Infectious Disease

Antiviral Distribution

In partnership with the Center for Disease Control and Prevention (CDC) and the National Association of County and City Health Officials (NACCHO), ASTHO is exploring alternative approaches to antiviral management and distribution during a public health emergency. During the 2009/10 H1N1 influenza response federal, state, and local health agencies encountered a number of issues with antiviral management and distribution.

CDC, ASTHO, and NACCHO will examine the current system and approaches used for antiviral management and distribution during H1N1, identify lessons learned, and explore options for improvements for distribution, dispensing, and tracking of antivirals - including leveraging the private sector for antiviral distribution and dispensing. The goal of this multi-year project is to improve the availability of antivirals (and potentially other countermeasures) for timely dispensing during a public health emergency.

ASTHO Resources

Managing Antiviral Medication during the 2009 H1N1 Influenza Pandemic: State and Local Public Health Department Responsibilities

This report, authored by ASTHO and the National Association of County and City Health Officials, is the first stage of a larger project with the Centers for Disease Control and Prevention and other partners to explore alternative models for antiviral management during an influenza pandemic. Antiviral distribution and dispensing are critical to reducing the number of cases and deaths from an influenza pandemic. The authors of this report summarize and draw conclusions about the antiviral distribution and dispensing activities of state and local health departments in response to the 2009 H1N1 influenza pandemic.

Public Health and Antiviral Distribution and Dispensing: Enhancing Influenza Pandemic Response

This report summarizes the current model proposed by CDC and ASTHO led efforts conducted through summer of 2012 to determine the feasibility and acceptability of this model from a public health perspective.

Antiviral Distribution and Dispensing: A Review of Legal and Policy Issues

This high-level report summarizes the examination of legal and policy issues related to antiviral distribution and dispensing. This report (1) identifies legal and policy issues implicated in a national strategy to distribute, dispense, and track antivirals, and (2) provides solutions to these issues (where possible) based on existing interpretations of law, practice, and lessons learned from prior emergencies. Findings in the report can be used to assist public health in preparedness and planning efforts for current and future antiviral distribution and dispensing strategies.

Antiviral Distribution and Dispensing: Frequently Asked Questions

NACCHO Antiviral Distribution and Dispensing Project

This project has been conducted in close collaboration with the National Association of County and City Health Officials.

ASTHO Antiviral Advisory Committee

To provide guidance, direction, and technical expertise for this project, ASTHO convened the ASTHO Antiviral Advisory Committee. The committee is comprised of current and former State Health Officials, Deputy Health Officials, Preparedness Directors, SNS Coordinators, and State Epidemiologists. The committee will provide expert input into various project components, review pertinent information, and make recommendations on proposed alternative approaches. The committee will participate in this project as a group of valued stakeholders as a representative voice for state public health.

View the ASTHO Antiviral Advisory Committee membership.

Staff Contacts

James Blumenstock, MA, Chief Program Officer, Public Health Practice
Kathy Talkington, MPAff, Senior Director, Immunization and Infectious Disease
Ericka McGowan, MS, Director, Infectious Disease Preparedness
Heather Misner, MPP, Director, Preparedness & Clinical Outreach