vaccine business - a global vision

7/27/2019 Vaccine Business - A Global Vision

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A Strategic Global Vision


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Clin Infect Diseases 2007;44:1529-31


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How heavy is the burden of vaccine preventable diseases?


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The Burden of Vaccine Preventable Diseases

1. http://www.hepb.org/hepb/statistics.htm. Accessed June 21, 20112. WHO, Hepatitis A vaccine, 2003

3. WHO, Hepatitis A, WHO/CDS/CSR/EDC/2000.74. WHO Wkly Epidemiol Rec 2000; 75:257-64

2 billion people have been infected 450 million people are chronic carriers 1 million people die each year from hepatitis B and

its complications

Hepatitis B 1

1.5 million cases worldwide per year Estimated cost 1.5 to 3 billion 30 days of work lost per patient

Hepatitis A 2,3

16 million cases per year 600,000 deaths each year 4 percent mortality rate

Typhoid 4


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The Burden of Vaccine Preventable Diseases

1. http://www.vaccineinformation.org/pneumchild/qandadis.asp. Accessed on July 6, 20112. Ferlay J, et al. GLOBOCAN 2002 Cancer Incidence, Mortality and Prevalence Worldwide . Lyon: IARC CancerBase, 20043. Gershon A, Takakashi M, Seward J. Varicella vaccine. In: Plotkin SA, Orenstein WA, Oxfitt PA, eds. Vaccines. Pennsylvania: WB Saunders, 2004: 784 823.

> 40,000 cases and > 4,400 deaths per year in the US alone Case-fatality rate among adults - 20% Case fatality among elderly patients - 60%

Pneumococcaldisease 1

HPV 2 Worldwide, every 2 minutes a woman dies of cervical cancer Every year in Asia, 266000 women are diagnosed with cervical

cancer and 143000 will die from the disease

Varicella 3 Rate of complications is highest in those aged >15 yrs Mortality rate in adults ia 25.2/100,000 cases compared

with only 1/100,000 cases in children


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The Burden of Influenza

1. WHO 2003; A56/23 2. Rose GW . Expert Opin. Biol. Ther. 2006; 6(3): 301-10 3. W HO. Weekly Epidemiol Rec 2005, 80(33): 277 88 4. Thompson WW, et al. JAMA 2004; 292(11): 1333-1340 Thompson WW, et al. 5. JAMA 2003; 289 (2): 179-186.

3 - 5 million cases of severe illness per year 1,2,3

250,000 - 500,000deaths/yr 1,2,3

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* Our MISSION issimple:

ERADICATE vaccinepreventable

diseases!


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Why are adult vaccination rates so low?What can we do about it?


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Shot doesnt work

Shot causes side effects

Shot causes disease

Didnt think of it

Physician did not recommend

Did not know it was needed

Patients Reasons for Not Getting Vaccinated

Medicare Benificiary Survey

CDC. MMWR Morb Mortal Wkly Rep. 1999;48:886-890

Influenza Vaccine

Pneumococcal Vaccine

Percent

0 10 20 40 50 6030


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Provider Related Barriers

Not prevention oriented /Competing Demands

Urgent concerns dominate visits

Focus on acute and chronic problems

Difficulty identifying eligible patients

Not knowing patient immunization history

Many Prevention Recommendations

Adult Immunization is not a significant part of training or culture

Ignorance and apathy about vaccine preventable disease

Clinician is not immunized himself Clinician questions about vaccine efficacy and safety

Nichol KL, Zimmerman RK. Arch Intern Med. 2001Silverman , et al. J cross Cult Gerontology. 2004;19:47-76

Nowalk MP et al. J Natl Med Assoc.Kimura AC., et al. Am J Public Health. 2007; 97:684-690Prev. Med. 2005 ; 40 : 152-61


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What can we do about to improveadult vaccination rates?


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Strategies to Increase Adult Immunization

1. Patient Barriers

Increase Awareness and break down misconceptions

Education programs

Patient information materials

Enhance Access

Reduce costs

Bring the vaccines where the patients are


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2. Provider Barriers

Set an example get vaccinated

Physician educational materials

Training for physicians, nurses and office staff


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Be the Change Vaccinate yourself


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Educating Doctors


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3. Organization or System Barriers

Establish a culture of immunization in your clinics

Standing orders

Improved tracking system/Routine Screening of vaccination

Immunization registries

Reminders to eligible patients


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Changes in the System

Shared roles between nurse and physician

Standing orders

written order stipulating that all persons meeting certain

criteria (i.e., age or underlying medical condition) shouldbe vaccinated, thus eliminating the need for individualphysicians orders for each patient.

Routine screening of vaccination status by nurses

(part of getting vital signs)


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Whats there outside?


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Vaccine to fight INFECTIOUS DISEASES


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Vaccine to fight DEGENERATIVE DISEASES


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Medical Alternative PreventiveCLINIC


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January 2011: 1st clinicopened Medical Alternative clinic

July 2011: 2nd clinicopened, VACCINE businessintroduced

Aug 2011: In HarmonyCharity Program

Sept 2011: Soft Opening &Incorporated In HarmonyBaby & Kiddy

Feb 2012: Website pre-launch


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The Grow of a New Business!

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Oct 2011 Penyuntikan

264karyawan PTBayer

Nov 2011 Penyuntikan 26

karyawan PTMenjangan Sakti

Trial InternetMarketing

Des 2011 Seminar Vaksin Flu

& Hepatitis &penyuntikan 70Pegawai KejaksaanTinggi

Feb 2012 Penyuntikan 80

karyawanSoewarna Biz Park CKG Golf Club

Launching programIHIC EXPAND

Penandatanganankerjasama dg 3rekanan baru: CKG SMG NTT

April 2012 Penandatanganan

kerjasama dgKlinik Nurdin

Rencanapenandatanganandg rekan diBandung & KF


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IN HARMONY IMMUNITY CLINIC


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* Klinik vaksinasi dan imunisasi utama diIndonesia

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Partner dari berbagai institusi dan korporasiterkemuka dalam penyediaan layanan vaksinasidan imunisasi

* Menjadi pusat pengembangan dan penelitian

vaksinasi dan imunisasi di Indonesia


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Jakarta Pusat

Jakarta

Barat

Bogor

Bandung

SemarangNTT


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vaccine business - a global vision

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