Wednesday, October 23, 2019

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8:30 AM - 9:30 AM

Plenary
Welcoming Session
John Hellerstedt, MD, Commissioner
Texas Department of State Health Services
The Dallas Region Director will open the Welcoming Session. Department of Health Services Commissioner John William Hellerstedt, MD, will then address conference attendees. He will be followed by Immunization Unit Direct Tony Aragon, who will provide an update on State of Texas Immunizations.

10:00 AM - 11:00 AM

Plenary
Immunization Schedule Update
JoEllen Wolicki, BSN, RN, Nurse Educator
CDC, National Center for Immunization and Respiratory Diseases, Communication and Education Branch
The Advisory Committee on Immunization Practices (ACIP) develops recommendations on how to use vaccines to control disease in the United States. The committee’s recommendations are forwarded to CDC’s Director for approval. Once the ACIP recommendations have been reviewed and approved by the CDC Director and the U.S. Department of Health and Human Services, they are published in CDC’s Morbidity and Mortality Weekly Report (MMWR). The MMWR publication represents the final and official CDC recommendations for immunization of the U.S. population. Professional organizations that work with the ACIP to develop the annual childhood and adult schedules include the American Academy of Pediatrics (AAP), the American Academy of Family Physicians (AAFP), the American College of Obstetricians and Gynecologists (ACOG), and the American College of Physicians (ACP).

Objectives:

  • Identify one recently updated Advisory Committee on Immunization Practice’s (ACIP) immunization recommendation for children.
  • Identify one recently updated Advisory Committee on Immunization Practice’s (ACIP) immunization recommendation for adults.
  • Identify three resources for health care personnel.

12:30 PM - 1:45 PM

Epidemiology and Surveillance
Influenza: Federal And State Perspective
JoEllen Wolicki, BSN, RN, Nurse Educator
CDC, National Center for Immunization and Respiratory Diseases, Communication and Education Branch
Andrea Salinas, MPH, CPH, CIC, Epidemiologist, Influenza
Texas Department of State Health Services
This session will cover both a national and state update and overview of the Flu, including trends in vaccination coverage, ongoing challenges, priorities, and resources for providers.  There will be time included for questions for session attendees.

Objectives:

  • List two resources for healthcare providers regarding flu resources.
  • Describe two challenges in optimizing influenza vaccines.
  • Describe current and past trends in influenza incidence in Texas.

TVFC
Vaccines for Children Program: Federal and State Perspective
Mark Ritter, MHA, Senior Public Health Advisor
Department of State Health Services, Immunization Unit and
Montique Shepherd, II, MPA, CDC Public Health Advisor
Texas Department of State Health Services
The presenters will discuss the Federal and Texas Vaccines For Children Program, National Immunization Survey (NIS) coverage levels for children and adolescents and increasing adult immunization rates through participation in Adult Safety Net (ASN) Program as well. Presenters will also cover the 2018 TVFC Program Updates, National Immunization Survey (NIS) updates for the United States and Texas and Adult immunization initiatives including Adult Safety Net (ASN) Program.

Objectives:

  • Describe updates to the Federal and Texas Vaccines For Children Programs.
  • Discuss CDC National Immunization Survey results for children and adolescents in the United States, Texas, and select cities within Texas.
  • Describe the Texas Adult Safety Net (ASN) Program for uninsured eligible clients served in enrolled clinic sites.

Screenings
Someone You Love
Winner: Power of Film Award from the Beloit International Film Festival
This poignant documentary takes a look into the lives of five women affected by HPV, the widely misunderstood and controversial virus that causes several types of cancer, including cervical. Each of these women has an intimate story to tell. For three individuals, it’s a story of survivorship that comes with misconceptions, stigma, shame, heartbreak, pain and triumph. For one family, it’s about coping with the loss of their daughter Kristen and trying to prevent it from happening to others like her. It also tells the story of one woman, who at 31 years began her cancer journey. The cameras follow Kelly on her epic battle to save her marriage, her career, her family and ultimately, her life.

Objectives:

  • Describe the natural history of HPV particularly as it relates to primary cervical cancer screening recommendations.
  • Distinguish appropriate age-specific cervical cancer screening recommendations, and appropriate management of women age 30 and older screened by co-testing with a Pap and HPV DNA test.

