BACKGROUND:
Because of the influenza vaccine shortage of 2004, only half the needed vaccine was available to immunize the 19,000 seniors scheduled to receive inflluenza vaccine at 80 sites throughout the county.

OBJECTIVE:
To immunize 10,000 senior residents in a rapid and timely manner at a large-scale vaccination clinic utilizing the skills and knowledge gained from bioterrorism preparedness point of distribution (POD) incident command system (ICS).

METHOD:
A random patient selection process was utilized to provide appointments to approximately 55% of the seniors who had pre-registered, before the shortage, for the annual senior flu program. An incident command system was established and individuals were appointed to all key positions. The POD site was selected from previously established arrangements. Planning meetings were held daily weekdays for two weeks before the event. Staff for the POD was recruited from the Department of Health, the MCR (Medical Reserve Corps), the public benefit hospital, nursing schools and other organizations. The Office of Emergency Management, the Police Department and other key government agencies participated in the planning.

RESULT:
All seniors were provided with admission ticket/appointment slips and vaccination forms prior to the scheduled date. A total of 10,000 seniors received influenza immunizations over a two-day weekend period in a centrally located community college field house. All staff were oriented to their responsibilities through Job Action Sheets. Traffic flow was coordinated to ensure smooth passage of seniors through check-in, form screening and vaccination stations. Physician and mental health consultants were available in the POD. An ambulance unit, fire engine and police were on-site.

CONCLUSION:
Utilization of the ICS POD (Incident Command System, Point of Distribution) is an effective method for the rapid delivery of vaccine to a large population.

LEARNING OBJECTIVES:
The effectiveness of the Point of Distribution Incident Command System in providing rapid delivery of vaccine to a large population.