Free Vaccine Programs for Families of Infants: 3 Successful Models

Washington, DC, October 30, 2012 Free vaccine programs for families of infants and high-risk children are not widely used, but may offer an effective approach to protecting them from influenza and pertussis, according to an article published in the November issue of the American Journal of Infection Control, the official publication of the Association for Professionals in Infection Control and Epidemiology (APIC).

A team led by researchers from Oregon Health and Science University’s Doernbecher Children’s Hospital explored the adoption of free vaccine programs in U.S. children’s hospitals by collecting and analyzing survey responses from 53 children’s hospitals across the country. Only 22 of 53 (41.5 percent) reported offering some kind of free vaccine program for family members of infants and children.

Called “cocooning,” immunizing caregivers and family members of infants and high-risk children against influenza and pertussis is a strategy endorsed by the Advisory Committee for Immunization Practices (ACIP), American Academy of Pediatrics (AAP), and American Academy of Family Physicians (AAFP).

“As children’s hospitals strive to ‘raise the bar’ when delivering comprehensive, family-centered care, we propose that cocooning should be integrated into the high-risk child’s treatment and prevention plan,” state the authors. “Each encounter is an opportunity to provide selected vaccines to the close contacts who accompany the child. Offering vaccine at no cost further increases accessibility.”

The authors share their own institutions’ experiences in implementing free vaccine programs as examples for other hospitals that may wish to start their own free vaccine clinics in the future:

Children’s Hospital Colorado (CHC), Aurora, CO
Beginning in 2004, CHC’s Epidemiology and Infection Prevention and Control Department secured annual funding (up to $47,000/year) from the hospital’s Association of Volunteers program, which provides 3,300+ influenza vaccines annually to all close contacts of pediatric inpatients and ambulatory patients. In 2009, a centrally located vaccine clinic was established, and is managed by trained staff.

Children’s Medical Center (CMC), Dallas, TX
CMC’s “Influenza Vaccine for Contacts Program” began in 2002. While its first year only targeted oncology patients, in the following years it was expanded to cover all family contacts six months of age and older in both ambulatory clinics and inpatient units, and secured $35,000 annually from a private foundation. It currently administers 6,700+ free influenza vaccines per year. In 2007, a centralized free vaccine clinic was established, open 9 a.m. to 4 p.m. weekdays for a four-week period each year.

Doernbecher Children’s Hospital (DCH), Portland, OR
In 2010, DCH’s hospital epidemiologist formed a workgroup and secured $15,000 annually from their hospital’s charitable foundation to establish a free clinic to offer both influenza and tetanus, diphtheria, and acellular pertussis (Tdap) vaccines to all adult close contacts of established patients. In its first year, their clinic administered 262 influenza vaccines and 218 Tdap vaccines.

Full text of the article is available to journalists upon request; contact Liz Garman, APIC, 202-454-2604, egarman@apic.org to obtain copies.

Authors:

Judith A. Guzman-Cottrill, DO (Corresponding Author)
Department of Pediatrics, Oregon Health and Science University
Portland, OR

Carrie A. Phillipi, MD, PhD
Department of Pediatrics, Oregon Health and Science University
Portland, OR

Susan A. Dolan, RN, MS, CIC
Department of Pediatrics, Section of Epidemiology, Children’s Hospital Colorado
Aurora, CO

Ann-Christine Nyquist, MD, MSPH
Department of Pediatrics, Section of Epidemiology, Children’s Hospital Colorado
Aurora, CO

Amy Win
Department of Infection Prevention and Control, Oregon Health and Science University
Portland, OR

Jane Siegel, MD
Department of Pediatrics, University of Texas Southwestern Medical Center
Dallas, TX

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About AJIC: American Journal Of Infection Control
AJIC: American Journal of Infection Control (www.ajicjournal.org) covers key topics and issues in infection control and epidemiology. Infection preventionists, including physicians, nurses, and epidemiologists, rely on AJIC for peer-reviewed articles covering clinical topics as well as original research. As the official publication of APIC, AJIC is the foremost resource on infection control, epidemiology, infectious diseases, quality management, occupational health, and disease prevention. AJIC also publishes infection control guidelines from APIC and the CDC. Published by Elsevier, AJIC is included in MEDLINE and CINAHL.

About APIC
APIC’s mission is to create a safer world through prevention of infection. The association’s more than 14,000 members direct infection prevention programs that save lives and improve the bottom line for hospitals and other healthcare facilities. APIC advances its mission through patient safety, implementation science, competencies and certification, advocacy, and data standardization. Visit APIC online at www.apic.org. Follow APIC on Twitter: http://twitter.com/apic

Notes for editors
“Free vaccine programs to cocoon high-risk infants and children against influenza and pertussis” by Judith A. Guzman-Cottrill, Carrie A. Phillipi, Susan A. Dolan, Ann-Christine Nyquist, Amy Win, and Jane Siegel appears in the American Journal of Infection Control, Volume 40, Issue 9 (November 2012).

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Media contact
Liz Garman
+1-202-454-2604
egarman@apic.org