1. Fall 2014 Immunization Campaign Hung Minh Le, PharmD. Public Health Associate Office for State, Tribal, Local and Territorial Support Centers for Disease Control and Prevention 06/02/2015 Centers for Disease Control and Prevention Office for State, Tribal, Local and Territorial Support

2. Personal Information  Education PharmD. from Washington State University (WSU), Spokane, WA Bachelors of Science, University of CA, Riverside (UCR), CA  Relevant Experience WSU Immunization Chair 2010-2011 International Relations Intern, Warsaw, Poland, 2012  Interests Global health practice

3. Overview  Background  Method  Results  Next Steps

4. Background  In 2005-2011, there were an estimated 13.6 million flu cases, 5.8 million medical visits, and nearly 113,000 flu-related hospitalizations 2. During the 2013-2014 influenza season, more than 100 flu-related pediatric deaths were reported 3.  CDC recommends flu vaccines for children ages 6 months – 18 years  Lack of resources to vaccinate  Local pediatricians unable to vaccinate children within time frame  Parents may not have money to cover the cost of vaccination  Since 2006, the Tacoma Pierce County Health Department has been providing in-school immunization clinics to address this health issue in school-aged children.

5.  TPCHD’s 2014 Flu Immunization Campaign: - Saves the children’s lives; - Protects others you care about; - Creates a healthier community; - Saves the family time and money; - Alleviates health care financial burden Significance To Public Health

6. Method  Provide flu vaccines to children in local elementary schools.  1 pediatric nurse, 1 clinic coordinator, and 3-4 nursing students go into the schools, set up the clinics, and give the flu vaccinations.  Planning: scheduling schools for the fall. Host-site’s clinic coordinator arranged all logistics  Implementing: clinics at schools within the Tacoma School District. WoodCreek Pediatric

7. Flu Clinics for Tacoma School District

8. Private Provider Vaccination for Sumner S.D.  Woodcreek (WC) Pediatrics  Clinic coordinator: Hung Le; Denise Stinson (TPCHD) WoodCreek office staff  Vaccinators: WoodCreek nurses

9. Successes  Vaccinated more children than in the previous year.  Schools were happy with our service.  Outstanding working relationships with the schools and private providers.

10. Implications for Practice  TPCHD’s school-based immunization program serves the purpose of preventing flu transmission among school-aged children, within their family, and the community as a whole; Children tend to respond better to vaccine; Children do not tend to follow flu prevention measures (e.g., hand-washing, covering up coughs, etc.); Children stay in close proximity with other school kids, their parents and loved ones.

11. Next Steps!  Fall 2015 Immunization Campaign planning is under way.  Expanding our service to 40+ schools in 4 school districts around Tacoma, WA.  Recruiting private providers to provide vaccination service in their office.

12. 1. GHENDON, Y. Z., A. N. KAIRA, AND G. A. ELSHINA. "THE EFFECT OF MASS INFLUENZA IMMUNIZATION IN CHILDREN ON THE MORBIDITY OF THE UNVACCINATED ELDERLY." EPIDEMIOLOGY & INFECTION. CAMBRIDGE UNIVERSITY PRESS, 29 NOV. 2009. WEB. 14 MAY 2015. 2. CENTERS FOR DISEASE CONTROL AND PREVENTION. SEVERE MORBIDITY AND MORTALITY ASSOCIATED WITH INFLUENZA IN CHILDREN AND YOUNG ADULTS—MICHIGAN, 2003. MMWR MORB MORTAL WKLY REP.2003;52 :837– 840 3. CENTERS FOR DISEASE CONTROL AND PREVENTION. UPDATE: INFLUENZA-ASSOCIATED DEATHS REPORTED AMONG CHILDREN AGED <18 YEARS—UNITED STATES, 2003–04 INFLUENZA SEASON. MMWR MORB MORTAL WKLY REP. 2004;52 :1286– 1288 References

13. Denise Stinson, RN, MSN; Host-site supervisor Carolyn Cook, RN, MSN; Pediatric Nurse Pacific Lutheran University, College of Nursing WoodCreek Pediatrics Acknowledgement

14. For more information, please contact CDC’s Office for State, Tribal, Local and Territorial Support 4770 Buford Highway NE, Mailstop E-70, Atlanta, GA 30341 Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348 E-mail: OSTLTSfeedback@cdc.govWeb: http://www.cdc.gov/stltpublichealthOSTLTSfeedback@cdc.govhttp://www.cdc.gov/stltpublichealth The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Questions or Comments??? Centers for Disease Control and Prevention Office for State, Tribal, Local and Territorial Support