State of Hawaii Department of Health, Honolulu, Hawaii, USA. paul.effl
Emerg Infect Dis. 2010 Feb;16(2):244-50. doi: 10.3201/eid1602.091375.
New guidance recommends annual influenza vaccination for all children 5-18 years of age in the United States. During 2007-2008, Hawaii offered inactivated and live attenuated influenza vaccine at school-located clinics for grades kindergarten through 8. Most (90%) public and private schools participated, and 622 clinics were conducted at 340 schools. Of 132,775 children 5-13 years of age, 60,760 (46%) were vaccinated. The proportion vaccinated peaked at 54% for those 6 years of age and declined for older cohorts. More than 90% of schoolchildren transited the clinic in <10 minutes. A total of 16,920 staff-hours were expended; estimated cost per dose administered was $27 and included vaccine purchase and administration, health staffing resources, printing costs, data management, and promotion. This program demonstrates the feasibility of conducting mass school-located influenza vaccination programs in public and private schools statewide, as might be indicated to respond to pandemic influenza.
新指南建议美国所有 5-18 岁的儿童每年接种流感疫苗。在 2007-2008 年期间，夏威夷在幼儿园到 8 年级的学校诊所提供灭活和减毒流感疫苗。大多数（90%）公立和私立学校参与其中，在 340 所学校进行了 622 次诊所。在 132775 名 5-13 岁的儿童中，有 60760 人（46%）接种了疫苗。接种率在 6 岁的儿童中达到峰值，为 54%，而年龄较大的儿童接种率则下降。超过 90%的学童在<10 分钟内完成诊所接种。总共投入了 16920 个工时；每个剂量的估计费用为 27 美元，包括疫苗采购和管理、卫生人员资源、印刷成本、数据管理和推广。该计划表明，在全州范围内的公立和私立学校中开展大规模学校定位流感疫苗接种计划是可行的，这可能表明需要应对大流行流感。
