Michigan Immunization Update
Michigan Immunization Update:The Impact of COVID-19 on Michigan’s Immunization RatesTerri Adams, RN, BSN, MMDirector for the Division of ImmunizationMichigan Department of Health & Human Services
The COVID-19 pandemic has been afactor in challenges that health careproviders have facedEducationalNeed andObjectives Hear more about the current State ofAffairs with Michigan’s immunizationrates What played a role in the ratesdecreasing Strategies to increase vaccination AND Moving it forward to your office andbeyond
Decline in Child Vaccination Coverage During the COVID-19 Pandemic — Michigan CareImprovement Registry, May 2016–May 2020, MMWR, Weekly / May 22, 2020 / 69(20);630–631Immunizations:The Current State of Affairs in Michigan
Challenges forthe ProviderOffice On March 13, 2020, the U.S. declared anational state of emergency to control thespread of the pandemic On March 23, 2020, Michigan implementeda stay-at-home order The COVID-19 pandemic provided severalchallenges for Michigan providers Mitigation efforts—centered on socialdistancing and quarantine Disruption of health services All of this led to a decline in vaccinationcoverage in all age cohorts Except for birth-dose hepatitis B
A Look at Doses Administered Comparing total number of doses administered thus far in 2021 to the 2018-19 average forthe same months (Jan-July) The overall number of non-COVID doses administered each month still lags pre-pandemic levels Hit bottom in April 2020, monthly administrations began rebounding in 2021—still lags 2018-19average 2021 worst declines in doses administered were in the months of: April (26.8% fewer administrations)May (26.4% fewer administrations) As of July 2021, monthly administrations were still down: 16.9% fewer administrations across the lifespan (0-105 years)11.7% fewer administrations in children (0-8 years)19% fewer administrations in adolescents (9-18 years)22.7% fewer administrations in adults (19-105 years)
Michigan Influenza Vaccination Coverage, SelectAges, According to National Surveys and MCIR,2012-202085756555453525152012-132013-146mos and older2014-152015-166mos and older (MCIR)2016-172017-186mos-4 yrs2018-1918-49yrs HR*2019-2065 Minimal improvement over8 season “Everyone, every year” Overall coverageremains 50% Healthy People 2030 goals 70% for healthy adults(18 years) and children6 months through 17years of age MCIR estimates belownational estimates for MIcoverage*HR High Risk; data available at: x.html
Focus Area #1:2-Dose Coverage 2020-21 coverage levels in Michigan children, MCIR data Children 6 months through 8 years of age complete (1 or 2 doses) Only 31.2% complete for the season (1 or 2 doses) (323,695/1,036,301) Of the 525,571 children recommended 2 doses 10.5% (54,899) received both doses County range: 1.5% - 19.9%
Methods to Improve Flu Coverage in Young ChildrenStrategies Routine vaccination hesitancy1: 6% Hesitancy for flu vaccine: 26% Parent hesitation2: Perceived low vaccineeffectiveness Safety concerns Perception that flu vaccinecauses the flu Initiate the conversation with parents/patients aboutthe importance of flu vaccine Tell a personal story Alana’s Foundation: www.alanasfoundation.org/ Families Fighting Flu: www.familiesfightingflu.org/ Ensure children who need 2 doses get their first doseearly No missed opportunities Assess patients during every visit Provide a strong recommendation and offer flu vaccineto every patient1. Kempe, A. et al., Pediatrics, 2020 Retrieved from https://doi.org/10.1542/peds.2019-38522. De St. Maurice, A. et al., Pediatrics, 2020 Retrieved from https://doi.org/10.1542/peds.2020-17703. MDHHS Clearinghouse: www.healthymichigan.com
Focus Area #2: Pregnant Women About half of pregnant people receive aflu vaccine1 Average 53.7% coverage from 2010-11to 2017-18 flu seasons 65.7% offered vaccination and receivedthe flu vaccine Pregnancy Risk Assessment MonitoringSystem (PRAMS) 53.7% coverage Michigan2 35.4% among NH-Black individuals 58.9% among NH-White individuals1. www.cdc.gov/mmwr/volumes/68/wr/mm6840e1.htm2. PRAMS data provided by P.I- Peterson Haak, MDHHS
