Raise Your Voice for Meningococcal Disease Vaccination

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Raise Your Voice for Meningococcal Disease
Vaccination
MKT19193
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Welcome

• NAME
• TITLE
• National Association of School Nurses Affiliate

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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
• 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. 199948(29)629-633.
2. 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.
3. CDC. Meningococcal vaccines what you need to
know. http//www.cdc.gov/vaccines/pubs/vis/downlo
ads/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 progressingcan 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/pub
s/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. 2001286695-699. 3.
Erickson LJ, De Wals P, McMahon J, Heim S.
Complications of meningococcal disease in college
students. Clin Infect Dis. 200133737-739. 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 2008399-435. 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 include1-2
• 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 2008399-435. 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.
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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.
2001344(18)1378. 2. Erickson LJ, De Wals P,
McMahon J, Heim S. Complications of meningococcal
disease in college students. Clin Infect Dis.
200133737-739.
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Vaccination The Best Protection

• 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
• Centers for Disease Control and Prevention (CDC)
  recommends routine vaccination for2-3
• 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 health-care provider

References 1. CDC. Meningococcal vaccines what
you need to know. http//www.cdc.gov/vaccines/pub
s/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. 200756(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. 200756(48)1265-1266
.
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Vaccination Rates Alarmingly Low

• In 2008, only 41.8 of teens 13-17 years of age
  received the recommended meningococcal vaccine1
• Far from the CDCs goal of a 90 immunization
  rate2
• 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/s
tats-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. 200958(36)997-1001.
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Why Arent More Teens Getting Vaccinated?1-3

• 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/pd
f/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. 200518(1)13. 3. Freed GL,
Clark SJ, Butchart AT. Parental vaccine safety
concerns in 2009. Pediatrics. 201010654-659.
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Vaccination Requirements in Elementary and
Secondary Schools1-4
References 1. Immunization Action Coalition.
Meningococcal state mandates for elementary and
secondary schools. http//www.immunize.org/laws/me
nin_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/publicatio
ns/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/PD
F/clinicalServices/Immunization20Chart.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?WAISdocID26994629975000WAISactionr
etrieve. Accessed May 7, 2010.
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School Nurses Helping to Prevent Meningococcal
Disease

• 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

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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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Voices of Meningitis Objectives

• Empower school nurses to further educate parents,
  teens
• Parents rely on school nurses for health
  information
• 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

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Voices of Meningitis Challenge

• 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
• Fosters sharing of ideas and strategies nationwide

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Voices of Meningitis Challenge

• Challenge Champions to offer guidance and
  support

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Voices of Meningitis Challenge

• Implementation Guide
• Provides ideas to initiate meningococcal disease
  awareness programming within communities
• Educational materials
• Posters
• Brochure
• Fact sheet
• Report card sticker
• Parent letters
• Media materials
• Educational videos
• Complimentary materials available on
  VoicesOfMeningitis.org

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Voices of Meningitis Challenge

• 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
• Five case studies selected to be presented during
  the 2011 NASN Annual Conference
• Online submission form on NASN Web site

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Tips to Use Online Resources

• 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

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Tips to Use Online Resources (cont)

• 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
• Online vehicles
• Distribute a note about meningitis vaccination
  via your schools parent listserv
• Use the Voices of Meningitis widget to link your
  schools Web site with the campaign site
• Visit VoicesOfMeningitis.org
• Includes more information and ideas

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• Questions?