Monday, August 28, 2017

NACCHO highlights Broward HPV campaign

Kim Rodgers of the National Association of County and City Health Officials highlighted Broward County's campaign on HPV vaccine on her immunization blog. Thanks Kim.


NIAM Blog Series 2017: Turning the Tide on HPV Vaccination Rates


Throughout the month of August, NACCHO’s National Immunization Awareness Month (NIAM) Blog Series highlights the importance of immunizations across the lifespan. This week’s NIAM Blog Series post takes us to Florida, where high rates of human papilloma virus (HPV)-associated cancers and low HPV vaccination rates led the Florida Department of Health in Broward County (DOH-Broward) to take action.


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The Problem
The Centers for Disease Control and Prevention (CDC) estimates that nearly 40,000 HPV-associated cancers occur in the United States each year – 23,300 among women and 16,500 among men – and that these cancers are responsible for more than 90% of anal and cervical cancers, about 70% of vaginal and vulvar cancers, and more than 60% of penile cancers.
In the state of Florida, these statistics are all too familiar.


According to CDC data (2006-2010), Florida ranks in the top third of states in HPV-associated cervical cancer, anal cancer in males and females, and oropharyngeal cancer in males; while ranking in the mid-third of states in HPV-associated penile cancer and vaginal cancer. The state’s high rates of HPV-associated cancers have a lot to do with its low rates of HPV vaccination coverage. In 2013, CDC data indicated that HPV vaccination rates of adolescent girls (ages 13-17) in Florida was between 30-37.6%, placing Florida among the lower third in state ranking. In fact, that same year, Florida had the lowest coverage for =1 HPV vaccine dose (39.4%) compared to the rest of the nation’s states.
The connection between the low rates of HPV vaccination and high rates of HPV-associated cancers led Broward County – which represents 9% of the State’s population and is the second most populous county in Florida – to take action to increase HPV vaccination rates.


The Intervention
In May 2015, DOH-Broward and the Broward County Immunization Action Coalition (the Coalition) held a community planning meeting to develop an action plan to increase HPV vaccine rates in Broward County. The Coalition, which was developed in 1996 through the leadership of DOH-Broward, was established to develop, implement, and monitor immunization strategies that further the goals of providing complete protection against, and eventual elimination of, vaccine-preventable diseases.
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DOH-Broward Immunization Clinic at Lauderhill Mall
As part of the community action plan, stakeholders agreed that DOH-Broward could offer HPV vaccine at its annual back-to-school immunization point of dispensing (POD). Consequently, DOH-Broward offered HPV vaccine during the 2015 and 2016 back-to-school immunization PODs, hosting extended night and weekend hours to maximize community reach. In addition, DOH-Broward attended a Broward County Pediatric Society meeting to educate providers about recommending the HPV vaccine as part of routine immunization clinical visits and speaking about the vaccine as cancer prevention. Further, by developing and distributing an HPV palm card to the community and providers, DOH-Broward was able to increase awareness of HPV and the HPV vaccine.


Through this series of activities, DOH-Broward produced a major shift in the county’s HPV vaccination rates.
The Impact
Prior to the intervention, DOH-Broward was only providing HPV vaccine at its immunization clinics and had not engaged the county’s provider community. However, by distributing more than 5,000 palm cards, offering the HPV vaccine at PODs, and making it a part of routine immunizations, the health department was able to increase vaccine acceptance in doses administered from 2015 (1,772) to 2016 (4,217), representing a 138% increase.


During the 2016 POD, 1,640 HPV vaccines were provided as compared to 903 in 2015 – an 81% increase. Of those, 1,256 were initial doses, 228 were second doses and 156 were third dose. HPV vaccine rates have also significantly increased at DOH-Broward clinics, which saw a 196.5% increase in doses provided from 2015 (869) to 2016 (2,577). Of those, 1,236 were initial doses, 944 were second doses, and 397 were third dose.
While this intervention is still relatively new, the hope is that DOH-Broward’s continued efforts to drive HPV immunization rates up will eventually help to curb the rates of HPV-associated cancers.