Methods to Improve Coverage in PregnantWomen Assure you are giving a strongrecommendation AIMS Method2: Announce: vaccination will happen, assumethey are ready to vaccinate Inquire: seek to understand the person byasking about their concerns Mirror: make sure they know you understandtheir concerns by mirroring but not repeatingand asking questions Secure: consolidate every conversation bysecuring their trust1.2.PRAMS data provided by P.I for the study, Peterson Haak, MDHHSCreated by John Parrish-Sprowl- Professor of Communication Studies; Director, Global Health Communication Center, Indiana University
COVID-19 DataA Look at COVID-19 Cases
Michigan’s Current Immunization Rates First, we are not alone—this is a national concern as well as a global issue As you can see from all the data, our immunization rates have declined COVID-19 played a major role in our decreased immunization rates, butwe need to remember it is not the only factor that led to plummetingrates Vaccine hesitancy took a bigger stageGovernment mistrustSocial Vulnerability Index (SVI)Social Media—major player in “Disinformation”Frustration and pandemic fatigue
How do we BOUNCEBack? It is going to take multiple strategies to improve our immunization rates
Created by John Parrish-Sprowl- Professor of Communication Studies; Director, Global Health Communication Center, Indiana University. COVID-19 Data A Look at COVID-19 Cases . Michigan’s Current Immunization Rates First, we are not a
and Influenza Immunization Summit (NAIIS) is pleased to announce the recipients of the 2016 Immunization Excellence Awards. There are six categories of recognition: overall influenza season activities, influencer, "immunization neighborhood" champion, corpo-rate campaign, adult immunization champion, and adult immunization publication award.
The Kentucky Immunization Registry is an IIS Statewide Immunization Information System (IIS) Information system that houses immunization data on Kentucky residents across-the-lifespan record keeping (birth to death) Allows providers the ability to access and retrieve immunization records prior to or at the time of a scheduled appointment.
Immunization for Adult SOT Alberta Immunization Policy Special Situations for Immunization 2021 Government of Alberta Revision Date: July 14, 2021 Published August 2021 Page 2 of 6 Vaccine Series Comments
immunization against α-syn can occur in one of two forms, active or passive immunity [18]. Active immunization involves stimulating the immune system to produce anti-bodies against toxic α-syn conformations, while passive immunization involves administering anti- α-syn antibodies to the patient, which confers temporary protection against the .
Describe the Advisory Committee on Immunization Practices General Best Practice Guidelines on Immunization. Describe an emerging immunization issue. For each vaccine -preventable disease, identify those for whom routine immunization is recommended. For each vaccine -preventable disease, describe characteristics of the vaccine used
Update of Table of Contents Immunization Schedule 2021 10/5/20 SR 2 1. View Forecast: Documented and administered immunizations information is face up. 2. Print Immunization Record: Immuniza
MICHIGAN STRATEGIC FUND MEMORANDUM DATE: March 15, 2022 TO: The Honorable Gretchen Whitmer, Governor of Michigan Members of the Michigan Legislature FROM: Quentin L. Messer Jr., President, Michigan Strategic Fund SUBJECT: FY 2021 MSF/MEDC Annual Report The Michigan Strategic Fund (MSF) is required to submit an annual report to the governor and the Michigan
In 2012, the Governor and Michigan Legislature passed legislation requiring Michigan Virtual TM, formally Michigan Virtual University , to establish a center for online learning research and innovation. Known as Michigan Virtual Learning Research Institute (MVLRI ), this center is a natural extension of the work of Michigan Virtual .