Adult Vaccines
Are You Prepared? Increasing Immunization Among First Responders
Caroline Hilbert, MD, MPH, Director of Immunization Advocacy
Williamson County and Cities Health District and
Denise Starkey, MPH, MA, Adolescent and Adult Immunization Coordinator, Immunization Unit
Texas Department of State Health Services
In response to the aftermath of Hurricane Harvey in 2017, the Centers for Disease Control and Prevention (CDC) and the state of Texas saw a growing concern that emergency responders were not fully immunized against disaster-related health risks. To address this concern, DSHS implemented a comprehensive project, the Hurricane Recovery Crisis Cooperative Agreement (Crisis CoAg), to raise the immunization rates of Texas emergency responders. Williamson County & Cities Health District was one of the local health departments awarded Crisis CoAg funding in January 2019. In the months following, an integrated team of cross-divisional staff began to establish and strengthen relationships with first responders throughout the county. This session will provide background information of the Crisis CoAg emphasizing the importance of immunizations for first responders, as well as the resources and strategies that the Williamson County & Cities Health District team has employed to engage with local first responders, lessons learned, and anticipated next steps.

Objectives:

  • Identify the important role adult immunizations play in the first responders and their families.
  • Assess the number of first responder organizations who recommend ACIP adult immunizations to their staff.
  • Utilize the Texas Immunization Registry, ImmTrac2, to gain consent and record immunizations for First Responders.

Child and Adolescent Vaccines
Data Resources: DSHS Dashboards (Flu, Tdap/HPV/TIPS)
Matthew Davis, Texas Immunization Registry Operations Coordinator
Texas Department of State Health Services and
Kayla Boykins, Vaccine Accountability Team Lead
Texas Department of State Health Services
Jessica Jupe, Epidemiologist
Texas Dept. of State Health Services
Quality, timely and accessible data are essential to deliver vaccines effectively. From local health clinics to national health systems, data allows healthcare professionals to ensure the correct vaccines are administered at the right time to the right people. In this session subject matter experts from the DSHS Immunization Unit will provide an in depth look at some of the the state's essential data reources: the new and improved HPV; Tdap report, the Texas Immunization Provider Summary (TIPS) report, and the influenza dashboard.

Objectives:

  • Describe how to navigate the TIPS report and resolve potential data quality issues.
  • Relate how the HPV-Tdap Report can provide information to and assist TVFC clinics.
  • Recognize the importance of the Texas Vaccine for Children Influenza Dashboard.

2:15 PM - 3:30 PM

Epidemiology and Surveillance
Texas Vaccine Preventable Disease Epidemiology Update
Greg Leos, MPH, CPH, CIC, Epidemiologist, Vaccine Preventable Disease Team Lead
Texas Department State Health Services Emerging and Acute Infectious Disease
The Texas Department of State Health Services Vaccine-Preventable Disease (VPD) Team will be providing an update on VPDs throughout Texas over the past year. This will include a discussion of outbreaks, clusters, and notable investigations of VPDs as well as trends and new public health recommendations for control measures. There will also be a brief question and answer session at the end of the presentation for session attendees.

Objectives:

  • Recognize the state of Vaccine-Preventable Diseases (VPDs) in Texas.
  • Describe potential public health recommendations for VPDs control measures.

TVFC
Are you IQUIP'd?
Montique Shepherd, II, MPA, CDC Public Health Advisor
Texas Department of State Health Services and
Ashlae Tolbert, Vaccine Operation Groups Policy Team Lead
Texas Department of State Health Services
Angela Herrera, Interoperability Coordinator Texas Immunization Registry
Texas Department of State Health Services
CDC’s Immunization Quality Improvement for Providers (IQIP) program launched to help providers and ensure children and adolescents are getting the vaccines they need when they need them. DSHS subject matter experts will inform attendees of the new and improved TVFC recruitment process, new program policies with IQIP, and learn core concepts needed to successfully report immunization registrations to the state registry. Attendees will leave with new tools and resources for recruitment, in-depth knowledge of program policy changes, and tools and tips for electronic health record system management.

Objective:

  • Describe the Immunization Quality Improvement for Providers 12-month process could improve immunization workflow to increase vaccine uptake.