Best Practices & Lessons Learned
While increasing awareness and expanding opportunities for the community to receive the HPV vaccine had much to do with DOH-Broward’s success, there were other contributing factors. In particular, training immunization nurses to reference HPV as cancer prevention rather than STD prevention was critical. When HPV becomes a part of routine vaccination and is presented as cancer prevention, parents are more apt to agree to the vaccination for their child. Further, the engagement of stakeholders and partners during the community planning meeting produced up-front buy-in that will allow DOH-Broward to continue increasing HPV vaccination uptake and vaccines delivered.
NACCHO is pleased to support local health departments in their participation of NIAM. Download NACCHO’s updated Guide to HPV Resources for Local Health Departments and be sure to check out our previous posts in the NIAM Blog Series:


About Kim Rodgers
Kim Rodgers serves as a Communications Specialist at NACCHO. Her work includes promoting local health departments' best practices, as well as partner tools and resources, in infectious disease and preparedness through NACCHO's communications channels, storytelling, and outreach to various audiences.

Friday, August 11, 2017

DOH Webinar on HPV


TRAINING OPPORTUNITY: Human Papillomavirus Quality Improvement Webinar


The Florida Department of Health, Immunization Section would like to share with its partners and colleagues information regarding an upcoming educational webinar from the National Area Health Education Center Organization (NAO). NAO is offering a free webinar, Human Papillomavirus (HPV) Quality Improvement: Small-Scale Efforts for Practice Transformation,   focused on how to transform your practice by utilizing a sustainable intervention that fits or even simplifies your current work flows.

Learning objectives:

 

  • Define specific goals for adolescent vaccination rates based upon accurate data mining and reporting within your organization.
  • Utilize implementation science concepts to select specific, relevant strategies to apply to your organization in a deliberate, sustainable intervention.
  • Improve addressing of adolescent vaccines with patients and parents utilizing processes, tools and scripting.

 

Date: Thursday, August 24, 2017

Time: 3:00 p.m.–4:00 p.m. EST

 

FREE Continuing Education opportunity!

 


 

Please remember to distribute this information to colleagues, members, coalitions, and partners who provide or have an interest in immunizations. Also, please post this information prominently on your website. If you have any questions or need any additional information regarding vaccine recommendations, please contact Dearline Thomas-Brown, MPH, BSN, RN, Executive Community Health Nursing Director for the Immunization Section at 850-245-4342 or Dearline.Thomas-Brown@flhealth.gov.

Thursday, August 3, 2017

New vaccine adverse event reports

Here is a second news item from the Florida Department of Health Immunization Section in Tallahassee, which originally came from the CDC.


New Vaccine Adverse Event Reporting System (VAERS) Website
The Florida Department of Health, Immunization Section would like to share with its partners and colleagues an update from the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA). The CDC and FDA has implemented new system changes pertaining to Vaccine Adverse Event Reporting System (VAERS) Website and Ways to Report to VAERS—please see below regarding this new change.

CDC and FDA are pleased to announce VAERS 2.0 includes a new reporting form and a new website that allows you to:


·         Easily submit a VAERS report electronically
·         Access VAERS data VAERS 2.0
·         Learn more about how CDC and FDA monitor the safety of vaccines
·         Coming soon: VAERS 2.0 video!

There are now two ways to report an adverse event following vaccination to VAERS:

1. Use the online reporting tool
2. Complete a fillable VAERS PDF form and upload it into the new VAERS system

By the end of 2017, CDC and FDA will phase out the old VAERS-1 paper form and fully transition to the new VAERS 2.0 electronic submission process. Accommodations will be made for persons unable to submit reports electronically.
  

If you have any questions or need any additional information regarding vaccine recommendations, please contact Dearline Thomas-Brown, MPH, BSN, RN, Executive Community Health Nursing Director for the Immunization Section at 850-245-4342 or Dearline.Thomas-Brown@flhealth.gov.

Vaccine Update from DOH


Here is a news item from the Florida Department of Health Immunization Section in Tallahassee...

Vaccine Updates and Resources for Providers

The Florida Department of Health, Immunization Section would like to share with it’s partners and colleagues a partner resource from the Children’s Hospital of Philadelphia’s Vaccine Education Center. The recent newsletter, Vaccine Updates for Providers, is a valuable resource and provides vaccine updates, free provider tools and resources available in English and Spanish, best practice guidelines and various updated immunization articles, materials and information.

