“Stop Flu at School” Implementing a Statewide School-located Influenza Vaccination Program Hawaii Department of Health

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  • 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

  • Planning/ProposalCollaborating PartnersLogisticsBudget/ExpendituresMedia/Communications

  • 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

    JanFeb MarAprMayJunJulAugSepOctNovDecJan*

  • 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

    2007(1st year)2008Vaccine$1,858,995$1,289,441Staffing$266,345$233,884Other$782,134$311,911TOTAL$2,907,474$1,835,236

  • 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

  • *Preliminary Data

  • 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

  • Thank Youwww.stopfluatschool.com