Archive for the ‘Immunization’ Category

Should pharmacists immunize?

Friday, August 21st, 2009

A number of pharmacists commented on my blog the other day about novel H1N1 influenza immunizations. Thanks to all of you who responded. This is a great way to have a dialogue with colleagues.

Some of the comments questioned whether pharmacists should immunize in the first place. Let me address a few of the points made to provide some clarity. Pharmacists are not generally “forced” to immunize. However, many pharmacists (80,000 trained in the US by year’s end using APhA programs) have seen both the public health and the professional benefits offered by this service.

In APhA’s discussions with the various governmental entities (CDC, Homeland Security, FDA, others) involved in preparations for H1N1 immunizations, we are seen as equals with other health professionals and also as having tremendous advantages in providing access to the 100 million plus (big number) of Americans who those groups hope will be immunized against H1N1. America needs our help — else the mass immunization program will have barriers that turn people away and people may die.

To answer the question above regarding compensation, see my note above about being seen as equals. This will not be a windfall for any health care providers, but it is an opportunity to bolster our collaborative spirit and to be fairly compensated in the process.

Let’s keep the dialogue going. If you are a pharmacist doubtful of the need or wisdom to become an immunizer, have a conversation with a few folks who already provide this service before dismissing it as a possibility for yourself. As always, thanks for participating in the blog.

Pharmacists are a critical part of vaccine pharmacovigilance

Wednesday, August 19th, 2009

A study from today’s JAMA, while not directed at pharmacists, illustrates our important role not only as immunizers but as information sources for our patients and the public at large. The JAMA article points out that during the first couple of years of marketing of Merck’s quadrivalent human papillomavirus recombinant vaccine (Gardasil), more than 12,000 adverse events (including 32 deaths and numerous other serious adverse events) were reported to the CDC’s Vaccine Adverse Event Reporting System (VAERS) . Based on 23 million administrations of the vaccine since its licensure, this comes out to a rate of 53.9 reports per 100,000 doses distributed, a level that led CDC and FDA to conclude that the vaccine is safe and continued use is in the best interests of Americans.

I see this as a good time to remind immunizing pharmacists of our role as patient information providers. APhA has been promoting and educating pharmacists as immunizers for years. We also maintain the most up to date information on www.pharmacist.com and via the Immunization Listserve. If you are not currently on the list, you can send Mitch Rothholz an email and you will be included.

We also have an important role to play in making sure that our nation’s health authorities have adequate information on which to base their decisions. Without that, the products that we supply and administer to our patients could be the wrong ones, and our long-term credibility as the drug experts on the health care team would be in jeopardy. Be sure you are doing all you can to help your patients and your professional colleagues to contribute to our databases that are so important in pharmacovigilance efforts.

If you want to immunize with novel H1N1 vaccine, read this…

Wednesday, August 12th, 2009

If you are a community pharmacy pracititioner interested in providing novel H1N1 vaccine to your patients this fall, you should advise your local public health office now of your interest.  APhA recently surveyed our members and determined a high interest, which validated our place with public health. We are working with Department of Homeland Security, NACDS, the Association of State and Territorial Health Officers, Centers for Disease Control and Prevention, National Alliance of State Pharmacy Associations, NCPA, and other immunization stakeholders.  We are developing streamlined systems for pharmacy’s involvement.  Please monitor www.pharmacist.com for updates.

Novel H1N1 influenza immunization: Your important role

Friday, July 31st, 2009

We are hearing more and more about the significant impact that H1N1 influenza could have on our population as schools across the nation begin new terms in the next few days and weeks.  We know that this particular strain can affect even the healthiest young people—in fact, this group is affected more frequently than the elderly that we more commonly think about for seasonal influenza. The number of “candidates” for immunization this fall will exceed 100 million.  We know through APhA immunization programs that about 80,000 pharmacists have been trained to administer immunizations. We also know that four manufacturers are gearing up to produce sufficient supplies of H1N1 vaccine. CDC and FDA do not yet know whether one or two H1N1 administrations will be required, but in any case, the stress for access will be significant.

Our team is meeting with CDC to determine the best ways to help meet the pandemic issues we will face with respect to novel H1N1 influenza. Meanwhile, if you are an immunizing pharmacist, please consider how you can help. If you are not yet trained, consider getting trained through your schools, state associations, or other certificate programs. Let’s get ready to show the world how pharmacists can make a difference!