massachusetts hpv vaccination initiative update mdph 2014 1 hpv summitt november 7, 2014 susan m....
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Massachusetts HPV Vaccination Initiative
Update
MDPH 20141
HPV SummittNovember 7, 2014Susan M. Lett, MD, MPH
Medical Director, Immunization ProgramMassachusetts Department of Public Health
Disclosure Slide
• I, Susan Lett, have been asked to disclose any significant relationships with commercial entities that are either providing financial support for this program or whose products or services are mentioned during my presentations. I have no relationships to
• I may talk about off-label recommendations for HPV vaccine in a manner not approved by the U.S. Food and Drug Administration
• But in accordance with the recommendations of CDC’s Advisory Committee on Immunization Practices (ACIP)
MDPH 2014
MA HPV Initiative Activities 1. Development of statewide joint initiative with
partners and stakeholders
2. Educating healthcare providers about burden of HPV disease, HPV vaccine schedule, evidence-based strategies
3. Implementation of media campaign targeting parents
4. Training and supporting a subset of providers to pilot the MIIS (MA Immunization Registry) to use immunization coverage reports and to use reminder/recall
MDPH one of 11 states initially funded by CDC.MDPH 2014 3
Statewide Joint HPV Vaccine Initiative • Partners and stakeholders from 29 external organizations
– More than 100 members on group email
– Wide variety of organizations: professional associations, non-profits, hospitals, universities
– Build on work done in 1st HPV Summit in 2013
• Strong partnership with MCAAP & MA League of Community Health Centers– AAP grant to MCAAP for HPV vaccination activities
• New MA Coalition for HPV/ Cervical Cancer Awareness
• New federal funding just awarded to several national organizations
Activity 1.
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• HPV page on MA Chapter of the AAP website and 4 webinars
• Grand rounds, seminars including residents & students
• Other in-person events such as conferences and annual meetings
• Electronic distribution of information: newsletters, websites, journals, blogs, etc.
• 2nd Annual HPV/Cervical Cancer Summit at Dana Farber Cancer Institute on November 7th
HPV Educational Activities
Total of 50 events reaching more than 2,700 individuals!!
Activity 2.
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Evidence-Based Strategies to Improve HPV Vaccine Rates
Strong, clear, routine recommendation for HPV vaccine at 11-12 years
Assess and vaccinate at every visit
Use reminder/recall systems
Assessment and feedback
Standing Orders
Immunization Champion
Overdue:HPV-2Tdap
Activity 2.
http://www.thecommunityguide.org/about/methods.html MDPH 2014
Flyer available at: https://mcaap.org/immunization-hpv/
URGENT CALL TO PREVENT CANCER TAKE THE HPV VACCINE CHALLENGE
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Start your vaccine discussions with all 11-12 year-olds and their
parents by saying:
“ Your child needs 3 vaccines today – HPV, Tdap and
meningococcal.”
Dr. Rebecca Perkins’ MMS Physician FocusOctober 2014
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• Audience both general public and providers
• Half hour cable TV segment• Broadcast on public access
stations in 275 communities in MA• Also distributed nationally
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MMS Link:http://www.hcam.tv/physician-focushpv
National ACOG Link:http://www.immunizationforwomen.org/resources/education
ACOG Immunization for Women WebsiteHPV Tool Kit: http://
www.immunizationforwomen.org/immunization_facts/vaccine-preventable_diseases/hpv
Article in Aug. 2014 Pediatrics. Missed Opportunities for HPV VaccinationIn Adolescent Girls: A Qualitative Study. Perkins, Clark, Apt, Sumner, Wall-Haas,Rosenquist and Pierre-Joseph.
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HPV Media Campaign • Campaign ran during June 2014
• Primary target: parents of adolescents with focus on Hispanic & African American audiences
• Primary goal: increase awareness of importance of HPV vaccine to prevent cancer
• Mechanisms– TV & radio 30 second ads – reached >2.4 M people– Tweeting complemented the ads
Activity 3.
Close the Door to Cancer: AN Animated PSA that illustrates the numbers associated with HPV related infections and cancers.
Why HPV Vaccine is Important: We have three separate PSA’s one from a survivor, one from an English speaking pediatrician, and one from a Spanish speaking physician. Each of these PSAs talks about why HPV vaccine is so important. Each runs about 30 seconds.
MA used this PSA.
MA used this PSA.
Video PSAs
HPV Media Campaign, cont.Social Media: Twitter #vaccineagainstcancer• MDPH has an estimated over 18,000 twitter followers• Most popular tweet was:
• Total number of impressions (defined as number of times users saw the tweet) was 28,673 – much greater than we anticipated!!
If there were a #vaccine against #cancer wouldn’t you get it for your child? There is its #HPV vaccine: http://ow/ly/xxsBw
Activity 3.
