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Vaccinate before you graduate

Vaccinate before you graduate. Presented by: Adalia Del Bosque, RN , BSN. Objectives. Empower health care providers to further educate parents and teens on the importance of immunizing their children Increase awareness about the dangers of meningitis

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Vaccinate before you graduate

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  1. Vaccinate before you graduate Presented by: Adalia Del Bosque, RN, BSN

  2. Objectives • Empower health care providers to further educate parents and teens on the importance of immunizing their children • Increase awareness about the dangers of meningitis • Encourage dialog between parents, school nurses, and other health-care providers about meningococcal and other important vaccinations • Educate health care providers on the importance of collectively working together to increase immunization rates in children

  3. Vaccination – The Best Protection1 Vaccination continues to be the best way to help prevent meningococcal disease1 Helps protect against 4 of the 5 primary serogroups (A, C, Y, and W-135)1 Currently, there is no vaccine available in the US to protect against serogroup B2 Centers for Disease Control and Prevention (CDC) recommends vaccination for preteens and teens3 Vaccination rates are unacceptably low among teens4 In 2009, only 54% of teens 13-17 years of age had received the recommended meningococcal vaccine4 Far from the Department of Health and Human Services’ goal of an 80% immunization rate5 References: 1. Centers for Disease Control and Prevention (CDC). Meningococcal vaccines: what you need to know. http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-mening.pdf. Accessed May 4, 2011. 2. CDC. Epidemiology and Prevention of Vaccine-Preventable Diseases. Atkinson W, Hamborsky J, McIntyre L, Wolfe S, eds. 10th ed. Washington, D.C.: Public Health Foundation, 2008. 3. CDC. Updated recommendations for use of meningococcal conjugate vaccines — Advisory Committee on Immunization Practices (ACIP), 2010. MMWR. 2011;60(3):72-76. 4. CDC. National Immunization Survey (NIS) adolescents/teens only: coverage with Individual vaccines. http://www2a.cdc.gov/nip/coverage/nisteen/nis_iap.asp?fmt=v&rpt=tab01_iap&qtr=Q1/2009-Q4/2009. Accessed May 4, 2011. 5. Healthy People 2020. 2020 Topics and Objectives: Immunization and Infectious Diseases. http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicid=23. Accessed May 4, 2011. 3

  4. States requiring vaccination States requiring education Importance of Meningococcal Vaccination Education References: 1. Immunization Action Coalition. Meningococcal state mandates for elementary and secondary schools. http://www.immunize.org/laws/menin_sec.asp. Accessed May 4, 2011. 2. New York State Department of Health. New York recommended childhood and adolescent immunization schedule. http://www.health.state.ny.us/publications/2378.pdf. Accessed May 4, 2011. 3. State of California Legislative Counsel. California Health and Safety Code. http://www.leginfo.ca.gov/pub/09-10/bill/sen/sb_0201-0250/sb_249_bill_20090224_introduced.html. Accessed May 4, 2011. 4. Illinois General Assembly. Illinois Compiled Statutes. http://www.ilga.gov/legislation/ilcs/ilcs4.asp?DocName=002023100HArt%2E+2310&ActID=331&ChapAct=20%A0ILCS%A02310%2F&ChapterID=5&ChapterName=EXECUTIVE+BRANCH&SectionID=5418&SeqStart=1000&SeqEnd=-1&ActName=Civil+Administrative+Code+of+Illinois%2E+%28Department+of+Public+Health+Powers+and+Duties+Law%29. Accessed May 4, 2011.

  5. Teens Knowingly Put Themselves at Risk1 • 80% of teens aware of activities that increase their risk for getting meningitis; yet, nearly 82%reported engaging in risky activities Teens’ awareness of the risk Percentage of teens engaging in activities Sharing eating utensils, water bottles or drinking glasses; kissing Attending sleep-away camp or boarding school Regularly not getting enough sleep Reference: 1.Data tables for Gfk Roper Public Affairs & Corporate Communications study of 420 mothers with children 11 through 17 years of age and 400 11- through 17-year-olds. Conducted via telephone from April 1, 2011 through April 10, 2011.

  6. Legislation • Senate Bill 31 (effective September 2001) SB 31, 77th Legislative Session, requires the Texas Education Agency (TEA), in collaboration with DSHS, to provide information regarding bacterial meningitis • Senate Bill 819 Jamie Schanbaum Act (Effective September 2009) • SB 819, 81 (R) Legislative Session, requires first time students of institutions of higher education including transfer students, who residing in on-campus housing, to show evidence of bacterial meningitis immunization • Senate Bill 1107 (effective January 2012) • SB 1107, 82 (R) Legislative Session, requires all entering (new and transfer) students less than 30 years of age ,to show evidence of an initial bacterial meningitis vaccine or a booster dose during the five-year period preceding, and at least 10 days prior to, the first day of the first semester in which the student initially enrolls at an institution vaccine to students and parents each year • College Students • Estimated number college students affected by law1107 – Fall 2012: 536,000

