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In our own medical center, we have now instituted a "Best Practice Alert" in our electronic medical record that alerts the physician when a HBsAg test is ordered within 14 days of a HBV vaccine order and advises delaying HBsAg testing until at least 15 days after vaccination.
An increase in the smallpox vaccine order might also help the BioReliance Corporation, which has a subcontract from Acambis that was expected to be worth about $100 million.
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The cutoffs for orders received were selected based on the expectation that ideally in mid-November, providers expected to have received 80% or more of vaccine ordered, and 40% is the minimum we judged to permit some vaccination programs to hold clinics and vaccinate in offices.
Children in several states, including New York, received nasal spray vaccines Tuesday — shots are due to begin next week — and all 50 states have started sending vaccine orders.
Because of production problems at the manufacturer, many clinics and other health care providers received only part of their vaccine orders and limited who could get shots.
Delays in shipments of vaccine ordered by the state of California have led Representative Gary A. Condit, a Democrat, to ask the General Accounting Office to investigate.
Many of the region's pharmaceutical names were knocked back recently when swine flu vaccine orders were canceled by several European nations, so the latest news from the U.S. is "a short-term positive," said Pope.
With H1N1 apparently on the decline, and the damage much less severe than once feared, many countries are canceling part of their vaccine orders while others are trying to resell unused stocks.
Trends in vaccine ordering were examined.
Where can national health authorities get more information on their current BCG vaccine orders?
Grantees were asked to respond for all VFC and non-VFC vaccine orders.
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