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Office of the Secretary Pandemic Influenza Vaccines--Amendment

Original post made by Daniel, Another Pleasanton neighborhood, on Aug 30, 2009

[Federal Register: June 25, 2009 (Volume 74, Number 121)]
[Notices]
[Page 30294-30297]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr25jn09-43]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary


Pandemic Influenza Vaccines--Amendment

Authority: 42 U.S.C. 247d-6d.

ACTION: Notice of third amendment to the January 26, 2007 Declaration
under the Public Readiness and Emergency Preparedness Act, and
Republication of the Declaration, as Amended.

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SUMMARY: Amendment to declaration pursuant to section 319F-3 of the
Public Health Service Act (42 U.S.C. 247d-6d) to provide targeted
liability protections for pandemic countermeasures based on the Acting
Secretary's determination, under section 319F-3(b) of the Act, that the
risk that the spread of H1N1 swine influenza viruses (now known as 2009
H1N1 Influenza A, or 2009 H1N1 influenza) and resulting disease
constitutes a public health emergency; and republication of the
declaration to reflect the declaration in its entirety, as amended.

DATES: The third amendment and republication of the declaration are
effective as of June 15, 2009.

FOR FURTHER INFORMATION CONTACT: RADM W.C. Vanderwagen, Assistant
Secretary for Preparedness and Response, Office of the Secretary,
Department of Health and Human Services, 200 Independence Avenue, SW.,
Washington, DC 20201, Telephone (202) 205-2882 (this is not a toll-free
number).

HHS Secretary's Amendment to the Declaration for the Use of the Public
Readiness and Emergency Preparedness Act for H5N1, H2, H6, and H9
Vaccines

Whereas, on April 26, 2009, Acting Secretary Charles Johnson
determined under section 319 of the Public Health Service Act, (42
U.S.C. 247d) (``the Act''), that a public health emergency exists
nationwide involving the Swine influenza A virus that affects or has
significant potential to affect the national security (``2009 H1N1
influenza'');
Whereas, the World Health Organization has established a Pandemic
alert phase 5 for the 2009 H1N1 influenza virus currently circulating
worldwide;
Whereas, vaccination may be effective to protect persons from the
threat of 2009 H1N1 influenza;
Whereas, Secretary Michael O. Leavitt issued a Declaration for the
Use of the Public Readiness and Emergency Preparedness Act dated
January 26, 2007 (``Original Declaration''), as amended on November 30,
2007 and

[[Page 30295]]

