1. DSHS Immunization Activities to Raise Texas Vaccine Coverage Levels Jack Sims, Manager Immunization Branch September 19, 2006

2. DSHS Role Immunization System - Public/Private Partnership Goal is to increase and sustain high vaccine coverage levels for children, adolescents and adults Through policy and rules development Ongoing dissemination of immunization information and public health benefit of vaccines Keeping children as the top immunization priority

3. National Immunization Survey (NIS) 1995-2005 Rates in Texas

4. 2005 NIS: Texas, Metro Areas & National Average - 4:3:1:3:3:1 Series

5. Nationally Proven Strategies to Raise Vaccine Coverage Levels Promote a medical home for all children Maintain a statewide immunization registry Use reminder/recall notice systems Conduct increased public education Conduct increased provider education Develop and maintain effective public/private partnerships

6. Operations That Support Increasing Coverage Levels Texas Vaccines for Children Program (TVFCP) ImmTrac School and child-care facility immunization requirements Contracts with Local Health Departments (LHDs) and Federally Qualified Health Centers (FQHCs) Use partnerships to educate providers using brochures, website, trainings/seminars, and information distribution

7. Operations (continued) Educate the general public through literature, media campaigns and toll-free hotline Use disease surveillance to detect disease incidence and guide implementation of interventions Continue increasing community and statewide stakeholder collaborations

8. Vaccine Purchasing Policy Vaccine purchases are made in accordance with federal and state purchasing guidelines and rules As good stewards of taxpayer dollars, DSHS purchases the lowest-priced vaccine when more than one vaccine with the same disease protection is available and the prices are different Purchase equal amounts of the above vaccines when the prices are the same TVFC providers may choose between single vaccines and newer combination vaccines

9. Seasonal Influenza Vaccine DSHS roles –Distribute vaccine to TVFC providers to vaccinate eligible children and adolescents –Provide safety net for adults through regional clinics Disseminate vaccine supply and availability information and recommendations through stakeholders Local Health Department Roleuse local funds to serve their communities

10. Seasonal Influenza Vaccine Availability for 2006 Season Total doses expected in Texas8 million –Majority of these given in private sector by physicians and pharmacies Texas Vaccines for Children doses400,000 DSHS Adult Safety net doses110,000

11. For Further Information, Contact: Jack Sims, Manager Immunization Branch Department of State Health Services 1100 West 49 th Street Austin, Texas 78756 512/458-7111, ext. 6215 jack.sims@dshs.state.tx.us www.ImmunizeTexas.com

12. Texas Pandemic Flu Preparation & Planning Milestones July – October 2005 – DSHS conducted meeting with various stakeholder groups to discuss development of Texas Pandemic Influenza Plan October 25, 2005 – DSHS released draft Texas Pandemic Influenza Plan & posted on DSHS Internet for public comment period until December 2, 2005 December 12, 2005 – DSHS held breakout discussion sessions at a Pandemic Influenza Conference March 27, 2006 – DSHS held Pandemic Influenza Summit with U.S. Health and Human Services Secretary Leavitt in Austin May 2006 – DSHS convened an expert panel to discuss and analyze possible use of antivirals in response to pandemic flu

13. Texas Pandemic Flu Preparation & Planning Milestones June 5, 2006 – Plan sent for review by Governors Department of Emergency Management August 1, 2006 – DSHS submitted intent letter to U.S. Department of Health and Human Services (HHS) to purchase up to approximately 2.3 million additional antiviral courses December 31, 2006 – DSHS must submit a plan to CDC including number of antivirals Texas intends to purchase, when purchase would be made, how they would be stored, managed and distributed in the event of a pandemic February 1, 2007 – Texas Pandemic Influenza Plan due to U.S. HHS December 31, 2007 – Deadline for ordering additional antivirals

14. For Further Information, Contact: Casey Blass, Manager Disease Intervention and Prevention Department of State Health Services 1100 West 49 th Street Austin, Texas 78756 512/458-7111, ext. 2175 casey.blass@dshs.state.tx.us@dshs.state.tx.us