Transcript Slide 1

Raise Your Voice for
Meningococcal Disease Vaccination
MKT19193
Slide 2
Welcome
[NAME]
[TITLE]
[National Association of School Nurses Affiliate]
Slide 3
Clinical Overview: Meningococcal Disease
•
Infection caused by the bacterium Neisseria meningitidis1
— Serotypes A, B, C, Y, and W-135 cause majority of
meningococcal disease cases worldwide2
— Leading cause of bacterial meningitis among US toddlers,
children and adolescents
• Serotypes B, C, and Y most common in US2
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Meningococcal disease can cause meningitis (swelling of the
brain or spinal cord) or meningococcemia (blood infection)3
Vaccination is safe and effective and the best way to help
prevent the disease among adolescents3
References:
1. Centers for Disease Control and Prevention (CDC). Meningococcal disease – New England, 1993 – 1998. MMWR. 1999;48(29):629-633. 2. CDC. Epidemiology and Prevention of VaccinePreventable Diseases. Atkinson W, Hamborsky J, McIntyre L, Wolfe S, eds. 10th ed. Washington, D.C.: Public Health Foundation, 2008. 3. CDC. Meningococcal vaccines: what you need to know.
http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-mening.pdf. Accessed April 7, 2010.
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Clinical Overview: Meningococcal Disease
• Approximately 1000 to 2600 Americans get meningococcal disease
annually1
— The disease rates peak at 15-19 years of age2
• When meningococcal disease occurs the consequences can be
devastating1
— Fast progressing…can take a life in just a single day3
— Teens are up to 5 times more likely to die than other age groups2
— Among survivors, 1 in 5 will suffer permanent complications
•
• Amputation, hearing loss, neurological damage, and organ failure1,4
Early symptoms can resemble the flu, making diagnosis difficult
— Symptoms include fever, headache, stiff neck, nausea and vomiting,
and rash5-6
References:
1. CDC. Meningococcal vaccines: what you need to know. http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-mening.pdf. Accessed April 7, 2010. 2. Harrison LH, Pass MA, Mendelsohn AB,
et al. Invasive meningococcal disease in adolescents and young adults. JAMA. 2001;286:695-699. 3. Erickson LJ, De Wals P, McMahon J, Heim S. Complications of meningococcal disease in
college students. Clin Infect Dis. 2001;33:737-739. 4. National Meningitis Association. Overview. http://www.nmaus.org/meningitis. Accessed April 7, 2010. 5. Granoff DM, Harrison LH, Borrow
R. Meningococcal vaccines. In: Plotkin SA, Orenstein WA, eds. Vaccines. 5th edition. Philadelphia, Pa: Elsevier Inc; 2008:399-435. 6. National Meningitis Association. Symptoms.
http://www.nmaus.org/meningitis/symptoms.htm. Accessed April 7, 2010.
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Clinical Overview: Meningococcal Disease
• Spread from person to person through close, personal contact and
exchange of respiratory secretions1
• Common everyday activities can put adolescents at increased risk
for infection; these activities or risks include:1-2
— Sharing drinking glasses and eating utensils
— Kissing
— Living in close quarters
— Smoking (or being exposed to smoke)
• Meningococcal disease can occur at any point during the year
— Late-winter and early-spring are when most cases occur3
References:
1. Granoff DM, Harrison LH, Borrow R. Meningococcal vaccines. In: Plotkin SA, Orenstein WA, eds. Vaccines. 5th edition. Philadelphia, Pa: Elsevier Inc; 2008:399-435. 2. National Meningitis
Association. Who is at risk. http://www.nmaus.org/meningitis/who-is-at-risk.htm. April 7, 2010. 3. CDC. Epidemiology and Prevention of Vaccine-Preventable Diseases. Atkinson W, Hamborsky
J, McIntyre L, Wolfe S, eds. 10th ed. Washington, D.C.: Public Health Foundation, 2008.
