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Mitchell D – The first wave of vaccine against the novel influenza A (H1N1) virus is expected to be delivered to vaccinators beginning the week of Oct. 5–9. 25 state and local public health agencies placed initial orders for 600,000 doses of the vaccine as of Sept. 30. The agency plans to give weekly updates on the amount of vaccine available for ordering and how much is shipped to each state or large city. Those updates are to be given every Friday. The early shipments of H1N1 vaccine will be the nasal spray formulation, which is the live, attenuated influenza vaccine, or LAIV. That vaccine can be given to healthy, nonpregnant individuals ages 2–49 years. The CDC announced in August that it had expanded its partnership with McKesson Corp. to include centralized distribution of the H1N1 flu vaccine. Physicians interested in providing the H1N1 vaccine should contact their state immunization program administrators because state agencies are determining who will participate in the initiative.

   

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