Nashville Community Health Needs for Children and Youth, 0-24

1. Nashville Community Health Needs for Children and Youth, 0-24 GOAL 2Vaccine-Preventable Diseases are Eliminated

2. Not to Forget Chicken Pox Diphtheria Measles Polio

3. There are many issues/barriers that prevent the elimination of vaccine-preventable diseases. • Collecting accurate data on immunizations from community providers. • Providers who immunize late in the schedule instead of early in the schedule. • Growing number of foreign born children with language and cultural norms that do not support immunizations/prevention. • Anti-vaccine advocates. • Crowded immunization schedule. • Multiple combination vaccines on the market.

4. Numbers help tell the story… • 97 cases of vaccine-preventable diseases (VPD) reported in Nashville 2002-2006. • Currently, 79.1% of Nashville’s 24-month olds are fully immunized. • 1 of every 5 toddlers is at risk for a VPD. • 4 new vaccines have been added to the schedule in the last year. • Growing number of parents are choosing not to vaccinate their children. • White children are 21% more likely to be fully immunized than African American children.

5. WIC voucher limitation Immunization outreach High-risk reports Daycare audits CASA (Clinical Assessment Software Application) Kindergarten registration events 24-month old immunization audits Immunization compliance rates at kindergarten registration Immunization compliance rates at high school entrance Currently, a number of programs in the community address these issues. Programs Evaluation Criteria NOTE: This slide provides only a few examples of programs; it is not intended to be a comprehensive list.

6. In the next 2-5 years a number of changes are being proposed. • Use GIS mapping systems to determine residential populations in need of immunization. • Community education campaign around importance of immunizations. • Partner with community organizations to perform focus groups with immigrant and refugee populations to determine barriers to immunizations. • Advocate for mandatory school physicals.

7. Objectives • Identify populations with low immunization coverage rates. • Educate anti-vaccine activists about the importance of immunization. • Assess the immunization needs of immigrant and refugee populations. • Systematically implement additional mandatory physical exams for children entering school to assure access to vaccines for older children.

8. Next Steps • Pull together a team of experts, representatives from the schools, parents, community volunteers, business community and others to identify and build plans to achieve current goals, and especially around education.

9. References • Results from 2005: National Immunization Survey (NIS). • TN Report: Immunization Survey 24 month old children 2005.