Public Views on Alternative Methods for Antiviral Distribution and Dispensing During an Influenza Pandemic

Area of Science:

• Public Health
• Epidemiology
• Health Policy

Background:

• Antiviral drugs are critical for mitigating severe influenza pandemics.
• Federal plans involve distributing antivirals from stockpiles via community pharmacies.
• Public acceptance of pharmacy-based antiviral distribution is currently unknown.

Purpose of the Study:

• To assess US adults' views on obtaining pandemic influenza antivirals from community pharmacies.
• To identify factors influencing public acceptability of this distribution model.

Main Methods:

• Utilized the first nationally representative survey of US adults.
• Assessed public preferences for pharmacy versus public health clinic distribution.
• Examined the impact of potential fees and demographic factors on preferences.

Main Results:

• Widespread public support exists for obtaining pandemic antivirals from pharmacies.
• Preference for pharmacies decreased significantly with the introduction of fees.
• Uninsured and lower-income individuals showed higher preference for public health clinics.
• Concerns regarding side effects, delayed treatment, and drug expiration were noted.

Conclusions:

• The concept of pharmacy-based antiviral distribution for pandemics is broadly acceptable.
• System design should address potential barriers like cost and patient concerns.
• Findings provide guidance for optimizing antiviral distribution strategies during public health emergencies.