Raise Your Voice for Meningococcal Disease Vaccination

1. Raise Your Voice for Meningococcal Disease Vaccination MKT19193

2. Welcome [NAME] [TITLE] [National Association of School Nurses Affiliate]

3. Clinical Overview: Meningococcal Disease • Infection caused by the bacterium Neisseria meningitidis1 • Serotypes A, B, C, Y, and W-135 cause majority of meningococcal disease cases worldwide2 • Leading cause of bacterial meningitis among US toddlers, children and adolescents • Serotypes B, C, and Y most common in US2 • Meningococcal disease can cause meningitis (swelling of the brain or spinal cord) or meningococcemia (blood infection)3 • Vaccination is safe and effective and the best way to help prevent the disease among adolescents3 References: 1. Centers for Disease Control and Prevention (CDC). Meningococcal disease – New England, 1993 – 1998. MMWR. 1999;48(29):629-633. 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. Meningococcal vaccines: what you need to know. http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-mening.pdf. Accessed April 7, 2010.

4. Clinical Overview: Meningococcal Disease • Approximately 1000 to 2600 Americans get meningococcal disease annually1 • The disease rates peak at 15-19 years of age2 • When meningococcal disease occurs the consequences can be devastating1 • Fast progressing…can take a life in just a single day3 • Teens are up to 5 times more likely to die than other age groups2 • Among survivors, 1 in 5 will suffer permanent complications • Amputation, hearing loss, neurological damage, and organ failure1,4 • Early symptoms can resemble the flu, making diagnosis difficult • Symptoms include fever, headache, stiff neck, nausea and vomiting, and rash5-6 References: 1. CDC. Meningococcal vaccines: what you need to know. http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-mening.pdf. Accessed April 7, 2010. 2. Harrison LH, Pass MA, Mendelsohn AB, et al. Invasive meningococcal disease in adolescents and young adults. JAMA. 2001;286:695-699. 3. Erickson LJ, De Wals P, McMahon J, Heim S. Complications of meningococcal disease in college students. Clin Infect Dis. 2001;33:737-739. 4. National Meningitis Association. Overview. http://www.nmaus.org/meningitis. Accessed April 7, 2010. 5. Granoff DM, Harrison LH, Borrow R. Meningococcal vaccines. In: Plotkin SA, Orenstein WA, eds. Vaccines. 5th edition. Philadelphia, Pa: Elsevier Inc; 2008:399-435. 6.National Meningitis Association. Symptoms. http://www.nmaus.org/meningitis/symptoms.htm. Accessed April 7, 2010.

5. Clinical Overview: Meningococcal Disease • Spread from person to person through close, personal contact and exchange of respiratory secretions1 • Common everyday activities can put adolescents at increased risk for infection; these activities or risks include:1-2 • Sharing drinking glasses and eating utensils • Kissing • Living in close quarters • Smoking (or being exposed to smoke) • Meningococcal disease can occur at any point during the year • Late-winter and early-spring are when most cases occur3 References: 1. Granoff DM, Harrison LH, Borrow R. Meningococcal vaccines. In: Plotkin SA, Orenstein WA, eds. Vaccines. 5th edition. Philadelphia, Pa: Elsevier Inc; 2008:399-435. 2. National Meningitis Association. Who is at risk. http://www.nmaus.org/meningitis/who-is-at-risk.htm. April 7, 2010. 3.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.

6. Clinical Overview: Meningococcal Disease • Once diagnosed with meningococcal disease, early antibiotic treatment is critical1 • Even with treatment, meningococcal disease can kill an otherwise healthy young person1-2 • Close contacts should also receive preventive antibiotics1 • Family members, close friends References: 1.Rosenstein NE, et al. Meningococcal disease. N Engl J Med. 2001;344(18):1378. 2. Erickson LJ, De Wals P, McMahon J, Heim S. Complications of meningococcal disease in college students. Clin Infect Dis. 2001;33:737-739.

7. Vaccination – The Best Protection • Vaccination continues to be the best way to prevent meningococcal disease • Helps protect against 4 of the 5 primary serotypes (A, C, Y, and W-135)1 • Centers for Disease Control and Prevention (CDC) recommends routine vaccination for:2-3 • Adolescents 11-18 years of age • College freshmen living in dormitories • Children 2 through 10 years of age at increased risk • Anyone 2 through 10 years of age if elected by parent or health-care provider References: 1. CDC. Meningococcal vaccines: what you need to know. http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-mening.pdf. Accessed April 7, 2010. 2. CDC. Notice to readers: revised recommendations of the ACIP to vaccinate all persons aged 11-18 years with meningococcal conjugate vaccine. MMWR. 2007;56(31):794-795. 3. CDC. Notice to readers: recommendation from the ACIP for use of quadrivalent meningococcal conjugate vaccine (MCV4) in children aged 2-10 years at increased risk for invasive meningococcal disease. MMWR. 2007;56(48):1265-1266.

8. Vaccination Rates Alarmingly Low • In 2008, only 41.8% of teens 13-17 years of age received the recommended meningococcal vaccine1 • Far from the CDC’s goal of a 90% immunization rate2 • Florida has a 33.6% rate of meningococcal vaccination among adolescents 13-17 years of age References: 1. CDC. National Immunization Survey (NIS) adolescents/teens only: coverage with Individual vaccines. http://www.cdc.gov/vaccines/stats-surv/nisteen/tables/08/tab01_iap.xls. Accessed April 7, 2010. 2. CDC. National, state, and local area vaccination coverage among adolescents aged 13-17 Years - United States, 2008. MMWR. 2009;58(36);997-1001.

