Shoo the Flu Influenza Summit September 17, 2014 San Leandro
Whatever you do, don ’ t get the FLU! Influenza negatively impacts the health and well- being of children, adults, and the elderly. We’d like to get rid of flu in our community. Scientists tell us we can do that if we increase vaccine coverage in school-aged kids. Researchers are finding that school-based vaccination clinics increase coverage.
• Multiyear project in Oakland to determine if vaccinating a large number of resident school children against influenza is effective in limiting community-level transmission • School-located influenza vaccination (SLIV) will be implemented to increase vaccine rates in children • Clinical impact study to evaluate child, family and community level outcomes
Why School Located Flu Vaccination? • Children are “super spreaders” – Children are contagious for longer than adults and have a higher viral count – Least likely to wash hands or practice cough etiquette – Good reaction to vaccine • Increase vaccine coverage in school-aged kids decrease community-wide transmission • Researchers are finding that school located flu vaccination increases coverage rates for children
Japan saw decrease in flu and pneumonia deaths after implementing nation-wide vaccination
School-based Flu Vaccine Impact Bars in green represent schools that participated in flu vaccine program – benefits extended to adults and older children in the intervention school households
Advisory Committee on Immunization Practices Recommendations: Health-care providers begin offering vaccination soon after vaccine becomes available, and if possible, by October Ages 6 months and over : Routine vaccination annually Children 6 months - 8 years recommended for 2 doses should receive first dose as soon as possible after vaccine becomes available and the second dose ≥4 weeks later.
2013 Pilot School-based Clinics In 2013, the IAP conducted 5 school-based flu clinics in Oakland and Castro Valley from October through November. School Student Population Vaccination Rate (ages 5-12) (%) Castro Valley Elementary 501 87 (17%) Madison Park Academy 524 217 (41%) Madison Park Elementary 249 79 (32%) Marshall Elementary 446 170 (38%) Yu Ming Charter 211 120 (57%)
We’d like to shoo the flu at your school! Link to video from last year’s Alameda County Public Health Department school flu clinics: http://youtu.be/u-i8u_gjQdk
Shoo the Flu: The Basics • Free flu vaccine this fall for all preschool and elementary school students in Oakland. • Vaccinations only if written parental consent. Teachers and on-site school staff welcome to participate. • Shoo the Flu (StF) will bring in nurses and vaccine to school for half-day, on-site clinics. StF will handle all of the logistics and program promotion. • StF will measure the impact on student and community health with UC Berkeley School of Public Health.
Yearly Enrollment Objectives Goal : 70% vaccination rate of children enrolled in participating schools Year 1 Year 2 Year 3 • OUSD & Charter • • All Oakland Schools Year 1 schools + - Preschools continued - Preschools - Elementary recruitment of - Elementary non-OUSD charter - Middle (6-8) • Pilot K-8 schools for and private schools older (6-8) students (pre-K — 8) + all on a case-by-case OUSD middle basis schools • Non-OUSD charter and private schools (pre-K – 5 ) as time allows OUSD special needs students, regardless of grade, will be included in all years of the program.
First year rollout plan March Introduce program to Oakland Schools April Engage the school POCs May Introduce program to school staff, program promotion planning June Introduce program to school staff July Community-wide program promotion August Program promotion in full swing, schedule vaccine clinics September Distribute consent forms, vaccine clinics start October Vaccine clinics continue Program evaluation surveys, 2 nd dose clinics November Program evaluation, 2 nd dose clinics as needed December
• Recruited 30 schools to help distribute and collect consents from parents • Serious of household surveys – baseline through flu season • Specimens will be collected from participants with flu like illness • Compare flu rates and flu-like illness with control schools
Long term goals • Provide flu vaccines for kids at schools every year • Build a sustainable model that is community- based • Build a model reflecting collaboration of providers, county services , healthcare insurers, community based organizations and schools across Oakland
A collaboration* of: • Alameda County Public Health Department • California Department of Public Health • University of California, Berkeley • Oakland Unified School District * with financial support of the Page Family Foundation Program Contact: Kate Holbrook, MSN, RN, CNS, APHN-BC Program Manager, Shoo the Flu Kate.Holbrook@acgov.org 510-268-2395 office 510-362-3416 cell
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