Screenings
Invisible Threat
CHSTV - Videos Funded by Rotary International
Award-Winning High School Broadcast Journalism / Documentary Film Program
"Invisible Threat," addresses the subject of vaccine refusal and the repercussions that can follow. According to the student filmmakers, the genesis of the documentary was their initial decision to make a short peer-to-peer film about how the immune system works. While looking into the subject, they became aware of the controversies around vaccines and turned their attention to the effects vaccine refusal can have on public health. Invisible Threat is a critically-acclaimed documentary that explores the science of vaccination and why fears and misperceptions have lead parents to delay or decline vaccines.

Objective:

  • Relate reasons parents delay or decline vaccines and how these can be addressed.

Adult Vaccines
Vaccines Aren't Just for Kids: Federal & State Perspectives on Improving Adult Immunization Rates in Texas
Amy Parker Fiebelkorn, MSN, MPH,Senior Epidemiologist, Immunization Services Division;
Program Deputy, Influenza Vaccine Task Force
Centers for Disease Control and Prevention
and Denise Starkey, MPH, MA, Adolescent and Adult Immunization Coordinator, Immunization Unit
Texas Department of State Health Services
The Centers for Disease Control and Prevention (CDC) and Texas Department of State Health Services (DSHS) Immunization Unit continue to be committed to removing barriers to vaccines and improving vaccination coverage rates for adults in Texas. Through the continued development and strengthening of partnerships among the CDC, DSHS, local health departments, and healthcare providers, the focus continues to be on improving and expanding healthcare providers’ knowledge of the utilization of the Adult Safety Net Program (ASN) and the National Vaccine Advisory Committee (NVAC) Standards for Adult Immunization Practice. During this session, participants will be presented with updates to adult vaccination recommendations from the Advisory Committee on Immunization Practices (ACIP), the current status of adult vaccination rates both nationally and statewide, past and current efforts by DSHS to increase adult vaccination rates, strategies focused on increasing the number of healthcare providers offering and administering ACIP-recommended adult vaccinations, increasing the utilization of the Texas Immunization Registry, ImmTrac2, and increasing the awareness and importance of adult immunizations among the general public and healthcare providers.

Objectives:

  • Identify the importance of the knowledge and awareness for adult immunizations in Texas.
  • Assess the number of medical organizations who recommend ACIP adult immunizations to their staff.
  • Utilize the Texas Immunization Registry, ImmTrac2, to gain consent and record adult immunizations.

Child and Adolescent Vaccines
HPV in Texas: Status Report
Lois Ramondetta, MD, Professor and Chief of Department of Gynecologic Oncology and Reproductive Medicine
MD Anderson Cancer Center and
Rachel Wiseman, MPH, ACE Manager
Texas Department of State Health Services
During this session, participants will be presented with the current status of Texas' HPV coverage rates, an overview of activities across the state aimed at raising coverage rates, and the barriers programs face in implementing HPV activities. Attendees will leave with strategies and tools to help increase HPV coverage rates in the state.

Objectives:

  • Relate two recommendations of the Advisory Committee on Immunization Practices (ACIP).
  • Describe the epidemiology of HPV cancers.
  • Identify groups for potential partnerships to communicate about the importance of HPV Vaccinations.

3:30 PM - 4:30 PM

Plenary
Measures to Fight Measle Outbreaks: Washington State Case Study
Chas DeBolt, RN, MPH, Senior Epidemiologist for Vaccine-Preventable Diseases
Washington State Department of Health and
Amy Parker Fiebelkorn, MSN, MPH, Senior Epidemiologist, Immunization Services Division;
Program Deputy, Influenza Vaccine Task Force

Centers for Disease Control and Prevention
According to the Centers for Disease Control and Prevention, more than 1,100 cases of measles have been confirmed in 30 states this year. Attendees will receive an overall understanding of the epidemiology of measles during the 2018- 19 U.S. measles outbreak and the historic implications of this outbreak. The session will include a review of the control measures Washington State took for the two outbreaks it experienced in 2019 and other steps they have taken to address the issue.

Objectives:

  • Describe the overall epidemiology of measles in the United States during the 2018- 19 U.S. measles outbreak, the importance of rapid implementation of effective measles outbreak control strategies, and the historic implications of this.
  • Relate lessons learned from the Washington outbreak and the control measures that could be utilized in similar situations.