FLU PREVENTION STARTS WITH YOU Jalyn Ingalls, MA
1
The majority of Michigan residents are not protected
from the flu.
2
COMPARISON OF NATIONAL AND MCIR DATA: FLU VACCINATION COVERAGE RATES
*MCIR Pediatric coverage rates use MCIR population as the denominator
www.cdc.gov/flu/fluvaxview/1617season.htm
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
6mos-4yrs* 5-12yrs* 13-17yrs* 18-49yrs 50-64yrs 65+yrs Overall
Influenza Vaccination 1+ Coverage, US vs. Michigan2016-2017 National and MCIR Data by Age Group
US
MI (National Data)
MI (MCIR)
3
HOW DOES MICHIGAN COMPARE TO OTHER STATES?
Flu Vaccination Coverage (6 Months +) State
55.4% Rhode Island: 1st
46.8% National Average
44.2% Michigan: 32nd
36.1% Nevada: 51st
www.cdc.gov/flu/fluvaxview/1617season.htm 4
https://www.cdc.gov/flu/spotlights/flu-vaccine-protected-infographic.htm 5
It is important that providers recommend and offer flu vaccine
to every patient.
6
MISSED OPPORTUNITIES TO VACCINATE: DOSES ADMINISTERED COMPARED TO ILI ACTIVITY
0.0
0.5
1.0
1.5
2.0
2.5
3.0
3.5
4.0
4.5
0
50000
100000
150000
200000
250000
2016
38
2016
39
2016
40
2016
41
2016
42
2016
43
2016
44
2016
45
2016
46
2016
47
2016
48
2016
49
2016
50
2015
51
2016
52
2017
01
2017
02
2017
03
2017
04
2017
05
2017
06
2017
07
2017
08
2017
09
2017
10
2017
11
2017
12
2017
13
2017
14
2017
15
2017
16
2017
17
2017
18
2017
19
2017
20
2017
21
2017
22
2017
23
2017
24
2017
25
2017
26
Perc
ent
of
Pati
ents
wit
h IL
I
Infl
uen
za D
ose
s A
dm
inis
tere
d (M
CIR
Dat
a)
MMWR Week
Influenza Vaccine Doses Recorded in the Michigan Care Improvement Registry and Percent of Patients with Influenza-like Illness at Michigan ILINet sites, 2016-17 Flu Season
Doses %ILI 7
YOUR RECOMMENDATION AND OFFER MAKE A DIFFERENCE!
Source: Flu Vaccination Coverage Among Pregnant Women – United States, 2016-17 Flu Season.
Retrieved from http://www.cdc.gov/flu/fluvaxview/pregnant-coverage_1617estimates.htm
Reported neither provider recommendation nor offer
Baseline
Reported a provider recommendation but no offer
4x More
Likely
Reported a provider recommendation and offer
7x More
Likely
= Did not receive Influenza Vaccine
Symbol Key
= Received Influenza Vaccine
Symbol Key
8
RISK COMMUNICATION: PATIENTS WHO HAVE CHRONIC DISEASES• The flu is serious for patients with:
Diabetes: Influenza can raise your blood glucose to dangerously high levels, and make it harder to manage your diabetes.
Heart Disease: Influenza can increase your risk of another heart attack.
o Association between influenza vaccination and cardiovascular outcomes in high-risk patients: A meta-analysis
o Flu vaccine reduced the relative risk of developing a major adverse cardiovascular event by 36%
Asthma/COPD: Influenza can increase your risk of getting pneumonia, because influenza can also cause increased swelling of your airways and lungs.
https://www.cdc.gov/vaccines/hcp/adults/for-patients/health-conditions.html
http://jamanetwork.com/journals/jama/fullarticle/1758749 9
COMMUNICATION: PATIENTS WITH VACCINE HESITANCY
Patient: The flu shot will give me the flu.
Share
It’s important for you to get the flu shot every year. Even healthy people can get the flu and it can be very serious.
Highlight
I get the flu shot every year for several reasons—I have asthma, I care for my elderly mom and I have a couple of grandkids who are too young to be vaccinated. I don’t want to be responsible for passing the flu to my loved ones.
Address
You can’t get the flu from the flu shot. It is what’s called an inactivated vaccine meaning there is no live virus in the vaccine. I did, however, get the flu once even though I was vaccinated. Studies show that if vaccinated, flu disease is generally milder.
Remind
Flu disease kills on average about 20,000 people every year (range of 12,000-56,000), including healthy persons.
Explain
Getting the flu can be costly. It may cause you to be out of work for several days and can even cause complications like pneumonia. 10
COMMUNICATION: ADDRESSING MYTHS ABOUT FLU VACCINE1. The flu vaccine cannot give you the flu.
You may have side effects that seem like symptoms of the flu, but it is not the flu. The side effects of getting the flu vaccine are considerably less severe than the flu.
The flu vaccine has an inactivated virus, meaning it cannot cause the flu virus to replicate in your body. Therefore, it cannot give you flu.
2. The flu vaccine is effective.
The flu vaccine isn’t perfect, and there is a chance you will still get the flu. However, if you get the influenza vaccine your symptoms are likely to be less severe.
3. Healthy people do need the flu vaccine.
Every year, previously healthy children and adults die from the flu. Further, it is important to keep the flu virus from entering your house to protect children, grandparents, etc.
http://www.chop.edu/news/influenza-what-you-should-know-about-flu 11
ALANA’S FOUNDATION Zack Yaksich
12