1. 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

2. 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 age group
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

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

4. UK Statistics for Infectious Diseases(WHO)
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

5. Promoting Vaccination in FE and HE settings
Negative publicity about MMR following the Wakefield scandal.
Article on left from 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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 or telephone
Promoting Vaccination in FE and HE settings

13. 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

14. How can we help? Leony Davies Nuala Mahon 02920 104511
Nuala Mahon
Promoting Vaccination in FE and HE settings

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