Pandemic Influenza Plan - Questar III

Section 7: Antiviral Medication Procurement, Distribution, and Use
• Communicate updates in the guidelines for appropriate use of antivirals as
the pandemic continues.
• Continue to work with health care providers to ensure appropriate use of
antivirals in the medical management of early cases and contacts.
• Assist hospitals in implementing procedures for early detection and
treatment of influenza in health care workers (see Section 4: Infection
Control).
Local Health Departments:
• Activate plans for distributing and administering antivirals to persons in
priority groups.
• Distribute and deliver stockpiled supplies of antiviral, as appropriate to
delivery sites that will administer them to priority groups.
• Communicate updates in the guidelines for appropriate use of antivirals as
the pandemic continues.
• Continue to work with health care providers to ensure appropriate use of
antivirals in the medical management of early cases and contacts.
Healthcare Partners:
• Limit the use of antivirals when the pandemic becomes more widespread
to treat those who are at the highest risk of severe illness and death and to
preserve the delivery of health care services and other essential critical
services through early treatment and limited prophylaxis.
• After vaccine becomes available use antivirals for those that may not have
an optimal response to the vaccine or for whom the vaccine is
contraindicated.
• Target prophylaxis to priority groups.
3. Antiviral Medication Acquisitions and Distribution
See Appendix 6-C.
4. Antiviral Medication Safety
Interpandemic and Pandemic Alert Periods
State Health Department:
• Work with CDC to plan for the capability to monitor drug susceptibility of
the pandemic strain and monitor change over time.
• Plan for the use of an IND protocol with a potential requirement to do
active surveillance for all those receiving antiviral medication.
• Plan for antiviral effectiveness and resistance studies and laboratory
capacity.
• Establish an antiviral adverse event monitoring system.
• Appoint a physician to be the Adverse Event Coordinator for NYS.
February 7, 2006 7-16