Comparison of Acceptance Rates for Hepatitis A and B Vaccination Using Monovalent and Bivalent Vaccines With Targeted At Risk Populations

1
Comparison of Acceptance Rates for Hepatitis A
and B Vaccination Using Monovalent and Bivalent
Vaccines With Targeted At Risk Populations

• Carol Finley, Immunization Program and
• Richard Zimmerman, STD Program
• Illinois Department of Public Health

2
Background Illinois Hepatitis
Prevention Project

• 2000 VHIP Initiative
• Train service providers
• Fund 5 pilots- hepatitis B outreach to at-risk
  clients
• Pilot system to collect return rate data
• Perform hepatitis B and C testing on clients with
  IDU-related or MSM risk

• 2000 State Initiative
• Provide hepatitis B vaccination to 15 of
  eligible STD clinic clients
• Establish Risk Assessment System (RAS)
• Identify barriers to hepatitis B vaccination

3
Background Illinois VHIP Project

• 2001 State Initiative
• Provide hepatitis B vaccination to 24 of
  eligible STD clients
• Establish an improved system to collect and link
  RAS, lab vaccination data

• 2001 VHIP Initiatives Funded
  Seven Pilots to
• Provide hepatitis A (42) and hepatitis B (54)
  to IDUs and/or MSMs
• Perform hepatitis B and C testing on clients with
  IDU-related risk only

4
Funding Used to Support IL Vaccine Purchases for
Hepatitis Prevention
5
Vaccine Acceptance Rates Among IDUs and MSMs at
2001 Pilots
6
Top 5 reasons clients gave for not getting
vaccinated for both Hepatitis A and B

• Im not at risk.
• I already had it.
• I just want my ______ taken care of today.
• I dont want to come back here.
• I dont want two shots today.

7
Action Plan to Increase Acceptance

• Try Bivalent in pilots with IDUs and MSMs
• Use Monovalent with others

• EVALUATE
• Acceptance rates
• HCW acceptance
• Cost
• Ability to roll-out to all STD / HIV / out-reach
  clients

8
3/6/02 Bivalent Vaccine at Pilot Sites

• Not purchased with VFC funds
• For use with clients 18 and older who were
• IDUs
• Snorters
• MSMs
• Received product in pre-filled syringes

9
Vaccine Acceptance Rates of Monovalent Hepatitis
A and B Vaccine Products
10
Initial Comparison of Acceptance Rates
Monovalent vs. Bivalent
11
PLANS for 2002
2003

• EVALUATE
• Acceptance rates
• HCW acceptance
• Cost
• Ability to roll-out to all STD / HIV / out-reach
  clients

Pilot Hepatitis Prevention Services in HIV
testing centers and drug treatment centers