Hostname: page-component-78c5997874-v9fdk Total loading time: 0 Render date: 2024-11-13T01:04:59.102Z Has data issue: false hasContentIssue false

Influenza Vaccination: A Collaborative Effort to Improve the Health of the Community

Published online by Cambridge University Press:  02 January 2015

Michael F. Parry*
Affiliation:
Division of Infectious Diseases, The Stamford Hospital, Stamford, Connecticut Infectious Diseases Division, Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York
Brenda Grant
Affiliation:
Department of Nursing, The Stamford Hospital, Stamford, Connecticut
Anthony Iton
Affiliation:
Department of Medicine, The Stamford Hospital, Stamford, Connecticut Department of Health, City of Stamford, Stamford, Connecticut
Patricia D. Parry
Affiliation:
Division of Infectious Diseases, The Stamford Hospital, Stamford, Connecticut Department of Nursing, The Stamford Hospital, Stamford, Connecticut Department of Medicine, The Stamford Hospital, Stamford, Connecticut
Diane Baranowsky
Affiliation:
Department of Nursing, The Stamford Hospital, Stamford, Connecticut
*
The Stamford Hospital, P.O. Box 9317, Stamford, CT 06904

Abstract

Background:

The need to improve influenza vaccination delivery in our community became painfully clear during the winter of 1997–1998 when high rates of respiratory illness led to congestion in the emergency department and a critical shortage of hospital beds. In response, the local hospital and the Department of Health launched a collaborative program to increase influenza vaccine coverage in the community.

Methods:

The partnership was designed to increase the number of citizens receiving influenza vaccine and to moderate the severity of lower respiratory tract illness during the winter season. A variety of methods were used to increase public awareness, enhance vaccine delivery, and create a relatively seamless service for the community.

Results:

During three seasons, influenza vaccination rates increased by a relative 150%. This represented immunization of 16% of the entire community and more than 75% of residents older than 65 years. Hospital employee vaccination rates also rose from 34% to 58%. When compared with other hospitals in the county, the campaign reduced the average number of annual visits to the emergency department for all respiratory diagnoses by 34% and exacerbations of chronic obstructive pulmonary disease by 46%.

Conclusions:

This influenza vaccination program illustrates the potential for synergy that exists between local departments of health and community hospitals in successfully increasing vaccine delivery to the community. Furthermore, it also suggests that such efforts can be successful in reducing use of the emergency department, resulting in a positive impact on the health of the community.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Centers for Disease Control and Prevention. Prevention and control of influenza: recommendations of the Advisory Committee on Immunization Practices. MMWR 2002;51(RR-3):131.Google Scholar
2. Lui, K-J, Kendal, AP. Impact of influenza epidemics on mortality in the United States from October 1972 to May 1985. Am J Public Health 1987;77:712716.CrossRefGoogle ScholarPubMed
3. Glenzen, WP. Serious morbidity and mortality associated with influenza epidemics. Epidemiol Rev 1982;4:2544.CrossRefGoogle Scholar
4. Nichol, KL, Nordin, J, Mullooly, J. et al. Influenza vaccination and reduction in hospitalizations for cardiac disease and stroke among the elderly. N Engl J Med 2003;348:13221332.CrossRefGoogle ScholarPubMed
5. Nordin, J, Mullooly, J, Pobletet, S, et al. Influenza vaccine effectiveness in preventing hospitalizations and deaths in persons 65 years or older in Minnesota, New York and Oregon: data from 3 health plans. J Infect Dis 2001;184:665670.CrossRefGoogle ScholarPubMed
6. Bridges, CB, Thompson, WW, Meltzer, MI, et al. Effectiveness and cost-benefit of influenza vaccination of healthy working adults: a randomized controlled trial. JAMA 2000;284:16551663.CrossRefGoogle ScholarPubMed
7. Gross, PA, Hermogenes, AW, Sacks, HS, Lau, J, Levandowski, RA. Efficacy of influenza vaccine in elderly persons: a meta-analysis and review of the literature. Ann Intern Med 1995;123:518527.CrossRefGoogle Scholar
8. Palache, AM. Influenza vaccines: a reappraisal of their use. Drugs 1997;54:841856.CrossRefGoogle ScholarPubMed
9. Demicheli, V, Jefferson, T, Rivetti, D, Deeks, J. Prevention and early treatment of influenza in healthy adults. Vaccine 2000;18:9571030.CrossRefGoogle ScholarPubMed
10. Centers for Disease Control and Prevention. Influenza and pneumococcal vaccination coverage levels among persons aged 3= 65 years: United States, 1999. MMWR 2001;50:532537.Google Scholar
11. Connecticut Department of Public Health. Influenza and pneumococcal vaccine coverage. Connecticut Epidemiologist 2002;22:1719.Google Scholar
12. U.S. Department of Health and Human Services. Healthy People 2000: National Health Promotion and Disease Prevention Objectives-Full Report, With Commentary. Washington, DC: U.S. Department of Health and Human Services, Public Health Service; 1991. DHHS publication no. (PHS) 91:50212.Google Scholar
13. Centers for Disease Control and Prevention. Achievements in public health, 1900-1999: impact of vaccines universally recommended for children-United States, 1990-1998. MMWR 2000;48:243248.Google Scholar
14. Nichol, KL, Baken, L, Nelson, A. Relation between influenza vaccination and outpatient visits, hospitalization, and mortality in elderly persons with chronic lung disease. Ann Intern Med 1999;130:397403.CrossRefGoogle ScholarPubMed
15. Nichol, KL, Goodman, M. Cost effectiveness of influenza vaccination for healthy persons between ages 65 and 74 years. Vaccine 2002;20(suppl 2):S21S24.CrossRefGoogle Scholar
16. Hak, E, Nordin, J, Wei, F, et al. Influence of high-risk medical conditions on the effectiveness of influenza vaccination among elderly members of 3 large managed-care organizations. Clin Infect Dis 2002:35:370377.CrossRefGoogle ScholarPubMed
17. Centers for Disease Control and Prevention. Vaccine-preventable diseases: improving vaccination coverage in children, adolescents and adults-a report on recommendations of the Task Force on Community Preventive Services. MMWR 1999;48(RR-8):115.Google Scholar
18. Centers for Disease Control and Prevention. Adult immunization programs in non-traditional settings: quality standards and guidance for program evaluation. MMWR 2000;49(RR-1):114.Google Scholar
19. Nichol, KL, Grimm, MB, Peterson, DC. Immunization in long-term care facilities: policies and practice. J Am Geriatr Soc 1996;44:349355.CrossRefGoogle ScholarPubMed
20. Crouse, BJ, Nichol, KL, Peterson, DC, Grimm, MB. Hospital-based strategies for improving influenza vaccination rates. J Fam Pract 1994;38:258261.Google ScholarPubMed
21. Centers for Disease Control and Prevention. Use of standing orders program to increase adult vaccination rates: recommendation of the Advisory Committee on Immunization Practices. MMWR 2000;49(RR-1):1526.Google Scholar
22. Centers for Disease Control and Prevention. Recommendations of the Advisory Committee on Immunization Practices, the American Academy of Pediatrics, and the American Academy of Family Physicians: use of reminder and recall by vaccination providers to increase vaccination rates. MMWR 1998;47:715717.Google Scholar