Texas Department of State Health Services Texas Immunization  System Dr. Adolfo Valadez Assistant Commissioner Prevention ...
<ul><li>Essential Public Health Functions </li></ul><ul><li>Top 10 Public Health Achievements </li></ul><ul><li>Public Hea...
Essential Public Health Functions <ul><li>Monitor health status of community </li></ul><ul><li>Investigate health problems...
10 Greatest Public Health Achievements 1900-1999 Healthier moms  and babies Safer workplace Safer and  healthier foods Tob...
Public Health Impact of Immunizations <ul><li>Considered one of the greatest public health achievements of the 20th centur...
<ul><li>For each birth cohort vaccinated in accordance with the schedule* </li></ul><ul><ul><li>33,000 deaths are prevente...
<ul><li>For every $1 spent on an individual vaccine: </li></ul><ul><ul><li>DTaP saves $27 </li></ul></ul><ul><ul><li>MMR s...
Healthy People 2010 Goal-Individual Vaccines-90% <ul><li>Vaccine   TX </li></ul><ul><li>DTP/DTaP 4+ 82.1% </li></ul><ul><l...
Healthy People 2010 Goal-4:3:1:3:3:1 Combination-80% <ul><li>Texas 2007 National Immunization Survey Data--77.3%, 2.7 perc...
National Immunization Survey 2002–2007, Texas and US Rates Compared (Texas Ranking Among the States Appears in Bold Below ...
 
<ul><li>1985 (7) </li></ul><ul><ul><li>Measles </li></ul></ul><ul><ul><li>Rubella </li></ul></ul><ul><ul><li>Mumps </li></...
Nationally Proven Strategies to Raise Vaccine Coverage Levels <ul><li>Promote the medical home concept </li></ul><ul><li>P...
TVFC Public vs. Private Doses Administered Percentage Percent of Totaled Enrolled
TEXAS Total Vaccine   Purchases:  2004-2007 Federal Vaccine Purchases based on a calendar year (January through December) ...
TVFC Site Visits by Year Public & Private Clinics
ImmTrac Health Plan Participation <ul><li>35 health plans reporting </li></ul><ul><li>>5 million immunizations added to Im...
ImmTrac Snapshot:  Q4 2007 <ul><li>>67 million immunizations recorded </li></ul><ul><li>5.6 million Texas children </li></...
Immunizations Reported by Electronic Data Import - 2007 Public Health  3.6 M Local Registries  1.7 M Private Providers,  H...
ImmTrac Active User Sites 33% Increase in 2007
ImmTrac Immunization Histories Generated  >80% Increase in 2007
<ul><li>Immunization Branch </li></ul><ul><li>512-458-7264 or 800-252-9152 </li></ul><ul><li>www.ImmunizeTexas.com </li></ul>
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Friday 2.15 Pm Adolfo Valadez Prevention And Preparedness Division

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  • Introduction
  • Friday 2.15 Pm Adolfo Valadez Prevention And Preparedness Division

    1. 1. Texas Department of State Health Services Texas Immunization System Dr. Adolfo Valadez Assistant Commissioner Prevention and Preparedness Services
    2. 2. <ul><li>Essential Public Health Functions </li></ul><ul><li>Top 10 Public Health Achievements </li></ul><ul><li>Public Health Impact of Immunizations </li></ul><ul><li>Economics of Immunizations </li></ul><ul><li>Vaccine Coverage Levels </li></ul><ul><li>Disease Incidence Trends </li></ul><ul><li>Texas Vaccines for Children Program </li></ul><ul><li>ImmTrac </li></ul>Agenda
