1. Illinois Department of Public Health
Comparison of Acceptance Rates for Hepatitis A and B Vaccination Using Monovalent and Bivalent Vaccines With Targeted At Risk Populations
Carol Finley, Immunization Program and
Richard Zimmerman, STD Program
Illinois Department of Public Health

2. Background: Illinois Hepatitis Prevention Project
2000 State Initiative:
Provide hepatitis B vaccination to 15% of eligible STD clinic clients
Establish Risk Assessment System (RAS)
Identify barriers to hepatitis B vaccination
2000 VHIP Initiative
Train service providers
Fund 5 pilots- hepatitis B outreach to at-risk clients
Pilot system to collect return rate data
Perform hepatitis B and C testing on clients with IDU-related or MSM risk

3. Background: Illinois VHIP Project
2001 State Initiative:
Provide hepatitis B vaccination to 24% of eligible STD clients
Establish an improved system to collect and link RAS, lab & vaccination data
2001 VHIP Initiatives Funded Seven Pilots to:
Provide hepatitis A (42%) and hepatitis B (54%) to IDUs and/or MSMs
Perform hepatitis B and C testing on clients with IDU-related risk only

4. Funding Used to Support IL Vaccine Purchases for Hepatitis Prevention

5. Vaccine Acceptance Rates Among IDUs and MSMs at 2001 Pilots

6. Top 5 reasons clients gave for not getting vaccinated for both Hepatitis A and B
I’m not at risk.
I already had it.
I just want my ______ taken care of today.
I don’t want to come back here.
I don’t want two shots today.

7. Action Plan to Increase Acceptance
Try Bivalent in pilots with IDUs and MSMs
Use Monovalent with others
EVALUATE
Acceptance rates
HCW acceptance
Cost
Ability to roll-out to all STD / HIV / out-reach clients

8. 3/6/02 Bivalent Vaccine at Pilot Sites
Not purchased with VFC funds
For use with clients 18 and older who were
IDUs
Snorters
MSMs
Received product in pre-filled syringes

9. Vaccine Acceptance Rates of Monovalent Hepatitis A and B Vaccine Products

10. Initial Comparison of Acceptance Rates: Monovalent vs. Bivalent

11. PLANS for 2002
2003
EVALUATE
Acceptance rates
HCW acceptance
Cost
Ability to roll-out to all STD / HIV / out-reach clients
Pilot Hepatitis Prevention Services in HIV testing centers and drug treatment centers