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Statewide pandemic influenza vaccination reminders for children with chronic conditions

Author

Listed:
  • Dombkowski, K.J.
  • Cowan, A.E.
  • Potter, R.C.
  • Dong, S.
  • Kolasa, M.
  • Clark, S.J.

Abstract

Objectives: We evaluated the use of a statewide immunization information system (IIS) to target influenza vaccine reminders to high-risk children during a pandemic. Methods: We used Michigan's IIS to identify high-risk children (i.e., those with ≥ 1 chronic condition) aged 6 months to 18 years with no record of pH1N1 vaccination among children currently or previously enrolled in Medicaid (n=202 133). Reminders were mailed on December 7, 2009. We retrospectively assessed children's eligibility for evaluation and compared influenza vaccination rates across 3 groups on the basis of their high-risk and reminder status. Results: Of the children sent reminders, 53 516 were ineligible. Of the remaining 148 617 children, vaccination rates were higher among the 142 383 high-risk children receiving reminders than among the 6234 high-risk children with undeliverable reminders and the 142 383 control group children without chronic conditions who were not sent reminders. Conclusions: Midseason reminders to parents of unvaccinated high-risk children with current or past Medicaid enrollment were associated with increased pH1N1 and seasonal influenza vaccination rates. Future initiatives should consider strategies to expand targeting of high-risk groups and improve IIS reporting during pandemic events.

Suggested Citation

  • Dombkowski, K.J. & Cowan, A.E. & Potter, R.C. & Dong, S. & Kolasa, M. & Clark, S.J., 2014. "Statewide pandemic influenza vaccination reminders for children with chronic conditions," American Journal of Public Health, American Public Health Association, vol. 104(1), pages 39-44.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301662_3
    DOI: 10.2105/AJPH.2013.301662
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