Immunize. Prevent what s preventable Stakeholder Mee1ng.

Transcription

1 Immunize. Prevent what s preventable Stakeholder Mee1ng

2 Housekeeping #BeHerdTX Evalua?ons White- TIP evalua?on Blue- CE evalua?on Trivia Ques?ons

3 The Immuniza?on Partnership Non profit organiza?on dedicated to eradica?ng vaccine preventable diseases through educa?on & advocacy TIP works with individuals and communi?es across the state to improve immuniza?on rates

4 What is a TIP Stakeholder Mee?ng? Held every other year Provides an update on current immuniza?on topics and policy issues Share informa?on on how to be an ac?ve supporter and advocate for immuniza?ons Collect feedback from YOU! SHARE YOUR VOICE AND BE HEARD!

5 Learning Objec?ves By the end of this mee?ng you will be able to: Discuss the current immuniza?on schedule and recent updates to ACIP recommenda?ons Explain new and exis?ng changes to immuniza?on- related policies and how they might impact pa?ent care Discuss the role providers and other healthcare professionals serve in the forma?on of immuniza?on laws and policies

6 2015 ACIP Recommenda?ons What is ACIP? Advisory Commi,ee on Immuniza3on Prac3ces How are recommenda?ons formed? Source: h,p://

7 Trivia Ques?on HOW MANY diseases does the recommended vaccine schedule protect for children 19 years of age and under?

8 2016 ACIP Schedule Source: h,p://

9 2015 ACIP Recommenda?ons Adolescents HPV 9 vaccine Adults Pneumococcal vaccine (PCV- 13/PPSV- 23) Meningococcal B vaccine

10 HPV ACIP Recommenda?ons 2015 ACIP Females: Rou?ne vaccina?on years old Catch up years of age For Males: Rou?ne vaccina?on years old Catch up: years of age years old- high risk Started series with HPV4 Finished HPV2/4 series, then what? Source: h,p:// guidance.pdf

11 Meningococcal- B 2015 ACIP Recommenda?ons Provisional Recommenda?on: yrs of age Preferred group yrs, considered high risk age group Maximize protec?on during high risk?me period Vaccines are not interchangeable Currently not enough data for rou?ne recommenda?on Decision made with provider Source: h,p://

12 Pneumococcal Vaccina?on in Adults 2015 ACIP Recommenda?ons > 65 yrs old If already received PPSV 23 then administer PCV13 at least 1 year aker Not received a pneumococcal vaccine give PCV13 FIRST and then PPSV 23 at least 1 year aker Immunocompromised Less than 65 years old Administer PCV 13 first then 8 weeks later PPSV 23. Source: hlp://

13 Immuniza?ons In The News What Happened in 2015?

14 Vaccina?on Coverage Sources: Es3mated Vaccina3on Coverage, with 4:3:1:4:3:1:4 - FS Among Children Aged Months by State and Selected Area - - Na3onal Immuniza3on Survey, United States, Es3mated Vaccina3on Coverage, with 4:3:1:4:3:1:4 - FS Among Children Aged Months by State and Selected Area - - Na3onal Immuniza3on Survey, United States, 2014

15 Adolescent Vaccina?on Coverage Rates, 2014 Healthy People 2020 Objec?ve Sources: Es3mated vaccina3on coverage with selected vaccines and doses among adolescents aged years, by state/area Na3onal Immuniza3on Survey Teen (NIS- Teen), United States, 2014 Influenza vaccina3on coverage es3mates by State, HHS Region, and the United States, Na3onal Immuniza3on Survey (NIS) and Behavioral Risk Factor Surveillance System (BRFSS), influenza season

16 Policy Issues

17 Policy Process FDA Federal Level CDC- ACIP Recommenda?ons AAP Recommenda?ons State Level State Level VFC Program State Vaccine Laws

18 Recommended v. Required Recommended Determined by ACIP Prevents against a number of different diseases Vaccine recommenda?ons are uniform across the country Some?mes perceived as not as important as required Required Determined by State Health Department Select vaccines are on the school requirement list Vaccine requirements vary from state to state Vaccines given more priority

19 Policy Issues Source: h,p:// content/uploads/disneyland- measles.jpg

20 Na?onal Trends Stricter exemp?on policies Elimina?ng non medical exemp?ons (CA, VT) Exemp?on/Immuniza?on Rate transparency (IL, VT) Tightening Exemp?on Policies (IL, WV) Allowing or relaxing non medical exemp?ons (MS, MI) Opposing health care worker vaccina?on (OH) Source: h,p:// immuniza3on- exemp3on- state- laws.aspx

21 Informa?on Systems Registry plays key role in preven?on and public health Beler popula?on based assessment IMMTRAC II Past successful legisla?on has included: Enhanced privacy Interface with other health technology Adults Texas is only 1 of 4 states in na?on with opt- in Source: AIRA- American Immuniza3on Registry Associa3on

22 Trivia Ques?on How many non- medical exemp1ons in Texas were there in ?

23 Number of Personal Belief Exemp3ons Texas Non- Medical Exemp?ons ,000 40,000 35,000 30,000 25,000 20,000 15,000 10,000 5, to to to to to to 2009 to School Year 2010 to to to to to 2015 Source: Texas Department of State Health Services

24 Disease Outbreaks and Exemp?ons 2013 Non- Medical Exemp1on Hot Spots 2013 Pertussis Hot Spots Source: Graphics and table from the Texas Department of State Health Services presenta3on, Immuniza3on Coverage in Texas: Child and Adolescent Vaccine Coverage. Can be accessed at: h,ps:// TISWG111214_CoverageLevels.pdf

25 How Do We Make Change Happen?

26 Since 2007, immuniza?on advocates have helped pass over 17 pieces of legisla1on to help protect Texans against vaccine- preventable diseases.

