Philadelphia Department of Public Health

1. Philadelphia Department of Public Health • James Sweeney RN,BSN, Jennifer Sampson BA, Robert Levenson MBA, James Lutz MPA,Mindy Perilla MPH, Aramide Ayorinde BS

2. Community-Based Influenza Project for a Multi-Cultural Population2003 Philadelphia, PA

3. Dec 2003 NOTICE There is a National Shortage of Influenza Vaccine This Center is Temporarily out of vaccine. GO AWAY!!!

4. Diversity of Population • Some clustered locations • Multifactorial disadvantages • Socioeconomic • Chronic Illness (People < 65 yrs of age) • Insurance/ Access to Care/ Awareness of Need • Racial/ Ethnic Disparities

5. Phila. 5th Largest City in US.Self ID Racial Makeup • Non-Hispanic Black 42.5% • Non-Hispanic White 42.4% • Hispanic 8.4% • Asian 4.4% • Other/Non 2.0% (2000 U.S.Census)

6. PDPH Marketing of Campaign • Media Event Kickoff • Community Schedule on Website • 24 Hour Automated Hotline • 9AM-5PM Staffed Hotline • Bulk Delivery of Promo Materials • Press Release at Kickoff with schedule • Church Bulletins / Regional Papers

7. Footsteps Marketing Strategies • African/American Health Care Marketing Company (LA, CA/ NY,NY) • # of Radio buys (175 week/6 weeks) • # of TV spots (any news story about flu) • Kickoff/ Celebrity Vaccinee • Newspaper Buys (7 / Half page ads) • Interviews on local radio programs.

10. Providers • 6 Local schools/ of Nursing • 2 African American Nursing Sororities • Medical Students • Hispanic Nurses Association • Asian American Healthcare Network • 4 FQHC’s Staff • Volunteer Community MD’s and RN’s

11. Volunteer Medical Providers • Agree to give free flu shots to the uninsured and collect information for Medicare part B for health department billing. • Use privately purchased vaccine for their own patients. • FQHC’s Nurse Operated

12. Report on the 2003 Philadelphia Influenza Campaign • >11,700 immunizations given at >243 community sites • 57 Clinical partners/partner agencies • >11,516 Participant surveys collected

13. How did you hear about this flu clinic?

14. How did you hear about this flu clinic? Based on 11,516 queried records from 2003 Philadelphia Flu Campaign

15. # of Clinics by Region/ Shots per Region 57/ 2551 24/ 1427 N 62/ 3384 W E 38/ 796 S 35/ 2839 18/ 511

16. Prior History of Influenza Vaccinations Based on 11,516 queried records from 2003 Philadelphia Flu Campaign

17. Medicare Part B Status of 2003 Recipients Based on 11,516 queried records from 2003 Philadelphia Flu Campaign

18. 2003 Influenza Vaccinations: Persons With Other Insurance Based on 11,516 queried records from 2003 Philadelphia Flu Campaign

19. 2002 Medicare Reimbursements • Persons 65 and over with Medicare Part B • $ 9, 306 reimbursed to the PDPH

20. 2003 Influenza Vaccinations by Reported Race/Ethnicity Based on 11,516 queried records from 2003 Philadelphia Flu Campaign

21. 2003 Influenza Vaccinations by Age Group Based on 11,516 queried records from 2003 Philadelphia Flu Campaign

22. 2001-2003 Influenza Vaccinations White / Minority, <65 70% 67.2% 61.8% Based on 25,557 queried records from 2001- 2003 Philadelphia Flu Campaign

23. 2001-2003 Influenza VaccinationsWhite v. Other Racial Groups, 65+ 58% 45% 44% Based on 25,557 queried records from 2001- 2003 Philadelphia Flu Campaign

24. Received Pneumoccocal Vaccine Previously All Ages2002 2003

25. Summary • Philadelphia has improved influenza coverage rates in minority as well as white populations • More vaccinees heard about the flu program from newspaper ads than from any other media • Recommend focused interventions with a multicultural provider base. • Plan influenza programs early, beginning in the late Spring.

26. Acknowledgments • Many thanks to the hundreds of volunteers throughout the Philadelphia Health Care Community who are the heart and soul of the community flu program.