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Stockpile levels for pediatric vaccines: how much is enough?
Sheldon H Jacobson1, Edward C Sewell, Ruben A Proano
1Department of Mechanical and Industrial Engineering, 1206 West Green Street (MC-244), University of Illinois, Urbana, IL 61801, United States. shj@uiuc.edu
Insights
Pediatric vaccine supply shortages can be mitigated by optimizing national stockpile levels. This study uses a stochastic inventory model to determine appropriate vaccine stockpile sizes and funding to ensure timely childhood immunizations and prevent disease outbreaks.
Area of Science:
- Public Health
- Epidemiology
- Supply Chain Management
Background:
- Vaccine production interruptions have led to supply shortages, impacting timely childhood immunizations in the US.
- These shortages risk epidemic outbreaks of preventable childhood diseases.
- The Centers for Disease Control and Prevention (CDC) utilizes national pediatric vaccine stockpiles to manage these disruptions.
Purpose of the Study:
- To analyze the adequacy of CDC-proposed pediatric vaccine stockpile levels.
- To determine appropriate stockpile levels for achieving vaccination coverage targets.
- To calculate funding requirements for optimal pediatric vaccine stockpiles.
Main Methods:
- A stochastic inventory model was employed to analyze vaccine stockpile levels.
- The model considered historical vaccine production interruption durations (averaging over 1 year).
- Analysis focused on ensuring sufficient supply to meet vaccination schedules.
Main Results:
- The study assesses the sufficiency of current CDC-proposed stockpile levels.
- It provides data-driven recommendations for optimal pediatric vaccine stockpile quantities.
- Estimated funding needs for establishing adequate stockpiles are reported.
Conclusions:
- Optimized pediatric vaccine stockpile levels are crucial for maintaining vaccination schedules during production interruptions.
- The findings offer insights for public health policy regarding vaccine supply chain resilience.
- Adequate funding is essential to support robust national vaccine stockpiles.
Abstract:
In recent years, several factors have led to pediatric vaccine manufacturers experiencing vaccine production interruptions that resulted in vaccine supply shortages. One unfortunate consequence of such events is that not all children in the United States could be vaccinated on time, as set forth by the Recommended Childhood Immunization Schedule, and hence, created the potential for epidemic outbreaks of several childhood diseases. The Centers for Disease Control and Prevention (CDC) have responded to such events by releasing vaccine supplies from the national pediatric vaccine stockpiles, which were designed to mitigate the impact of vaccine production interruptions. This paper analyzes the CDC-proposed vaccine stockpile levels using a stochastic inventory model. The results from this analysis examine the adequacy of the proposed pediatric vaccine stockpile levels, as well as provide insights into what the appropriate pediatric vaccine stockpile levels should be to achieve prespecified vaccination coverage rates. Given that the average pediatric vaccine production interruption has lasted more than 1 year, the model is used to compute appropriate pediatric vaccine stockpile levels sufficient to absorb the effect of such vaccine production interruptions. The level of funding needed to create such pediatric vaccine stockpile levels is also reported.
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