Vaccine Preventable Disease May 2016 – August 2016

Vaccine Preventable Disease

May 2016 – August 2016

AREA OF FOCUS APPLIES? YES/NO
Strategic Plan Direction/Goal Yes
Ontario Public Health Standard, 2008 (OPHS) Yes

Manager: Marlene Jantzi-Bauman

Director: Rita Sethi

Division: Community Health and Wellness

Summary of Strategic Plan Goal and Operational Plan Objective(s)

Coverage rates for Hepatitis B, Meningitis and HPV, according to Panorama data, will be reported to the ministry. Rates achieved will meet or exceed target rates set by the ministry.

STRATEGIC DIRECTION

Building Healthy Communities - We will work with communities to support the health and well-being of everyone.

STRATEGIC GOAL(S)

We will work to improve health services for priority populations.

PROGRAM OPERATIONAL OBJECTIVE

Coverage rates achieved will meet or exceed provincial Panorama database averages.

IS THIS A NEW INITIATIVE OR UPDATE OF EXISTING INITIATIVE?

Existing Initiative/Program Update

Summary of OPHS Program Requirement(s):

OPHS PROGRAM

Vaccine Preventable Diseases

GOAL

To reduce or eliminate the burden of vaccine preventable diseases.

STRATEGY

Disease Prevention/Health Protection

REQUIREMENTS (TEXT FIELD)

The board of health shall promote and provide provincially funded immunization programs to any eligible person in the health unit, including:

  • Board of health-based clinics;
  • School-based clinics
  • Community-based clinics; and
  • Outreach clinics to priority populations.

The board of health shall annually, or more often as required, report to the ministry, or as specified by the ministry to the Ontario Agency for Health Protection and Promotion (Public Health Ontario), on immunization coverage rates with respect to designated diseases for school pupils and recommended vaccines for children attending a child care centre.

ACCOUNTABILITY INDICATOR(S)

#4.4  % of school-aged children who have completed immunizations for hepatitis B

Monitoring  
No target

#4.5  % of school-aged children who have completed immunizations for HPV

Monitoring
No target

#4.6  % of school-aged children who have completed immunizations for meningococcus

Monitoring
No target

HAS A PERFORMANCE VARIANCE OR DISCREPANCY BEEN IDENTIFIED

Yes ☐

No ☒

Highlights 

Provincial coverage rates for Ontario’s school-based immunization programs were 86.9%, 89.4% and 80.2% for the hepatitis B, meningococcal conjugate and human papillomavirus (HPV) vaccine programs, respectively, based on the 2012-2013 school year.  This data was retrieved from a discontinued database (IRIS) and is not suitable for comparison to the subsequent data collected and stored in the Panorama database. It is anticipated that we will have provincial coverage rates available in 2017 for comparison purposes based on the Panorama database.

School based vaccine coverage rates are currently being monitored as accountability indicators using the Panorama database.  Panorama was initiated to provide Ontario public health professionals with a comprehensive, secure, web-based information system to manage immunization information, vaccine inventory, and cases and outbreaks of communicable diseases. Panorama was designed to integrate the work of staff at all 36 health units, the Ministry of Health and Long-Term Care (MOHLTC), Ontario Government Pharmacy and Medical Supply Service, and Public Health Ontario (PHO).  PHO has announced that they will be posting coverage rates, per health unit, on their website for hepatitis B, meningococcal conjugate and HPV school-based vaccine programs for health units to preview beginning in November 2016.  During this preview process, there will be an opportunity to ask questions about these results which were derived using new methodology from PHO.  Once data has been confirmed as correct, provincial and individual coverage rates are expected to be publicly posted in the spring of 2017 on the PHO website. 

Existing limitations of the coverage rates collected via Panorama include:

  • Physicians are not mandated to report vaccinations provided to Public Health.  Therefore coverage rates for non-mandatory vaccines, such as Hepatitis B and HPV, do not always reflect the immunizations provided in external Healthcare Provider offices (eg. Twinrix provided for travel) resulting in coverage rates that appear lower than they are.
  • Panorama coverage data captures only completed vaccine series. Therefore students who have received 1 dose of a 2 dose series will not be counted unless the series is completed and/or second dose is reported to public health.
Figure 1

Coverage Rates for 2015-2016 School- based Immunization Program

Accountability Indicator

 

Students Enrolled in
2015-2016

Students with completed
Immunizations in
2015-2016

2015-2016
coverage

#4.4

 % of school-aged children who have completed
immunizations for hepatitis B

3243

2313

68.2 %

#4.5

 % of school-aged children who have completed
immunizations for HPV

1606

896

55.8 %

#4.6

 % of school-aged children who have completed
immunizations for meningococcus

3243

2647

81.6 %

Figure 2

2013-2016 Panorama Coverage Rates for WDGPH by School-year

Accountability
Indicator #

 

2013-2014  coverage 
Panorama data

2014-2015 coverage
Panorama data

2015-2016 coverage
Panorama data

#4.4

 % of school-aged children who have
completed immunizations for hepatitis B

69.2%

72.2%

68.2 %

#4.5

 % of school-aged children who have
completed immunizations for HPV

56.7%

55.8%

55.8 %

#4.6

 % of school-aged children who have
completed immunizations for
meningococcus

76.6%

79.5%

81.6 %

This year, the Ministry has expanded the human papillomavirus (HPV) immunization program to include boys.  2016-2017 is also the last school year that we will offer HPV vaccination to Grade 8 girls in the school program as the school immunization program will be stream-lined so that all three school-based vaccines, listed above, are offered in Grade 7.  WDGPH is monitoring these changes to our school based vaccine program for related increases or decreases in vaccine uptake.   As comparison and coverage data from PHO becomes available in 2016-2017, the Vaccine Preventable Disease Program will utilize the data to provide guidance for vaccine promotion strategies and to create specific target uptake rates in our operational planning and implementation.

Related Board or WDGPH reports

Board of Health Report BH.01.NOV0415.R33 – School Immunization Rates 2012-2015.