1. Local Approaches to Implementation Toni Wafeeg, RN BSN Chief Nurse Immunization Program

2. Mission The Houston Department of Health and Human Services seeks to decrease seasonal influenza prevalence by increasing influenza uptake, and educating on disease transmission

3. HDHHS Seasonal Influenza Goals Increase communitys capacity to decrease seasonal influenza disease prevalence Provide safety net service delivery at area clinics Partner with local and national organizations Educate at every opportunity

4. Seniors/High Risk Health Fairs Congregate Meal Sites Working with Area Agency on Aging Vote and Vaccinate Partnerships with Community Organizations –NACCHO WIC Initiative Assessing Nursing Homes –Knock-out the Flu campaign

5. Child/Adolescent Population Partnering with school district –Explored service delivery in schools –Targeting elementary ages –Largest school district –Weekly reader project Daycare Provider In-services Provider in-services

6. Barriers/Things to Consider Timing of Vaccine Shipments Dispelling current myths Private Provider Infrastructure Navigating ISD system Provider Reimbursement Rates

7. What Works Collaboration between public and private entities Registry Inclusion Reminder/Recall Systems Captive Audience (WIC/Grocery Stores) Message Boards Media Messaging

8. Contact Information Toni Wafeeg, RN Chief Nurse Houston Department of Health and Human Services 713-798-0812 toni.wafeeg@cityofhouston.net