Flu Shot Fiasco, Critical Incident Report
Medical Authors and Editors: Barbara K. Hecht,
Frederick Hecht, M.D.
October 13, 2004 -- Now that the flu shot fiasco is upon us, the CDC (US Centers for Disease Control
& Prevention) is doing quite a job. It is taking
charge of the situation.
The List of Eight
Upon learning of the shortage, CDC
promptly recited the List of Eight -- the eight groups of people who had already
been granted high priority to receive the flu vaccine.
The List of Eight is made up of two geriatric groups, a chronic disease
contingent, two groups of kids, women heavy with child, and two groups of
caregivers. The List of Eight, as set forth by the CDC, consisted of:
- adults aged 65 years and older,
- residents of nursing homes and long-term care
- persons aged 2-64 years with underlying chronic
- all children aged 6-23 months,
- children 6 months-18 years of age on chronic aspirin
- all women who will be pregnant during influenza
- healthcare workers with direct patient care, and
- out-of-home caregivers and
household contacts of children aged <6 months.
We would add at least one other group, namely people who are
immunosuppressed. Anyone who is immunocompromised by chemotherapy or extensive
radiation therapy or by a disease should clearly receive priority for the
killed-virus flu vaccine.