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Adult H1N1 and Seasonal Flu Vaccine Update
– Revised 12/07/09
Adult Seasonal Flu Vaccine
The RI Health Department does not expect to receive additional seasonal flu vaccine to release to physician offices. Our Adult Medicine offices in Lincoln, Providence and Warwick are out of seasonal flu vaccine and we do not expect to receive additional shipments.
Information regarding public flu clinics (if available) may be found @ www.health.state.ri.usor www.projo.com/news/flu/clinics/
Adult H1N1 Vaccine
Our Adult Medicine offices in Lincoln, Providence and Warwick do not expect to receive H1N1 vaccine until January. We will schedule appointments for H1N1 vaccine when the vaccine has been delivered to us. Please continue to check our website for future updates on vaccine availability.
Please refer to the following information from the RI Department of Health regarding the anticipated availability of H1N1 vaccine for specific populations:
Information obtained from: www.health.ri.gov/flu/about/vaccination/
The Department of Health will continue receiving shipments of H1N1 vaccine throughout this flu season. CDC indicates that Rhode Island is estimated to receive more than 600,000 doses of H1N1 vaccine by the end of the flu season. Our goal is to vaccinate children and pregnant women first because they are two of the most vulnerable populations. We have planned for different populations to receive H1N1 vaccinations in specific locations so that the most people can be vaccinated in the least amount of time. Based on the type and timing of vaccine deliveries from the federal government, the information below may change.
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Population Pregnant women |
Vaccination Location Birthing hospitals, OB/GYNs, midwives |
Estimated Start Date Mid October |
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Children (6 months through 5 years)* |
Pediatricians, family practitioners |
Mid October |
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School-age children (K-12; public, private, parochial and home schooled)* |
School-based clinics |
Early November |
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Post-partum women up to 6 months post-partum |
Birthing hospitals, Prenatal care provider offices |
Mid November |
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Young adults (age 19 through 24) |
University / college-based clinics, public clinics |
December |
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Healthcare workers and first responders with direct patient care |
Healthcare Service Region (HSR) hospital-run clinics |
December/ January |
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Household contacts / caregivers of infants younger than 6 months |
Provider offices, public clinics |
January |
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Adults (age 25 through 64) with underlying medical conditions |
Provider offices, public clinics |
January |
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Seniors (age 65+) |
Public clinics |
January |
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Healthy adults (age 25 through 64) |
Public clinics |
January |
The Department of Health noted that almost all of the influenza illness occurring in Rhode Island right now is due to H1N1, not to seasonal flu.We encourage our patients to receive the H1N1 vaccine once it becomes available to them.
Pediatric H1N1 and Seasonal Flu Vaccine Update
– Revised 12/07/09
H1N1 Vaccine
· H1N1 vaccine may be given at the same time as seasonal flu vaccine. However, two live nasal vaccines may not be given at the same time. If your child is able to receive live nasal vaccine (see screening criteria below), they may receive 1 live nasal (H1N1 or seasonal) and 1 injectable (H1N1 or seasonal) vaccine at the same time.
· Children under the age of 10 years will need 2 doses of H1N1 vaccine administered at least 4 weeks apart.
Appointment Availability for H1N1 Vaccine
· Children age 6 months – 5 years:
Ø Dose # 1 - If your child has an office visit scheduled with one of our providers in December they may receive the vaccine at that visit. If not, please call our office to schedule an appointment for one of our December flu clinics.
Ø Dose # 2 –The Health Department is not planning to release additional H1N1 vaccine for 2nd doses until the majority of children in the state have received their 1st dose. We will contact our patients when H1N1 vaccine has been delivered to us for 2nd doses. We don’t expect to receive vaccine for 2nd doses until sometime in January.
· Children age 6 – 18 years:
Ø School age children should receive H1N1 vaccine at their school clinics. Our providers urge parents to allow their children to be vaccinated at the schools. H1N1 is widespread in the region and children should receive the vaccine at the first opportunity - that will be at the school clinics!
Ø If your child missed the clinic at their school, please call our office and we will place your child’s name on our waiting list. We do not expect to receive additional H1N1 vaccine until late December or January.
· Age19 yrs and older:
Ø H1N1 vaccine for adults will be available at college and public flu clinics. Check the Health Department website for clinic information @ www.health.state.ri.us
Ø We do not expect to receive H1N1 vaccine for our adult patients until late January.
Seasonal Flu Vaccine
· Seasonal flu vaccine may be given at the same time as H1N1 vaccine. However, two live nasal vaccines may not be given at the same time. If your child is able to receive live nasal vaccine (see screening criteria below), they may receive 1 live nasal (H1N1 or seasonal) and 1 injectable (H1N1 or seasonal) vaccine at the same time.
· Children under the age of 9 years who are receiving seasonal flu vaccine for the first time this season or who were vaccinated last season for the 1st time and only received 1 dose of vaccine should receive 2 doses this year, administered at least 4 weeks apart.
Appointment Availability for Seasonal Flu Vaccine
· Children age 6 months – 5 years: If your child has an office visit scheduled with one of our providers in December or January they may receive the vaccine at that visit.
If not, please call our office to schedule an appointment for one of our December or January flu clinics.
· Children age 6 years and older: If your child has an office visit scheduled with one of our providers in December or January they may receive the vaccine at that visit.
If not, please call our office to schedule an appointment for one of our January flu clinics
Screening for FluMist or H1N1 nasal spray live vaccines:
Note: FluMist and H1N1 nasal spray are live vaccines and not appropriate for all patients.
Patients who need injectable vaccine (not live nasal spray) include:
· Patients under age 2 years or over 50 years old
· Children and adolescents on chronic aspirin therapy
· Patients with severe asthma with active wheezing
· Patients under age 5 with a history of asthma
· Patients with a history of anaphylactic reaction to eggs, gentamicin, gelatin, arginine or previous influenza vaccinations
· Patients with a history of Guillain-Barré syndrome
· Patients with an immunosuppressive disease or therapy
· Patients with a neuromuscular disorder with swallowing issues
· Patients with diabetes, renal failure, heart or lung disease
· Women who are pregnant
Patients age 5 and older with a history of asthma may receive live vaccine if they have not needed to use inhalers for their asthma within the past 2 years.
Delay vaccination with live vaccine for patients with:
· Fever or moderate or severe respiratory illness within 72 hours
· Antiviral treatment within 48 hours
· Other Live virus vaccine received within 4 weeks
Helpful resources:
RI Department of Health Website: www.health.state.ri.us
School-based flu clinic schedule: http://www.health.state.ri.us/flu/about/schoolh1n1clinics/index.php
School-based flu clinic consent form sent to parents: http://www.health.state.ri.us/news/H1N1Advisories/H1N1SchoolVaccinationConsentMaterials.pdf
FAQ that the Health Dept distributed to parents re: the H1N1 school-based clinics:
Please continue to visit our website for future updates!
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