>Testimony</note>
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 <topic>Health hazards</topic>
 <topic>Elderly persons</topic>
 <topic>Immunization programs</topic>
 <topic>Immunization services</topic>
 <topic>Swine influenza</topic>
 <topic>Oregon</topic>
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