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Immunization and Infectious Diseases

Immunization and Infectious Diseases. Marya Kampmann Paul DeLeeuw Demery Paladichuk. Immunization and Infectious Diseases 101 1. Prevents 14 million cases of disease in the US each year Objectives reflect a mobile world society

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Immunization and Infectious Diseases

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  1. Immunization and Infectious Diseases MaryaKampmann Paul DeLeeuw DemeryPaladichuk

  2. Immunization andInfectious Diseases 1011 • 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

  3. 12.10 Increase the percentage of pregnant women vaccinated against seasonal influenza2 Baseline: 11% for 2008-2009 Target: 80% by 2020

  4. Background • 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/

  5. National Level 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

  6. National Level7 (2009-2010)

  7. State Level 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

  8. Local Level • Current availability of vaccine11 • Whatcom County H.D. community flu shot clinic39 • Text4baby on WTA buses8 http://schedule.sxsw.com/2012/events/event_IAP10536

  9. Importance and Improvement Strategies • 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

  10. 1.6 Reduce cases of pertussis among children under 1 year of age2 Baseline: 2,777 cases between 2004-2008 Target: 10% improvement by 2020

  11. Background • “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-vp5InE23

  12. National Level25

  13. National Level • Incidence of infant pertussis29 • Recent outbreak activity26 • Primary goal of outbreak control26 • National campaigns29 http://multivu.prnewswire.com/mnr/soundsofpertussis/50717/

  14. State Level • 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

  15. State Level18

  16. Local Level • 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/

  17. Local Level17

  18. Importance and Improvement Strategies24

  19. Importance and Improvement Strategies • Infant hospitalization27 • Acceleration of administration of DTaP28 • Offering Tdap for caregivers at 2 week check up30

  20. 29 Reduce tuberculosis (TB)2 Baseline: 4.9 new cases per 100,000 people in 2005 Target: 1.0 new case per 100,000 people by 2020

  21. Background31 • What is tuberculosis? • Spread through the air • Latent vs. active

  22. National Level32,38 During 2011: • 3.4 cases of TB per 100,000 people • Decline compared to 2010 • Foreign born vs. U.S. born citizens

  23. National Level32

  24. State Level33 During 2011: • 3.0 cases per 100,000 people • Foreign born citizens • Multi-drug resistant • Age as a factor

  25. State Level By County33 Cases Per 100,000

  26. Local Level34 • 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

  27. Importance and Improvement Strategies • Screening of immigrants seeking US citizenship35 • Workplace safety and awareness36,37 • Treatment methods34 • Western Washington University policy34

  28. Questions?

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