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H1n1 Preparedness: an Overview of Vaccine Production and Distribution

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H1n1 Preparedness: an Overview of Vaccine Production and Distribution H1N1 PREPAREDNESS: AN OVERVIEW OF VACCINE PRODUCTION AND DISTRIBUTION JOINT HEARING BEFORE THE SUBCOMMITTEE ON HEALTH AND THE SUBCOMMITTEE ON OVERSIGHT AND INVESTIGATIONS OF THE COMMITTEE ON ENERGY AND COMMERCE HOUSE OF REPRESENTATIVES ONE HUNDRED ELEVENTH CONGRESS FIRST SESSION NOVEMBER 18, 2009 Serial No. 111–82 ( Printed for the use of the Committee on Energy and Commerce energycommerce.house.gov U.S. GOVERNMENT PRINTING OFFICE 74–853 WASHINGTON : 2012 For sale by the Superintendent of Documents, U.S. Government Printing Office Internet: bookstore.gpo.gov Phone: toll free (866) 512–1800; DC area (202) 512–1800 Fax: (202) 512–2104 Mail: Stop IDCC, Washington, DC 20402–0001 VerDate Mar 15 2010 01:31 Sep 27, 2012 Jkt 074853 PO 00000 Frm 00001 Fmt 5011 Sfmt 5011 E:\HR\OC\B853.XXX B853 jbell on DSK7SPTVN1PROD with HEARING COMMITTEE ON ENERGY AND COMMERCE HENRY A. WAXMAN, California, Chairman JOHN D. DINGELL, Michigan JOE BARTON, Texas Chairman Emeritus Ranking Member EDWARD J. MARKEY, Massachusetts RALPH M. HALL, Texas RICK BOUCHER, Virginia FRED UPTON, Michigan FRANK PALLONE, JR., New Jersey CLIFF STEARNS, Florida BART GORDON, Tennessee NATHAN DEAL, Georgia BOBBY L. RUSH, Illinois ED WHITFIELD, Kentucky ANNA G. ESHOO, California JOHN SHIMKUS, Illinois BART STUPAK, Michigan JOHN B. SHADEGG, Arizona ELIOT L. ENGEL, New York ROY BLUNT, Missouri GENE GREEN, Texas STEVE BUYER, Indiana DIANA DEGETTE, Colorado GEORGE RADANOVICH, California Vice Chairman JOSEPH R. PITTS, Pennsylvania LOIS CAPPS, California MARY BONO MACK, California MICHAEL F. DOYLE, Pennsylvania GREG WALDEN, Oregon JANE HARMAN, California LEE TERRY, Nebraska TOM ALLEN, Maine MIKE ROGERS, Michigan JANICE D. SCHAKOWSKY, Illinois SUE WILKINS MYRICK, North Carolina HILDA L. SOLIS, California JOHN SULLIVAN, Oklahoma CHARLES A. GONZALEZ, Texas TIM MURPHY, Pennsylvania JAY INSLEE, Washington MICHAEL C. BURGESS, Texas TAMMY BALDWIN, Wisconsin MARSHA BLACKBURN, Tennessee MIKE ROSS, Arkansas PHIL GINGREY, Georgia ANTHONY D. WEINER, New York STEVE SCALISE, Louisiana JIM MATHESON, Utah PARKER GRIFFITH, Alabama G.K. BUTTERFIELD, North Carolina ROBERT E. LATTA, Ohio CHARLIE MELANCON, Louisiana JOHN BARROW, Georgia BARON P. HILL, Indiana DORIS O. MATSUI, California DONNA M. CHRISTENSEN, Virgin Islands KATHY CASTOR, Florida JOHN P. SARBANES, Maryland CHRISTOPHER S. MURPHY, Connecticut ZACHARY T. SPACE, Ohio JERRY MCNERNEY, California BETTY SUTTON, Ohio BRUCE L. BRALEY, Iowa PETER WELCH, Vermont (II) VerDate Mar 15 2010 01:31 Sep 27, 2012 Jkt 074853 PO 00000 Frm 00002 Fmt 0486 Sfmt 0486 E:\HR\OC\B853.XXX B853 jbell on DSK7SPTVN1PROD with HEARING SUBCOMMITTEE ON HEALTH FRANK PALLONE, JR., New Jersey, Chairman JOHN D. DINGELL, Michigan NATHAN DEAL, Georgia, BART GORDON, Tennessee Ranking Member ANNA G. ESHOO, California RALPH M. HALL, Texas ELIOT L. ENGEL, New York BARBARA CUBIN, Wyoming GENE GREEN, Texas JOHN B. SHADEGG, Arizona DIANA DEGETTE, Colorado STEVE BUYER, Indiana LOIS CAPPS, California JOSEPH R. PITTS, Pennsylvania JANICE D. SCHAKOWSKY, Illinois MARY BONO MACK, California TAMMY BALDWIN, Wisconsin MIKE FERGUSON, New Jersey MIKE ROSS, Arkansas MIKE ROGERS, Michigan ANTHONY D. WEINER, New York SUE WILKINS MYRICK, North Carolina JIM MATHESON, Utah JOHN SULLIVAN, Oklahoma JANE HARMAN, California TIM MURPHY, Pennsylvania CHARLES A. GONZALEZ, Texas MICHAEL C. BURGESS, Texas JOHN BARROW, Georgia DONNA M. CHRISTENSEN, Virgin Islands KATHY CASTOR, Florida JOHN P. SARBANES, Maryland CHRISTOPHER S. MURPHY, Connecticut ZACHARY T. SPACE, Ohio BETTY SUTTON, Ohio BRUCE L. BRALEY, Iowa SUBCOMMITTEE ON OVERSIGHT AND INVESTIGATIONS BART STUPAK, Michigan, Chairman BRUCE L. BRALEY, Iowa GREG WALDEN, Oregon Vice Chairman Ranking Member EDWARD J. MARKEY, Massachusetts ED WHITFIELD, Kentucky DIANA DEGETTE, Colorado MIKE FERGUSON, New Jersey MIKE DOYLE, Pennsylvania TIM MURPHY, Pennsylvania JANICE D. SCHAKOWSKY, Illinois MICHAEL C. BURGESS, Texas MIKE ROSS, Arkansas DONNA M. CHRISTENSEN, Virgin Islands PETER WELCH, Vermont GENE GREEN, Texas BETTY SUTTON, Ohio JOHN D. DINGELL, Michigan (ex officio) (III) VerDate Mar 15 2010 05:06 Sep 27, 2012 Jkt 074853 PO 00000 Frm 00003 Fmt 5904 Sfmt 5904 E:\HR\OC\B853.XXX B853 jbell on DSK7SPTVN1PROD with HEARING VerDate Mar 15 2010 01:31 Sep 27, 2012 Jkt 074853 PO 00000 Frm 00004 Fmt 5904 Sfmt 5904 E:\HR\OC\B853.XXX B853 jbell on DSK7SPTVN1PROD with HEARING C O N T E N T S Page Hon. Frank Pallone, Jr., a Representative in Congress from the State of New Jersey, opening statement .......................................................................... 1 Hon. Greg Walden, a Representative in Congress from the State of Oregon, opening statement ................................................................................................ 