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DSHS Immunization Activities to DSHS Immunization Activities to Raise Texas Vaccine Raise Texas Vaccine
Coverage LevelsCoverage Levels
Jack Sims, ManagerImmunization Branch
September 19, 2006
DSHS Role • Immunization System - Public/Private Partnership• Goal is to increase and sustain high vaccine
coverage levels for children, adolescents and adults• Through policy and rules development• Ongoing dissemination of immunization
information and public health benefit of vaccines• Keeping children as the top immunization priority
National Immunization Survey (NIS) 1995-2005 Rates in Texas
50
55
60
65
70
75
80
85
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
4:3:1 4:3:1:3 4:3:1:3:3 4:3:1:3:3:1
76.8
71.372.8
69.2
76.678.5
76.1
60
65
70
75
80
85
Texas BexarCounty
Dallas County
El PasoCounty
City OfHouston
Rest ofState
NationalAvg
Perc
ent V
acci
nate
d
2005 NIS: Texas, Metro Areas & National Average - 4:3:1:3:3:1 Series
Nationally Proven Strategies to Raise Vaccine Coverage Levels
• Promote a medical home for all children • Maintain a statewide immunization registry• Use reminder/recall notice systems • Conduct increased public education• Conduct increased provider education• Develop and maintain effective public/private
partnerships
Operations That Support Increasing Coverage Levels
• Texas Vaccines for Children Program (TVFCP)• ImmTrac• School and child-care facility immunization
requirements• Contracts with Local Health Departments (LHDs) and
Federally Qualified Health Centers (FQHCs)• Use partnerships to educate providers using brochures,
website, trainings/seminars, and information distribution
Operations (continued)
• Educate the general public through literature, media campaigns and toll-free hotline
• Use disease surveillance to detect disease incidence and guide implementation of interventions
• Continue increasing community and statewide stakeholder collaborations
Vaccine Purchasing Policy• Vaccine purchases are made in accordance with federal
and state purchasing guidelines and rules• As good stewards of taxpayer dollars, DSHS purchases
the lowest-priced vaccine when more than one vaccine with the same disease protection is available and the prices are different
• Purchase equal amounts of the above vaccines when the prices are the same
• TVFC providers may choose between single vaccines and newer combination vaccines
Seasonal Influenza Vaccine• DSHS roles
– Distribute vaccine to TVFC providers to vaccinate eligible children and adolescents
– Provide safety net for adults through regional clinics• Disseminate vaccine supply and availability information
and recommendations through stakeholders• Local Health Department Role—use local funds to serve
their communities
Seasonal Influenza Vaccine Availability for 2006 Season
• Total doses expected in Texas—8 million– Majority of these given in private sector by
physicians and pharmacies• Texas Vaccines for Children doses—400,000• DSHS Adult Safety net doses—110,000
For Further Information, Contact:Jack Sims, ManagerImmunization Branch Department of State Health Services1100 West 49th StreetAustin, Texas 78756512/458-7111, ext. [email protected] www.ImmunizeTexas.com
Texas Pandemic Flu Preparation & Planning Milestones
• July – October 2005 – DSHS conducted meeting with various stakeholder groups to discuss development of Texas Pandemic Influenza Plan
• October 25, 2005 – DSHS released draft Texas Pandemic Influenza Plan & posted on DSHS Internet for public comment period until December 2, 2005
• December 12, 2005 – DSHS held breakout discussion sessions at a Pandemic Influenza Conference
• March 27, 2006 – DSHS held Pandemic Influenza Summit with U.S. Health and Human Services Secretary Leavitt in Austin
• May 2006 – DSHS convened an expert panel to discuss and analyze possible use of antivirals in response to pandemic flu
Texas Pandemic Flu Preparation & Planning Milestones
• June 5, 2006 – Plan sent for review by Governor’s Department of Emergency Management
• August 1, 2006 – DSHS submitted intent letter to U.S. Department of Health and Human Services (HHS) to purchase up to approximately 2.3 million additional antiviral courses
• December 31, 2006 – DSHS must submit a plan to CDC including number of antivirals Texas intends to purchase, when purchase would be made, how they would be stored, managed and distributed in the event of a pandemic
• February 1, 2007 – Texas Pandemic Influenza Plan due to U.S. HHS• December 31, 2007 – Deadline for ordering additional antivirals
For Further Information, Contact:Casey Blass, ManagerDisease Intervention and Prevention Department of State Health Services1100 West 49th StreetAustin, Texas 78756512/458-7111, ext. [email protected]
