According to a bulletin released this week by the National Immunization Program of the CDC, projections of vaccine production for the 2005-06 Influenza season remain uncertain. Pre-booking programs are also compromised as supplies from several manufacturers in the U.S. and abroad are tentative, or still awaiting FDA approval/licensure. The bulletin enlists a number of important directives for providers, including distribution information, cost description (prices have risen over last year), coverage averages for selected immunization groups and changes to recommended targets, etc. Please visit www.michigan.gov/documents/Influenza-Bulletin1_06-29-05_129564_7.doc for the complete update.