Slide 6
Clinical Overview: Meningococcal Disease
•
Once diagnosed with meningococcal disease, early
antibiotic treatment is critical1
— Even with treatment, meningococcal disease can kill an
otherwise healthy young person1-2
•
Close contacts should also receive preventive
antibiotics1
— Family members, close friends
References:
1. Rosenstein NE, et al. Meningococcal disease. N Engl J Med. 2001;344(18):1378. 2. Erickson LJ, De Wals P, McMahon J, Heim S. Complications of
meningococcal disease in college students. Clin Infect Dis. 2001;33:737-739.
Slide 7
Vaccination – The Best Protection
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Vaccination continues to be the best way to prevent
meningococcal disease
— Helps protect against 4 of the 5 primary serotypes (A, C, Y, and
W-135)1
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Centers for Disease Control and Prevention (CDC)
recommends routine vaccination for:2-3
— Adolescents 11-18 years of age
— College freshmen living in dormitories
— Children 2 through 10 years of age at increased risk
— Anyone 2 through 10 years of age if elected by parent or healthcare provider
References:
1. CDC. Meningococcal vaccines: what you need to know. http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-mening.pdf. Accessed April 7, 2010. 2. CDC. Notice to readers: revised
recommendations of the ACIP to vaccinate all persons aged 11-18 years with meningococcal conjugate vaccine. MMWR. 2007;56(31):794-795. 3. CDC. Notice to readers: recommendation
from the ACIP for use of quadrivalent meningococcal conjugate vaccine (MCV4) in children aged 2-10 years at increased risk for invasive meningococcal disease. MMWR. 2007;56(48):12651266.
Slide 8
Vaccination Rates Alarmingly Low
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In 2008, only 41.8% of teens 13-17 years of age
received the recommended meningococcal vaccine1
— Far from the CDC’s goal of a 90% immunization rate2
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Florida has a 33.6% rate of meningococcal vaccination
among adolescents 13-17 years of age
References:
1. CDC. National Immunization Survey (NIS) adolescents/teens only: coverage with Individual vaccines. http://www.cdc.gov/vaccines/stats-surv/nisteen/tables/08/tab01_iap.xls. Accessed
April 7, 2010. 2. CDC. National, state, and local area vaccination coverage among adolescents aged 13-17 Years - United States, 2008. MMWR. 2009;58(36);997-1001.
Slide 9
Why Aren’t More Teens Getting Vaccinated?1-3
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Many parents and students still unaware of disease,
vaccine
Fewer health maintenance visits
Missed immunization opportunities
Lack of population-based immunization registries that
include adolescents
Low public awareness about adolescent immunization
coverage, recommendations, and available vaccinations
Misperceptions about vaccine safety
References:
1. National Foundation for Infectious Diseases (NFID). Meningococcal vaccination: improving rates in adolescents and reducing racial, ethnic and
socioeconomic disparities, 2008. http://stopmeningitis.nfidinitiatives.org/pdf/CTA.pdf. Accessed April 7, 2010. 2. Oster NV, et al. Barriers to adolescent
immunization: a survey of family physicians and pediatricians. J Am Board Fam Pract. 2005;18(1):13. 3. Freed GL, Clark SJ, Butchart AT. Parental
vaccine safety concerns in 2009. Pediatrics. 2010;10:654-659.
Vaccination Requirements in Elementary
and Secondary Schools1-4
Slide 10
States requiring
vaccination
States requiring
education
References:
1. Immunization Action Coalition. Meningococcal state mandates for elementary and secondary schools. http://www.immunize.org/laws/menin_sec.asp. Accessed April 7, 2010. 2. New York
State Department of Health. New York recommended childhood and adolescent immunization schedule. http://www.health.state.ny.us/publications/2378.pdf. Accessed April 7, 2010.
3. Indiana State Department of Health. 2010-2011 school year Indiana State Department of Health (ISDH) school immunization requirements quick reference guide.
http://www.hse.k12.in.us/PDF/clinicalServices/Immunization%20Chart.pdf. Accessed April 7, 2010. 4. Michigan Department of Community Health. New communicable disease rules 2010-2011
school reporting year. http://www.swartzcreek.org/Pupil/SS_NewSchReqmnts1-10.pdf. Accessed April 7, 2010. 5. State of California Legislative Counsel. California Health and Safety Code.
http://www.leginfo.ca.gov/cgi-bin/waisgate?WAISdocID=26994629975+0+0+0&WAISaction=retrieve. Accessed May 7, 2010.
