1. STOP THE FLU Chaminade University of Honolulu NUR 401: Public
Health Nursing By: Alyssa Antonio, Sharlene Daligcon, Joelle
Devera, Brittany Fuller, Skye Lam Ho, Satzy Pulido, Jasmine
Rapisura, and Jason Savaria, with Professor Anna Motteler BSN,
RN-BC 2. Fall 2014: Cohort #1 Clinical assignment: Determine how
effective school based flu clinics are in increasing flu vaccine
rates versus other alternative flu vaccine providers/clinics
available in the community. Literature review and recommendations
Conducted a survey at the Children and Youth Day Fair at the
Capitol Discussion & matrix of alternative flu vaccine
providers in the community 3. Fall 2014: Cohort #2 Clinical
assignment Determine how the DOH PHNs and Immunization Branch can
target parents and families of school age children to educate them
on the importance and benefits of influenza vaccines and to
increase influenza vaccine rates. Also, discuss what the literature
says about trust, beliefs and safety in the influenza vaccine and
what that means to parents. Literature review and recommendations
Meta-analysis Designed a mobile application for SFAS including
consent, education and VIS forms 4. The Problem/Question The Stop
Flu at School (SFAS) Program Flu vaccines for the general public o
Costs and coverages Similar programs in the US mainland and other
countries Literature reviews related to school-based programs
Recommendations for Public Health nurses Literature review with
recommendations Performed island wide assessment of community flu
vaccine providers Created tool for PHNB containing field research
findings 5. Literature Reviews A Survey of Physician-Led Influenza
Immunization Programs in Schools How Rural and Urban Parents
Describe Convenience in the Context of School-Based Influenza
Vaccination: A Qualitative Study School-Based Influenza
Vaccination: Parents Perspectives Influenza Vaccination of School
Children and Influenza Outbreaks in a School Effect of School
Closure on the Incidence of Influenza Among School-Aged Children in
Arizona Implementing and Sustaining School-Located Influenza
Vaccination Programs: Perspectives From Five Diverse School
Districts School-Located Influenza Vaccination Reduces Community
Risk for Influenza and Influenza-Like Illness Emergency Care Visits
Reaching Children Never Previously Vaccinated for Influenza Through
a School-Located Vaccination Program 6. A Survey of Physician-Led
Influenza Immunization Programs in Schools Led by Pediatric
Physicians TAIV and LIV offered to schools Motivation was need to
protect children Continuity has expanded to 13 schools over 2 -3
years Vaccines for Children program supplied vaccines
Recommendations Continue to apply for grants for funding Work with
smaller schools Utilize nursing schools as volunteers 7. How Rural
and Urban Parents Describe Convenience in the Context of
School-Based Influenza Vaccination Rural vs. Urban Rural 22.5 vs
Urban 366 opportunities for vaccination Transportation: other
communities & traffic jams Similarities Reduction in parental
scheduling burden Reduction in parental lost time & stress
Increased physical access Convenience potentially increases uptake
of vaccine 8. School-Based Influenza Vaccination: Parents
Perspectives Perceptions of parents of school aged children in
Alberta, Canada Parents described advantages, disadvantages, and
implications Advantages: o Emotional support o Convenient o
Decrease in lost time Disadvantages: o Communication o Feeling
pressured o Cost Consulting with parents is essential 9. Influenza
Vaccination of School Children and Influenza Outbreaks in a School
Aim of Study To demonstrate effectiveness of flu program
Investigate flu vaccine coverage rates Total number of class
cancellation days Absentee rates in an elementary school Data
Collected during 1984-2007 flu seasons Recommendations Moderate
increase in vaccinations Continuation of flu vaccines for
schoolchildren 10. Effect of School Closure on the Incidence of
Influenza Among School-Aged Children in Arizona Study: School-aged
children in Arizona Over four year span o 2004-2005, 2005-2006,
2006-2007, 2007-2008 School closure during winter holidays o Lower
influenza rates Recommendations o Encourage and recommend flu
vaccines o Provide educational pamphlets for parents What is the
flu vaccine Why flu vaccine is important Proper hand washing etc. o
Ensure community needs are met 11. Implementing and Sustaining
School-Located Influenza Vaccination Programs: Perspectives From
Five Diverse School Districts Study: five Los Angeles school
districts Observed over three influenza seasons o Pilot season:
2007-2008 o Seasons 2 & 3: 2009-2010, 2010-2011 Based on
district needs, programs were tailored Recommendations o Look to