27 Impact of 7 th Grade Entry Requirements Number of cases of meningococcal disease, * % decrease * *Provisional as of 10/2/2015 Source: Texas Immuniza3on Stakeholder Working Group mee3ng, VPD Update, 2014, presented: October 2015

28 Bill Process From an Idea to a Filed Bill Assigned to commilee Pass out of calendars Go to Floor REPEAT in other Chamber IF passes out of BOTH chambers Go to Governor Pass out of commilee Go to calendars Read 3?mes then voted on. IF PASSES Signed Not signed (s?ll becomes law) VETO Source:h,p://

29 2015 What TIP Legislative Passed in 2015? Priorities H.B Age extension- Immuniza?on Registry H.B Neglected Tropical Diseases S.B HPV Strategic Plan

30 Easy Access to Adult Shot Records HB 2171 Intent: Extends the age an adult can consent to keep their immuniza?on records in the registry from 18 to 26 yrs. Adults need vaccina?on records to get into college, military or a health care profession. Effec?ve: September 1, 2015

31 Emerging and Neglected Tropical Diseases Intent: Creates a system to iden?fy the incidence of Neglected Tropical Diseases (NTDs) in Texas Authorizes the Department of State Health Services to educate health care providers on how to diagnose and treat NTDs NTDs includes, dengue, west nile virus, chagas disease Effec?ve: September 1, 2015 HB 2055

32 Intent: - Tasks the Department of State Health Services with: - Developing a strategic plan to significantly reduce morbidity and mortality from human papillomavirus- associated cancer - Collabora?ng with the CPRIT (Cancer Preven?on and Research Ins?tute of Texas) and convening any necessary workgroups HPV Strategic Plan SB 200

33 Impact of Engagement

34 Why Your Voice Malers

35 2015 Missed TIP Legislative Opportuni?es Priorities H.B Parents Right to Know School campus exemp?on rates H.B IMMTRAC Opt- out

36 2015 TIP Everyone s Legislative Role Priorities Physicians Nurses & HCPs Public Sector Private Sector Community Supporters Educa?on to improve awareness and client demand* Using combina?on interven?ons such as informa?on systems and standing orders to improve immuniza?on rates* Source: h,p://

37 2015 TIP Everyone s Legislative Role Priorities Increase ac?vity engagement of vaccine supporters in the community through social media, wri?ng, calling legislators to support pro vaccine legisla?on Iden?fy legisla?on through evidence based science to drive high immuniza?on rates and lower VPD incidence Vocal and visible presence during Legisla?ve session Physicians Nurses & HCPs Public Sector Private Sector Community Supporters

38 2015 TIP Future Legislative Challenges Priorities Budget constraints Con?nued need to educate inside and outside the Capitol

39 Listening Session Your opinion maters!

40 Issues Covered Lower state childhood NIS rates HPV Meningococcal disease Exemp?ons Adults and pneumococcal vaccina?on Pertussis Adolescents Registry Neglected Tropical Diseases

41 Feedback HPV

42 Feedback Exemp?ons

43 Feedback Policy Engagement

44 Feedback What else?

45 Jason Sabo Frontera Strategy

46 Texas House: S?ll Really Conserva?ve

47 Texas Senate: Really Conserva?ve to REALLY Conserva?ve

48 The Six States of Texas

49 2017 Texas Legislature / 2018 Elec?ons Primaries are the only elec?ons that maler at the Texas Legislature. Possible Intra- Party Electoral Challenges to All Statewide Elected Officials Lack of Democrats Posi?oned for Compe??ve Statewide Race Possible Presiden?al or Vice- Presiden?al Nomina?on for Senator Ted Cruz

50 Capitol Conversa?on(s) in 2017 Budget: Falling oil prices mean a drop in all kinds of taxes opening door for budget cuts. Master of the Senate: Established Lieutenant Governor, Senator Chairman, Sophomores Foster Care: Federal courts are pushing Texas to reform and improve its foster care system, forcing the state to act and likely resul?ng in increased fund amidst HHS cuts. School Finance: The legisla?ve session wild card.

51 What can I DO?

52 What Can I Do Now? Got 5 minutes? Got 10 minutes? ü Learn the legisla?ve process ü Call your legislator and ask them for their support on pro immuniza?on issues ü Tweet your support for immuniza?ons to Texas legislators ü Send an or leter to your legislator asking them for your support on immuniza?on issues (e.g., exemp?on transparency, registry opt- out). Go to TIP s easy to use legisla3ve portal ü Share your stories, alerts and updates via social media Want To Do More? ü Visit legislators in district and capitol offices with IMMUNIZE TEXAS ü Organize a leler wri?ng campaign with friends ü Write an op- ed for your local newspaper

53 Stories

54 What s Next? NOW! Sign up for TIP s legisla?ve alerts to stay connected and take ac?on Spring Fill out the Statewide Survey Fall Read the recommenda?ons in the Stakeholder Publica?on January Take ac?on during 85 th Legisla?ve Session

55 Thank You! Don t forget the evalua1ons! Rekha Lakshmanan, MHA Director of Advocacy and Policy rlakshmanan@immunizeusa.org