摘要：Objectives. To assess how US Public Health Emergency Preparedness (PHEP) awardees plan to respond to an influenza pandemic with vaccination. Methods. The Centers for Disease Control and Prevention developed the Pandemic Influenza Readiness Assessment, an online survey sent to PHEP directors, to analyze, in part, the readiness of PHEP awardees to vaccinate 80% of the populations of their jurisdictions with 2 doses of pandemic influenza vaccine, separated by 21 days, within 16 weeks of vaccine availability. Results. Thirty-eight of 60 (63.3%) awardees reported being able to vaccinate their populations within 16 weeks; 38 (63.3%) planned to allocate more than 20% of their pandemic vaccine supply to points of dispensing (PODs). Thirty-four of 58 (58.6%) reported staffing as a challenge to vaccinating 80% of their populations; 28 of 60 (46.7%) reported preparedness workforce decreases, and 22 (36.7%) reported immunization workforce decreases between January 2012 and July 2015. Conclusions. Awardees relied on PODs to vaccinate segments of their jurisdictions despite workforce decreases. Planners must ensure readiness for POD sites to vaccinate, but should also leverage complementary sites and providers to augment public health response. The detection of avian influenza in birds in the United States and abroad 1 is an important reminder of the need for vigilance in preparing for the next influenza pandemic. A well-matched vaccine will likely offer the best protection against a novel influenza virus and serve as a key component of a pandemic mitigation effort. In the event of a severe influenza pandemic, 2 pandemic influenza vaccine doses separated by 21 days may be required for all age groups for optimal immune response to the vaccination and maximal protection from infection. 2 State and local public health programs will be responsible for vaccine distribution and administration. The Centers for Disease Control and Prevention (CDC) advances preparedness through the Public Health Emergency Preparedness (PHEP) program. PHEP awardees include all 50 states; Washington, DC; 3 locally funded jurisdictions; and 8 territories or freely associated states. 3 In 2015, the CDC conducted the Pandemic Influenza Readiness Assessment (PIRA), an electronic survey designed to assess the readiness of PHEP awardees to respond to an influenza pandemic. Using PIRA data, we sought to assess the approaches of PHEP awardees to vaccinating their jurisdictions in a severe pandemic, including reliance on points of dispensing (PODs), or mass vaccination clinics.