    3. 3. Essential Public Health Functions <ul><li>Monitor health status of community </li></ul><ul><li>Investigate health problems in community </li></ul><ul><li>Inform, educate, and empower stakeholders </li></ul><ul><li>Forge community partnerships </li></ul><ul><li>Develop health policy and support planning </li></ul><ul><li>Enforce health code and regulations </li></ul><ul><li>Link people to appropriate health resources </li></ul><ul><li>Assure a competent public health workforce </li></ul><ul><li>Evaluate the quality and effectiveness of efforts </li></ul><ul><li>Research and innovation in community health </li></ul>
    4. 4. 10 Greatest Public Health Achievements 1900-1999 Healthier moms and babies Safer workplace Safer and healthier foods Tobacco as a health hazard Decline in deaths from coronary heart disease Fluoridation of drinking water Motor-vehicle safety Family Planning Vaccinations & Control of Infectious Disease
    5. 5. Public Health Impact of Immunizations <ul><li>Considered one of the greatest public health achievements of the 20th century </li></ul><ul><li>At the beginning of the 20th century vaccine-preventable disease morbidity and associated mortality was widespread </li></ul><ul><li>Morbidity for 9 vaccine-preventable diseases has declined dramatically </li></ul><ul><li>Smallpox eradicated, wild polio eliminated from Western Hemisphere </li></ul><ul><li>Source: Centers for Disease Control & Prevention </li></ul>
    6. 6. <ul><li>For each birth cohort vaccinated in accordance with the schedule* </li></ul><ul><ul><li>33,000 deaths are prevented </li></ul></ul><ul><ul><li>10.5 million cases of diseases are prevented </li></ul></ul><ul><li>Vaccinations have huge cost savings </li></ul><ul><ul><li>$10.5 billion in direct costs </li></ul></ul><ul><ul><li>$42 billion in societal costs </li></ul></ul>Economics of Immunizations Zhou F, et al. Archives of Pediatrics and Adolescent Medicine, in press *(DTaP, Td, Hib, MMR, Hep B and Varicella)
    7. 7. <ul><li>For every $1 spent on an individual vaccine: </li></ul><ul><ul><li>DTaP saves $27 </li></ul></ul><ul><ul><li>MMR saves $26 </li></ul></ul><ul><ul><li>Perinatal Hep. B saves $14.70 </li></ul></ul><ul><ul><li>Varicella saves $5.40 </li></ul></ul><ul><ul><li>Inactivated Polio (IPV) saves $5.45 </li></ul></ul>Economics of Immunizations Zhou F, et al. Archives of Pediatrics and Adolescent Medicine, in press
    8. 8. Healthy People 2010 Goal-Individual Vaccines-90% <ul><li>Vaccine TX </li></ul><ul><li>DTP/DTaP 4+ 82.1% </li></ul><ul><li>Polio 3+ 92.6% </li></ul><ul><li>MMR 1+ 90.4% </li></ul><ul><li>Hib 3+ 93.8% </li></ul><ul><li>Hep B 3+ 91.7% </li></ul><ul><li>Varicella 1+ 90.0% </li></ul>2007 National Immunization Survey
    9. 9. Healthy People 2010 Goal-4:3:1:3:3:1 Combination-80% <ul><li>Texas 2007 National Immunization Survey Data--77.3%, 2.7 percentage points away from the national goal </li></ul>2007 National Immunization Survey
    10. 10. National Immunization Survey 2002–2007, Texas and US Rates Compared (Texas Ranking Among the States Appears in Bold Below Data Points) 41 29 24 24 *4-3-1-3-3-1: 4 doses DTP, 3 doses Polio, 1 dose MMR, 3 doses of Hib, and 1 or more doses of varicella 34 22
