2017 IMMUNIZATION UPDATE. Embracing Quality. Alameda County Public Health Department. In All We Do
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1 2017 IMMUNIZATION UPDATE Embracing Quality Alameda County Public Health Department In All We Do
2 Thanks to our Sponsors Glaxo Smith Kline Vaccines Merck Vaccines Sanofi Pasteur Vaccines Pfizer Vaccines
3 Thanks to our Team Nmarisha Berry Lizeth Contreras Sarina Hill Leslie Greenwood Kate Holbrook Elsie Lai Michelle Leishman Laurissa Lee Ella Leung Joey Macadangdang Cannika Nuth Amelia Quiroz Crystal Scott Darlene Wong
4 Acknowledgement of Catharine Ratto recipient of Natalie J. Smith Immunization Champion Award
5 Agenda Welcome Brief Immunization Update Alameda County Highlights Perinatal Hepatitis B Transmission Break Be About It Trailer and Testimonial Addressing Hepatitis B and Liver Cancer Disparities Quality Improvement and Raising Adult Immunization Levels Wrap Up and Evaluation
6 New and Newish General Best Practice Guidelines for Immunization Updates to 2017 Immunization Schedule 2-dose HPV vaccine schedule for those who begin BEFORE age 15 No LAIV vaccine Updated chronic liver conditions for which Hepatitis B vaccine should be used Meningococcal vaccine MCV4 and Men B vaccine Changes in Figures Changes in Footnotes New Recommendations for use of Trumenba 2-dose series New combination DTaP and IPV for use in children age 4-6 years Quadricel Shortage of Yellow Fever Vaccine
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8 Join Us for a Movie Please Join us for this fascinating movie and be inspired by the marvel of vaccines. We will also have time for a thought provoking discussion. Register at
9 Alameda County Highlights Dr. Erica Pan Deputy Health Officer Director, Division of Communicable Disease Control and Prevention Vaccine Preventable Diseases Kindergarten Immunization Rates HPV Project in Alameda County Shoo the Flu right around the corner! Flu Vaccine Distribution Program Zika Virus
10 Vaccine Preventable Diseases in Alameda County Disease Resolution status included in count 2014 count 2015 count 2016 count (provisional) Hepatitis A Confirmed only Hepatitis B (acute) Confirmed only Influenza deaths (0- Confirmed and Probable year old only) Measles Confirmed and Probable Meningococcal Confirmed and Probable disease Mumps Confirmed and Probable Confirmed, Probable Pertussis and Suspect
11 Rising Kindergarten Immunization Rates
12 Highest Ever Immunization Rates 16 School Districts Almost reported enrolled kindergarteners in over 300 schools 97.2% up-to-date with required immunizations
13 Percent Percent Decreases in Conditional Entrant Rates and Improvements in Immunization Rates Percent Conditional Entrants for Kindergarten Entry Percent Kindergarteners U-T-D at School Entry 12.00% 98.00% 10.00% 96.00% 8.00% 6.00% 4.00% 2.00% Percent Alameda Percent CA 94.00% 92.00% 90.00% 88.00% 86.00% Percent Alameda Percent CA 0.00% 84.00% 82.00% Year Year
14 Community Immunity in Schools
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16 2015 HEDIS Rates Childhood Immunization Schedule Alameda Alliance for Health 75.91% utd Anthem Blue Cross Partnership Plan 71% utd Healthcare Effectiveness Data and Information Set Measures performance on dimensions of care and service for America s health plans Childhood Immunization Schedule Measure includes: 4DTaPs 3 Hibs 4 PCVs 2-3 rotavirus vaccines 3 polios 3 Hep Bs 1 Hep A 2 flu vaccines by 2 nd birthday
17 HPV-Impact: Update on Cervical Pre- Cancer in Alameda County The following slides are based on 6,277 cases reported from
18 Incidence rates of new cervical pre-cancers are decreasing in ages (per 100,000 women). From , there has been a 77% decrease in incidence of cervical pre-cancer among women N= 6,
19 Numbers of new cervical pre-cancer cases are decreasing in ages From , there has been a 75% decrease in cervical pre-cancer COUNTS among women N= 6,
20 Missed Opportunities What can providers do? 3 of year old females in California have not received any HPV vaccination National Immunization Survey-Teen: 2014 Vaccinate all year old males and females. All 9-26 year olds are eligible for HPV vaccination. A strong provider recommendation is the most influential factor in increasing HPV vaccination rates. HPV vaccine should be recommended in a bundle with all pre-teen vaccines (meningococcal, HPV, and Tdap)
21 Coming Up Again Soon Since 2014, providing free in-school flu vaccinations for Oaklandarea elementary students Reducing disease in schools and communities
22 Coming Up Again Soon Flu Vaccine Distribution Program
23 Continued Focus on Zika Virus
24 2017 IMMUNIZATION UPDATE Embracing Quality In All We Do
Vaccine Preventable Disease Alameda County
Vaccine Preventable Disease Alameda County Erica Pan, MD, MPH, FAAP Deputy Health Officer Director, Division of Communicable Disease Control and Prevention Alameda County Public Health Department Clinical
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