Vaccinate Before You Graduate


Purpose
The purpose of the Vaccinate Before You Graduate program was to develop a statewide initiative that increases adolescent immunization coverage through a public awareness campaign and collaboration with immunization partners to provide school-based clinics.

Goal
The committee’s goal was to put together a model program to share with others throughout the state. The program focused on Meningococcal, Tetanus, Hepatitis B, Measles Mumps Rubella and Varicella.

History
The committee that developed Indiana’s Vaccinate Before You Graduate program held its first meeting in the spring of 2004. The committee is comprised of representatives from Indiana State Department of Health, Indiana Immunization Coalition, Department of Education, Kiwanis, School Nurse Association, Sanofi Pasteur, GlaxoSmithKline, Managed Health Centers and Marion County Health Department.

By fall 2004, the committee had mailed an informational flier to all Kiwanis Key clubs, and Dr. Graves announced its beginnings at the school nurse’s conference. In September, Kelly Zachrich attended the National Coalition Conference where Virginia, Rhode Island and Arizona presented their programs. The group also met with marketing personnel to help guide its educational campaign.

The Indiana State Department of Health promoted Vaccinate Before You Graduate during Public Health Week, April 4-10, 2005.

The Vaccinate Before You Graduate Program
The Vaccinate Before You Graduate program is new to Indiana, but it originated in Rhode Island in 2001.

  • Organizers launched a pilot program after a year of planning.

  • School nurses reviewed records, contacted families and advocated for space and time in their schools. Students and schools received incentives for participating. The Rhode Island Immunization Program provided all supplies and staffing for clinics.

  • Organizers concluded that school-based adolescent vaccinations initiatives work as long as the school doesn’t have to be the principal planner and the immunization program provides the shots.

Virginia is in its third year with this campaign, and they’ve focused on Hepatitis A & B, Tetanus, Meningococcal and Varicella.

  • In the first year, they collaborated with Jostens, the makers of class rings, cap and gowns and yearbooks for high school students. They sent 50,000+ fliers in packets put together by Jostens for incoming seniors. In their second year, they sent 120,000+ fliers, adding packets for sophomores and juniors purchasing class rings. Jostens picked up the cost of the mailing.

  • They also created a statewide adolescent immunization week and hosted a national satellite conference on the campaign.

  • In the third year, they put together a tool kit for public and private providers and worked with school districts to add immunization messages to report cards.

The Arizona Partnership for Immunization (TAPI) worked with at-risk students to develop news communication tools and techniques to educate teens about the importance of immunizations.

  • This group of students, known as “The Immunizers,” developed a poster, brochure, reminder recall cards and a rap song for a radio public service announcement designed to appeal to teens.

  • The group’s “Be Bold…Be Brave…Avoid the Grave” campaign has won several awards.

 

Indiana’s Pilot Programs
The pilot programs in Indiana for Vaccinate Before You Graduate began in spring 2005.

Vigo County – In Vigo County high school juniors were targeted at school based clinics and a special seniors night was conducted at the Vigo County Health Department.

  • School nurses identified 760 who need immunization including Hepatitis B.

  • School based clinics were scheduled for each of the three high schools in both April and May.

  • The school nurse sent home a letter and the student’s record. Organizers used Kiwanians for stuffing envelopes and sending out letters reminding parents and students of the next clinic. They used postcards as a reminder for the second clinic. After entering data into CHIRP, they then were able to use CHIRP for labels for the postcards.

  • They had a public service announcement for both clinics and received TV news coverage for the 1st clinic. They received newspaper coverage as well.

  • Two hundred and fifty nine students were vaccinated with 550 immunizations that included Hepatitis B, Td, Polio and Menactra at the school based clinics. Eighty-six high school seniors were vaccinated with 178 immunizations that included Hepatitis B, Td, Polio, Menactra and Varivax.  In addition 7 tuberculin tests were done.

  • A wrap up luncheon with organizers was conducted to evaluate the program.

Hammond – The city of Hammond targeted eighth graders needing their Hepatitis B immunizations.

  • The city of Hammond has 1,260 eighth graders enrolled in public and private schools of those students, 691 were lacking the Hepatitis B series. 

