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

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/

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

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

Current availability of vaccine11

Whatcom County H.D. community flu shot clinic39

Text4baby on WTA buses8

http://schedule.sxsw.com/2012/events/event_IAP10536

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

“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-vp5InE 23

Incidence of infant pertussis29

Recent outbreak activity26

Primary goal of outbreak control26

National campaigns29

http://multivu.prnewswire.com/mnr/soundsofpertussis/50717/

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

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/

Infant hospitalization27

Acceleration of administration of DTaP28

Offering Tdap for caregivers at 2 week check up30

What is tuberculosis?

Spread through the air

Latent vs. active

During 2011:

3.4 cases of TB per 100,000 people Decline compared to 2010

Foreign born vs. U.S. born citizens

During 2011:3.0 cases per 100,000 people

Foreign born citizens

Multi-drug resistant

Age as a factor

Cases

Per 100,000

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

Screening of immigrants seeking US citizenship35

Workplace safety and awareness36,37

Treatment methods34

Western Washington University policy34