To view this resource, please visit Vaccine Updates for Providers. (If the link doesn't work, the web address is http://mailchi.mp/email/vaccine-update-fetal-cells-and-vaccines-new-qa-sheets-vis-update-hpv-vaccine-and-pregnancy-and-next-years-influenza-vaccine-1525877?e=c38f27a1d9
 

If you have any questions or need any additional information regarding vaccine recommendations, please contact Dearline Thomas-Brown, MPH, BSN, RN, Executive Community Health Nursing Director for the Immunization Section at 850-245-4342 or Dearline.Thomas-Brown@flhealth.gov.

Monday, June 5, 2017

Where to get your back-to-school immunizations

The best place to have your child immunized for admission to school in 2017-18 is at your regular family doctor. But if that is not possible, several health organizations in Broward County are offering free back-to-school vaccinations over the summer. 

Here are three:

BROWARD HEALTH



HOLY CROSS HOSPITAL

FL DEPARTMENT OF HEALTH - BROWARD

Edgar P. Mills Health Center, Fort Lauderdale.
Paul Hughes Health Center, Pompano Beach.
Appointments 954-467-4705.

Also at Lauderhill Mall (see flyer)




Tuesday, April 18, 2017

National Infant Immunization Week

Hello. Here is some information and a link to the CDC's Toolkit for National Infant Immunization Week (NIIW), April 22 to 29.

The toolkit details events and activities, online resources, sample social media content and materials for the annual observance of NIIW. The CDC's welcome message and a link to the NIIW web site are found below. We hope you will find these resources helpful as you engage and promote NIIW messages. Thank you.

Samhara Estrada, Acting Chair of the Broward Immunization Action Coalition

DIGITAL TOOLKIT FOR PARTNERS

To assist partners in our collective efforts to spread the word about the positive impact of vaccination, and to call attention to immunization achievements, we have created this digital toolkit for partners which details events and activities, online resources, sample social media content, and materials. We hope you will find these resources helpful as you engage and promote NIIW messages.

National Infant Immunization Week (NIIW) is an annual observance to highlight the importance of protecting infants from vaccine-preventable diseases and celebrate the achievements of immunization programs and their partners in promoting healthy communities. Since 1994, local and state health departments, national immunization partners, healthcare professionals, community leaders from across the United States, and the Centers for Disease Control and Prevention (CDC) have worked together through NIIW.

CDC relies heavily on partners like you to promote our messages about the critical role vaccination plays in protecting our children, communities, and public health. This year, NIIW will be observed from April 22—April 29. We encourage you to get involved in NIIW and thank you helping us spread the word about childhood immunizations.


Wednesday, April 12, 2017

Webinar Training Opportunity
HPV Vaccinations: From Recommendations to Practice
Wednesday, April 19, 2017 at Noon EST

The Florida Department of Health, Immunization Section would like to share an upcoming training opportunity, HPV Vaccinations: From Recommendations to Practice.”  The human papillomaviruses (HPV) cause over 31,000 cases of cancer in the U.S. each year. 
Join National Foundation for Infectious Diseases (NFID) President-Elect, Joseph A. Bocchini, Jr., MD, Professor and Chair of the Department of Pediatrics Health Sciences Center at Louisiana State University and Tracy Bieber, RN, BSN, Immunization Strategy Manager at Sanford Health System for an update on current Advisory Committee on Immunization Practices (ACIP) recommendations regarding the use of HPV vaccines and strategies for improving immunization rates. 
This webinar is scheduled for Wednesday, April 19, 2017 at Noon EST Register Now!
At the conclusion of this activity, participants will be able to:
  • Discuss the epidemiology, clinical manifestations, and outcomes of HPV infection
  • Discuss ACIP recommendations for the use of HPV vaccines and the rationale for universal immunization
  • Discuss safety of HPV vaccines and early data on vaccine effectiveness
Continuing Nursing Education (CNE)
This continuing nursing education activity was approved by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation (OBN-001-91). It has been approved for a maximum of 1.0 contact hour.
Continuing Medical Education (CME)
The NFID is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. NFID designates this continuing material for a maximum of 1.0 American Medical Association Physician’s Recognition Award (AMA PRA) Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 
Please review the attached documents and distribute to appropriate staff. If you have any questions, feel free to contact Dearline Thomas-Brown, MPH, BSN, RN, Executive Community Health Nursing Director at (850) 245-4444, ext. 2384.
  
