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    Immunization Branch
    Central Office
    1100 West 49th Street
    Austin, Texas 78756

    Phone: (512) 776-3711
    Fax: (512) 458-7288

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Focused Administration of Vaccine and Prophylactic Medications [ Page 3 ]

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Immunization Branch

logo: Vaccines Build your child's health
Immunization Branch

ADVANCE PLANNING

General Population Assessment

During an actual event the high-risk category would also include persons exposed to the initial release. Face to face contacts of cases, household, or close contacts may be considered high-risk depending on the scope of response as determined by technical staff investigating the outbreak. All residents may be at risk depending on the biological or chemical agent used. For this scenario, general population estimates should be used to determine vaccine/prophylactic medication requirements by proposed clinic site. These estimates should be recorded in advance for each clinic site (see figures 2 and 3). These estimates may differ throughout the year if an area has large transient populations (e.g. university students, seasonal workers). Since some of these fluctuations are predictable, they should be considered in the plan's estimates.

Agencies should plan for a high percentage of persons to attend clinic due to "fear factor". (Those from outlying or bordering areas will possibly replace the number of people in a community that choose not to attend clinic). Plans should also consider distribution procedures in the presence of severe vaccine/prophylactic medication shortages, moderate shortages, and in the presence of no shortage.

III. Clinic Site Selection and Design

Determine non-hospital locations where vaccine and/or prophylactic medications could be administered for case contacts and large numbers of the general public. Visit proposed sites before making final selections. For each site selected prepare the following:

  • Written plan for physical layout
  • Clinic information sheet (see figure 2)
  • Clinic site selection criteria sheet (see figure 4)

Schools are the preferred location for any clinic larger than can be held in the local health department. Schools have parking lots, long corridors, large classrooms, cafeterias, private offices, and other immediately available resources such as tables, chairs, restrooms, and offer an ideal physical structure that can meet most clinics needs. Enclosed sports arenas and other facilities at universities should be considered. Also, local employers may offer sites to vaccinate staff and family members.

Figure 4. Clinic Site Selection Criteria

Clinic Site Selection Criteria Sheet
Clinic Name:
Selection Criteria
  Protected from weather; adequate climate control (heating and air conditioning)
  Adequate space for large crowds, intake, briefing, screening, vaccine or prophylaxis administration, and medical emergencies. There should be space enough to contain long lines inside. The site should be large enough to handle the target population with "room to spare".
  Adequate power sources for equipment and hygiene for workers and public; access to water and electricity
  Familiar and accessible to the public
  Adequate parking and/or public transportation
  Storage for large amounts of supplies and biohazardous waste
  Refrigeration as indicated for storage of vaccine/prophylactic medication
  Adequate restrooms/space for portable restrooms if necessary
  Accommodation available for special needs (e.g. wheelchairs)
  Communication including telephone and FAX
  Secure or can be made secure with adequate law enforcement personnel

Station set-up
Prophylaxis/Vaccination Clinic Model

Pre-Screening

Highly trained volunteers or clinical staff observe clients as they arrive at the client to screen for obvious signs of illness. Standard precautions (protective gear, etc.) should be followed in accordance with EMS and HAZMAT guidelines. Those with illness and symptoms are directed IMMEDIATELY to the Sick Station.

Initial Screening

Establish eligibility to receive vaccine/prophylactic medication. Review address, identification, referrals, or any information needed to determine eligibility.

Triage Station

First point of entry for clients who need administration of vaccine/prophylactic medication. Separate and direct clients to the appropriate station according to the following:

  • Those who are pregnant females (Pregnant Station)
  • Those who are "well" males and females (Interpretation Station)
  • Those with documentation of previous prophylaxis/vaccination (Refer out of receiving line to Problem Station)
  • Distribute Information Statements to those receiving vaccine/prophylactic medication.
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Last updated December 13, 2010