Philadelphia Department of Public Health James Sweeney RN,BSN, Jennifer Sampson BA, Robert Levenson MBA, James Lutz MPA,Mindy Perilla MPH, Aramide Ayorinde BS The divisional disease control began coordination of the community based Philadelphia flu program in 2000. Prior to this the Department of Health's concentration on administration of influenza

Community-Based Influenza Project for a Multi-Cultural Population 2003 Philadelphia, PA

Dec 2003 NOTICE GO AWAY!!! This Center is Temporarily out of vaccine. There is a National Shortage of Influenza Vaccine This Center is Temporarily out of vaccine. GO AWAY!!!

Diversity of Population Some clustered locations Multifactorial disadvantages Socioeconomic Chronic Illness (People < 65 yrs of age) Insurance/ Access to Care/ Awareness of Need Racial/ Ethnic Disparities

Phila. 5th Largest City in US. Self ID Racial Makeup Non-Hispanic Black 42.5% Non-Hispanic White 42.4% Hispanic 8.4% Asian 4.4% Other/Non 2.0% (2000 U.S.Census)

PDPH Marketing of Campaign Media Event Kickoff Community Schedule on Website 24 Hour Automated Hotline 9AM-5PM Staffed Hotline Bulk Delivery of Promo Materials Press Release at Kickoff with schedule Church Bulletins / Regional Papers

Footsteps Marketing Strategies African/American Health Care Marketing Company (LA, CA/ NY,NY) # of Radio buys (175 week/6 weeks) # of TV spots (any news story about flu) Kickoff/ Celebrity Vaccinee Newspaper Buys (7 / Half page ads) Interviews on local radio programs.

Providers 6 Local schools/ of Nursing 2 African American Nursing Sororities Medical Students Hispanic Nurses Association Asian American Healthcare Network 4 FQHC’s Staff Volunteer Community MD’s and RN’s

Volunteer Medical Providers Agree to give free flu shots to the uninsured and collect information for Medicare part B for health department billing. Use privately purchased vaccine for their own patients. FQHC’s Nurse Operated

Report on the 2003 Philadelphia Influenza Campaign >11,700 immunizations given at >243 community sites 57 Clinical partners/partner agencies >11,516 Participant surveys collected

How did you hear about this flu clinic?

How did you hear about this flu clinic? Based on 11,516 queried records from 2003 Philadelphia Flu Campaign

N W E S # of Clinics by Region/ Shots per Region 57/ 2551 24/ 1427 62/ 3384 W E 38/ 796 S 35/ 2839 18/ 511

Prior History of Influenza Vaccinations Based on 11,516 queried records from 2003 Philadelphia Flu Campaign

Medicare Part B Status of 2003 Recipients Just because you ask people about health insurance status doesn’t mean they are going to tell you. And conversely providers are not always going to ask about or be strict about it either. It is considered a public service not a money making venture. Based on 11,516 queried records from 2003 Philadelphia Flu Campaign

2003 Influenza Vaccinations: Persons With Other Insurance Other insurance, smother insurance, nobody cares Based on 11,516 queried records from 2003 Philadelphia Flu Campaign

2002 Medicare Reimbursements Persons 65 and over with Medicare Part B $ 9, 306 reimbursed to the PDPH Prior to the 2002 season PDPH never billed nor applied for mass vaccinator status with roster billing. We hope the 2003 season will provide us with a better return secondary to a more concerted effort at training of providers.

2003 Influenza Vaccinations by Reported Race/Ethnicity Based on 11,516 queried records from 2003 Philadelphia Flu Campaign

2003 Influenza Vaccinations by Age Group Based on 11,516 queried records from 2003 Philadelphia Flu Campaign

2001-2003 Influenza Vaccinations White / Minority, <65 70% 67.2% 61.8% Based on 25,557 queried records from 2001- 2003 Philadelphia Flu Campaign

2001-2003 Influenza Vaccinations White v. Other Racial Groups, 65+ 58% 45% 44% Based on 25,557 queried records from 2001- 2003 Philadelphia Flu Campaign

Received Pneumoccocal Vaccine Previously All Ages 2002 2003 We are always interested to look at pneu uptake. Remember our criteria for immunization is 50 years of age and up or under 50 years of age with a chronic illness. People in 2003 were much less inclined to bother to answer the question.

Summary Philadelphia has improved influenza coverage rates in minority as well as white populations More vaccinees heard about the flu program from newspaper ads than from any other media Recommend focused interventions with a multicultural provider base. Plan influenza programs early, beginning in the late Spring.

Acknowledgments Many thanks to the hundreds of volunteers throughout the Philadelphia Health Care Community who are the heart and soul of the community flu program.