Influenza - H1N1
Novel A (H1N1) Influenza

Novel A (H1N1) influenza is a new flu virus of swine origin that first caused illness in Mexico and the United States in March and April, 2009. It is thought that the H1N1 virus spreads in the same way that regular seasonal influenza viruses spread, through the coughs and sneezes of people who are sick with the virus, and by touching infected objects and then touching your nose or mouth.   H1N1 infection has been reported to cause a wide range of flu-like symptoms, including fever, cough, sore throat, body aches, headache, chills and fatigue.  The estimated incubation period could range from 1 to 7 days, although the incubation period for most cases will likely range from 1 to 4 days.   A summary of clinical features has been published by the WHO (Wkly Epi Rec 2009; 84:185-189).   Information on hospitalized cases in the US can be found at (MMWR 2009; 58(17):453-458 and MMWR 2009: 58(19): 536-541), while data concerning disease in pregnant woman due to the H1N1 virus is referenced at (MMWR 2009; 58(18)497-500).
 
With the H1N1 virus continuing to cause illness, hospitalizations, and deaths in the US during the normally flu-free summer months and some uncertainty about what the upcoming flu season might bring, the DoD along with the DHHS have taken important planning steps in preparation for an H1N1 vaccination effort to counter a possibly severe upcoming flu season.  Vaccines are the best tool we have to prevent influenza.  

NAVADMIN PDF 03 Dec 09
H1N1 ORDER TO ACCOUNT
MARADMIN PDF 20 Nov 09
GUIDANCE FOR ACTIVE AND RESERVE MARINE FORCES ON ADMINISTERING NOVEL H1N1 INFLUENZA VACCINE FOR 2009-2010
OPNAV PDF 09 Nov 09
H1N1 VACCINE PRIORITIZATION, INTEGRITY, AND REPORTING
BUMED PDF 06 Nov 09
CLARIFICATION OF PRIORITIZATION OF NOVARTIS VACCINE ADMINISTRATION AND POLICY FOR THE ORDERING OF SANOFI-PASTEUR H1N1 INFLUENZA
BUMED PDF 23 Oct 09
POLICY FOR USE OF NOVEL H1N1 INFLUENZA NOVARTIS VACCINE FOR 2009-2010
BUMED PDF 13 Oct 09
UPDATE ON NOVEL H1N1 INFLUENZA VACCINE FOR 2009-2010
BUMED PDF 15 Sep 09
INITIAL POLICY FOR THE USE OF NOVEL H1N1 INFLUENZA VACCINE FOR 2009-2010
27 Oct 09

Sample Q&A: Policy and Management

How will the H1N1 vaccine be distributed?

Vaccine for operational forces will come from the Defense Supply Center Philadelphia (DSCP), and will be distributed following the seasonal influenza vaccine model. Operational forces will only receive the Novartis injectable vaccine.

For OCONUS dependents and retirees, vaccine will be supplied according to the seasonal influenza vaccine distribution model. Sanofi Pasteur Injectable multi-dose vials will be distributed to military treatment facilities overseas.

For CONUS beneficiaries (including Alaska and Hawaii) military treatment facility (MTF) commanders, in coordination with installation public health emergency officers (PHEOs), will register through their respective states as an immunizer to vaccinate dependents and retirees. The state, in turn, will submit this request to the CDC. The CDC will supply vaccine to the state. The state will coordinate with the vaccine distributor and the installation to have the vaccine delivered to the MTF. Beneficiaries will receive the CSL Biotherapies, Sanofi Pasteur, or MedImmune vaccine.

Within the civilian community, there will be multiple sites offering vaccine. DoD civilians and contractors are encouraged to seek vaccine through non-DoD sources when available as this will likely result in quicker access to vaccine. (http://www.cdc.gov/h1n1flu/vaccination/statecontacts.htm).

H1N1 vaccinations should begin immediately upon receipt of H1N1 influenza vaccine to protect individuals at risk from developing influenza or its complications. All Services will follow Service–specific implementation guidelines.

 

Recommendations of the Advisory Committee on Immunization Practices (ACIP)
Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2009
Information Paper
Department of Health and Human Services
Special Report - H1N1 Flu: What You Should Know
Flu.gov - One-stop access to U.S. Government H1N1, avian and pandemic flu information
FDA 2009 H1N1 (Swine) Flu Page
H1N1 Flu Outbreak (previously known as Swine Flu)
MILVAX Webcast by COL Wayne Hachey, 20 Jan 2010
Novel A(H1N1) Influenza
Center for Health Promotion and Preventive Medicine
Video: FLUFACTS H1N1FLUFACTS H1N1 (1:29) 06 May 11
Presented by At Ease
VIS
Author(s): Salmon D, Akhtar A, Mergler M, Vannice K, Izurieta H, Lee G, Vellozzi, Garman P, Cunningham F, Gellin B, Koh H, Lurie N, H1N1 Working Group
Publication: Pediatrics
Subject: Vaccine-Safety
Disease: Influenza - H1N1
Author(s): Takacs CW, Duffy MR, Macias EA, Gibbons TF, Escobar JD, Burwell KN, Knight KK
Publication: American Journal of Preventive Medicine
Subject: Disease
Disease: Influenza - H1N1
Author(s): Obama, B
Publication: Press Release
Subject: Disease
Disease: Influenza - H1N1
Author(s): Blackwell JK
Publication: U.S. Army Command and General Staff College
Subject: Disease
Disease: Influenza - H1N1