Leony Davies and Nuala Mahon 24th January 2018 Promoting Vaccination in Further Education and Higher Education Settings Leony Davies and Nuala Mahon 24th January 2018

Vaccination in Numbers 2-3 million 506 23,650 90,000 2-3 million lives saved by vaccination globally every year. 90,000 – measles deaths around the world is 2016 – vaccine update Dec 2017 506 – confirmed cases of measles in Wales in 2013– over half in the 10-19 age group http://www.wales.nhs.uk/sites3/page.cfm?orgid=457&pid=25444 23,560 – number of young people of routine freshers age around 18/19 who have not received the MenACWY vaccine to improve protection against meningitis PHW data as of 15th Promoting Vaccination in FE and HE settings

Promoting Vaccination in FE and HE settings Data from PHE EIW 2016 vaccines work Promoting Vaccination in FE and HE settings

UK Statistics for Infectious Diseases(WHO) 2016 2015 2014 2013 2012 2000 1990 1980 We can see that Measles, Mumps and Pertussis ( Whooping Cough) is still a problem with both Measles and Pertussis on the increase Promoting Vaccination in FE and HE settings

Promoting Vaccination in FE and HE settings Negative publicity about MMR following the Wakefield scandal. Article on left from 1998. Article on right from 2003. Newspapers added a political dimension to the scare stories and over-reported anecdotes from parents and those with alternative health views compared to the robust scientific evidence. Promoting Vaccination in FE and HE settings

Promoting Vaccination in FE and HE settings This chart show the years, from 1988 onwards, during which confirmed measles cases from the outbreak should have had their first doses of MMR. There is a peak in cases who were very young and would have not had change to have their scheduled first dose at that time. But, You can see that the majority of confirmed measles cases should have had their MMR1 from 1997 to 2005. See from the second graph that lower than 95% uptake remains an issue particularly for the older age groups so new students over the next few years are more likely to have incomplete protection Public Health Wales data Promoting Vaccination in FE and HE settings

Why is vaccination important in FE and HE settings? Risk factors Wakefield Generation Age Lifestyle Communal living Life stage Travel Occupational protection Choice & Responsibility As highlighted previously current students and for next few years are the Wakefield generation. Carriage of meningococcal disease peaks to 24% at age 19 years Risk factors– late nights poor eating habits active and passive smoking, alcohol consumption, frequenting bar and night clubs, intimate contact all of which can affect immune system and ability to fight infection Those living in shared accommodation such as halls of residence risk greater than general population May be the first opportunity that they have had to consent for themselves Choice and responsibility they should be encourage to understand the important of vaccination for themselves their friends and their families It is now their choice and they must begin to be responsible for making decisions based on the correct evidence Promoting Vaccination in FE and HE settings

Healthy colleges and universities? Where does vaccination fit? Not clearly defined Contributed to framework revision to strengthen vaccination component General health and wellbeing- positive effect on immunity Attendance and attainment To develop and implement coherent health promotion and protection activities and experiences for all members of the college or university Unclear- victim of its own success- take you back to the earlier slide, the diseases might not be as visible as they once were but this doesn't mean they are not a threat, if uptake drops as they can return. Healthy colleges and universities framework Aim- 6 Contributes to attendance and attainment Promoting Vaccination in FE and HE settings

What is already being done? Letter to all universities in Wales Direct letter to new students in some areas Most universities offer information on vaccination clearly on websites MenACWY vaccination programme Promoting Vaccination in FE and HE settings

What can you do? Encourage all students to be registered with GP Work with partners to improve opportunities for vaccination Immunisation champion Increase awareness of infectious diseases affecting young people Social media Vaccine check prior to starting uni Follow PHW accounts and share or generate your own posts using graphics available. May involve offering university setting rather than primary care setting as we know that young people are reluctant to attend primary care. Do you know where to get help? You aren’t not expected to act alone. Promoting Vaccination in FE and HE settings

Immunisation schedule The immunisation programme is always changing and you are not expected to keep up to date but it might be helpful to have an awareness. Full up to date schedule is available from NHS direct. Promoting Vaccination in FE and HE settings

What is available? Promoting Vaccination in FE and HE settings Make no apology for many of these resources being MenACWY based as uptake very poor in the current fresher population 40% for their age cohort. Other resources for Measles and MMR in response to outbreaks are available. 1- MenACWY highlighting campaign for young people and fresher students 2 - Template letter to send out to young people 3- MenACWY website targeting young people and those working with young people, including resources and patient stories 5- Snapchat filter – can be used as a location based snapchat filter so student can access the filter- cheap way of engaging young people especially around freshers week 6- measles MMR promotion poster Highlight posters available from hplibrary@wales.nhs.uk or telephone 029 2010 4650 Promoting Vaccination in FE and HE settings

What is available? Disease management Contingency plan for Universities and residential colleges Guidance on the prevention and management of meningococcal meningitis and septicaemia in higher education institutions Promoting Vaccination in FE and HE settings

How can we help? Leony Davies Nuala Mahon 02920 104511 Leony.davies@wales.nhs.uk Nuala Mahon 02921 832128 Nuala.mahon@wales.nhs.uk Promoting Vaccination in FE and HE settings

Acknowledgements Simon Cottrell – Senior Epidemiologist, Health Protection VPDP, Public Health Wales Promoting Vaccination in FE and HE settings