WELCOME TO THE NILE WEBINAR FOR APRIL 2021! - Immunize Nevada
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WELCOME TO THE NILE WEBINAR FOR
APRIL 2021!
Immunize Nevada is a nonprofit 501c3 coalition that is widely recognized as
Nevada’s trusted resource for immunization information and community health
outreach for all ages. We accomplish this by fostering education and statewide
collaboration with a variety of health partners and collaborators.
You may view upcoming web trainings at ImmunizeNevada.org/NILE-webinars
Thank you for joining us today!
HOUSEKEEPING ITEMS
Connectivity Please log back in and we’ll continue
Issues where we left off.
Locate the Q & A box and type them
Have a
there. We will address questions
Question?
throughout the presentation.
Nursing/Pharmacy/CHW CEUs: Complete
CEU the post-event survey. Certificates will be
Claiming emailed within one week of the live
presentation.
Recording The recorded webinar and slides will be posted
& Slides to ImmunizeNevada.org/NILE-webinars.
DISCLAMER
Immunize Nevada’s NILE webinars are made possible by the generosity of
speakers who donate their time and expertise to benefit the coalition. The
expectation and goal is for community partners to gain knowledge on
immunization/infectious disease-related topics through a non-branded, unbiased
presentation.
The opinions expressed are those of today’s presenter(s) and do not necessarily
reflect those shared by Immunize Nevada or its partners.
Meningitis B: What You Need to
Know To Increase MenB
Vaccination Rates in Nevada
Presented by:
Alicia Stillman, MBA, MPH (Candidate)
Patti Wukovits, BSN, RN
4
5
6
About Meningitis B
and the MenB Vaccine
7
About Meningitis B
Meningococcal meningitis is the most
common form of bacterial meningitis in
adolescents and young adults.
A
It is mainly caused by 5 types of
meningococcal bacteria - ABCWY. Y B
The bacteria can cause:
• Bloodstream infection
(meningococcemia) that may lead to
sepsis
• Meningitis (infection of the membranes
that surround the brain and spinal cord)
W C
Source: https://www.cdc.gov/meningococcal/about/causes-transmission.html
About Meningitis B: transmission, symptoms and complications
Source: https://www.cdc.gov/meningococcal/about/causes-transmission.html , https://www.cdc.gov/meningococcal/about/symptoms.html
It can kill in a matter of hours. 1 in 10 will die.
2 in 10 will face permanent complications, like limb loss or brain damage.
Meningococcal Meningitis Vaccination: It Takes Two!
If a person has not received BOTH the MenB and MenACWY vaccines,
they are not fully vaccinated against meningococcal meningitis.
Routinely
Recommended
recommended
by CDC based
by CDC;
on shared
required by
clinical
many schools
decision-
and colleges
making
Can be given
at the same
time at
age 16
Source: https://www.cdc.gov/vaccines/vpd/mening/public/index.html
* Depending on brandAbout the Meningitis B vaccines
What are Why is a FDA How is the Current
the Available Different Approval MenB MenB Vaccine
MenB Vaccine Needed Details Vaccine Uptake
Vaccines? for MenB? Administered? Rates
Trumenba: Serogroup B Approved by First dose between 78.2% of
Oct. 2014, Pfizer requires a different the FDA for 17-year-olds have
and a separate 16-23
use in those NOT received ≥1
vaccine because of
Bexsero: the way it attacks 10-25 2nd dose must be dose of MenB
Jan. 2015, GSK the bacterium. completed within:
Yet only 11.1% of
Trumenba: 6 months of 1st 17-year-olds have
They are not dose NOT received ≥1
interchangeable. dose of MenACWY
Bexsero: at least 1 month
of 1st dose
Sources: Mbaeyi SA, Joseph SJ, Blain A, Wang X, Hariri S, MacNeil JR. 2019. Meningococcal disease among college-aged young adults: 2014-2016. Pediatrics 143:e20182130. doi:10.1542/peds.2018-2130;
https://www.cdc.gov/vaccines/vpd/mening/hcp/administering-vaccine.htmlIn Nevada…
The MenACWY vaccine is
required for all incoming
freshmanKey Factors Affecting
MenB Vaccination Rates
In The United States
131. ACIP Guidelines
Given that it is a newer vaccine, at the time of
Why does the CDC ACIP’s review of the MenB vaccine in 2015,
there was not enough evidence on:
advise that 11-12 yr.
olds should receive the • Duration of protection
• Effects on carriage
MenACWY vaccine and • Effects on herd immunity
• Strain coverage
16-23 yr. olds may
In addition, the following factors have also
receive the Men B been cited:
vaccine? • Lower incidence of disease
• High cost of routine vaccination
Source: https://pediatrics.aappublications.org/content/139/5/e201634842. Inconsistent Understanding of ACIP Recommendations
Among Providers
Provider Perception of ACIP Recommendations (%)
Q. What do you see as
60 56
the difference between
ACIP recommendations 50
for the MenACWY
40 Nearly 50% of providers were not
vaccine and the MenB aware of the correct ACIP
vaccine? 30 25
recommendation for the MenB
vaccine.
