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Indiana State Department of Health Immunization Program

Indiana State Department of Health Immunization Program. Immunization Summit St. Joseph County April 16, 2008. Agenda. ISDH Immunization Program Overview Immunization Coverage Levels Children Adults Program Goals Questions. Program Overview. Program Overview.

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Indiana State Department of Health Immunization Program

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  1. Indiana State Department of Health Immunization Program Immunization Summit St. Joseph County April 16, 2008

  2. Agenda • ISDH Immunization Program Overview • Immunization Coverage Levels • Children • Adults • Program Goals • Questions

  3. Program Overview

  4. Program Overview • The ISDH Immunization Program strives to prevent disease, disability, and death in children, adolescents, and adults through vaccination. • Serves a population of 6.3 million Hoosiers • 1.6 million are children 18 years of age or less • 237,000 children are under 3 years of age

  5. Program Overview • Vaccines for Children (VFC) • Federally-funded • Provides immunizations to eligible children under age 19 • Eligibility requirements • Uninsured • Medicaid Eligible • American Indian or Alaska Native • Served by a FQHC/RHC • 45.8% of Hoosier children eligible in 2008 • 900 public and private providers enrolled in VFC

  6. Program Overview • Delegation of Authority • Allows FQHCs/RHCs to give authority to local health departments to immunize underinsured children in the health department • PHS 317 • Provides immunizations to children with no other eligibility at specified public health facilities • State-Funded Vaccine • $11 million allocated from tobacco tax funds • Providers qualify to receive state-funded vaccine if they are enrolled in VFC and use the immunization registry for inventory management • Children 0-35 months not eligible for VFC at the VFC provider’s office are eligible for state funded vaccine

  7. Program Overview • Adolescent and Adult Immunization • Perinatal Hepatitis B Prevention • Children and Hoosiers Immunization Registry Program (CHIRP) • Non-mandatory, statewide population-based immunization registry • Implemented in 2002 • Currently includes more than 2.9 million individuals with 23 million vaccinations

  8. Immunizations Provided • In 2007, 1.7 million combined doses of federally and state purchased vaccine were distributed to public and private providers in the state

  9. Immunization Coverage

  10. Immunization Coverage • Measured by completed immunization series: • 4:3:1:3:3 • 4 doses of DTP (diphtheria, tetanus, pertussis) vaccine • 3 or more doses of poliovirus vaccine • 1 or more doses of MMR (measles, mumps, rubella) vaccine • 3 or more doses of Hib (Haemophilus influenzae type B) vaccine • 3 or more doses of HepB (hepatitis B) vaccine • 4:3:1:3:3:1 • 4:3:1:3:3 plus 1 or more doses of varicella vaccine

  11. Immunization Coverage - Children • Indiana immunization rates as of June 2007 • 79.7% of children 19 to 35 months had completed the 4:3:1:3:3 series • 76.5% of children 19 to 35 months had completed the 4:3:1:3:3:1 series Source: National Immunization Survey (NIS)

  12. National Immunization Coverage - Children • National immunization rates as of June 2007 • 80.4% of children 19 to 35 months had completed the 4:3:1:3:3 series • Coverage of 4:3:1:3:3 was lowest among Black, non-Hispanic children at 76.0% • 77.5% of children 19 to 35 months had completed the 4:3:1:3:3:1 series • Coverage was lowest among Black, non-Hispanic children at 73.7% *Immunization rates stratified by race/ethnicity are not available at the state level. Source: National Immunization Survey (NIS)

  13. National Immunization Coverage, Indiana vs. U.S. National, 19-35 Months of Age,2000-June 2007 Source: National Immunization Survey (NIS)

  14. National Immunization Coverage – 19-35 Months of Age, 2002-June 2007 Source: NIS

  15. National Immunization Coverage, Indiana vs. U.S. National, 19-35 Months of Age, 2002-June 2007 Source: National Immunization Survey (NIS)

  16. National Immunization Coverage – 19-35 Months of Age, 2002-June 2007 Source: NIS

  17. Indiana Immunization Coverage – Adults – Influenza Vaccine • Adults reporting receiving a flu shot in the last year: • 31% of all adults aged 18 and older • Adults reporting receiving influenza vaccine intranasally in the last year (FluMist): • 0.6% of adults aged 18 and older Source: 2006 Indiana Behavioral Risk Factor Surveillance System (BRFSS)

  18. Indiana Immunization Coverage – Adults – Influenza Vaccine (Flu Shot and FluMist) Source: 2006 BRFSS

  19. Indiana Immunization Coverage – Adults – Influenza Vaccine (Flu Shot and FluMist) Source: 2006 BRFSS

  20. Indiana Immunization Coverage – Adults – Pneumococcal Vaccine • The pneumococcal vaccine is usually given only once in a person’s lifetime. • Pneumococcal polysaccaride vaccine is recommended at age 65 or older unless certain risk factors are present. • Adults reporting ever having a pneumonia shot: • 21.5% of adults aged 18 and older • 54.1% of adults aged 65-75 • 70.2% of adults aged 75 and older Source: 2006 Indiana Behavioral Risk Factor Surveillance System (BRFSS)

  21. Indiana Immunization Coverage – Adults – Pneumococcal Vaccine Source: 2006 BRFSS

  22. Indiana Immunization Coverage – Adults – Pneumococcal Vaccine Source: 2006 BRFSS

  23. 28.7% of Indiana adults aged 18 and older report having ever received the hepatitis B vaccine.* *The hepatitis B vaccine is completed after the third shot is given. 5.8% of adults aged 18 and older report having one of the following risk factors for hepatitis B: Have hemophilia and have received clotting factor concentrate Are a man who has had sex with other men Have taken street drugs by needle Have traded sex for money or drugs Have tested positive for HIV Have had sex with someone who would answer “yes” to any of these statements Have had more than two sex partners in the past year Indiana Immunization Coverage – Adults – Hepatitis B Vaccine Note: Those reporting risk factors are not necessarily those who have been vaccinated. Source: 2006 BRFSS

  24. Indiana Immunization Coverage – Adults – Hepatitis B Vaccine and Risk Factors for Hepatitis B Note: Those reporting risk factors are not necessarily those who have been vaccinated. Source: 2006 BRFSS

  25. Program Goals

  26. Program Goals • Increase the immunization rates of two-year-old children • Increase the proportion of adults who are vaccinated annually against influenza and who are ever vaccinated against pneumococcal disease • Increase the proportion of children who receive all vaccines that have been recommended for universal administration through 6 years of age

  27. Program Goals • Increase the proportion of providers who have measured the vaccination coverage levels among children in their practice populations within the past two years • Increase routine vaccination coverage levels in adolescents • Increase hepatitis B vaccine coverage among high risk populations • Increase the proportion of providers and who participate in population-based immunization registry

  28. Questions?

  29. Amanda Mizell, DirectorImmunization Program Office: 317-233-7010 amizell@isdh.in.gov

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