October 17, 2008 with respect to certain avian influenza viruses; minor
modifications are necessary to correct previous, minor, editorial
errors; and republication of the Original Declaration, as amended, in
its entirety is necessary for clarity;
Whereas, the findings made by the Secretary in the Original
Declaration, as amended, continue to apply generally, and apply with
equal force as to the 2009 H1N1 influenza;
Whereas, in accordance with section 319F-3(b)(6) of the Act (42
U.S.C. 247d-6d(b), I have considered the desirability of encouraging
the design, development, clinical testing or investigation,
manufacturing, labeling, distribution, formulation, packaging,
marketing, promotion, sale, purchase, donation, dispensing,
prescribing, administration, licensing, and use of additional covered
countermeasures with respect to the category of disease and population
described in sections II and IV of the Original Declaration, as
amended, and as hereby further amended, and have found it desirable to
encourage such activities for these additional covered countermeasures,
and;
Whereas, to encourage the design, development, clinical testing or
investigation, manufacturing and product formulation, labeling,
distribution, packaging, marketing, promotion, sale, purchase,
donation, dispensing, prescribing, administration, licensing, and use
of medical countermeasures with respect to the category of disease and
population described in sections II and IV of the Original Declaration,
as amended, and as hereby further amended, it is advisable, in
accordance with section 319F-3(a) and (b) of the Act, to provide
immunity from liability for covered persons, as that term is defined at
section 319F-3(i)(2) of the Act, and to include as such covered persons
other qualified persons as I have identified in section VI of the
Original Declaration, as amended;
Therefore, pursuant to section 319F-3(b) of the Act, I have
determined that 2009 H1N1 influenza and resulting disease constitutes a
public health emergency. In order to extend the Original Declaration,
as amended, to apply to the 2009 H1N1 influenza and to correct
previous, minor, editorial errors, the Original Declaration, as
amended, is hereby further amended and republished as follows:
In the title, strike ``and H9'' and insert ``H9, and 2009 H1N1''.
In the first ``whereas'' clause, first sentence, strike ``(H5N1).
H7 and H9 vaccines'' and insert ``H5N1, H7, and H9''.
After the fourth ``whereas'' clause, insert a new recital as
follows:
Whereas, on April 26, 2009, Acting Secretary Charles E. Johnson
determined under section 319 of the Public Health Service Act, (42
U.S.C. 247d), that a public emergency exists nationwide involving the
2009 H1N1 influenza virus that affects or has significant potential to
affect the national security (now called ``2009 H1N1 influenza'');
In the ninth ``whereas'' clause, insert ``,'' after ``IV''; strike
``of the Original Declaration, as amended,''; insert ``;'' after
``VI''; and strike ``of the Original Declaration;''.
In the ``therefore'' clause concluding the recitals, strike the
period and insert ``, and that the 2009 H1N1 influenza constitutes a
public health emergency.''.
In section I, second paragraph, first sentence, strike all after
``influenza A'' and insert ``H5N1, H2, H6, H7, H9, and 2009 H1N1
vaccines and any associated adjuvants.''.
In section I, second paragraph, second sentence, strike all after
``influenza A'' and insert ``H5N1, H2, H6, H7, H9, and 2009 H1N1
vaccines used and administered in accordance with this declaration.''.
Strike the current section II, ``Category of Disease,'' in its
entirety and replace as follows:

II. Category of Disease (as Required by Section 319F-3(b)(2)(A) of the
Act)

The category of disease for which I am recommending the
administration or use of the Covered Countermeasures is the threat of
or actual human influenza that results from the infection of humans
following exposure to the virus with (1) highly pathogenic avian
influenza A (H5N1, H2, H6, H7, or H9) virus; or (2) 2009 H1N1
influenza.
In section III, strike the period and insert ``; except that with
respect to 2009 H1N1 influenza vaccine, the effective period commences
on June 15, 2009 and extends through March 31, 2013.''
In Section VIII, strike the section in its entirety and replace it
with the following:
The Declaration for the Use of the Public Readiness and Emergency
Preparedness Act for H5N1 vaccines was published on January 26, 2007
and amended on November 30, 2007 to add H7 and H9 vaccines and on
October 17, 2008 to add H2 and H6 vaccines. This Declaration
incorporates all amendments prior to the date of its publication in the
Federal Register. Any future amendment to this Declaration will be
published in the Federal Register, pursuant to section 319F-2(b)(4) of
the Act.
All other provisions of the Original Declaration, as amended,
remain in full force.

Republication of HHS Secretary's Original Declaration, as Amended, for
the Use of the Public Readiness and Emergency Preparedness Act for
H5N1, H2, H6, H9, and 2009 H1N1 Vaccines

To the extent any term of the original January 27, 2007 Declaration
or any amendment thereto is inconsistent with any provision of this
republished Declaration, the terms of this republished Declaration are
controlling.

HHS Secretary's Declaration for the Use of the Public Readiness and
Emergency Preparedness Act for H5N1, H2, H6, H9, and 2009 H1N1 Vaccines

