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At least 181 records · Page 10Linked to original sources

A worksite influenza immunization program. Impact on lost work days, health care utilization, and health care spending.

Using a randomized, retrospective case control survey approach, this study compared employees immunized (cases) to a group of non immunized employees (controls) between the months of October and December 1994. In May 1995, a self administered questionnaire was distributed to employees working at the Hanford nuclear reservation located in eastern Washington State. Bivariate analysis included chi-square tests to study the association between influenza vaccine and rates of influenza like illness and related complications, rates of employee absenteeism, rates of physician visits, use of prescribed medication, and rates of hospitalization. To assess the economic benefits associated with vaccination, analysis included estimating the direct and indirect costs associated with immunization and influenza like illnesses, and complications related to influenza like illnesses. Responses to the survey resulted in 789 employees in the vaccinated group and 931 employees in the nonvaccinated group. As compared to vaccinated employees, nonvaccinated employees reported significantly higher rates of episodes of influenza like illness (78 per 100 compared to 59 per 100, p < 0), influenza related complications (8.0 compared to 5.0, p < .01), lost work days (63 per 100 compared to 35 per 100, p < 0), use of prescription medication (18.6 per 100 compared to 8.7 per 100, p < 0), physician visits (18.6 per 100 compared to 8.7 per 100, p < 0), and inpatient hospital. Cost savings were estimated to be $83.84 per person vaccinated. The results of this study suggest this worksite influenza vaccination program produced significant health related and economic benefit to employee participants and their employers.

Adolescent↗

Inpatient immunization program: eliminating a missed opportunity.

In response to the nation's low immunization rates among preschool-aged children, health care providers need to consider alternate sites as potential opportunities to administer vaccinations. One hospital established a Childhood Immunization Group designed to identify and provide immunizations to hospitalized children, 0-2 years of age. Sixty percent of the over 1,600 children evaluated have required immunizations in which 70% of these were immunized prior to discharge. The integration of primary care with "hospital care" can contribute to improving the immunization rate of preschool-aged children.

Child Health Services↗

[Effects of a municipal immunization program on the vaccination coverage in a school population].

We report the results of a Municipal Immunisation Program in a industrial community. These results were evaluated through the School Health Program. Our immunisation policies resulted in a substantial increase of immunity covering with particular impact on the less wealthy social layers. Immunity rats rose from 32% to 71% of the population. We conclude that our program is an adequate policy for control of infection diseases.

Adolescent↗

[Impact of an anti-hepatitis B virus (HBV) immunization program in patients undergoing dialysis in Havana, Cuba].

The follow-up of HBV markers in selected high infection risk populations, in patients from the hemodialysis and peritoneal dialysis services was used to assess the effectiveness of a special vaccination program. Viral infection markers were studied in prevalence cross sections of the whole population of patients, and also by recording the reports of clinical cases of hepatitis B occurred during that period in those groups of patients. The prevention program consisted of the vaccination of all patients negative to the viral markers and the indication of vaccination for the new cases during the period of the kidney disease, just before the start of the treatment at the hemodialysis unit; besides all the persons susceptible to infection that had already been included in the program, regardless of the stage of the disease. The results show the benefit of the vaccination in these patients, but it is more effective in the period before the treatment with dialysis where there is a lower possibility of being exposed to the virus and the immune system is still competent. Once the program was established, after a follow up o 6 years, there have been no reports of new cases of hepatitis B and the incidence of the disease has been declining.

Adult↗

Clinical trial of concentrated inactivated polio vaccine in a simplified immunization program.

The aims of the trial were: 1) to verify the effectiveness of injectable polio vaccine (inactivated) combined with concentrated diphtheria and tetanus toxoid, in one or two injections given at an interval of 6 months; 2) to compare the killed polio vaccine with the oral vaccine which is recommended in the Ivory Coast program: 4 doses in 15 months. The effectiveness of the immunizations is judged by the serum antibody levels 8 to 12 weeks following immunization. The comparative study of 2 inactivated polio vaccines A and C with live oral vaccine showed the superiority of inactivated vaccine, which resulted in good seroconversion after a single dose. The increase in the serologic response is proportional to the antigenic mass since it appears that the concentration of vaccine C is double that of A.

Clinical Trials as Topic↗

Learning through community participation: immunization program at an elementary school.

Many universities are establishing programs to bring health professions students, faculty, and communities together to address the communities' needs using public health models and tools. Such partnerships provide students with the opportunity to put into practice what they learn in the classroom, work together in interdisciplinary teams, and provide communities with access to preventive care and health education. The authors describe the experience of the partnership developed between a Washington, D.C., elementary school and a group of students from the schools of medicine, nursing, and public health and health services of the George Washington University and George Mason University. Working with both an academic preceptor and a community preceptor, the students assessed the schoolchildren's immunization status; prepared informational packets for parents; and organized and conducted an immunization fair at the elementary school. The authors describe how the program was implemented, the results of the program, and lessons learned.

Child↗

Immunization status of hospitalized preschool-age children. The need for hospital-based immunization programs.

The records of 102 hospitalized preschool-age children were reviewed to determine their immunization status. Nineteen children (19%) had a documented delay in immunizations. None of these children were immunized prior to hospital discharge, although no contraindications to immunization had been identified. Two to five months after hospital discharge, ten patients (53%) were still deficient. Compliance with recommended immunization schedules is not adequately addressed during hospital admissions.

Child, Preschool↗