vaccination rates for first responders in Texas www.immunizeUSA.org - - PowerPoint PPT Presentation

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Strategies for increasing vaccination rates for first responders in Texas

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Learning Objectives

• 1. Review adult vaccination coverage in Texas.
• 2. Discuss the changing environment for adult

immunization.

• 3. Describe recommended strategies for

improving vaccine coverage in first responders.

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The Texas Department of State Health Services Immunization Unit is pleased to work with The Immunization Partnership to present these webinars to immunization coalitions and immunization partners throughout Texas. These webinars, along with resources available through www.immunizeusa.org, work to ensure information and guidance are available to providers and the public.

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The Immunization Partnership

• Vision » A community protected from

vaccine-preventable diseases.

• Mission » To eradicate vaccine-

preventable diseases by educating the community, advocating for evidence-based public policy and promoting immunization best practices.

Adult Vaccination Rates

Percentage of healthcare personnel who reported receiving influenza vaccination by occupation type, United States, 2010–11 through 2015–16 influenza seasons

Source: Centers for Disease Control and Prevention

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What is a First Responder?

• Individuals who protects life, evidence,

property or the environment during the early stages of an emergency.

• Examples of first responders:

– Fire fighters, – Law enforcement personnel, – Emergency medical personnel, – Utility workers, and – Public health professionals.

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RECOMMENDED VACCINES FOR FIRST RESPONDERS

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Tetanus

• Give 1 dose every 10 years
• Four kinds of vaccines used today protect

against tetanus

– Diphtheria and tetanus (DT) vaccines – Diphtheria, tetanus, and pertussis (DTaP) vaccines – Tetanus and diphtheria (Td) vaccines – Tetanus, diphtheria, and pertussis (Tdap) vaccines

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Hepatitis B

• 3 dose series

– 0,1,6 months

• Obtain anti-HBs serologic testing 1-2

months after third dose to establish immunity.

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Hepatitis A

• 2 dose series
• Obtain serologic testing 1-2 months after

second dose to establish immunity.

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Meningococcal

• Give both MenACWY and MenB
• Booster recommended every 5 years

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MMR

• 2 doses of MMR vaccine are recommended during an
• utbreak of measles or mumps and 1 dose during an outbreak
• f rubella in individuals with no evidence of immunity
• Birth before 1957 is considered acceptable evidence of

measles, mumps, and rubella immunity

– 2 doses of MMR vaccine should be considered for unvaccinated HCP born before 1957 who do not have laboratory evidence of disease or immunity to measles and/or mumps – One dose of MMR vaccine should be considered for HCP with no laboratory evidence of disease or immunity to rubella

• Born in 1957 or later can be considered immune to measles,

mumps, or rubella only if they have

– Laboratory confirmation of disease or immunity, or – Appropriate vaccination against measles, mumps, and rubella

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Varicella

• 2 doses of varicella vaccine given at least

28 days apart

• Not needed if:

– Medical history confirms a varicella of zoster diagnosis – Laboratory evidence of immunity

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Influenza

• Give 1 dose annually

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NVAC STANDARDS FOR PROFESSIONAL HEALTH-CARE- RELATED ORGANIZATIONS, ASSOCIATIONS, AND HEALTH-CARE SYSTEMS

Standards with respect to immunizations include:

• Develop policies and/or regulations that promote high

vaccination rates and reduce immunization barriers for adult patients and their providers.

• Emphasize the importance of immunizations during

all patient encounters, incorporate patient assessment

• f vaccine needs into routine clinical practice, and

document vaccination status in patient medical records.

• IISs and EHRs should be referenced as sources of data

about a patient's vaccine history.

• Strongly recommend all immunizations that are

needed.

Immunization Information Systems

• Texas uses a statewide

immunization registry

• More should be done

to encourage adult participation

In 2015, only

3% of adults

in Texas

enrolled in the statewide registry at all,

and only 2 percent had at least 1 vaccine dose in the registry

Standards with respect to immunizations include:

• Provide educational information on

immunizations into professional trainings.

• Provide resources and assistance for

providers to implement protocols or standing orders.

Standing Orders

• Gives non-physician healthcare personnel

(ex. physician assistants, nurses and medical assistants) directive to administer vaccines without a prescription to eligible patients

Reminder/Recall

• Identify and contact patients who have

upcoming vaccine doses (reminder) or have missed doses (recall)

Standards with respect to immunizations include:

• Encourage first responders to ensure that

their own vaccinations are up-to-date as a standard of the profession.

• Make educational materials regarding

immunizations available in the work place.

Standards with respect to immunizations include:

• Participate in collaboration opportunities with other members of the

immunization community.

• Insurers/payers/entities that cover adult immunization services

should ensure that their networks are adequate to provide timely immunization access and augment with additional vaccine providers, if necessary.

• Examples:

– Public health, – Public and private medical, – Nursing, – Pharmacists, – Patient advocacy, and – Health systems.

Standards with respect to immunizations include:

• Ensure preparedness for outbreaks of vaccine-

preventable diseases when they occur.

• Managing these outbreaks should include

activities such as:

– creating, – maintaining, and – practicing emergency preparedness plans for vaccine responses to outbreaks such as pandemic influenza.

• Promote adherence to applicable laws, regulations,

and standards among adult immunization stakeholders.

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Questions?

Please feel free to contact: Katy Gore, MPH Coalitions and Education Program Manager kgore@immunizeUSA.org (281) 769-3087

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Thank you for all you do!

Thank you!