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The following is a transcript of closed captions provided on the television broadcast of this episode of Capitol Report.
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this week on the capitol reportlegislators are presented with new information projecting multi-billion-dollar deficts ahead for the state.

governor rell and democratic leaders focus attention on creating jobs in connecticut.

and .. the latest on the h1-n1 flu and vaccine distribution in connecticut.
now .. a look at “some” of the major developments in the spotlight this week .. on the capitol report.

Good morning everyone legislators cat ... as the preparations and Finance committees held their annual fiscal accountability meeting. 

This meeting is called pursuant to a statute that was intended to give these committees and a preliminary look at the fiscal status of the state three months prior to the start
, prior to the presentation of the Governor's budget obviously in this particular year it takes on new meaning because of the status of our fiscal affairs 
on wednesday .. legislators got the latest information about the state’s fiscal situation .. as the appropriations and finance fiscal accountability meeting.

 office of policy and management office of fiscal analysis .. vetoed by the governor but estimates .. and that has line with each other .. with ahead for the state.

We are projecting deficits in fiscal 10, 11 and 12. 
If you are to look at a report we do projections right out report fiscal 13 and in fiscal 13 you'll see a deficit there approximating approximately $3 billion and in fiscal 13 about $3.2 billion as well. 
But we're going to do is focus in on fiscal 10, 11 and 12 because of Connecticut understanding of what is contributing towards these deficits the same reasons pertain to the out years as well. 
The consensus revenues anticipated that the sales tax reduction which is scheduled to occur January 1st hand that is right now the sales tax is at 6% the sales tax reduction that was included within the adopted budget has that sales tax going from 6 percent down to 5 1/2% 1/2% reduction and we anticipated within the consensus revenues as of the 15th that sales tax reduction would occur. 
Based upon our revised revenue estimates we are anticipating that that sales tax reduction will not occur. 
" we've noticed cents October 15th is some weakness in terms of personal income tax withholding. 
We dropped our personally contact by about $50 million. 
We have also reduced our anticipated normal sales tax collection by about $88 million so the combination of those two results in a reduction of roughly around $140 million not a reduction of $140 million is partially offset because again to be feel as though the Charter has been hit with regard to the potential sales tax reduction because that trigger has been hit the sales tax reduction will not occur meaning that about $130 million in sales tax will result in fiscal 2010 there for offsetting that $140 million deduction I just cry. 

Unfortunately we agree with zero. 
-- with the OFA that there has been and a continued deterioration of revenues sense that point in time and we now think that revenues have deteriorated another $76 million, 7 $7 million, since we arrived at the, since we arrived at the consensus revenues. 
We also agree that by operation of law the sales tax cut will not go into effect. 
We are currently project projecting a $337 million deficit for fiscal 2010 the deficit for fiscal 2011 and then you see the huge out your calls which are can sit -- consistent with what OFA has projected and the various component parts to get to in a minute are also generally consistent with what OFA has projected so we have huge problems in the out years before we even talked about on unfunded liabilities and issues such as that. ... 4.7% in fiscal 2011 and 4.3% in fiscal year 2012. 
Unfortunately we are now projecting a decline in state a residents' income of -0.4% to be followed by any increase in fiscal year 2011 of only 1.7 in fiscal year 12 a 3.5%. 


Sales tax also is an area of of concern and again we have seen an unprecedented drop in sales tax revenue. 
In 2002 and 2003, 2003 we saw it 1.9% drop in sales tax followed by a 5.6% growth in 2004. 
We are seeing, we saw 7.9% drop in sales tax in the fiscal year 2009 and rather than a rebound which based pardon past president we would have expected we are seeing continued weakness in sales tax revenues to the first several months of this fiscal year so we're projecting a 6.3% overall drop which will be followed by a 3.2% gain but once again the 3.2% gain is from the substantially lower base. 


In 2012 as compared to 2011 we're going to be a stimulus money. 
We, we will have presumably used securitization will be using it again hopefully. 
We will be out of budget reserve fund. 
Other onetime expenditures that are one time revenue issues that won't that all likelihood be repeated in 2012 is the transfer from the University of Connecticut Medical malpractice account, the sale of assets for $45 million in the corporate tax surcharge goes away. 
We will have the debt service on the economic recovery notes. 
We will that leap year costs in 2012, when rains it pours I guess, and the 27th parallel to the tune of $108 million. 