Robert M. Griffin, Administrator
Immunization Section, Bureau of Epidemiology
Division of Disease Control and Health Protection
(850) 245-4331, Robert.Griffin@flhealth.gov

Thursday, March 2, 2017

Webinar -- Vaccine Confidence: Key to Communicating


The Florida Department of Health Immunization Section would like to share with its partners, colleagues and the community an educational webcast and live Q&A session.

The webcast will be hosted by Sanofi Pasteur and is titled Vaccine Confidence: The Key to Communicating with Parents and Patients. Registration is required.


Topics addressed will be vaccine acceptance, hesitancy and resistance. The program goal is to increase confidence and comfort levels of health care professionals to better equip them for conversations with parents and patients. Communication techniques will be demonstrated by expert staff.


Speakers include:

  • Gary S. Marshall, MD
    Professor of Pediatrics
    Chief, Division of Pediatric Infectious Diseases
    Director, Pediatric Clinical Trials Unit
    University of Louisville School of Medicine     
  • Carole H. Moloney, RN, MSN, CPNP
    Pediatric Nurse Practitioner
    Boston Medical Center
    Clinical Instructor, Pediatrics
    Boston University School of Medicine      

 Four sessions are scheduled:

  • Tuesday, March 7, 2:00 p.m. EST
  • Thursday, March 9, 12:00 p.m. EST
  • Tuesday, March 14, 3:00 p.m. EST
  • Thursday, March 16, 1:00 p.m. EST

To register, please visit: login.xyvid.com/register/group/vaccine.

Feel free to distribute this information to anyone who provides or has an interest in immunizations. If you have questions or need additional information regarding vaccine recommendations, please contact Dearline Thomas-Brown, MPH, BSN, RN, Executive Community Health Nursing Director for the Immunization Section at 850-245-4342.

Friday, February 17, 2017

Childhood Immunization Champion Award


Do you know someone who has gone above and beyond on childhood vaccinations? You can considering nominating him or her for the Florida Childhood Immunization Champion Award Program.  

Please note the deadline for submitting the form is Friday, February 17, 2017.  

2017 Florida Childhood Immunization Champion Award Program

The Florida Department of Health Immunization Section on behalf of the Centers for Disease Control and Prevention (CDC) and the CDC Foundation is proud to announce the sixth Annual Childhood Immunization Champion Award Program. The award honors individuals who are doing an exemplary job or going above and beyond to promote or foster childhood immunizations in their communities. Award recipients for 2017 will be announced during National Infant Immunization Week (NIIW), April 22-29, 2017.

Award Criteria

Champions can include coalition members, parents, health care professionals (e.g., physicians, nurses, physicians’ assistants, nurse practitioners, medical assistants, etc.), and other immunization leaders who meet the award criteria. State immunization program managers, state and federal government employees of health agencies, individuals who have been affiliated with and/or employed by pharmaceutical companies, and those who have already received the award are not eligible to apply.

When nominating and selecting a Champion, immunization programs should base their nominations on meeting one or more of the following criteria:

  • Leadership: The candidate is considered an authority on immunization in their community, medical system, or individual practice. Activities may include acting as a spokesperson, trainer, mentor, or educator.
  • Collaboration: The candidate has worked to build support for and increase immunization rates in infants and young children. Activities may include establishing or strengthening partnerships, coalitions, committees, working groups, or other.
  • Innovation: The candidate has used creative or innovative strategies to promote immunization or address challenges to immunization in their practice, community, state, or region. Activities may include either new strategies or adapting existing strategies in new ways such as for reaching under-immunized populations.  

  • Advocacy: The candidate is active in advancing policies and best practices to support immunization in infants and young children in their community, state, or region. Activities may include providing legislative testimony or promoting, analyzing, or evaluating policies. 

Eligibility information and nominating forms have been attached for your convenience.

Please submit ALL nomination packets to Dearline Thomas-Brown, MPH, BSN, RN, Executive Community Health Nursing Director, Florida Department of Health, Immunization Section at Dearline.Thomas-Brown@flhealth.gov, by February 17, 2017 (extended).

Please distribute this important information to colleagues, members, coalitions, and partners who provide or have an interest in immunizations. Please place this information prominently on your website. If you have any questions, please feel free to contact Dearline Thomas-Brown, MPH, BSN, RN, Executive Community Health Nursing Director, Florida Department of Health, Immunization Section at 850-245-4342, ext. 2384 or Dearline.Thomas-Brown@flhealth.gov.