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presented by: Karissa Loper, MPH
HPV Free NV Summit
09/11/2015 – Las Vegas
Trends in the Teen National Immunization Survey
2010-2014
Department of Health and Human ServicesDivision of Public and Behavioral Health
Nevada State Immunization Program
Brian SandovalGovernor
Richard Whitley, MSDirector
Cody L. Phinney, MPHAdministrator
Tracey D. Green, MDChief Medical Officer
Division of Public and Behavioral Health
The HPV Vaccine & Best Practices
Karissa Loper, MPH. (09/10/15). NIS-Teen, HPV Free NV Summit.
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• Today I will discuss:– NIS-Teen 2014 updates– NIS-Teen data trends– HPV rates more in-depth• Additional discussion on progress throughout the grant
period– Data Quality in NV WebIZ
3Division of Public and Behavioral Health
An Overall Look at 2014
2014
88%
66%
54%
32%
NIS-Teen, 2014, Nevada Rates
≥ 1 dose Tdap ≥ 1 dose MCV4 ≥ 1 dose HPV ≥ 3 doses HPV
HPV rates here are for girls only
US Rate = 88%
US Rate = 79%
US Rate = 60%
US Rate = 40%
4Division of Public and Behavioral Health
2014 Overall Continued
2010 2011 2012 2013 20140%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
68%
88%
54%
66%
47%
54%
26%32%
0.116
0.434
0.07
0.157
2010-2014 NIS-Teen Rates, Nevada≥ 1 Tdap ≥ 1 MCV4 ≥ 1 HPV girls ≥ 3 HPV girls ≥ 1 HPV boys ≥ 3 HPV boys
Teen
Imm
uniz
ation
Rat
e
HP 2020 Goal
TDaP
MCV4
1 HPV-girls
3 HPV-girls
5Division of Public and Behavioral Health
2014 Ranking for NIS-Teen
2010 2011 2012 2013 20145
10
15
20
25
30
35
40
45
50
27th
15th
25th
30th
42nd
29th
9th
40th37th
20th
43rd
2010-2014 Nevada Ranking for Teen NIS≥ 1 Tdap ≥ 1 MCV4 ≥ 1 HPV girls ≥ 3 HPV girls
Rank
ing
6Division of Public and Behavioral Health
HPV Rankings – Females Only2011 2012 2013 2014
22nd
9th
34th
40th
27th
43rd41st
43rd
36th
45th43rd
2011–2014 Teen NIS: HPV-Girls' Ranking, Nevada
≥ 1 dose HPV Female ≥ 2 doses HPV Female ≥ 3 doses HPV Female
Nev
ada
Rank
ing
7Division of Public and Behavioral Health
HPV Vaccine Rate Comparison
2011 2012 2013 2014
53% 54%57%
60%
55%
63%
53% 54%
65% 65%68% 69%
76%74%
77% 76%
2011-2014 Teen NIS: 1-dose HPV Females Comparison
≥ 1 dose-U.S. ≥ 1 dose-NV ≥ 1 dose-CA ≥ 1 dose-RI
8Division of Public and Behavioral Health
HPV Vaccine Rate Breakdowns
2011 2012 2013 20140%
10%
20%
30%
40%
50%
60%
70%
55%
63%
53% 54%
61%64%
27%
33%
45%
37%
44%
12%
31%
43%
0.204
0.283
0.07
0.157
2011-2014 Teen NIS: HPV Rates by Gender, Nevada
≥ 1 dose HPV Female ≥ 2 doses HPV Female ≥ 3 doses HPV Female ≥ 1 dose HPV Male ≥ 2 doses HPV Male ≥ 3 doses HPV Male
9Division of Public and Behavioral Health
Immunization Assessment at the Provider Level
• The purpose of AFIX is to assist and support health care providers by identifying low immunization rates, opportunities for improving immunization delivery practices, and ensuring that providers are: – Aware of and knowledgeable about their immunization
rates and missed opportunities to vaccinate; – Motivated to incorporate changes to their current
practices; – Ready to try new immunization service strategies; and – Capable of sustaining these new behaviors.
10Division of Public and Behavioral Health
DATA QUALITYEnsuring that individuals receive all vaccines due, but no duplicative or unnecessary doses, requires that complete immunization data, that is accurate and timely be available to the vaccine provider. Likewise complete, non-duplicative demographic data is vital to several NV WebIZ functions, including vaccine accountability and patient follow-up activities. Finally, locating such information in a comprehensive, accessible system enables the analysis necessary to achieve population-wide protection against vaccine-preventable diseases. (http://www.cdc.gov/vaccines/programs/iis/func-stds.html)
11Division of Public and Behavioral Health
Nevada WebIZNV WebIZ helps improve the quality of health care for Nevadans by providing a critical tool to ensure that everyone can receive recommended immunizations at the right time. By using NV WebIZ, healthcare providers, hospitals, schools and local public health can identify persons who are at the highest risk in the event of a disease outbreak or other emergencies such as earthquakes or floods. NV WebIZ is also used to locate communities with low coverage rates so that we can best target resources and interventions to those most underserved areas. The result is that more Nevadans are protected from debilitating or potentially fatal diseases at a lower cost by targeting funds to the areas where they are most needed.
12Division of Public and Behavioral Health
NV WebIZ Training• Policy states that all new users who will add or modify data in
NV WebIZ must attend a training session before they will be given a username and password to log in. If you only need to view data (e.g., child care facility or those that report data via HL7 interface), a special User Confidentiality Agreement is available.
• NV WebIZ offers training sessions in locations around the state. All training sessions are offered at no cost. – Continuing education units are available for Nevada-licensed nurses,
pharmacists, child care providers and medical assistants that attend NV WebIZ trainings! Contact our trainers for more details.
– http://dpbh.nv.gov/Programs/WebIZ/dta/Training/WebIZ_-_Training___Education/
13Division of Public and Behavioral Health
NV WebIZ Contacts• Southern Nevada– Joseph Aylsworth
• (702) 486-0579 • [email protected]
– Janice Salazar• (702) 486-0580• [email protected]
• Northern/Rural Nevada– Tami Smith
• (775) 684-5996• [email protected]
• NV WebIZ Help Desk– Victor Lamas
• (877) 689-3249 Toll-Free• (775) 684-5954• [email protected]
– Allen Whitenack• (775) 684-4221• [email protected]
14Division of Public and Behavioral Health
Division of Public and Behavioral Health
Thank you!
Karissa Loper, MPHImmunization Program ManagerDivision of Public and Behavioral [email protected] (775) 684-3209
Recommended citation: “Karissa Loper, MPH. (2015). Trends in the Teen National Immunization Survey, 2010-2014. Division of Public and Behavioral Health, State of Nevada. Carson City, Nevada.”
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