What is driving our expenditures? State employee pension and health benefits certainly is the most rapidly growing component of our budget. 
Between 2005 and 2014 net will grow by about 110%. 
Compare that to the general budget, all funds, rose by 59 percent, Medicaid by 54%, Connecticut personal income rose by 44%, ominously 39%. 
Other expenses has between 2005 and the current time including projections through 2014 at about 37%. 

I was just wondering if maybe both organizations can give us a sense of how they approach this it differently from the Comptroller? Can you kinda explain how your forecasts differ when it comes to (unintelligible) because she has a whole different set of numbers that are out there. 
Yours actually seem more in line with one another than ours do. 
Could you explain to us what the differences are? 
The major difference between our projections and the comptroller's projections is that the comptroller sees set a substantially weaker income tax receipts in this fiscal year. 
The reason the Comptroller projects that is that she sees a traditionally there is say relationship between the estimates and finals dollars we see on the September, let me back up, folks pay their estimates and funnels in quarterly installments September 15th would be one, January 15th would be another. 
Historically there is a relationship between what we see in September and what we see in January. 
The Comptroller, I think, concluded that 0 p.m. and 0 F wray did not carry and the drop in September that we saw, we saw very significant drop in September, did not carry that drop into January. 
Normally I would agree with her. 
You have to respect the relationship between September and January but if you look at what happened last year the shake-up in the stock market occurred in October so with the September reseats were based upon a very good a economy. 
The January 2009 receipts people have already lost a lot of money. 
Our January 2009 receipts already reflected the downturn in the economy and so we think that was captured and we did not have to adjust it further downward. 

The only other thing a bit like add to these comments is that is important to compare apples with apples as well. 
I believe the comptroller and her last letter is indicating a deficit of run six under and $24 million. 
We, based on revised estimates for fiscal 2010, we're indicating about 386 million. 
No one would need to add $130 million to the OFA deficit figure to have a more apples to apples comparison because the comptroller's figure of 624 million anticipates that the sales tax reduction will occur whereas in our estimates we are anticipating that it will not. 

I was here last week for the presentation of Economic advisers and there was a lot of information provided or leased comments made, rationale for why they believe the recession is over with the exception of possibly the employment issue it sounded to me like a base the lot of it on gross domestic product. 
If in fact this isn't what we hope it will be and it is more like a sack and a downward trend prolonging the recession or a more drawn-out recession, are the estimates that we're looking at consistent with those two scenarios or the lazy you scenario? Is there a difference? 
At this point time is indicated previously we are to submitting modest revenue growth at about 5.8% even with that revenue growth we are presented with significant challenges in 12, 13 and 14. 
Certainly to any extent that there is a continued drop off or deterioration beyond that level that we're projecting would certainly aggravate the problem is going to the future. 

To put into perspective a 10 percent change in our forecast and estimates and funnels amount 250 that thousand-and to order and $50 million. 
If it is 10% growth in the year were down 250 million bucks. 

When we adopted revenues in the budget that we have here in the negative factors in the economy were supposed to be part of the assumptions. 
How were we so far off? When we had all, what we thought we had all the negative factors in any form that we are using. 

The most significant individual component where we were wrong was in the sales tax a if you recall the chart I showed you the two year dip in the sales tax was what was really are unprecedented. 

  
 appropriations committee held a deficiencies inside state agencies this fiscal year.
they include the departments of social services .. developmental addiction services .. public safety .. correction .. and the judicial branch.
the total agency deficiency amount according to the office of fiscal analysis is nearly 206-million-dollars.

governor rell is required by law to submit a deficit mitigation plan to the legislature by december first.

the 2010 regular session begins on february third.


The status here because we want to do business with you. 

On wednesday .. legislators got the latest information about the state’s fiscal situation .. as the appropriations and financepresentations were made by the office of policy and management .. which is the governor’s budget office .. 
and the non-partisan legislative office of fiscal analysis .. 
I want you to know that this is a $14 billion industry that supports over 53,000 jobs. 
$1.2 Billion in wages and something that right now unfortunately is near and dear to my heart. 
$54 Million in taxes. 
We need it. 
I also want to let you know that Connecticut is squarely behind this industry. 
From the research to a final product. 
Some of the might say how committed are you? How does $100 million and stem cell research sound? We committed those funds in 2005 and at the time we were only the third state in the nation to do so with state money and that was very impressive. 
We're home to to the greatest research universities, obviously Yale and the University of Connecticut and a showcase that so much when we talk about the and so research and we felt the Connecticut universities really recruit some of the brightest minds in the field and just last month you can't stem cell Institute announced of course with their Chinese partners and scientists that they have found a possible link between human stem cells in cancer vaccine. 
That was from Connecticut. 
We are pretty proud of that. 
... 
Beginning with research on but a poor review and investigations Committee staff this year. 

