Novartis Begins Shipment to US of Fluvirin(R) Influenza Virus Vaccine With Three New Strains for the 2008-2009 Influenza Season

Market Wire, August, 2008

Novartis announced today that it started shipments of its Fluvirin Influenza Virus Vaccine to US health care facilities and practitioners for the 2008/2009 influenza season.

The company is producing up to 40 million doses of Fluvirin, with the World Health Organization recommended change in all three virus strains included in the influenza vaccine composition. This year's influenza vaccine contains the following three strains of the influenza virus:

--  A/Brisbane/59/2007 (H1N1)-like virus (A/Brisbane/59/2007 IVR-148)
--  A/Brisbane/10/2007 (H3N2)-like virus (A/Uruguay/716/2007 NYMC X-175C)
--  B/Florida/4/2006-like virus (B/Florida/4/2006)
    

Novartis expects to deliver at least 20 million doses by the end of September, when widespread vaccination campaigns usually begin, and strives to ship the remainder by October 31.

"As one of the largest US suppliers of influenza vaccine, providing large quantities of Fluvirin early in the season supports public health efforts to vaccinate as many people as early as possible this upcoming influenza season," said Joerg Reinhardt, CEO of Novartis Vaccines and Diagnostics. "Novartis is committed to delivering high quality influenza vaccine to help protect more people against this potentially serious and contagious disease."

Influenza prevention is critical since an estimated 36,000 deaths in the US every year are blamed on influenza. This is similar to the more than 40,000 people in the US estimated to die from breast cancer every year and about half the estimated 70,000 people who die annually of diabetes and its complications. During last influenza season, 83 children were reported to have died of influenza-related causes. Of the 63 whose vaccination status was known, 58 (92 percent) were not vaccinated according to recommendations.

To help address these potentially avoidable fatalites, new recommendations from the Advisory Committee on Immunization Practices (ACIP) increase the number of individuals advised to receive an annual influenza vaccination to include nearly all children from six months through 18 years of age. Whereas previous recommendations included children from six months through 59 months of age this new recommendation aims to help protect approximately 30 million additional Americans. In addition, the ACIP recommends vaccination for other people who are at high risk of having serious influenza complications or who live with or care for people. In general, anyone over 6 months old who wants to reduce their chances of getting influenza should get vaccinated. Fluvirin Influenza Virus Vaccine is not indicated for use in children under four years of age.

To help meet demand for influenza vaccine earlier in the season, Novartis now has a second manufacturing facility in Rosia, Italy, in addition to its Liverpool, England facility. The FDA recently granted approval to the Rosia facility to fill Fluvirin in pre-filled syringes.

"Novartis has made a concerted effort to manufacture and deliver a vaccine that includes these three new strains in the most efficient manner," said Rajiv De Silva, President of Novartis Vaccines in the US. "Despite the new composition, Novartis made sure we were able to deliver a timely and robust supply of influenza vaccine this year."

Fluvirin is available for ordering for the US 2008-2009 influenza season via the company's influenza vaccine online ordering portal, www.NovartisVaccinesDirect.com . The portal offers registered healthcare providers and institutions, subject to applicable terms and conditions, 24 hour/7 days per week online ordering, flexible payment terms, such as buy now, pay later and guaranteed delivery dates. This convenient and easy-to-use Web site also offers a variety of tools to assist with early immunization planning and to help ensure that more people are vaccinated. The development of NovartisVaccinesDirect.com is part of the overall commitment from Novartis to provide comprehensive solutions for the prevention of influenza as well as provide patients of all ages reliable access to vaccines.

This year, several influenza vaccines are available in the US. Each vaccine has its own specific indications, contraindications and side effects. Before vaccination, people should consult their health care provider to determine if they have any conditions precluding them from receiving a vaccine.

Important safety information

The most common side effect of vaccination with Fluvirin Influenza Virus Vaccine is soreness at the injection site. Less common side effects include fever, malaise, myalgia and allergic reactions. Fluvirin vaccine should not be administered to anyone with a history of hypersensitivity to any component of the vaccine, including eggs, egg products or thimerosal. As is the case with most drugs and vaccines, there is a chance that a serious allergic reaction, serious illness or even death could occur as a result of vaccination with Fluvirin vaccine. Generally, persons should not be vaccinated during an acute febrile illness. Vaccination should be delayed in persons with an active, unstable neurological disorder, but should be considered when the disorder has been stabilized. The occurrence of any neurological symptoms or signs following administration of any vaccine is a contraindication to further use. Fluvirin vaccine is not indicated for use in children under four years of age. Persons should consult with their healthcare providers if they are pregnant and/or are taking other medications. Fluvirin vaccine may not protect 100% of individuals who are susceptible to influenza. Before administering Fluvirin vaccine, please see full prescribing information.