A collaborative effort to immunize 35,000 San Francisco Adolescents with Tdap Health Commission Meeting October 18, 2011 Susan E. Fernyak, MD, MPH Director, Communicable Disease Control and Prevention Section San Francisco Department of Public Health

New School Immunization Law: AB 354 September 2010: AB 354 required all

students entering 7th-12th grades in 2011-12 in California to submit proof of Tdap immunization (whooping cough booster).

December 2010: AB 354 Task Force

formed

SB 614, an optional 30-day grace period, went into effect on July 25th, 2011

AB 354 Task Force

Convened on monthly basis

Coordinated outreach to schools, students, parents

Strategized methods for AB 354 implementation including Tdap proof collection, electronic records, exclusion plan

Communication to Schools “Vax fax” – A one-page fax containing information, updates,

and resources. Sent to all schools every 1-2 mos. Implementation materials (blue card stickers, personal belief

exemption forms, and instructions) sent to all schools in February/March

Presentations at Middle School’s Principal’s Meeting, High School Principal’s Meeting, and to Secondary Counselors and Assistant Principals

Outreach table at School Planning Summit San Francisco Immunization Coalition provided SF Giants

tickets/hats/pins used as incentives for schools and home room teachers to obtain immunization records from students

Encouraged school staff to visit www.shotsforschool.org for AB 354 tools, information, and resources in multiple languages

Student Tdap Videos San Francisco Immunization Coalition worked with students to create videos to raise awareness of Pertussis and the new Tdap law.

http://shotbyshot.org/pertussis/emily-and-zacks-story/

https://www.facebook.com/video/video.php?v=1867977539750

Communication to Students & Families

Autodialers (3 languages) to all families of 6th-12th grade students

Posted information on SFUSD website and school websites (3 languages)

District letters sent to students and families (3 languages)

AB 354 message included on every 6th-12th grade final report card mailed to homes

Encouraged parents to visit www.shotsforschool.org for tools, information, and resources in multiple languages

Communication to Providers “Vax fax” sent on monthly basis containing updates,

recommendations, and resources Submitted articles to San Francisco Medicine Magazine

and Primary Care Connections newsletter (UCSF) Hosted a pediatric provider discussion on AB 354

implementation Communication with health plans & medical groups Encouraged providers to visit www.sfcdcp.org and

www.shotsforschool.org for tools, information, and resources

Free Mass Tdap Clinics Three clinics held at Roosevelt MS, O’Connell HS, French

American Intl School Vaccinated ~1,000 students Utilized AB 354 to test POD plans Entered all vaccinations given into CAIR (CA Immunization

Registry) San Francisco Health Plan was at each clinic to conduct

outreach, eligibility screening and set-up appointments Coordinated efforts with other SFCC departments – SFUSD,

DEM, DPW, SFFD, Sheriff ’s Department Conducted Just in Time training for about 300 volunteers Employed Incident Command System Tested FastTrack, a mobile applications, to track vaccine

inventory and time patients flow through clinic

March 19th Clinic Roosevelt Middle School

Just in Time Training

Back to School: August 2011 School district nurses offered Tdap at schools Maxim clinics held at interested schools Associate Superintendent’s office conducted

daily calls to all public middle and high schools to check-in on status of Tdap compliance

COPC sites including Larkin Street Youth Clinic, Cole Street Clinic, Balboa Teen Clinic, and Castro Mission Health Center provided Tdap immunizations to non-patients

School district nurses and task force members held an all-day Tdap clinic at District Office for excluded students on September 15th

Press June 8th – Channel 7 interview with SFUSD &

DPH on evening news

August 2nd Press Conference with SFDPH, SF Immunization Coalition, and SF Giants (SF Chronicle, Examiner, NBC Bay Area, Telemundo, Univison, Epoch Times)

SF Chronicle “SF Students without vaccinations barred from class” Sept 16, 2011

Where are we now?

SFUSD ~98% Independent Schools ~98%

All schools must submit Tdap report to

state by December 1, 2011. In 2012 all 7th graders will be required to

show proof of Tdap.

Questions?

Susan E. Fernyak, MD, MPH Director, Communicable Disease Control

and Prevention Section San Francisco Department of Public Health 415-554-2830 Susan.fernyak@sfdph.org