What are some of our competitor strategies seem to work once the cluster initiative and at clusters, we talk about that and our record, clusters are defined generally as a group of industries that create products and services related to a common technology, a common market or a need in a given geographic area. 
Several organizations including the National Governors' Association and recently the Federal Reserve Bank of Boston have point to the benefits of clustering initiatives. 
They boost innovation in a state or region, they generate employment and they create higher wages and productivity. 
If Connecticut had supported the cluster initiative fairly strongly since the late 1990's but recently that support has waned and we report in our briefing that the state really no longer actively supports the cluster initiative through its policies. 

In our briefing report would put together an innovation index to measure of Connecticut has performed in the new economy. 
We model our approach after what has been done in Massachusetts for the past 12 years. 
In index we looked at the indicators that are shown on the slide and this gives a snapshot of how Connecticut is fairing. 
Overall our areas of strength we found that research and development in Connecticut is about the national average but it is mostly driven by industry in the state and not our academic institutions. 
In addition, Connecticut's higher education institutions are an asset to our state and we have a highly educated and productive work force Perry has four areas for improvement, education among lower grades is of concern particularly with mathematics and science with the scores decreasing. 
Another area of weakness is known as tech transfer which the process of transferring new, innovative ideas and technology from universities to commercialization. 
Lastly, Connecticut has experienced recent funding declines in early stage business ventures which result in less new innovative companies starting up in our state is the struggle to find financing. 

There was something that mention we are very low in venture capital on a sort of state bases or per-capita I don't I you phrase that exactly is a very wealthy stay there a lot of venture-capital list in Connecticut and I'm just curious if you know why. 
Why is that money not being invested in Connecticut? What maybe if there are any ideas about, because one of the things I'm hearing is that there is not just not enough capital to invest in these new innovative businesses and that is a very key component to development of those buried ... new ideas. 

One of the things that the National Governors' Association does point out as a best practice is de angel investor tax credit which we do not have in many other states do. 

As well as organizing Angels investors into creating an angel investors form which we did fund once but then stopped but that also tends to help spur activity within the state. 

There is something to be said for going back towards 10 years ago looking at the cluster program, looking its of the programs that we have and simply investing in them and not worry about who takes credit for them and just letting them work because we have really lost the initiative everywhere and I think there's a lot to be said for all of the approaches that this report talks about because there really is the standard not for 2009 but for 1998. 
That is or for the world was. 
We were there. 
We had, not the we have fallen off of that but we really haven't invested in it to make it really work forest we lost the advantage we had as a first mover. 

The taxes initiative is a very good example and it kind of explain to me or suggests that part of a problem with the cluster initiative taxes autism in a great effort that it is not simply a cluster initiative. 
A cluster initiative is great but it doesn't work terribly well unless you also do work force development along with ... and you do tech transfer along with that you have to create an integrated for more. 

Representatives of the manufacturing industry were also invited to address the task force. 

Manufacturing is different but it is still the basis and strong part of our economy. 
What is going to be in the future, Barbara do we are a lot about this today. 
Innovation and a highly skilled work force is the key but I wanna take a minute on the innovation side and point out that when we talk about innovation from a manufacturing standpoint we're talking about innovation markets, innovation in products, innovation in processes to make the products, we're talking about innovation in management practices as well as innovation and how you get that highly skilled work force that we're talking about that we need to have. 

Manufacturers account for one of every 10 jobs and one of the great things that I like to talk about which should highlighted here is that we really have this multiplier effect is a formal thing that we bring to Connecticut's economy where every manufacturing jobs supports 3-59 manufacturing job so invest in one manufacturing jobs will return to 3-5 jobs out there and obviously that is what we're talking about here today is jobs jobs jobs top jobs. 
Jerry and I read a meeting last week with the lieutenant governor again he was talking about jobs, ever been stuck in about jobs. 
We have this phenomenal opportunity with all but the support, a little more additional support to Manufacturing DeborahLee return that Fehr 3-fivefold one of the challenge is making sure that we can offer incentives to keep the manufactures air because we are somewhat mobile we could easily move my business, I serve again the entire country so need to be in Connecticut but we have invested here, we have been here for 60 years and we look forward to continuing to be here in Connecticut and any little bit of support that Conn can provide in the folks there to provide would be greatly appreciated and again we will contribute back to the economy for that support. 