School Nurses: Helping to Prevent
Meningococcal Disease
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School nurses play an instrumental role in raising
awareness about meningococcal disease and
vaccination
— Leading advocate in adolescent health
— Direct reach to adolescents, parents, and families
— Trusted source of health information
• Parents rely on school nurses for information surrounding the
health and well-being of their children
How You Can Help Support
Educational Efforts in Florida
• Become a “Voice” of Meningitis
• A public awareness campaign by the National
Association of School Nurses (NASN) in collaboration
with sanofi pasteur
— Gives “voice” to meningitis through sharing stories of those
personally affected by the disease
• Parents
• Disease survivors
• School nurses
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Slide 13
Voices of Meningitis Objectives
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Empower school nurses to further educate
parents, teens
—Parents rely on school nurses for health information
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Educate parents and teens about dangers of
meningococcal disease, encourage them to
seek vaccination
Encourage dialog between parents, school
nurses, and other health-care providers about
meningococcal vaccination
Slide 14
Voices of Meningitis Challenge
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“Challenges” school nurses to implement
meningococcal educational efforts
Provides school nurses with resources and
strategies
Recognizes school nurses for their educational
efforts
—Highlights successes in raising awareness of
meningococcal disease and prevention
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Fosters sharing of ideas and strategies
nationwide
Slide 15
Voices of Meningitis Challenge
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Challenge “Champions” to offer guidance and support
West Region
Champion: Cheryl Sampson;
[email protected]
Great Plains Region
Champion: Carol Tucker;
[email protected] and
Polly Witt;
[email protected]
Midwest Region
Champion: Cindy Hiltz;
[email protected]
New England Region
Champion: Linda Twardowski;
[email protected]
Mid-Atlantic Region
Champion: Beth Mattey;
[email protected]
Southeast Region
Champion: Jennifer Garrett;
[email protected]
and
Kathleen Rose;
[email protected]
Southwest Region
Champion: Linda Hummingbird;
[email protected]
South Region
Champion: Mary Glasscock;
[email protected], and
Shawn Smith;
[email protected]; and
Michelle Keith;
[email protected]
Great Plains
South
Mid-Atlantic
Southeast
Midwest
Southwest
New England
West
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Voices of Meningitis Challenge
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Implementation Guide
— Provides ideas to initiate meningococcal disease awareness
programming within communities
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Educational materials
— Posters
— Brochure
— Fact sheet
— Report card sticker
— Parent letters
— Media materials
— Educational videos
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Complimentary materials available on VoicesOfMeningitis.org
Slide 17
Voices of Meningitis Challenge
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Submit case studies of all awareness activities
conducted
— Case studies featured on the National Association of School Nurses
(NASN) Web site
— Serves as repository of ideas and strategies for school nurses
nationwide
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Five case studies selected to be presented during the
2011 NASN Annual Conference
Online submission form on NASN Web site
Slide 18
Tips to Use Online Resources
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Parent Mailings and Report Cards
— Send a Voices of Meningitis brochure or letter home to your students’
parents
School Assembly
— Discuss meningitis during a school assembly or pep rally
— Show a Voices of Meningitis educational video
Local Parent Teacher Association or Organization
Partnership
— Host a presentation during a regular scheduled meeting; distribute
materials
• Athletic Department Partnership
— Involve athletic directors to distribute Voices of Meningitis fact sheets
with sports physical forms
Slide 19
Tips to Use Online Resources (con’t)
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Happy (and Healthy) Graduation
— Send information home with order forms for yearbooks, class rings,
cap and gown, etc.
— Set up a table at college fairs
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Online vehicles
— Distribute a note about meningitis vaccination via your school’s
parent listserv
— Use the Voices of Meningitis widget to link your school’s Web site
with the campaign site
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Visit VoicesOfMeningitis.org
— Includes more information and ideas
Slide 20
Questions?