9. Why Aren’t More Teens Getting Vaccinated?1-3 • 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 References: 1. National Foundation for Infectious Diseases (NFID). Meningococcal vaccination: improving rates in adolescents and reducing racial, ethnic and socioeconomic disparities, 2008. http://stopmeningitis.nfidinitiatives.org/pdf/CTA.pdf. Accessed April 7, 2010. 2. Oster NV, et al. Barriers to adolescent immunization: a survey of family physicians and pediatricians. J Am Board Fam Pract. 2005;18(1):13. 3. Freed GL, Clark SJ, Butchart AT. Parental vaccine safety concerns in 2009. Pediatrics. 2010;10:654-659.

10. States requiring vaccination States requiring education Vaccination Requirements in Elementary and Secondary Schools1-4 References: 1. Immunization Action Coalition. Meningococcal state mandates for elementary and secondary schools. http://www.immunize.org/laws/menin_sec.asp. Accessed April 7, 2010. 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 April 7, 2010. 3. Indiana State Department of Health. 2010-2011 school year Indiana State Department of Health (ISDH) school immunization requirements quick reference guide. http://www.hse.k12.in.us/PDF/clinicalServices/Immunization%20Chart.pdf. Accessed April 7, 2010. 4. Michigan Department of Community Health. New communicable disease rules 2010-2011 school reporting year. http://www.swartzcreek.org/Pupil/SS_NewSchReqmnts1-10.pdf. Accessed April 7, 2010. 5. State of California Legislative Counsel. California Health and Safety Code. http://www.leginfo.ca.gov/cgi-bin/waisgate?WAISdocID=26994629975+0+0+0&WAISaction=retrieve. Accessed May 7, 2010.

11. School Nurses: Helping to Prevent Meningococcal Disease • School nurses play an instrumental role in raising awareness about meningococcal disease and vaccination • Leading advocate in adolescent health • Direct reach to adolescents, parents, and families • Trusted source of health information • Parents rely on school nurses for information surrounding the health and well-being of their children

12. How You Can Help Support Educational Efforts in Florida • Become a “Voice” of Meningitis • A public awareness campaign by the National Association of School Nurses (NASN) in collaboration with sanofi pasteur • Gives “voice” to meningitis through sharing stories of those personally affected by the disease • Parents • Disease survivors • School nurses

13. Voices of Meningitis Objectives • Empower school nurses to further educate parents, teens • Parents rely on school nurses for health information • Educate parents and teens about dangers of meningococcal disease, encourage them to seek vaccination • Encourage dialog between parents, school nurses, and other health-care providers about meningococcal vaccination

14. Voices of Meningitis Challenge • “Challenges” school nurses to implement meningococcal educational efforts • Provides school nurses with resources and strategies • Recognizes school nurses for their educational efforts • Highlights successes in raising awareness of meningococcal disease and prevention • Fosters sharing of ideas and strategies nationwide

15. Great Plains Region Champion: Carol Tucker; carol.tucker@agps.org and Polly Witt; pwitt@gckschools.com New England Region Champion: Linda Twardowski; linda_5208@cox.net Midwest Region Champion: Cindy Hiltz; cynthia.hiltz@anoka.k12.mn.us West Region Champion: Cheryl Sampson; csampson@cvsd.org Mid-Atlantic Region Champion: Beth Mattey; elizabeth.mattey@bsd.k12.de.us Southeast Region Champion: Jennifer Garrett; jgarrett@maconnc.org and Kathleen Rose; flschoolrn@embarqmail.com Southwest Region Champion: Linda Hummingbird; lhummingbird@sfis.k12.nm.us Great Plains Mid-Atlantic Midwest New England South Southeast Southwest West South Region Champion: Mary Glasscock; mary.glasscock@arkansas.gov, and Shawn Smith; shawnsmith_ges@yahoo.com; and Michelle Keith; michellek@battlegroundacademy.org Voices of Meningitis Challenge • Challenge “Champions” to offer guidance and support

16. Voices of Meningitis Challenge • Implementation Guide • Provides ideas to initiate meningococcal disease awarenessprogramming within communities • Educational materials • Posters • Brochure • Fact sheet • Report card sticker • Parent letters • Media materials • Educational videos • Complimentary materials available on VoicesOfMeningitis.org

17. Voices of Meningitis Challenge • Submit case studies of all awareness activities conducted • Case studies featured on the National Association of School Nurses (NASN) Web site • Serves as repository of ideas and strategies for school nurses nationwide • Five case studies selected to be presented during the 2011 NASN Annual Conference • Online submission form on NASN Web site

18. Tips to Use Online Resources • Parent Mailings and Report Cards • Send a Voices of Meningitis brochure or letter home to your students’ parents • School Assembly • Discuss meningitis during a school assembly or pep rally • Show a Voices of Meningitis educational video • Local Parent Teacher Association or Organization Partnership • Host a presentation during a regular scheduled meeting; distribute materials • Athletic Department Partnership • Involve athletic directors to distribute Voices of Meningitis fact sheets with sports physical forms

19. Tips to Use Online Resources (con’t) • Happy (and Healthy) Graduation • Send information home with order forms for yearbooks, class rings, cap and gown, etc. • Set up a table at college fairs • Online vehicles • Distribute a note about meningitis vaccination via your school’s parent listserv • Use the Voices of Meningitis widget to link your school’s Web site with the campaign site • Visit VoicesOfMeningitis.org • Includes more information and ideas

20. Questions?