Is arranging more that can be done to either support your initiative or fun activities that would bring, create real jobs for small manufacturers? 
The answer is yes obviously but the more important point is that all the manufacturers need to be looking at innovation for markets and products. 
It is not just grain it is in all areas. 
You have got to be looking at where the markets are going and what are products that going to go into those markets. 
Green is good just like biotechnology is good but 80 percent of the growth is going to come from companies that are already here and most of those are not focused primarily in green. 
We want jobs we need to look at how we support the company's there doing all these other things as well because that is where the big bang is. 

Joe Brennan from the Connecticut Business and Industry Association was also one but to speak. 

Business people go there are no guarantees what your looking and making an investment all but having some measure of predictability and stability in the government in jurisdiction which you are operating is important. 
Without digressing too much but you know each year some of the proposals that come forward and the General Assembly that business people have problems with just never go away and they seem to go but further each year so they never know when something is going to pass or a summons and is best when it is going to be taken away or of his past but then in the administration of that it is somewhat limited so just seems to me in surveying our members that there is a higher level of a print ability in Connecticut and and and the other jurisdiction in which they operate. 

Does the framework the Program Review and investigations committee talk about terms of a model focusing on innovation economics? Is that a direction that you think makes a lot of sense? 
I do. 
It carries out, I mean if you look at the economic development strategies that DECD put out a very voluminous obviously but if you get down to the core recommendations at the end and the priorities that are set there I think they marry up pretty well particularly with a focus around innovation and the importance of education, job training unskilled work force. 

Obviously the incentives to move in that direction, tax credits, Mae, providing for energy efficiency, things like that are going to cost money. 
Where's the revenue come from and here I think we need a lot to dissipation by business to identify sources of revenue that are above and beyond cutting expenditures in state government which is an essential making state government more efficient and effective that is essential but ya know there is still more that needs to be done in terms of providing these incentives to businesses and manufacturers and providing educational support. 

Well I think what you would hear from most business people is that they wanna be able to see some progress on the other side first because frankly they don't feel that there has been progress on the aside. 
To commit the government more streamlined and efficient try to reduce the cost or moderate cost over time. 
I'm not saying that hasn't happened or the resident some progress there but the perception is that you know we can't be talking by raising taxes until we do the other side first and really have a thorough, and no one on the last time we did a thorough study like the Thomas Commission of the state government but I think people wanna see a real thorough analysis of state government, how can operate more efficiently and cheaper before there is a lot of buy in on higher taxes. 
The feeling out there is that there is kind of an anti attitude towards wealth creators and ya know people with the off welfare bad people. 
That is a perception, that is just a reality out there right now and that's what I hear from a lot of people. 
We've had, if my math is correct, about a 44% increase ... since the income tax when into effect in that is you know just something we have to be aware of and we look in new sources of revenue that there is no easy way to do it, that if he pushover hear something is gonna get over here so you know we've always been the table and try to test a and give some guidance on will do the least amount of harm to our economy and we pledged to continue do that the future. 

I guess I can't resist saying that I think last session was really about stabilizing the state. 
We were in a very bad place. 
Hopefully now we can move forward with some of the many ideas we have heard together and we are sincerely looking for partners because I can't believe I'm the one saying as the government cannot do by itself and so ... 
I appreciate that a know I was trying to point fingers ... their perceptions out there and I think we need to will work together to change the perception. 

Absolutely. 

The job growth task force plans to formulate recommendations for legislative consideration next year. 



I was appointed by Gov. Rell to share chair this meeting. 


On Tuesday the health care revisory board met for the first time in the board was created through executive ... #30 when she go to health care bills last session. 
One of those bills was the establishment of the SUSTINET plan which the Legislature successfully repast in the veto session. 
Thus it was created the SUSTINET of tariff board of directors which is meeting separately from the Governor's Advisory board. 

