Seasonal Influenza Vaccination at School: A Randomized Controlled Trial

Influenza vaccination coverage for U.S. school-aged children is below the 80% national goal. Primary care practices may not have the capacity to vaccinate all children during influenza vaccination season. No real-world models of school-located seasonal influenza (SLV-I) programs have been tested. De...

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Bibliographic Details
Published in:American journal of preventive medicine 2014, Vol.46 (1), p.1-9
Main Authors: HUMISTON, Sharon G, SCHAFFER, Stanley J, SZILAGYI, Peter G, LONG, Christine E, CHAPPEL, Tahleah R, BLUMKIN, Aaron K, SZYDLOWSKI, Jill, KOLASA, Maureen S
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child
Children
Coverage
Feasibility Studies
Human viral diseases
Humans
Immunization
Infectious diseases
Influenza
Influenza Vaccines
Mass Vaccination - organization & administration
Mass Vaccination - statistics & numerical data
Medical sciences
Miscellaneous
Multivariate Analysis
Prevention and actions
Public health. Hygiene
Public health. Hygiene-occupational medicine
Randomized controlled trials
School Health Services
Schools - statistics & numerical data
Vaccines
Viral diseases
Viral diseases of the respiratory system and ent viral diseases
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Summary:Influenza vaccination coverage for U.S. school-aged children is below the 80% national goal. Primary care practices may not have the capacity to vaccinate all children during influenza vaccination season. No real-world models of school-located seasonal influenza (SLV-I) programs have been tested. Determine the feasibility, sustainability, and impact of an SLV-I program providing influenza vaccination to elementary school children during the school day. In this pragmatic randomized controlled trial of SLV-I during two vaccination seasons, schools were randomly assigned to SLV-I versus standard of care. Seasonal influenza vaccine receipt, as recorded in the state immunization information system (IIS), was measured. Intervention and control schools were located in a single western New York county. Participation (intervention or control) included the sole urban school district and suburban districts (five in Year 1, four in Year 2). After gathering parental consent and insurance information, live attenuated and inactivated seasonal influenza vaccines were offered in elementary schools during the school day. Data on receipt of ≥1 seasonal influenza vaccination in Year 1 (2009-2010) and Year 2 (2010-2011) were collected on all student grades K through 5 at intervention and control schools from the IIS in the Spring of 2010 and 2011, respectively. Additionally, coverage achieved through SLV-I was compared to coverage of children vaccinated elsewhere. Preliminary data analysis for Year 1 occurred in Spring 2010; final quantitative analysis for both years was completed in late Fall 2012. Results are shown for 2009-2010 and 2010-2011, respectively: Children enrolled in suburban SLV-I versus control schools had vaccination coverage of 47% vs 36%, and 52% vs 36% (p
ISSN:0749-3797
1873-2607
DOI:10.1016/j.amepre.2013.08.021