3 Hon. Bart Stupak, a Representative in Congress from the State of Michigan, opening statement ................................................................................................ 5 Hon. Henry A. Waxman, a Representative in Congress from the State of California, opening statement ............................................................................. 7 Hon. John Shimkus, a Representative in Congress from the State of Illinois, opening statement ................................................................................................ 8 Hon. John D. Dingell, a Representative in Congress from the State of Michi- gan, opening statement ....................................................................................... 9 Hon. Michael C. Burgess, a Representative in Congress from the State of Texas, opening statement .................................................................................... 10 Hon. Anna G. Eshoo, a Representative in Congress from the State of Cali- fornia, opening statement .................................................................................... 11 Hon. Tim Murphy, a Representative in Congress from the Commonwealth of Pennsylvania, opening statement ................................................................... 12 Hon. Gene Green, a Representative in Congress from the State of Texas, opening statement ................................................................................................ 13 Hon. Roy Blunt, a Representative in Congress from the State of Missouri, opening statement ................................................................................................ 14 Hon. Michael F. Doyle, a Representative in Congress from the Commonwealth of Pennsylvania, opening statement ................................................................... 15 Hon. Marsha Blackburn, a Representative in Congress from the State of Tennessee, opening statement ............................................................................ 15 Hon. Jane Harman, a Representative in Congress from the State of Cali- fornia, opening statement .................................................................................... 16 Hon. Phil Gingrey, a Representative in Congress from the State of Georgia, opening statement ................................................................................................ 17 Hon. Mike Ross, a Representative in Congress from the State of Arkansas, opening statement ................................................................................................ 18 Hon. Joseph R. Pitts, a Representative in Congress from the Commonwealth of Pennsylvania, opening statement ................................................................... 18 Hon. Tammy Baldwin, a Representative in Congress from the State of Wis- consin, opening statement ................................................................................... 19 Hon. John Sullivan, a Representative in Congress from the State of Okla- homa, opening statement .................................................................................... 20 Hon. Kathy Castor, a Representative in Congress from the State of Florida, opening statement ................................................................................................ 20 Hon. Janice D. Schakowsky, a Representative in Congress from the State of Illinois, opening statement .............................................................................. 21 Hon. Jim Matheson, a Representative in Congress from the State of Utah, opening statement ................................................................................................ 22 Hon. Zachary T. Space, a Representative in Congress from the State of Ohio, opening statement ...................................................................................... 23 Hon. Betty Sutton, a Representative in Congress from the State of Ohio, opening statement ................................................................................................ 23 Hon. Diana DeGette, a Representative in Congress from the State of Colo- rado, opening statement ...................................................................................... 24 Prepared statement .......................................................................................... 25 Hon. Christopher S. Murphy, a Representative in Congress from the State of Connecticut, opening statement ..................................................................... 27 (V) VerDate Mar 15 2010 01:31 Sep 27, 2012 Jkt 074853 PO 00000 Frm 00005 Fmt 5904 Sfmt 5904 E:\HR\OC\B853.XXX B853 jbell on DSK7SPTVN1PROD with HEARING VI Page Hon. Donna M. Christensen, a Representative in Congress from the Virgin
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