HONOLULU -- The state health director told KITV on Monday that her department is suffering from a lack of accurate information about how much H1N1 flu vaccine has been shipped to Hawaii and how much doctors and other health care providers have actually used.

State health officials met with the Healthcare Association of Hawaii as well as several large health care providers on Monday to work out concerns about how the swine flu vaccine is being distributed.

If the Department of Health is going to manage the scarce number of H1N1 vaccines in Hawaii, it has to know how many vaccines are in the islands and who has any leftovers that can be sent elsewhere.

However, Hawaii Health Director Dr. Chiyome Fukino admitted, "The problem is we don't really know who all's got what and what they've used."

First off, she said three vaccine tracking systems, one from the Centers for Disease Control and Prevention, one from the state and a third from the vaccine distributor are showing different numbers of vaccines in Hawaii. That makes it impossible to get an accurate count of what is really in the islands, she said.

"We know that there's a problem with these three systems, jibing," Fukino said. "You folks come and you talk to us and say 'What about this and what about that?' And we're reluctant to give you a number, because it's not jibing on all the systems."

Another problem is that the state said health care providers have sent required information detailing who they vaccinated for only about 25 percent of the vaccine they received so far. That means the Health Department does not know whether the other 75 percent of the vaccines have been used or are sitting around.

"We need to know about that, so we can redistribute it to someone who can use it, and we encourage all our providers to use their vaccine as they get it," Fukino said.

Hospitals, doctors and medical groups have been asked to either send a vaccine form in the mail or enter the information into an online database, so the state can keep better track of the vaccine.