20
Correct response:
10 8 7
MenACWY is routinely 3
recommended; MenB is 0
subject to shared clinical MenACWY MenACWY
vaccine is routinely vaccine is more
MenACWY is
recommended;
Other Uncertain of
difference
decision making recommended; strongly MenB is not
MenB vaccine is recommended
(SCDM). subject to SCDM than the MenB
vaccine (n = 524)
Source: https://meningitisbactionproject.org/provider-survey3. Many Physicians Are Not Talking To Their Patients
About the MenB Vaccine
According to a study published in Pediatrics in
August 2018, among 900 doctors surveyed:
49% of pediatricians
69% of family physicians
Did not discuss the MenB vaccine during
routine visits for 16-18-year-olds.
Source: Allison Kempe, Mandy A. Allison, Jessica R. MacNeil, Sean T. O’Leary, Lori A. Crane, Brenda L. Beaty, Laura P. Hurley, Michaela Brtnikova, Megan C. Lindley, Alison P. Albert. Adoption of Serogroup B Meningococcal Vaccine
Recommendations. Pediatrics Aug 2018, http://pediatrics.aappublications.org/content/early/2018/08/16/peds.2018-0344..info4. Lack of School or College Requirements
A school/college not requiring the Meningitis B vaccine was the most frequent reason why healthcare providers did
not discuss the vaccine with their 16-23-year-old patients, and also the main reason that parents declined the
MenB vaccine.
Top 5 Reasons Why Providers Didn't Discuss Top 5 Reasons Why Patients (and/or their
MenB Vaccine (%) parents) Declined MenB Vaccine (%)
Patient not high-risk Cost
19 9
Patient not going to college MenB is Rare
19 17
Time Constraints Side Effects
25 19
MenB ACIP recommendation not Never Heard of MenB
as strong as MenACWY 25 25
Not required by college Not Required by College
32 57
Top 5 reasons included in graphs (n = 170)
Source: https://meningitisbactionproject.org/provider-survey 54We only know of 42 schools currently requiring
Meningitis B vaccination.
COLLEGES & UNIVERSITIES CURRENTLY
REQUIRING MENB VACCINATION
California Michigan
California Polytechnic State Aquinas College
University Calvin University
San Diego State University Oakland University
Gallaudet University
New Hampshire
Delaware New England College
Delaware State University Rivier University
Florida New York
Florida Agricultural And Canisius College
Mechanical University D'Youville College
Daemen College
Georgia Le Moyne College
Morehouse College SUNY Empire State College
Iowa Ohio
Grinnell College University of Rio Grande
Morningside College
St. Ambrose University Pennsylvania
Bucknell University
Idaho California University of
The College of Idaho Pennsylvania
Gettysburg College
Indiana Lehigh University
Ball State University Pennsylvania College of
Butler University Technology
Earlham College Villanova University
Indiana State University
Marian University South Carolina
Indianapolis Dakota Wesleyan University
Key Purdue University South Carolina State
Purdue University, University
(PURPLE B) schools requiring MenB Northwest
University of Evansville Virginia
vaccination Rose-Hulman Institute of Shenandoah University
Technology
(RED !) schools with past MenB St. Mary of the Woods
case(s) College
Valparaiso University
(ORANGE DOT) schools
recommending MenB vaccination
185. Care-Seeking Behavior Barriers
Provider Level Patient Level
• Not always followed as closely • Inconvenience
by pediatricians
• Fear of needles
• Transition between pediatrician
> family practitioner • Too many shots!
