We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Commentary |

Strategies for Use of a Limited Influenza Vaccine Supply

Sara E. Cosgrove, MD, MS; Neil O. Fishman, MD; Thomas R. Talbot, MD, MPH; Keith F. Woeltje, MD, PhD; William Schaffner, MD; Victoria J. Fraser, MD; Julia A. McMillan, MD; Trish M. Perl, MD, MSc
JAMA. 2005;293(2):229-232. doi:10.1001/jama.293.2.229.
Text Size: A A A
Published online


The drastically decreased supply of inactivated influenza vaccine for the 2004-2005 US influenza season presents a unique challenge for health care institutions. At the core of this challenge is the dual responsibility that health care institutions have to protect patients as well as the health professionals who are integral to the functioning of the institution. Many major hospitals and long-term care facilities have reduced or no supplies of inactivated influenza vaccine and have limited guidance about how to obtain additional vaccine or whether to expect redistribution from the remaining supply. Consequently, issues have arisen ranging from the appropriate allocation of vaccine to the role of the intranasal live, attenuated influenza vaccine (LAIV) within a health care institution. These issues pose an interesting juxtaposition of science, public policy, politics, law, and ethics. This article will briefly review available literature that may assist institutions in making the difficult decisions associated with an influenza vaccine shortage.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

8 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles