H1N1 vaccine

[CapeCodMermaid, RN]

I've seen a curious lack of talk of the H1N1 vaccine on here. I've just received my 100 doses. Are you giving the vaccine to all your staff and residents?

[Nascar nurse, ASN, RN]

In November I was only able to obtain the vaccine thru the local health department. They would only allow me vaccine for those staff that wanted it and would not give me any for the residents. I did finally beg enough that they allowed 3 doses for our "young" MS patients (these specific residents or their family had come to me with special request).

Only 25% of the staff signed up to receive the vaccine.

I suppose now I could probably obtain for the residents as well, but there has been no real interest from the residents or their family members. And, the whole H1N1 hoopla as seemed to die down in this area. Haven't heard of anyone or even anyone who knows someone with the virus in over 6-8 weeks.

[CapeCodMermaid, RN]

I signed up in the summer for the H1N1....I'm not that worried about it now. The docs aren't even convinced that the old people should get the vaccine.

[mizfradd, CNA]

health dept.'s throughout the nation now have more of the h1n1 vaccines in supply than other medical facilities.

at first, adults were thought to need 2 doses, but that protocol was changed to one dose for adults & is still 2 doses for children.

female adults are always asked if they're sure they are not pregnant before administering the live h1n1. (intranasal mist).

all pregnant women are strongly encouraged to receive h1n1 vaccine. (inactivated injection.)

the inclusion/exclusion criteria listed below do seem to contradict the previous sentence, imo.

i realize it is an ongoing trial, but many hcw's question it also.

here is more info. on h1n1 ongoing clinical trials collecting data on a 2 dose adult protocol, from a division of the u.s. national institute of health:

http://clinicaltrials.gov/ct2/show/nct00943631

"these data indicate the need to develop vaccines against the new h1n1 strain and suggest that different vaccine strategies (e.g., number of doses, need for adjuvant) may be appropriate for persons in different age groups."

inclusion criteria:

"women of child-bearing potential (not surgically sterile via tubal ligation, bilateral oophorectomy or hysterectomy or who are not postmenopausal for greater than or equal to 1 year) must agree to practice adequate contraception that may include, but is not limited to, abstinence, monogamous relationship with vasectomized partner, barrier methods such as condoms, diaphragms, spermicides, intrauterine devices, and licensed hormonal methods during the study for at least 30 days following the last vaccination."

exclusion criteria:

have a positive urine or serum pregnancy test within 24 hours prior to vaccination (if female of childbearing potential), or women who are breastfeeding.

[Nascar nurse, ASN, RN]

Yep, same here.