  7. Requirements of Meningococcal Vaccination in Schools • DSHS Rules via Texas Administrative Code (TAC): School Requirement • Texas Administrative Code, Title 25, Part 1, Chapter 97, Subchapter B Rule 97.63 • Texas adopted a meningococcal vaccine requirement effective for school year 2009- • 2010 for 7th grade • Each school year an additional grade is phased in until all students in grades 7-12 are • required to have one dose of meningococcal vaccine • By 2014 we will have all Texas children required to have at least one dose of • meningococcal vaccine • ACIP medical recommendation: • Booster of MCV for adolescents ages 16-18year-old • By 2011 the projected state population meeting this requirement = 1,079,865

  8. The Jamie Schanbaum Act, H.B. No. 4189 was passed by the House on May  12, 2009 and signed into law by Governor Rick Perry requiring future first-year and transferring college students to be immunized from meningitis living in the dorms.It is known that college students, as a demographic, are extremely susceptible to contracting meningitis. Meningococcal disease • is a rare, but serious bacterial infection • can take a child’s life in just a single day • parents can protect their adolescent children through vaccination.

  9. McAllen ISD Vaccinate Before you Graduate Campaign • School nurses role • Organize • Flyers • Prevention

  10. Vaccinate Before You Graduate Campaign • Idea – getting started working with counselors and administrators • Planning – collaboration with stake holders • Target Audience – graduating seniors • Location of the event – college night • Fees – making it available especially for those parents/student who were uninsured/underinsured, cost was a consideration • Outcome – positive outcome to vaccinate this population at risk

  11. College and Career Night 2012

  12. Jamie Schanbaum shares her story with more than 300 school nurses during a School Nurse Educational Conference in Mission.

  13. Vaccinate Before You Graduate Campaign 2010 Voices of Meningitis Challenge WinnerDuring “College Night “ we had an on-site vaccination clinic provided meningitis brochures and meningitis vaccine. The vaccines were primarily focusing on under-insured or uninsured population. This was a perfect opportunity to capture parents/students during the on-site clinic.

  14. Texas A&M student dies of meningitis in 2011Nicolas Williams20 years old

  15. Why Aren’t More Teens Getting Vaccinated? • Many parents and students still unaware of disease, vaccine • Fewer health maintenance visits • Missed immunization opportunities • Lack of population-based immunization registries that include adolescents • Low public awareness about adolescent immunization coverage, recommendations, and available vaccinations • Misperceptions about vaccine safety

  16. “When Seconds Count Campaign” Don’t Wait. Vaccinate. • Keynote Speaker: Jamie Schanbaum - Meningitis Survivor • Date: December 9, 2011 • Location: Cooper Center for Communication Arts (STC- McAllen, TX) • STC and MISD- Achieve Early High School Student s participated • Adalia Del Bosque, RN, BSN representing MISD participation in campaign

  17. 2011-2012 Immunization Clinics • Total number of clinics: 18 • Total number of participants: 923 • Total number of doses: 1506

  18. Meningitis Vaccination Clinics! • Feb 15th McAllen High School • 183 vaccines administered • Feb 15th Memorial High School • 134 vaccines administered • Feb 22nd and Feb 23rd Nikki Rowe HS • 152 vaccines administered • Total meningitis vaccines administered to date:  429 Vaccination continues to be the best protection to prevent meningococcal disease!

  19. As school nurses, we can help to address these issues by helping to educate our communities.

  20. Organization of vaccine clinics plays a crucial role in attaining a positive outcome for students and parents.

  21. Parents and students need to be informed of the dangers of meningococcal disease and the importance of vaccination.

  22. We implemented an initiative to ensure that our population composed primarily of uninsured, underinsured, or below the income poverty level is given an opportunity to receive vaccines while they are still eligible to receive vaccines through the Texas Vaccines for Children Program.

  23. Availability of other vaccines assisted in promoting the awareness of adolescent vaccines and boosters such as Tdap.

  24. Local community physicians are willing to accept medical insurances.

  25. Referrals during every health-care visit is an opportunity to discuss boosters for meningococcal or any other vaccination.

  26. Scheduling multiple clinics and distribution of the information regarding the clinics is important to encourage more vaccinations.

  27. School nurses play an instrumental role in raising awareness about meningococcal disease and vaccination. Parents rely on school nurses for information surrounding the health and well-being of their children.

  28. Highlights/Observations • Collaboration with community agencies such as Hidalgo County Health & Human Services and community health care providers. This is key, we must all work together to increase immunization rates. • Parents expressed their gratitude of having on site clinics. • Immunization rates and compliance increased. • Highlight the crucial role school nurses play in helping to prevent meningococcal meningitis and other preventable diseases in their communities. • It was clearly evident how collaborative efforts pay off and have positive outcomes for everybody.

  29. Vaccinate Before You Graduate Our

  30. Immunizing Is Everyone’s Responsibility Our

  31. Questions?

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