Hawaii Department of Health
Prevent childhood illnessIndirectly decrease community transmissionACIP RecommendationsPrepare for possible mass vaccinations of school children in the event of an influenza pandemic
Feasibility of providing choice of TIV or LAIV3 elementary schoolsOverall vaccination rate: 35%
Grades K 8All Hawaii public and private schools invited to participateVoluntary written consent of parent/guardian requiredOffered TIV and LAIVTwo clinics held for schools with children aged less than 9 years in first year (2007-08); only 1 clinic in subsequent years
95% participation rate for all public and private K-8 schools50% influenza vaccination uptake for Hawaii school children grades K-8 in participating schools
Formation of an Executive Advisory CommitteeNeighbor Island District Health Offices
Hawai`i Department of EducationHawai`i Association of Independent SchoolsHawai`i Catholic SchoolsHawai`i Pacific University, School of NursingKauai Community College, School of NursingMaui Community College, School of NursingUniversity of Hawai`i at Manoa, School of NursingAmerican Academy of Pediatrics Hawai`i ChapterAmerican Academy of Family Physicians - Hawai`i ChapterHawai`i Medical Services Association Hawai`i County Fire Department Kaiser Foundation Health PlanKahu MalamaMedImmune, Inc.Medical Reserve Corps Oahu, Maui, Hawaii, and Kauai countiesSanofi PasteurU.S. Militarys Joint Public Health Emergency Working GroupWest Kauai Lions ClubEtc.
School, student, and vaccine projectionsStaffing projectionsIT supportBudget analysisTimelinesPrinted materials and communicationsFeasible?
Order VaccinesStaffing ArrangedConsents Due/ReviewSchoolsScheduledClinicsConsents SentSchoolsAskedPromotion *2007-08 only
Subsequent yearsSeparate (color-coded) consent forms for LAIV and TIV
*Note that expenditure figures for 2009 still being finalized.Medical Supplies, Print Materials, Data Entry, Staff, Curriculum & Training, Public Relations, Courier, Promotion & Incentives
Develop Public Service Announcements (PSA)TV commercialsRadio spotsNewspaper advertisementsFlyers Morning show interviews (TV and radio)Governors announcementCall centersPublic inquiriesPhysician inquiries and reporting of adverse eventsTranslation servicesCoordinate media events at school clinics
Consent FormSeparate TIV and LAIVSimplify2nd dose clinics for children under age 9 years45% of all clinics were 2nd dose clinicsDiminishing returnsStaffingStudent nursesMedical Reserve CorpContract nurses
Established relationships with partnersExisting forms and proceduresExisting suppliesStaffing sourcesParental/community support
H1N1 clinics followed seasonal clinics, beginning November 2009Limited staff available to run additional clinicsUncertainty regarding timing of availability of 2009 Influenza A H1N1 vaccineShort lead-timeSchool furlough days
School-based influenza vaccination clinics are feasibleProvide infrastructure for pandemic preparationRequire extensive planningClose collaboration with partners, especially schoolsFunding constant challengeOnce established, public expectation (and support) for clinics to continueAssessment of impact