For those of you may not be aware of SUSTINET it is a plan created in this past legislative session in it is to create a self insured health care delivery plan. 
Part of that and actually one of the first accomplishments of this piece of legislation was the creation of the SUSTINET of partnership board of directors. 
They are charged with the large task of creating four committees and three task forces. 
They need to develop all of the recommendations for policies and procedures and I wanted to it least distribute this handout because you as individuals need to formulate your own opinion about the two boards. 
I know there is discussion about why there are two boards and I thought if you have proper (unintelligible) you can then formulate your own opinion about each of the boards. 
On view are task also ambitious but yet very directed at public policy reform. 
And that to my knowledge this board does not take part in the implementation of those recommendations whereas the SUSTINET board of directors is overseeing the implementation of all of the committees to move forward on the plan. 
I do not want to sit and wait for us to have direction from Washington because we have plenty of work that we can do behind-the-scenes looking at Connecticut's policies that we may be able to offer recommendation to improve or change or modify in some way with the knowledge that we have already of what possibly federal health care reform may look at we can start working on genetic its policies improving the health status in ways to improve access to primary care preventive care expanding coverage to the uninsured possibly even through the expansion of Charter Oak or other vehicles. 
The business community and how to address the issues of employer based insurance and then one of the key stars which is just about dead center of this page, slow the growth of per-capita health care spending " in the short form-short term and long term. 
I do want to make sure that every object of our recommendation that we are working on we're trying to make sure that that is a component of because that is the piece of the conversation that I believe as of cheerleaders we're all feeling is starting to now fall of the page. 

We are facing a crisis in the primary care infrastructure in this state and I would hate to see the state repeat what happened in Massachusetts which is where the access was achieved and then as they say the doctor was not in. 
I do not know if it is the purview of this committee to have, look at policies about improving the primary care infrastructure because as you study health care reform when people have a personal physician or primary care doctor, nurse practitioner, physicians' assistants name on their list the cost and to be less because of care and the access. 

I think we would be remiss not to include some how to what extent I am not sure right now but also since I oversee the Office of health care access it is an issue, has been an issue and it is an issue that the state is concerned with. 
Also some issues of access, I believe, are related to payment and one of our recommendations would be related to payment performed and that all so many in directly improve access but also as in other states if you do not have enough doors for the patients to walk through then their insurance card does not do them any good and then patients will still seek the doors that are always opening Connecticut which are emergency departments. 
I believe that we will be touching upon that, however, please make sure that ya know you take leadership to make sure that it is addressed to whatever extent we can in the time that we have. 

I think it would be helpful to sorta reviewed what is been done before because there been a number committee recommendations and might be helpful for us to take a look at that stuff and see now how much ya know, how much is a firm foundation verses something that has changed given, given the tone and tenor of the public and the budgets and everything else but I think it might be nice to start with what has already been done, evaluated and then move from that on to what we believe would be appropriate. 

I just wanna be sure that we come up with is accepted, implemented by both physicians and the people who need to receive care so I envision those as subcommittees later on. 

... opportunities of the federal government is going to be providing dollars like one of the things you have gone here it is matching ya know federal matching funds are maximize matching funds I think it would be important to do whatever we can to, for Connecticut in that regard and be aggressive about it so on just ... 
No, I agree and that is one of our major purposes as a board is to make sure we are maximizing any opportunity but also to understand the impacts to Connecticut and one of the key reasons Commissioner Sullivan is on this board will be to continually connect state government with the federal government. 

Insurance commissioner Sullivan was asked to update the board on federal legislation including the House bill that passed last week. 

It does call for an individual mandate by 2013 of acceptable coverage which is a term that is to find. 
There are penalties for adjusted income. 
There are exemptions for low-income in you will see the parents are allowed to maintain coverage to age 27 that of the Connecticut I guess. 
There are employer recover and -- requirements 3962. 
There are some exceptions to a pair play assessment for small employers listed on the middle there the effective date of most of these requirements if you will in 3962 do not take hold until January 1, 2013. 
There is a public auction in 3962 it is administered by Health and Human Services. 
It does have a requirement to meet the same requirements as a private plan and the CBO estimates that 6 million people will be insured through the public option and the. 
The goal of the Senate is to have a bill by the Christmas recess. 
The goal of the ID ministrations to now have a bill before the state of the Union address in January. 
You recall that some of these goals have always time lines before so ya know will have to see. 

I believe if we keep on a parallel federal and state we will just keep moving right along with some of the ability we have within state government to make a difference and then hopefully be able to fulfil our charge of when the federal legislation is implemented its him back to state government and we will just have to see how that goes month to month. 

The governors health care reform advisory board will meet next on Thursday December -- December 3rd. 
An interim report is due to the governor and Legislature by February 1, 2010 with final recommendations due by January 2011. 

Good Morning everyone ... 
The public safety and public health committees requested the latest information on the state’s handling of the h-1-n-1 flu virus and vaccine .. during an informational forum on wednesday.