Whereas highly pathogenic avian influenza A H5N1, H7, and H9 have
spread by infected migratory birds and exports of live poultry from
Asia through Europe and Africa since 2004, and could spread into North
America in 2006 or later, and have caused disease in humans with an
associated high case fatality upon infection with this virus;
Whereas, the H2 class of influenza viruses, which caused the human
influenza pandemic of 1957 and reappeared recently in U.S. animals
including swine, is viewed as a likely candidate to re-evolve into an
influenza strain capable of causing a pandemic of human influenza;
Whereas, the H6 class of influenza viruses, which appeared recently
in animals including domestic fowl, is viewed as a likely candidate to
evolve into an influenza strain capable of causing a pandemic of human
influenza;
Whereas, an H5N1, H2, H6, H7 or H9 avian influenza virus may evolve
into strain capable of causing a pandemic of human influenza;
Whereas, on April 26, 2009, Acting Secretary Charles E. Johnson
determined under section 319 of the Public Health Service Act, (42
U.S.C. 247d), that a public health emergency exists nationwide
involving the Swine Influenza A virus that affects or has significant
potential to affect the national security (now called ``2009 H1N1
influenza'');
Whereas, the possibility of governmental program planners obtaining
stockpiles from private sector entities except through voluntary means
such as commercial sale, donation, or deployment would undermine
national preparedness efforts and should be discouraged as provided for
in section 319F-3(b)(2)(E) of the Public Health Service Act (42 U.S.C.
247d-6d(b)) (``the Act'');

[[Page 30296]]

Whereas, immunity under section 319F-3(a) of the Act should be
available to governmental program planners for distributions of Covered
Countermeasures obtained voluntarily, such as by (1) donation; (2)
commercial sale; (3) deployment of Covered Countermeasures from Federal
stockpiles; or (4) deployment of donated, purchased, or otherwise
voluntarily obtained Covered Countermeasures from State, local, or
private stockpiles;
Whereas, the extent of immunity under section 319F-3(a) of the Act
afforded to a governmental program planner that obtains Covered
Countermeasures except through voluntary means is not intended to
affect the extent of immunity afforded other covered persons with
respect to such covered countermeasures;
Whereas, to encourage the design, development, clinical testing or
investigation, manufacturing and product formulation, labeling,
distribution, packaging, marketing, promotion, sale, purchase,
donation, dispensing, prescribing, administration, licensing, and use
of medical countermeasures with respect to the category of disease and
population described in section II and IV it is advisable, in
accordance with section 319F-3(a) and (b) of the Act, to provide
immunity from liability for covered persons, as that term is defined at
section 319F-3(i)(2) of the Act, and to include as such covered persons
such other qualified persons as I have identified in section VI;
Whereas, in accordance with section 319F-3(b)(6) of the Public
Health Service Act (42 U.S.C. 247d-6d(b)) (``the Act''), I have
considered the desirability of encouraging the design, development,
clinical testing or investigation, manufacturing and product
formulation, labeling, distribution, packaging, marketing, promotion,
sale, purchase, donation, dispensing, prescribing, administration,
licensing, and use of medical countermeasures with respect to the
category of disease and population described in sections II and IV
below, and have found it desirable to encourage such activities for the
Covered Countermeasures;
Therefore, pursuant to section 319F-3(b) of the Act, I have
determined there is a credible risk that the spread of avian influenza
viruses and resulting disease could in the future constitute a public
health emergency, and that 2009 H1N1 influenza constitutes a public
health emergency.

I. Covered Countermeasures (as Required by Section 319F-3(b)(1) of the
Act)

Covered Countermeasures are defined at section 319F-3(i) of the
Act.
At this time, and in accordance with the provisions contained
herein, I am recommending the manufacture, testing, development,
distribution, dispensing; and, with respect to the category of disease
and population described in sections II and IV, below, the
administration and usage of the pandemic countermeasure influenza A
H5N1, H2, H6, H7, H9, and 2009 H1N1 Vaccines and any associated
adjuvants. The immunity specified in section 319F-3(a) of the Act shall
only be in effect with respect to: Present or future Federal contracts,
cooperative agreements, grants, interagency agreements, or memoranda of
understanding for pandemic countermeasure influenza A H5N1, H2, H6, H7,
H9, and 2009 H1N1 vaccines used and administered in accordance with
this declaration. In accordance with section 319F-3(b)(2)(E) of the
Act, for governmental program planners, the immunity specified in
section 319F-3(a) of the Act shall be in effect to the extent they
obtain Covered Countermeasures through voluntary means of distribution,
such as (1) donation; (2) commercial sale; (3) deployment of Covered
Countermeasures from Federal stockpiles; or (4) deployment of donated,
purchased, or otherwise voluntarily obtained Covered Countermeasures
from State, local, or private stockpiles. For all other covered
persons, including other program planners, the immunity specified in
section 319F-3(a) of the Act shall, in accordance with section 319F-
3(b)(2)(E) of the Act, be in effect pursuant to any means of
distribution.
This declaration shall subsequently refer to the countermeasures
identified above as Covered Countermeasures.
This declaration shall apply to all Covered Countermeasures
administered or used during the effective time period of the
declaration.