resources already in place o Utilize available nursing staff and
community partnerships o Avoid pressure of creating large-scale
programs 12. School-Located Influenza Vaccination Reduces Community
Risk for Influenza and Influenza-Like Illness Emergency Care Visits
Study conducted in Alachua, Florida Compared against other counties
not provided School located influenza Vaccinations Influenza
Vaccination made available for all school children (5-17 years old)
Reported 70-79% reduction of flu-like illness hospital admissions
compared to other counties 13. Reaching Children Never Previously
Vaccinated for Influenza Through a School-Located Vaccination
Program Summary of in-school immunization clinic article Improving
vaccination coverage of children Methods used to advertise
vaccination program Data collected based off study Recommendations
based off of article data Media implementation for advertisement
Automated voice calling to parents of students 14. Matrix By
Sections 15. West Honolulu (WHON) Grocery Store Pharmacies Prices
(Cheapest to Expensive) Ages/Types of vaccinations offered
Insurance Wal-Mart and Costco Prices Ages/Types of vaccinations
offered Insurance Clinics Prices Ages/Types of vaccinations offered
What insurance is needed 16. East Honolulu (EHON) Grocery Store
Pharmacies Times Supermarket Longs Drugs Walgreens Safeway Mina
Pharmacy Sams Club Costco Walmart Clinics Wakiki Health Clinic
Student Health Services (University of Hawaii-Manoa) Straub
Outpatient Clinic Queen Emma Clinic Kapiolani Outpatient Clinic
Island Urgent Care & Kahala Urgent Care Shriners Hospital
Outpatient Clinic 17. Windward Oahu (WW) Grocery Store Pharmacies
Times Supermarket CVS minute Clinic Walgreens Safeway Longs Drug
Pharmacy Clinics Kaiser Permanente The Medical Corner Straub Family
Clinic Waimanalo Health Center Braun Urgent Care Reis Pediatrics
Trade Winds Family Medicine Oahu Medical Group Haleiwa Family
Health Center Government Agencies Kaneohe MCBH 18. Central Oahu
(CONS) Grocery Store Pharmacies Times Supermarket Longs Drugs
Walgreens CVS Minute Clinic Target Sams Club Costco Clinics Straub:
Mililani Family Health Center; Pearlridge Kaiser Permanente: Waipio
US Med Urgent Care: Pearl City Hospital Pharmacies Pali Momi
Medical Center Pharmcare Tripler Army Medical Center (Govt Agency)
19. Leeward Oahu (LONO) Grocery Store Pharmacies Walgreens CVS
Minute Clinic Safeway One Minute Clinics Times Pharmacy K-Mart
Wal-Mart Target Safeway Clinics Kaiser Permanente: Kapolei;
Nanaikeola Waianae Coast Comprehensive Health Center Waianae
Kapolei Nanakuli Waiola Waipahu 20. Questions 21. References Hull,
H.F. (2010). A survey of physician-led influenza immunization
programs in schools. Clinical Pediatrics 49(5), 439-442. doi
10.1177/0009922809346573 Kansagra, S.M., Papadouka, V.,
Geevarughese, A., Hansen, M.A., Konty, K.J. & Zucker, J.R.
(2014). Reaching Children Never Previously Vaccinated for Influenza
Through a School-Located Vaccination Program. American Journal of
Public Health, 104(1), e45-e49. doi: 10.2015/AJPH.2013.301671
Kawai, S., Nanri, S., Ban, E., Inokuchi, M., Tanaka, T., Tokumura,
M., & Sugaya, N. (2011). Influenza vaccination of
schoolchildren and influenza outbreaks in a school. Clinical
Infectious Diseases: An Official Publication of the Infectious
Diseases Society of America, 53(2), 130-136. doi:10.1093/cid/cir336
Lind, C., Russell, M.L., Collins, R., MacDonald, J., Frank, C.J.,
& Davis, A.E. (2014). School-Based Influenza Vaccination:
Parents Perspectives. Plos ONE, 9(3), 1-12.
doi:10.1371/journal.pone.0093490 Lind, C., Russell, M.L., Collins,
R., MacDonald, J., Frank, C.J., & Davis, A.E. (2015). How rural
and urban parents describe convenience in the context of
school-based influenza vaccination: a qualitative study. BMC Health
Services Research, 15(1), 24. Tran, C. H., Sugimoto, J. D.,
Pulliam, J. C., Ryan, K. A., Myers, P. D., Castleman, J. B, &
Jr.Morris, J. G. (2014).School-Located Influenza Vaccination
Reduces Community Risk for Influenza and Influenza-LikeIllness
Emergency Care Visits. Plos ONE, 9(12), 1-17. Retrieved from
https://ezproxy.chaminade.edu/login?url=http://search.ebscohost.com/login.aspx
direct=true&db=aph&AN=100186608&site=ehost-live.
Wheeler, C.C., Erhart, L.M., & Jehn, M.L. (2010). Effect of
school closure on the incidence of influenza among school-age
children in Arizona. Public Health Reports (Washington, D.C.:
1974), 125(6), 851-859. Wilson, D., Sanchez, K. M., Blackwell, S.
H., Weinstein, E., & El Amin, A. N. (2013). Implementing and
sustaining school-located influenza vaccination programs:
Perspectives from five diverse school districts. The Journal of
School Nursing, 29(4) , 303-14.
doi:http://dx.doi.org/10.1177/1059840513486011