Hepatitis B Vaccination Program

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    Work Plan

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    There are risks and coststo a program of action. Butthey are far less than the

    long-range risks and costs ofcomfortable inaction."

    -John F. Kennedy

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    Consider the Evidence

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    MMWR, December 26, 1997, Vol. 46, RR-18

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    MMWR, December 26, 1997, Vol. 46, RR-18

    Because of their contact with

    patients or infective materialfrom patients, healthcareworkers are at risk forvaccine-preventable diseases

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    MMWR, December 26, 1997, Vol. 46, RR-18

    Immunization safeguardsthe health of health careworkers and protectspatients from becoming

    infected through exposureto infected workers

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    those for which active and/or passive immunization ofHCWs may be indicated in certain circumstances

    those for which active immunization is stronglyrecommended because of special risks for HCWs

    Hepatitis B Influenza Measles Mumps Rubella Varicella

    Tuberculosis Hepatitis A Vaccinia Meningococcal disease Typhoid Pertussis

    those for which immunization of all adults isrecommended

    Tetanus Pneumococcal disease Diphtheria

    MMWR, December 26, 1997, Vol. 46, RR-18

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    MMWR, June 29, 2001, Vol. 50, RR-11.

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    major infectious hazard for health-care personnel

    In 1993

    estimated 1,450 workers becameinfected with hepatitis B throughexposure to blood and serum-derivedbody fluids

    5%-10% of HBV-infected workersbecome chronically infected

    An estimated 100-200 health-carepersonnel have died annually duringthe past decade because of thechronic consequences of HBVinfection (CDC, unpublished data).

    MMWR, December 26, 1997, Vol. 46, RR-18

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    Risks for percutaneous and

    permucosal exposures to blood varyduring the training and working career

    of each person

    Therefore, vaccination should becompleted during training in schools,

    before trainees have contact withblood

    MMWR, December 26, 1997, Vol. 46, RR-18

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    Plan theCampaign

    "A good plan today is better

    than a perfect plan tomorrow.

    -General George Smith Patton, Jr.

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    "Unless commitment is

    made,

    there are only promises

    and hopes;

    but no plans."

    -Peter F. Drucker

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    Develop a Policy

    If your faculty does not have a formal policy on Hepatitis B

    immunization, develop one, have it approved, anddisseminate it.

    The following steps will help you create an effective policy:

    Indicate who should be immunized, why, and when.

    Include a detailed goal, such as reaching the Safe Students 2015 goalof 90 percent immunization.

    Make the policy available to all

    The policy can also be used as a teaching moment to educate

    leadership and staff on the importance of this issue

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    Make Vaccination Convenient

    The most effective strategy in increasing vaccinationrates

    bring the vaccine to where the people are

    Remove Cost Barriers

    offer vaccines at an affordable rate Get creative and explore the possibility of making

    arrangements with companies or other organizationsto help with funding

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    Educate & Dispel Myths Find out what your peers know about Hepatitis B and their

    concerns

    educate them about Hepatitis B vaccination and dispel anymisconceptions

    Engage Upper Level Management andAdministration Another important factor is to engage your faculty and

    administration in the process. Have professors or members of the administration serve as

    advocates for vaccination, and publicly vaccinate theseindividuals to set the tone for your campaign.

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    EDUCATIONAL/AWARENESSACTIVITIES

    Forums/ meetings

    Pamphlets

    Radio/newspapers

    Posters/graffiti Events

    Information tables

    Symbols/tokens

    Blogs

    VACCINATION CLINICS/Actual Immunization Day

    The most effective strategy in increasing vaccination rates isconvenience

    Make the vaccine more accessible to the students by bringing it to

    them and offering affordable rates.

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    Lets Plan

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    What are the main things you want to achieve with the campaign?

    Objectives should be SMART

    Specific : clearly stated and understood

    Measurable : Results are defined (quality and quantity)

    Achievable : Within the competencies and capabilities of the team

    Realistic : Within the realistic control and scope of each team member

    Timed : Definite time goal

    Examples

    To increase awareness about the risk of acquiring Hepatitis B among medical students byconducting at least 2 disease awareness activities this year.

    To vaccinate at least 100 medical students in year 3 against hepatitis B by the end of thisyear.

    To achieve at least 90% vaccination rates among medical students entering co-as by theyear 2013 by conducting disease awareness campaigns and vaccination clinics throughout

    the year.

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    Who are you trying to win over, reach or involve in each

    part of the campaign?

    The campaign should reach every student in your facultyin some way, but you should also target specific people tomake sure different parts of the campaign are effective.

    Here are some examples:

    Medical students who are entering co-as

    Unvaccinated Medical students in their first year as co-as

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    A very important part of your strategy is the broad message you want tocommunicate and the slogan that sums it up

    Slogans will give your campaign an identity.

    "Key messages orMessage themes" are the ideas we try to get across in

    everything we say and do.

    A campaign will have much more impact if the message is clear and ifeveryone involved keeps saying the same things.

    Here are some examples:

    Slogan

    Think B!Awareness campaign by the American Liver Foundation

    B Here!Campaign for the Asian American Community

    Protect your patients, protect yourself

    Message

    Doctors-in-training are more at risk to acquire Hepatitis B, get vaccinated before

    you start handling patients