HONOLULU -- More than half the Hawaii health care providers who ordered the H1N1 vaccine have not received a single dose yet, over a month after the vaccinations began arriving in the islands, state health officials said.

It has been frustrating for doctors, pharmacies and the state Department of Health as they deal with the trickle of swine flu vaccines because of slow production of the drug.

The state epidemiologist told KITV that nothing arrived here for an entire week recently. So far this week, 10,000 doses arrived on Monday and 2,000 arrived in Hawaii on Tuesday.

"We have providers who complain, well we got doses but we haven't gotten anything since our first distribution, and then we have other providers who say well we haven't gotten anything in the first place," Dr. Sarah Park said.

State epidemiologist Park said less than half of the 567 registered H1N1 vaccine providers in Hawaii have received shipments of the drugs. While large groups like hospitals and big pharmacies have received some, nearly all the internal medicine doctors in the state have not received anything yet.

"If you're trying to address the providers who haven't gotten anything you can't go back to the other ones, until you finish that side. So, it's definitely a challenge on all sides," Park said.

The state is trying to address what Park called "glaring geographical gaps" where no health providers have doses of the swine flu vaccine. For instance, she said the north and south coasts of the Big Island are two gap areas.

Nearly the entire island of Kauai is without the vaccine. That is because nearly all health providers on the Garden Isle ordered preservative-free doses at first, but since those are not available, doctors are now being sent regular doses with preservatives.

"In the last couple of days we've been filling those orders for physicians and other providers in the areas where we see big gaps," Park said.

The state now plans to send 50 doses to every remaining provider.

"It will be still, obviously woefully short of what everyone really wants, but at least then what we can say is that everyone's gotten 50 doses to start and everyone's going to really have to prioritize who's going to get those 50 doses in my practice or from my practice?" Park said.

Health official also plan to send more doses to providers who serve high-risk groups, like pregnant women and children.