II. Category of Disease (as Required by Section 319F-3(b)(2)(A) of the
Act)

The category of disease for which I am recommending the
administration or use of the Covered Countermeasures is the threat of
or actual human influenza that results from the infection of humans
following exposure to the virus with (1) highly pathogenic avian
influenza A (H5N1, H2, H6, H7, or H9) virus; or (2) 2009 H1N1
influenza.

III. Effective Time Period (as Required by Section 319F-3(b)(2)(B) of
the Act)

The effective period of time of this Declaration commences on
December 1, 2006 and extends through February 28, 2010; except that
with respect to 2009 H1N1 influenza vaccine, the effective period
commences on June 15, 2009 and extends through March 31, 2013.

IV. Population (as Required by Section 319F-3(b)(2)(C) of the Act)

Section 319F-3(a)(4)(A) confers immunity to manufacturers and
distributors of the Covered Countermeasure, regardless of the defined
population.
Section 319F-3(a)(3)(C)(i) confers immunity to covered persons who
could be program planners or qualified persons with respect to the
Covered Countermeasure only if a member of the population specified in
the declaration administers or uses the Covered Countermeasure and is
in or connected to the geographic location specified in this
declaration, or the program planner or qualified person reasonably
could have believed that these conditions were met.
The populations specified in this Declaration are the following:
(1) All persons who use a Covered Countermeasure or to whom such a
Covered Countermeasure is administered as an Investigational New Drug
in a human clinical trial conducted directly by the Federal Government,
or pursuant to a contract, grant or cooperative agreement with the
Federal Government; (2) all persons who use a Covered Countermeasure or
to whom such a Countermeasure is administered in a pre-pandemic phase,
as defined below; and/or (3) all persons who use a Covered
Countermeasure, or to whom such a Covered Countermeasure is
administered in a pandemic phase, as defined below.

V. Geographic Area (as Required by Section 319F-3(b)(2)(D) of the Act)

Section 319F-3(a) applies to the administration and use of a
Covered Countermeasure without geographic limitation.

VI. Other Qualified Persons (as Required by Section 319F-3(i)(8)(B) of
the Act)

With regard to the administration or use of a Covered
Countermeasure, Section 319F-3(i)(8)(A) of the Act defines the term
``qualified person'' as a licensed individual who is authorized to
prescribe, administer, or dispense the countermeasure under the law of
the State in which such Covered Countermeasure was prescribed,

[[Page 30297]]

administered or dispensed. Additional persons who are qualified persons
pursuant to section 319F-3(i)(8)(B) are the following: None.

VII. Additional Time Periods of Coverage After Expiration of
Declaration (as Required by Section 319F-3(b)(3)(B) of the Act)

A. I have determined that, upon expiration of the applicable time
period specified in Section III above, an additional twelve (12) months
is a reasonable period to allow for the manufacturer to arrange for
disposition of the Covered Countermeasure, including the return of such
product to the manufacturer, and for covered persons to take such other
actions as are appropriate to limit the administration or use of the
Covered Countermeasure, and the liability protection of section 319F-
3(a) of the Act shall extend for that period.
B. The Federal Government shall purchase the entire production of
Covered Countermeasures under the contracts specifically listed by
contract number in section I for the stockpile under section 319F-2 of
the Act, and shall be subject to the time-period extension of section
319F-3(b)(3)(C). Production under future contracts for the same vaccine
will also be subject to the time-period extension of section 319F-
3(b)(3)(C).

VIII. Amendments

The Declaration for the Use of the Public Readiness and Emergency
Preparedness Act for H5N1 vaccines was published on January 26, 2007
and amended on November 30, 2007 to add H7 and H9 vaccines and on
October 17, 2008 to add H2 and H6 vaccines. This Declaration
incorporates all amendments prior to the date of its publication in the
Federal Register. Any future amendment to this Declaration will be
published in the Federal Register, pursuant to section 319F-2(b)(4) of
the Act.

