Cuc Tran, MPH Doctoral Student College of Public Health

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Presentation transcript:

Cuc Tran, MPH Doctoral Student College of Public Health CONTROLLING FLU Cuc Tran, MPH Doctoral Student College of Public Health

Science + Solution = Public Health Intervention Agenda Flu is bad Vaccines are good School Located Influenza Vaccination (SLIV) programs are effective method to controlling flu in a community Science + Solution = Public Health Intervention

Flu is Bad SEASONAL Flu in United States: 3,000 – 49,000 die each year $87 billion in cost = GNP of Vietnam

CDC’s Recommendation: Get Vaccinated! Vaccines are Good CDC’s Recommendation: Get Vaccinated!

Vaccines is Good Barriers to Flu Control: Targeting vulnerable population does not prevent flu deaths and/or transmission

Flu Prevention Research: Computer modeling suggest immunizing Vaccines are Good Flu Prevention Research: Computer modeling suggest immunizing 20% of 5-18 years old > 90% elderly 70% = community protection Children are super spreaders Schools are virus exchange systems

Controlling Flu Barriers to Immunizing School Children: Annual vaccination required Practitioners cannot meet demand Time and transportation cost Solution to Immunizing School Children: School Located Influenza Vaccination Program (SLIV)! 86% PEDs support program 61% PEDS willing to participate

Controlling Flu SLIVs are Complex Sustainability Infrastructure Educational Interventions Program Evaluation Alachua County 90 schools 30,000 school children 57% Free and Reduced Lunch

Alachua County SLIV Program Controlling Flu Alachua County SLIV Program

Controlling Flu

Controlling Flu Community Partners Alachua County: Health Department School System CHOICES AvMed Healthcare Renaissance Printing Marketing Mudd Sweet Dreams Ice Cream Shop Walmart African American Accountability Alliance Black Nurses Association Children’s Miracle Network Gainesville Area Chamber of Commerce Pediatric After Hours Junior League Santa Fe College, Nursing Program United Way University of Florida: Emerging Pathogens Institute College of Medicine College of Nursing College of Pharmacy College of Public Health Department of Pediatrics

Controlling Flu Program Overview: FREE LAIV for ALL school children 2006/07, 2009/10, 2010/11, 2011/12 Donated vaccine from state & grants Operational funds from federal, state, & private grants 25+ community partners & 300 volunteers Incentives, T-shirts, Training kits

Controlling Flu Aug - Sep Oct – Dec Jan – Apr Vaccine Clinics Promote program Collect consent forms Determine eligibility Oct – Dec Vaccine Clinics Jan – Apr Collect & analyze data Controlling Flu

Controlling Flu

Controlling Flu

Controlling Flu

Controlling Flu

Controlling Flu

Controlling Flu

Alachua County SLIV Program Controlling Flu Alachua County SLIV Program 8 States Combined Weighted Average + Alachua County 06/07 09/10 10/11 Elementary 16.3% 27% 50% 48% Middle 12.7% 24% 34% 36% High 9.1% X 16% Pvt. Physicians --- 10-15%

Controlling Flu Flu vaccinations in schools cost about half the $23.10/child paid to physicians County/State IMZ Rate Administrative Cost per Dose Alachua 65% ~$6 Lyon, MN Mower, MN Sterns, MN 58% 54% 33% $~10 Kauai, HI Honolulu, HI Maui, HI 42% 48% 39% ~$14 Denver, CO* NA $18 Biodefense Strategy, Practice, and Science. December 2010, 8(4): 331-341 * Personal communication

Controlling Flu Elementary Middle High FRL 15% 42% 55% 69% 81% 97% 15% 42% 55% 69% 81% 97% 40% 57% 24% 55% Elementary Middle High

Moving SLIVS Forward… Controlling Flu Developing a “Influenza ToolKit” for school nurses with the NASN Comprehensive program planning and evaluation Identify strategies to implement SLIV state wide Evidence based research

Questions? Lai Ling Cheung Program Coordinator Lcheung@epi.ufl.edu (352) 273-8272

References http://www.cdc.gov/flu/weekly/ Science (2006) 311:415 Vaccine (2000) 18:1902 Biodefense Strategy, Practice, and Science (2010), 8(4): 331-341