We are struggling to vaccinate people in the middle of a pandemic which is not easy into the struggle is costing us in terms of time and effort and energy and over time and so it is straining the system and that sometime in the future will have some
analysis of how much we can strain the system and still expected to respond appropriately. 
School nurses are critically important. 
They're doing a great job. 
The biggest problem with what we're involved in now is information of various types about Hall long will this last? Where can get the vaccine? Why didn't my doctor get it? We go on and on. 
We answer about a dozen anguished calls them either go directly to us or through the governor's office each day about my doctor not getting his supply of vaccine and so forth and so one I think there is a Carlo thought here and if I could leave you with the thought it's that much of what happens to with the vaccine in in this sort of pandemic is dependent on public needs being supplied by for-profit, private entrepreneurs. 
I am not sure that is the best way to do it and perhaps that requires a national closer look about where flu vaccine is made and how it is distributed and what is the role of the federal government and local governments in updating and distributing vaccine. 

It seems not so long ago that we talked about the first wave of this pandemic and I would like to give you an update on where we are in the second wave. 


We had activity all across the strait but certainly Hartford and New Haven counties of the county's bearing the brunt of this at the present time. 
In terms of age groups we have had attended deaths in the second wave so far. 
There were 10 deaths in the first wave and so far 10 deaths in the second wave this is the distribution by age. 
The CDC last week released estimates on a national level looking at how many cases of age 1 and 1 have occurred. 
Remember many people who got swine flu never see a doctor and never get tested and their people or hospitalized than they get tested and test negative for some reason and using those CDC estimates that were released last week I have calculated estimates for Conn using the CDC estimates. 
We may have had as many as 44 deaths already in the state even though those deaths may not be swine flu on the death certificate and that gives a range with the CDC estimates. 
The number of hospitalization CDC estimates applied to Connecticut would be about 1000 or 1100 in fact 256 which means that we know about which means that they're probably a lot more that have not been diagnosed with swine flu they diagnosed with ammonia will host a so there are many others out there who been said. 
The number of cases using the CDC estimates applied to Connecticut would be that we have as many as maybe is two under and 45,000 people will already and that 7 percent of our population has been affected with a range of 4 1/2%-11% the reason why that is important is that in most pandemic said we usually see over the course of the pandemic that will get up to somewhere between 25, 30, 40 percent of our population affected. 
We still a ways to go and it is also important to remember that pandemic come in waves and we do x back to have a third wave to this pandemic likely in either, in 1957 pandemic the third wave was in January/February 1918 it was March last April so we do expect to see a third wave of this later on. 

The distribution of the vaccine seems to be on even in terms of regions of the state and I was wondering, Dr. Galvin, whether there is anyone in your agency that could respond to my question of how come it seems to be so what? 
Clearly there is not enough vaccine and that has been an issue from the very beginning. 
Now after eight weeks we're just reaching a level of vaccine dosages of around 500,000 that we expected to have at the very beginning so it has been a challenge for all of us. 
The other is the distribution. 
We basically are using a system that was designed for childhood vaccinations that we use routinely and essentially created a new system built on top of that to essentially receive orders from all whole host of providers that we have never worked with before. 
Everyone from hospitals to internists to others, local health apartments. 
It has been a challenge trying to even out the distribution. 
We have, during the first four weeks, it was driven by orders in the formulation of those orders. 
For example, nasal spray vaccine only one to providers who willing to use nasal spray vaccine. 
There was a remarkable number of dockers who refuse to use the nasal spray vaccine for example including many pediatric offices. 
Pediatricians who were used to using it ordered it and pediatricians who are not used to using it did not. 
At the in the four weeks we took a pause and we looked at the distribution of the vaccine and we looked at the numbers. 
I then did a population-a population base distribution to try to even things out across the state so we use the populations of a mass dispensing areas to even out the distribution across areas. 

I was interested in your discussions about the effectiveness of the vaccine overtime and so when thinking of a third wave I am thinking about the potential of the necessity for free vaccination if that would be something that would occur if that wave didn't happen for six or seven or eight months. 

We're planning on the possibility of having a third wave somewhere between January and April and your question about the vaccine is very important. 
We're all focus right now on this part of a vaccination campaign but a real challenge will be trying to figure out how we're going to use the vaccine that is still being produced a potentially facts and the people against a third wave of if it were to come later on. 
And also remember these companies are going to stop making this vaccine pretty soon because there going to need to switch over to making seasonal flu vaccine or around February so there is a process here. 
Eventually this vaccine manufacturing process will stop as the company's switchover to putting together a new season of flu vaccine for use for next year. 

To learn the latest on the h-1-n-1 flu in connecticut .. go to the state’s website www.ct.gov/ctfluwatch.


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