IX. Definitions

For the purposes of this declaration, ``pre-pandemic phase'' means
the following stages, as defined in the National Strategy for Pandemic
Influenza: Implementation Plan (Homeland Security Council, May 2006):
(0) New Domestic Animal Outbreak in At-Risk Country; (1) Suspected
Human Outbreak Overseas; (2) Confirmed Human Outbreak Overseas; and (3)
Widespread Human Outbreaks in Multiple Locations Overseas. For the
purposes of this declaration, ``pandemic phase'' means the following
stages, as defined in the National Strategy for Pandemic Influenza:
Implementation Plan (Homeland Security Council, May 2006): (4) First
Human Case in North America; and (5) Spread Throughout United States.

Dated: June 15, 2009.
Kathleen Sebelius,
Secretary.

Appendix

I. List of U.S. Government Contracts--Covered H5N1 Vaccine Contracts
[January 26, 2007]
1. HHSN266200400031C
2. HHSN266200400032C
3. HHSN266200300039C
4. HHSN266200400045C
5. HHSN266200205459C
6. HHSN266200205460C
7. HHSN266200205461C
8. HHSN266200205462C
9. HHSN266200205463C
10. HHSN266200205464C
11. HHSN266200205465C
12. HHSN266199905357C
13. HHSN266200300068C
14. HHSN266200005413C
15. HHSO100200600021C (formerly 200200409981)
16. HHSO100200500004C
17. HHSO100200500005I
18. HHSO100200700026I
19. HHSO100200700027I
20. HHSO100200700028I
21. HHSO100200600010C
22. HHSO100200600011C
23. HHSO100200600012C
24. HHSO100200600013C
25. HHSO100200600014C
26. HHSO100200600022C (formerly 200200511758)
27. HHSO100200600023C (formerly 200200410431)
28. CRADA No. AI-0155 NIAID/MedImmune
29. HHSO100200700029C
30. HHSO100200700030C
31. HHSO100200700031C

[FR Doc. E9-14948 Filed 6-24-09; 8:45 am]

BILLING CODE 4150-37-P

Comments (1)

 +   Like this comment
Posted by Daniel
a resident of Another Pleasanton neighborhood
on Aug 30, 2009 at 8:58 am

Countermeasures Injury Compensation Program

About the Public Readiness and Emergency Preparedness Act (PREP Act)
full-text Public Readiness and Emergency Preparedness Act (PREP Act)
The PREP Act provides compensation to individuals for serious physical injuries or deaths from pandemic, epidemic, or security countermeasures identified in a declaration issued by the Secretary pursuant to section 319F-3(b) of the Public Health Service Act (PHS Act) (42 U.S.C. 247d-6d). The PREP Act which is a part of the "Department of Defense, Emergency Supplemental Appropriations to Address Hurricanes in the Gulf of Mexico, and Pandemic Influenza Act of 2006" (PL 109-148), was enacted on December 30, 2005, and confers broad liability protections on covered persons, as defined in section 319F-3(i)(2) of the PHS Act, and compensation to individuals injured by the receipt of covered countermeasures, as defined in section 319F-3(i)(1) of the PHS Act, in the event of designated public health emergencies.

Passed primarily to address the pandemic influenza threat, the PREP Act provides liability protections after a Secretarial declaration of covered countermeasures for any disease or health condition that the Secretary views as constituting a public health emergency, either presently or in the future. Liability protections cover the manufacture, testing, development, distribution, or use of the designated covered countermeasure absent willful misconduct as defined in section 319F-3(c)(1) of the PHS Act. A Secretarial declaration specifies the categories of health threats or conditions for which countermeasures are recommended, the period liability protections are in effect, the population of individuals protected, and the geographic areas for which the protections are in effect.

In addition to liability protections, the PREP Act provides the Secretary the authority, which was delegated by the Secretary on November 8, 2006 to the Administrator of the Health Resources and Services Administration, to compensate eligible individuals for covered injuries from a covered countermeasure


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