Dr. Marcie Nagao Pharmacist - National Adult And Influenza Immunization .

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Dr. Marcie NagaoDr. Carl ChuImmunization PhysicianPharmacist

Lisa MendezImmunization Program ManagerDr. Sarah ParkDisease Outbreak ControlDivision

Kauai 50KMaui 160KOahu 875KBig Island 185KPreliminary data – Do not distribute

Children Vaccinated Against FluSome promising data in the literature: Less medically-attended illness in kidsFewer school absencesLess illness in the student’s familyLimited evidence of reduced illness in thecommunity at largeBut most of the studies to date have been small.Preliminary data – Do not distribute

Hawaii’s rationale for pursuing statewideschool-based influenza vaccinations:1. We have only one public school systemstatewide2. We had previous success in implementingother school-based vaccination programs, i.e.hepatitis B for 5th gradersPreliminary data – Do not distribute

Hawaii’s rationale for pursuing statewideschool-based influenza vaccinations:3. We wanted to improve our vaccination coverageamong children with conditions that place themat increased risk for flu.Preliminary data – Do not distribute

Percentage of Children with Medical ConditionVaccinated Against Flu in Hawaii in 2006-07 Only 40% of 8,154 privately insuredchildren 5-13 years with asthma Only 50% of 68 privately insuredchildren 5-13 years with diabetesPreliminary data – Do not distribute

Hawaii’s rationale for pursuing statewide schoolbased influenza vaccinations:5. Available data indicated many school-agedchildren without a medical condition were arealready recommended by ACIP to bevaccinated against flu because of the age orhealth of a household contact.Preliminary data – Do not distribute

Percentage of Children with HHC Indication to beVaccinated Against Flu in Hawaii in 2006-0724%HHC ill orpregnantHHC 5 or 49 years57%No HHCindication19%Hawaii Health Survey – 200519,309 Households with weighted responses representing 138,371 children 5-13years of age.Preliminary data – Do not distribute

Hawaii’s rationale for pursuing statewideschool-based influenza vaccinations:5. We wanted to determine if we can decreasecommunity flu morbidity by decreasingtransmission among school children.6. We wanted to be better prepared for possiblemass vaccinations of school children duringan influenza pandemicPreliminary data – Do not distribute

Hawaii’s Stop Flu at School Program Grades K-8 (elementary and middle schools) All public and private schools in Hawaii invited Offered TIV and LAIV – ordered a 50-50 split Two clinics held 6 weeks apart if school hadchildren 9 years of age needing 2 doses Voluntary written consent of parents/guardiansPreliminary data – Do not distribute

Preliminary data – Do not distribute

Preliminary data – Do not distribute

Preliminary data – Do not distribute

Hawaii’s Stop Flu at School Program d otionClinicsJanFeb Mar AprMay JunJulAug Sep OctNov Dec Jan59 Working DaysPreliminary data – Do not distribute

Preliminary data – Do not distribute

Hawaii’s Stop Flu at School ProgramSchool Participation 341/377 (90%) of all schools withgrades K-8242/251 (96%) of public schools99/126 (79%) of private schools622 school-based clinics (277 of which weresecond dose clinics)Preliminary data – Do not distribute

Hawaii’s Stop Flu at School ProgramStudent participation:62,970 (94%) of 67,203 students who consented45% of 140,636 children at participating schoolsvaccinated44% of 142,564 children aged 5-13 years inHawaii according to 2006 censusPreliminary data – Do not distribute

Hawaii’s Stop Flu at School ProgramStudent participation (continued):15,228 children 9 years old received 2nddose (24% of all vaccinated children)78,198 total flu vaccine doses given tochildrenPreliminary data – Do not distribute

Hawaii’s Stop Flu at School ProgramSchool staff part

Dr. Marcie Nagao Immunization Physician . Dr. Sarah Park Disease Outbreak Control Division Lisa Mendez Immunization Program Manager. Preliminary data - Do not distribute Kauai 50K Oahu 875K Big Island 185K Maui 160K. Preliminary data - Do not distribute Children Vaccinated Against Flu Less medically-attended illness in kids

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