1. 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

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

3. 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!!!

4. 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

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

6. 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

7. 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.

10. 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

11. 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

12. 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

13. How did you hear about this flu clinic?

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

15. 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

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

17. 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

18. 2003 Influenza Vaccinations: Persons With Other Insurance
Other insurance, smother insurance, nobody cares
Based on 11,516 queried records from 2003 Philadelphia Flu Campaign

19. 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.

20. 2003 Influenza Vaccinations by Reported Race/Ethnicity
Based on 11,516 queried records from 2003 Philadelphia Flu Campaign

21. 2003 Influenza Vaccinations by Age Group
Based on 11,516 queried records from 2003 Philadelphia Flu Campaign

22. 2001-2003 Influenza Vaccinations White / Minority, <65
70%
67.2%
61.8%
Based on 25,557 queried records from Philadelphia Flu Campaign

23. 2001-2003 Influenza Vaccinations White v. Other Racial Groups, 65+
58%
45%
44%
Based on 25,557 queried records from Philadelphia Flu Campaign

24. 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.

25. 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.

26. 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.