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

2. 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

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

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

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

6. 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

7. 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

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

9. Alachua County SLIV Program
Controlling Flu
Alachua County SLIV Program

10. Controlling Flu

11. 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

12. 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

13. 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

14. Controlling Flu

15. Controlling Flu

16. Controlling Flu

17. Controlling Flu

18. Controlling Flu

19. Controlling Flu

20. 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%

21. 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): * Personal communication

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

23. 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

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

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