  • Organizers have an April Immunization Blitz every year, but this year they changed it to May to introduce Hepatitis B. Using the CHIRP database, they sent cards in March and will send out reminder cards this fall.

  • Organizers sent fliers in English and Spanish to every public school; they received newspaper coverage, purchased bus signs; and they also received a proclamation from the mayor.

  • During the school based clinics held in May and June 219 Hepatitis B vaccinations were given.

  • Students received the VBYG bracelets, which were popular.

Vanderburgh County –Vanderburgh County organizers are targeting high school seniors needing their Hepatitis B immunizations.

  • High School students screened for incomplete Hepatitis B series

  • The pilot program will be launched at three of Vanderburgh County’s five high schools.

  • Clinic dates are set for October, November and April (2pm-5pm)

  • Local Kiwanis group and their Key Club assisted with postage and mailing of 378 student letter and will help with crowd control at school based clinics.

  • All other high school students were sent GlaxoSmithKline postage-paid B-Free postcards with information to call the Vanderburgh Health Department for immunizations

 

Organizing a Vaccinate Before You Graduate campaign

The following action plan helped the Indiana pilot program organizers achieve their objectives: gathering support from key people and mobilizing others to carry out the program.

  • Meet with school administrators, school nurses, teachers and other relevant staff to agree on the need to plan and implement the Vaccinate Before You Graduate program.

  • Educate school administrators, healthcare personnel and teaching staff about the Vaccinate Before You Graduate program.

  • Hold a meeting to inform them of the Vaccinate Before You Graduate program.

  • Initiate discussion about implementing the program in your school.

  • Distribute copies of Vaccine Information Statements for each recommended vaccine including: MMR, Hepatitis B, Td, Varicella, Meningococcal and Polio to answer vaccine-specific questions.

  • Identify target population and establish a vaccination goal (i.e. which grades will participate in the program).

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Meningitis Foundation of America (MFA) Development Director, Ryan Pike, teams up with the Indiana Immunization Coalition
Public Service Announcement Helps Raise Awareness of Dangerous Disease

 INDIANAPOLIS – December 7, 2005 – Ryan Pike was a healthy college freshman attending Indiana University in 1997 until he awoke one morning with flu-like symptoms. Pike’s symptoms became worse throughout the day to the point where he was hospitalized, eventually learning that he contracted meningococcal meningitis.

After being read last rights by his parish priest and given a 30% chance of survival, Pike lived despite severe after-effects such as the loss of 9 toes, depreciation of septum in his nose and pallet in the roof of his mouth, along with several skin graphs. Pike spent 2 ˝ months in the hospital and returned to Indiana University the following semester.

 After graduating from IU in 2001, Pike began volunteering for the MFA, where he’s currently employed as Development Director.  Over the past 2 years, Pike has spoken publicly to high school seniors on the dangers of meningococcal meningitis and its preventative methods.  Pike said, “My goal is to educate others on meningitis so that they don’t have to experience what I went through.”  Pike wears sandals during his speeches so that students can not only hear but see the effects of meningococcal meningitis.

Pike was awarded honors as a Top 30 Graduate under Age 30 from Indiana University in 2004 and the Sanofi Pasteur Immunization Education Award from the Indiana Immunization Coalition in 2005.  For more information on meningitis and its preventative methods, feel free to contact Pike at 317/595-6395.

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Adolescent Immunization Resource Kit

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Additional Resources:

Pilot Programs / Contacts for more information:

Vigo County-Sheran Allee 812-462-3445, 147 Oak Street, Terre Haute, IN 47807  saallee@vigocounty.org
 
Hammond-Helen Uhlman 219-853-6358, 649 Conkey Road, Hammond IN 46321
 
Vanderburgh County-Kim Hay 812-435-5629, Oak Park Professional Bldg. 420 Mulberry St., Evansville, IN 47713,  khay@vanderburghgov.org
 
Indiana Immunization Coalition-Kelly Zackrich 260-424-7468, 709 Clay St., Ste 300 Fort Wayne, IN 46802, immunize@inimcoalition.org or zackpack@aol.com