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MA Parent Teacher Association – Health Committee
• Have embraced HPV vaccination education for parents
• Presentations given and materials distributed at various state and regional chapter meetings
• Several youth activities– HPV session held with Kids United by Service (KUBS): high
school student leaders bring info back to their peers– First MA Youth Summit on 11/8: leadership & advocacy
training to prepare youth leaders to mobilize their peersaround specific issues in their school & community.
Activity 3.
Using the MA Immunization Information System (MIIS)
• Pilot of 10 CHCs and 10 pediatric practices will receive technical assistance and training to:– Run practice-based adolescent vaccination coverage
reports– Generate reminder/recall materials for adolescents due
and overdue for adolescent vaccines– “Using the MIIS to Improve HPV Rates in Your Practice”
Webinar 10/9/14 and Workshop at MIAP 10/24/14– Assessments began in October
Activity 4.
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Where Are We Now and
What Lies Ahead?
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• NIS Data• CDC HPV Quarterly Reports• CDC Funding of New Initiatives• New MA Coalition for HPV/ Cervical Cancer
Awareness
62%
39%
95%
90%
53%
22%*
0%
20%
40%
60%
80%
100%
2008 2009 2010 2011 2012 2013Year
% V
acci
natio
n Co
vera
ge
Tdap
MenACWY
1 HPV - Females
3 HPV - Females
1 HPV - Males
3 HPV - Males*
Adolescent Vaccination Coverage, Massachusetts, 2008 – 2013
NIS Data, CDC
*Data for 3 HPV in males only available in 2013
MDPH 2014
In MA, 176,000 teens havenot received ANY doses of HPV vaccine:About 4 in 10 girls and 5 in 10 boys.
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HPV Missed Opportunities in Massachusetts, 2013 NIS Teen
100% of girls who were unvaccinated against HPV had a missed opportunity (MO).
100% of girls could have started the series if MO’s wereeliminated.
CDC. HPV Quarterly Report 10-14
CDC Federal Funding of 6 New Projects• Academic Pediatric Association
– Promote partnerships, provide training of providers and for faculty for primary care pediatric residents
– https://www.academicpeds.org/
• American Academy of Pediatrics– Outreach, education and training for pediatric offices, includes QA activities, interface with
immunization registries and outreach to state AAP chapters– http://www2.aap.org/immunization/
• American Cancer Society– Increase rates at safety net clinics and CHCs by identifying best interventions and outreach to state
health departments and other state agencies– www.cancer.org
• American Cancer Society – Roundtable Project– Will convene a network of organizations involved with cancer prevention, immunization, healthcare delivery,
public health and other stakeholders. Pilot projects will focus on overcoming barriers in priority areas– www.cancer.org
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• National Area Health Education Centers (AHEC) Network– Will develop and provide training to clinicians across disciplines
nationwide, work with state health departments, inventory resources and develop what is needed
– http://www.nationalahec.org/
• National Association of City and County Health Officers (NACCHO)– Build capacity for local health departments to implement HPV
recommendations– http://www.naccho.org/
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CDC Federal Funding, cont.
11 more states/projects just received funding for HPV
initiatives for a total of 22.
MA Coalition for HPV/Cervical Cancer Awareness
• Comprised of advocates, health care professionals, agencies, and stakeholders
• Ensure MA continues to be a leader in HPV vaccine uptake to decrease HPV-related cancers
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15-40 ConnectionAmerican Cancer Society-New England DivisionBC/BS of MassachusettsBoston Public Health CommissionBrigham and Women’s HospitalCape Cod HealthcareDana-Farber Cancer InstituteMA Caucus of Women LegislatorsMA Department of Public HealthMA Commission on the Status of WomenMA Chapter - American Academy of PediatricsMA League of Community Health Centers
Coalition website has been donated by Team Maureen.
Learn more or join at: TeamMaureen.org
Pediatrics WestSalem State University
Sociedad LatinaTeam Maureen
UMass Memorial Children’s Medical CenterYellow Umbrella Organization
Current Members
MDPH 2014
CDC “You Are the Key” Website
http://www.cdc.gov/vaccines/who/teens/for-hcp/hpv-resources.html 22
Reviews HPV materials from reliable websites and has quick
links to key materials:
http://mcaap.org/immunization-hpv
/
MA Chapter of the AAP “HPV Vaccine Initiative”
Website
Immunization Program Main NumberFor questions about immunization recommendations, disease reporting, etc.• Phone: 617-983-6800• Fax: 617-983-6840• Website: www.mass.gov/dph/imm
MIIS Help Desk• Phone: 617-983-4335• Fax: 617-983-4301• Email: [email protected]• Websites: www.contactmiis.info | www.mass.gov/dph/miis
MDPH Vaccine Unit• Phone: 617-983-6828• Fax: 617-983-6924• Email: [email protected]• Website: www.mass.gov/dph/imm (click on Vaccine Management)
MDPH Immunization Program Contact Information
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