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FIGHT FLU Increasing influenza vaccinations in at risk groups and health care workers through a national communications campaign Meredith Cameron, Communications Advisor, National Institute of Clinical Studies (NICS)
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FIGHT FLU – are you at risk? NICS and the NHMRC The evidence about influenza vaccination Gaps between evidence and practice Why the gaps exist The Fight Flu campaign Getting evidence into practice Our plans for 2008
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NICS and the NHMRC The National Health and Medical Research Council (NHMRC) is Australia's peak body for supporting health and medical research. As part of the NHMRC, the National Institute of Clinical Studies (NICS) works to improve health care by getting health and medical research into practice. Help close evidence-practice gaps Train health care professionals to use evidence Make evidence more accessible Provide resources to improve research transfer
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The evidence about influenza vaccinations The Australian Immunisation Handbook 9th Edition, NHMRC Chapter 3:11 recommends annual vaccinations for: All individuals over 65 years of age* Aboriginal and Torres Strait Islander people aged 50 years and older or aged 15-49 with risk factors* Children aged 6 months to 10 years on long-term aspirin therapy Women planning a pregnancy and pregnant women who will be in the second or third trimester during the influenza season, including those in the first trimester at the time of vaccination
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Adults and children (above 6 months of age) with: Chronic suppurative lung disease, including bronchiectasis, cystic fibrosis and chronic emphysema, Chronic (long-term) heart conditions including cyanotic congestive heart disease, coronary heart disease and congestive heart disease Chronic illnesses requiring regular medical follow-up or hospitalisation in the preceding year, Residents of nursing homes or other long-term facilities and contacts of high risk patients, including health-care providers, staff of nursing homes and long-term care facilities and household members of persons in high-risk groups.
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We also know that: there are significant advantages in cost effectiveness of vaccination of 'at risk' people in terms of reduced deaths, hospitalisations and out patient visits. Influenza causes 1,500 deaths, 80,000 GP visits and 15,000 hospitalisations in Australia each year amongst at risk groups. 1.2 million Australians aged under 65 are in the 'at risk' group. people with a chronic disease have a 40 times increased risk of death from influenza. A combination of heart and lung disease increases this risk 800 times. annual vaccination is the single most effective measure to prevent influenza.
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The gaps between evidence and practice 42 per cent of the 'at risk' group under 65 years of age are being vaccinated annually. 20-50 per cent of health care workers, who are at a greater risk of contracting and spreading influenza, are being vaccinated annually. 15 per cent of influenza related deaths and two thirds of hospitalisations are in the under 65 'at risk' group. 50 per cent of the carers of these at risk people are being vaccinated 10 per cent of all workplace absenteeism associated with illness is due to influenza.
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Why the gaps exist Barriers include: Patients are unaware of the risk, overwhelmed with chronic illness, needle phobic, have cultural, cost and access issues Doctors and health care workers often focus on disease management, not sure who is at risk, lack resources and time, focus on the over 65s, think they’re bullet proof and are also needle phobic Myths abound – education is needed.
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The Fight Flu campaign The GP is still the strongest influence on whether a person gets vaccinated (Barriers and enablers to influenza immunization in high-risk groups in Australia'. Walker C, Chronic Illness Alliance, June 2005.) www.fightflu.com.au – education, tools and evidence. Fight flu posters – gave the facts on who is at risk, what is the risk circulated to every division, medical practice, pharmacy, hospital and nursing home/retirement village. Media campaign – general and medical press
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Getting evidence into practice (health professionals) Education Awareness of the guidelines, knowledge of who is at risk both generally and amongst their patients, understanding of patient barriers. Resources Information brochures/posters, a great website(!) with useful documents, practice nurses to arrange clinics/give vaccinations, supportive policies. Capacity Making the time and being opportunistic Motivation Concern for patients and staff, self-care, payment, support from colleagues
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Getting evidence into practice (patients/carers) Education Awareness of who is at risk and what those risks are, why they should be vaccinated (including safety and efficacy), the risks Resources Information brochures/posters, a great website(!) access to vaccinations without a double visit or cost Capacity Easy access - included in general consultation or as part of a special clinic Motivation Desire to stay healthy or not add to the burden of a chronic disease, desire to protect family/colleagues
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What does a successful program look like? team vision – a group that supports change and encourages participation, shared learning and a common goal performance goal – also helps with evaluation local champions tools to help bring the information close to the decision maker (patient reminder systems, phone calls) patient interventions (decision aids) active education (practice visits) organisational support
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Our plans for 2008 Fight Flu 2008 Literature review update Redeveloped website with the latest evidence and NHMRC branding Poster distribution Policy to fund vaccination in 50+ at risk groups At risk group and health care worker focus Indigenous program Working alongside Divisions of General Practice, especially people in the immunisation program!
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More information? www.fightflu.com.au Any extra feedback? Feedback at www.fightflu.com.au or Email: email@example.com
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Chronic suppurative lung disease, including bronchiectasis, cystic fibrosis and chronic emphysema,
Chronic suppurative lung disease, including bronchiectasis, cystic fibrosis and chronic emphysema, Chronic (long-term) heart conditions including cyanotic ...