Prevents 14 million cases of disease in the US each year
Objectives reflect a mobile world society
People continue to contract diseases that are vaccine preventable
Types of flu vaccines3
Importance for pregnant women and babies4
Safety of the flu vaccine4
Who can receive the vaccine4
http://www.proteanservices.com/2009/08/why-you-should-get-both-the-seasonal-flu-and-the-h1n1-flu-vaccine/
During the 2012-2013 early flu season: 47.3% of pregnant women were
vaccinated5
Safety concerns were the main barrier5
Remaining below the 80% target5
Text4baby program6
During the 2009-2010 flu season: 53.3% of pregnant women were
vaccinated7
Text4baby and Washington DOH partnership8,9
Washington DOH letter to physicians(M. Hayes,
personal communication, January 31, 2011).
Vaccine shortage and suspension of mercury limits10
Current availability of vaccine11
Whatcom County H.D. community flu shot clinic39
Text4baby on WTA buses8
http://schedule.sxsw.com/2012/events/event_IAP10536
Pregnancy increases risk for flu complications4
Increased hospitalizations for infants12
Health care providers recommending vaccination5
Increased accurate knowledge5, (G. Stream &
associates, personal communication, December 5, 2011).
› Faces of Influenza grassroots campaign13
“Whooping cough”14
Most commonly affects infants, young children14
Many infants infected by family members15
Best prevention is vaccination14,15,16
› DTaP vs. Tdap
http://www.youtube.com/watch?v=wuvn-vp5InE 23
Incidence of infant pertussis29
Recent outbreak activity26
Primary goal of outbreak control26
National campaigns29
http://multivu.prnewswire.com/mnr/soundsofpertussis/50717/
Pertussis epidemic in April 201217
Highest rate in children under age 117
Improvements after 2012 › Continued push for vaccinations19
› WA DOH translated materials on website19
Skagit and Whatcom counties17
Pertussis vaccine opt-out rate21
Budget cuts22
GIFT Tdap vaccine program20
http://vaccinenewsdaily.com/medical_countermeasures/320913-tdap-vaccine-declared-safe-for-adults-over-65/
Infant hospitalization27
Acceleration of administration of DTaP28
Offering Tdap for caregivers at 2 week check up30
What is tuberculosis?
Spread through the air
Latent vs. active
During 2011:
3.4 cases of TB per 100,000 people Decline compared to 2010
Foreign born vs. U.S. born citizens
During 2011:3.0 cases per 100,000 people
Foreign born citizens
Multi-drug resistant
Age as a factor
Cases
Per 100,000
Ann Rushing
3.0 active cases per 100,000 people in 2012
90% latent, 10% active
Current issue: multi drug resistance
Highest priority: active TB cases
Screening of immigrants seeking US citizenship35
Workplace safety and awareness36,37
Treatment methods34
Western Washington University policy34