VACCINE PREVENTABLE DISEASES: VACCINE PREVENTABLE DISEASES: VACCINE - PowerPoint PPT Presentation

VACCINE PREVENTABLE DISEASES: VACCINE PREVENTABLE DISEASES: VACCINE PREVENTABLE DISEASES: VACCINE PREVENTABLE DISEASES: IMMUNIZATION, EXEMPTIONS, AND OUR COMMUNITY BY: MATTHEW TOWN, PHD, MPH DISEASE CONTROL AND PREVENTION PROGRAM SUPERVISOR PHAC MEETING – MARCH 8, 2016

OVERVIEW OVERVIEW OVERVIEW OVERVIEW ▪ Disease Control and Prevention (DCAP) ▪ Overview of Vaccines, Immunization, and Exemption ▪ Exemption Epidemiology ▪ Exemption Legislation ▪ Group Discussion

DISEASE CONTROL AND PREVENTION

DISEASE CONTROL AND PREVENTION DISEASE CONTROL AND PREVENTION DISEASE CONTROL AND PREVENTION DISEASE CONTROL AND PREVENTION ▪ Known to us as “DCAP” ▪ DCAP is responsible for the prevention, surveillance, investigation, and control of reportable diseases in Washington County. ▪ As part of this charge, DCAP provides ▪ rapid response to reportable diseases (including HIV/STIs) through case investigation, case management, outbreak response, and implementation of preventive measures to control communicable disease spread; ▪ out-patient clinical services for tuberculosis specialty care; ▪ blood-borne pathogens training and health screening for Public Health employees; and ▪ our community immunization programs.

VACCINES, IMMUNIZATION, AND EXEMPTION

CONCEPTS AND DEFINITIONS CONCEPTS AND DEFINITIONS CONCEPTS AND DEFINITIONS CONCEPTS AND DEFINITIONS ▪ A vaccine is a product that produces immunity from a disease and can be administered through needle injections, by mouth or by aerosol. ▪ A vaccination is the injection of a killed or weakened organism that produces immunity in the body against that organism ▪ An immunization is the process by which a person or animal becomes protected from disease. Vaccines cause immunization, and there are also some diseases that cause immunization after an individual recovers from the disease ▪ An exemption is a process of being free from an obligation or liability imposed on others. ▪ Herd Immunity is the general immunity to a pathogen in a population based on the acquired immunity to it by a high proportion of members over time.

EXEMPTION EPIDEMIOLOGY

EXEMPTION RATES BY STATE: 2013-2014

EXEMPTION RATES BY STATE: 2014-2015

Washington County Totals for Nonmedical Exemptions – 2015-2016 School Type Adjusted # Students w/ 1 or # Students w/ enrollment more exemptions % exemptions for all VPDs % Kindergarten 4,179 204 4.9 89 2.1 Childcare Facilities 9,889 441 4.5 160 1.6 7 th Grade 3,842 79 2.1 31 0.8 Full School 55,011 1,222 2.2 534 1.0 A All data pulled from ALERT IIS B Adjusted enrollment estimates excludes online students

Washington County - Exclusion Order Count and Percentage by Reason REASON COUNT CUMMULATIVE PERCENTAGE Incomplete Immunizations 1662 79.0% No Record 414 98.7% MMR Dose Req. 10 99.2% Hep A Dose Req. 8 99.6% Nonmedical exemption documents 8 99.9% Dates missing 1 99.9% TOTAL 2103 100% A All data pulled from ALERT IIS B Adjusted enrollment estimates excludes online students

EXEMPTION LEGISLATION

EXEMPTIONS EXEMPTIONS EXEMPTIONS EXEMPTIONS ▪ Prior to Senate Bill 132, parents were permitted to obtain exemptions without having to receive any education about vaccines. ▪ These were often sought out for religious purposes and were referred to as religious exemptions. ▪ Senate Bill 132 was signed into law on June 26, 2013.

SENATE BILL 132 SENATE BILL 132 SENATE BILL 132 SENATE BILL 132 ▪ This law parents seeking an exemption would need to obtain the signature of a health care practitioner certifying that the parents received immunization education, or provide a certificate confirming they had watched an approved online educational video. ▪ This law also eliminated any reference to “religious” exemptions and renamed them nonmedical exemptions. ▪ At this time, exemptions granted prior to this law were still valid.

SENATE BILL 895 SENATE BILL 895 SENATE BILL 895 SENATE BILL 895 ▪ Senate Bill 895 was signed into law on July 27, 2015 ▪ This law removed the provision that allowed religious exemptions that were in place before the implementation of the new nonmedical exemption process (March 1, 2014). ▪ Children with exemptions signed prior need new documentation of immunizations, a medical exemption, or a nonmedical exemption.

SENATE BILL 895 SENATE BILL 895 SENATE BILL 895 SENATE BILL 895 ▪ This law requires schools and children’s facilities to make available certain information related to immunizations at the main office for the school, or children’s facility and on the website of the school, school district, or children’s facility website, if available. ▪ Specifically, this information needs to include “the number of children served and the number of children who are susceptible to restrictable disease” …meaning the school specific exemption rates.

GROUP DISCUSSION WE APPRECIATE YOUR INPUT

What role (and amount of resources) should WCPH put towards assisting and assuring that schools are making exemption and immunization rates available?

In addition to publicizing school rates, what other activities do you think are important in educating parents and the community regarding the importance of vaccinations?

Thinking about community processes and partnerships, what are some ways that you think WCPH could increase our community engagement in immunization conversations and activities? And who should be involved?

Engaging community champions and advocates is essential in the success of community initiatives, who are some potential champions for this type of work? In general… and with respect to groups that may be disenfranchised such as racial and ethnic minorities, immigrants,… others?

MATTHEW TOWN, PHD, MATTHEW TOWN, PHD, MPH MATTHEW TOWN, PHD, MATTHEW TOWN, PHD, MPH MPH MPH Disease Control and Prevention Program Supervisor 503-846-3640 Matthew_Town@co.washington.or.us