• Poor access to childhood
immunization records
Sources: https://www.sciencedirect.com/science/article/pii/S1198743X14601725
https://pediatrics.aappublications.org/content/139/3/e20164186#sec-8 19Impact 80% 70% 100% 78% 5x of parents didn’t of all meningococcal of college of 16-18-year-olds more likely in know about the cases in the US are outbreaks since have NOT received college students Meningitis B among 16-23-year- 2011 are caused by at least one dose of (than non-college vaccine (according olds are MenB MenB the MenB vaccine students) to a recent study) Sources: Basta NE, Becker AB, Li Q, Nederhoff D. Parental awareness of Meningococcal B vaccines and willingness to vaccinate their teens. Vaccine. 2019 Jan 21;37(4):670-676 Centers for Disease Control and Prevention. Enhanced meningococcal disease surveillance report, 2016. Available at: https://www.cdc.gov/meningococcal/downloads/NCIRD-EMS-Report.pdf. Accessed September 19, 2019. Serogroup B Meningococcal Disease Outbreak and Carriage Evaluation at a College — Rhode Island, 2015, Morbidity and Mortality Weekly Report, US Department of Health and Human Services/Centers for Disease Control and Prevention, June 12, 2015 / 64(22). . Outbreak of Serogroup B Meningococcal Disease at a University — California, 2016, Morbidity and Mortality Weekly Report, US Department of Health and Human Services/Centers for Disease Control and Prevention, May 27, 2016, 65 (20) Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13–17 Years — United States, 2018. Vol. 68, No. 33, 23 August 2019. Epidemiology of meningococcal disease among college students – United States, 2014-2016https://stacks.cdc.gov/view/cdc/59918 Gary S Marshall Gary S, Amanda F Dempsey, Amit Srivastava, Raul E Isturiz, US College Students Are at Increased Risk for Serogroup B Meningococcal Disease, Journal of the Pediatric Infectious Diseases Society. piz024. Elam-Evans LD, Yankey D, Singleton JA, et al. National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13–17 Years — United States, 2019. MMWR Morb Mortal Wkly Rep 2020;69:1109–1116. DOI: http://dx.doi.org/10.15585/mmwr.mm6933a1
Strategies To Improve
Awareness And Uptake Of
Vaccinations Among
Adolescents
21Co-Create
Solutions
• Work with adolescents to design
strategies and materials
• Go beyond insights: It’s about
integration!
• Know how to execute against their
ideas > include them in implementation
• Use reputable influencers
• Example: Meningitis B educational
curriculum for college peer health
educators
22Effective Messaging:
Empowerment vs.
Scare Tactics
“That
• Fear appeals can be effective when
people 1) feel susceptible to the could
health problem and 2) confident in
their ability to take action to prevent it
(works best for one-time appeals)
never
• But adolescents feel invincible!
happen to
Personal stories and concrete steps
to avoid the problem can help
me!”
• Position vaccination as a way to take
charge of your health
23Educate Providers on
the Importance of
Vaccination
Conversations with
Adolescents
• Providers need education too!
• Balance clinical vs. psychological
messaging in conversation
• Consistency is key: providers have
a responsibility to give them the
tools to make an informed decision
• Talk to both the parent and the
adolescent
24Policies Individual
Moving from
Knowledge to
Action Takes Organi-
Community
zations
A Village
Providers
25The Meningitis B Action Project was created to help close the Meningitis B awareness and vaccination gaps.
What is the Meningitis B Action Project?
The project aims to:
1. Empower young adults with information to talk to their
healthcare provider about Meningitis B and the vaccine that
can help prevent it
2. Encourage healthcare providers to discuss Meningitis B
and the MenB vaccine with their patients (and their parents)
3. Increase awareness of Meningitis B on high school, college
and university campuses
4. Engage policymakers to facilitate broader access to the
Meningitis B Awareness Day House of
Representatives Resolution Reading Meningitis B vaccine
April 24, 2018 – World Meningitis DayOur key message: simplicity is key
2 meningitis
vaccines are
necessary to help
protect against
meningococcal disease.
More have received the
MenACWY vaccine.
Can be
given at
the
Few have received the same
time at
MenB vaccine. age 16Resources to support and amplify your awareness and
education efforts
Posters
Educational resources for:
Students
Healthcare Professionals
Brochures
Parents
Reminder One
Pager for HCPs
Local meetings, speaking Tear off Appt. Reminder
Pads for Doctor’s
engagements, webinars Offices
etc. We are eager to share
our stories to help you
spread this important
message.
Available for download on Magnets for
MeningitisBActionProject.org Sharable Social Doctor’s Offices
Media Graphics and Students
VideosHow Can You Help?
Please help us ensure that no other young life is unnecessarily lost to Meningitis B.
Learn more at MeningitisBActionProject.org
Talk to your friends, family, community, patients etc. about Meningitis B and the MenB
vaccine
Distribute our educational materials in clinics, hospitals, offices, colleges
Invite us to speak at local events
Follow us on Facebook, Twitter and Instagram for more opportunities to get involvedOur Supporters Questions? Contact us at info@meningitisbactionproject.org
LAST MINUTE QUESTIONS &
HOUSEKEEPING ITEMS REVIEW
Locate the Q & A box and type them
Have a
there. We will address as many questions
Question?
as we can today.
Nursing/Pharmacy/CHW CEUs: Complete
CEU the post-event survey. Certificates will be
Claiming emailed within one week of the live
presentation.
Recording The recorded webinar and slides will be
& Slides posted to ImmunizeNevada.org/nile-webinars.You can also read