    11. 12. <ul><li>1985 (7) </li></ul><ul><ul><li>Measles </li></ul></ul><ul><ul><li>Rubella </li></ul></ul><ul><ul><li>Mumps </li></ul></ul><ul><ul><li>Diphtheria </li></ul></ul><ul><ul><li>Tetanus </li></ul></ul><ul><ul><li>Pertussis </li></ul></ul><ul><ul><li>Polio </li></ul></ul>Number of Vaccines in the Routine Childhood Schedule <ul><li>1996 (10) </li></ul><ul><ul><li>Measles </li></ul></ul><ul><ul><li>Rubella </li></ul></ul><ul><ul><li>Mumps </li></ul></ul><ul><ul><li>Diphtheria </li></ul></ul><ul><ul><li>Tetanus </li></ul></ul><ul><ul><li>Pertussis </li></ul></ul><ul><ul><li>Polio </li></ul></ul><ul><ul><li>Hib (infant) </li></ul></ul><ul><ul><li>Hepatitis B </li></ul></ul><ul><ul><li>Varicella </li></ul></ul><ul><li>2008 (16) </li></ul><ul><ul><li>Measles </li></ul></ul><ul><ul><li>Rubella </li></ul></ul><ul><ul><li>Mumps </li></ul></ul><ul><ul><li>Diphtheria </li></ul></ul><ul><ul><li>Tetanus </li></ul></ul><ul><ul><li>Pertussis </li></ul></ul><ul><ul><li>Polio </li></ul></ul><ul><ul><li>Hib (infant) </li></ul></ul><ul><ul><li>Hepatitis B </li></ul></ul><ul><ul><li>Varicella </li></ul></ul><ul><ul><li>Hepatitis A </li></ul></ul><ul><ul><li>Pneumococcal Disease </li></ul></ul><ul><ul><li>Influenza </li></ul></ul><ul><ul><li>Meningococcal </li></ul></ul><ul><ul><li>Rotavirus </li></ul></ul><ul><ul><li>HPV </li></ul></ul><ul><li>2001 (12) </li></ul><ul><ul><li>Measles </li></ul></ul><ul><ul><li>Rubella </li></ul></ul><ul><ul><li>Mumps </li></ul></ul><ul><ul><li>Diphtheria </li></ul></ul><ul><ul><li>Tetanus </li></ul></ul><ul><ul><li>Pertussis </li></ul></ul><ul><ul><li>Polio </li></ul></ul><ul><ul><li>Hib (infant) </li></ul></ul><ul><ul><li>Hepatitis B </li></ul></ul><ul><ul><li>Varicella </li></ul></ul><ul><ul><li>Hepatitis A </li></ul></ul><ul><ul><li>Pneumococcal </li></ul></ul><ul><ul><li>Conjugate </li></ul></ul>
    12. 13. Nationally Proven Strategies to Raise Vaccine Coverage Levels <ul><li>Promote the medical home concept </li></ul><ul><li>Promote the use of registries </li></ul><ul><li>Promote reminder/recall </li></ul><ul><li>Public education </li></ul><ul><li>Provider education </li></ul><ul><li>Utilize community partners to improve in the strategies listed above </li></ul>
    13. 14. TVFC Public vs. Private Doses Administered Percentage Percent of Totaled Enrolled
    14. 15. TEXAS Total Vaccine Purchases: 2004-2007 Federal Vaccine Purchases based on a calendar year (January through December) Texas GR Vaccine Purchases based on a state fiscal year (September through following August)
    15. 16. TVFC Site Visits by Year Public & Private Clinics
    16. 17. ImmTrac Health Plan Participation <ul><li>35 health plans reporting </li></ul><ul><li>>5 million immunizations added to ImmTrac client records in 2007 (Medicaid and health plans) </li></ul><ul><li>23 immunization history request files submitted by 8 health plans </li></ul><ul><li>>27 million immunizations conveyed to health plans for their members </li></ul>
    17. 18. ImmTrac Snapshot: Q4 2007 <ul><li>>67 million immunizations recorded </li></ul><ul><li>5.6 million Texas children </li></ul><ul><li>2 million children under age 6 </li></ul><ul><li>>4,300 active online user sites </li></ul><ul><li>>62,000 immunization history reports generated online per month (avg) </li></ul>
    18. 19. Immunizations Reported by Electronic Data Import - 2007 Public Health 3.6 M Local Registries 1.7 M Private Providers, Hospitals 1.0 M Medicaid, Health Plans 5.1 M >11 Million Immunizations Reported +47% over 2006
    19. 20. ImmTrac Active User Sites 33% Increase in 2007
    20. 21. ImmTrac Immunization Histories Generated >80% Increase in 2007
    21. 22. <ul><li>Immunization Branch </li></ul><ul><li>512-458-7264 or 800-252-9152 </li></ul><ul><li>www.ImmunizeTexas.com </li></ul>

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