Department of Pediatrics, University of Maryland School of Medicine, Baltimore, MD, USA.
Pediatrics. 2012 Mar;129 Suppl 2:S88-95. doi: 10.1542/peds.2011-0737H.
To determine the feasibility of using volunteers to assist in school-located mass vaccination clinics for influenza.
A set of elementary school-based mass vaccination clinics was implemented in Carroll County, Maryland by the local health department in the 2005-2006 school year. In addition to using health department personnel, fiscal restraints necessitated using medical volunteers and lay volunteers to assist health professionals. The medical volunteers included physicians, nurses, and pharmacists, and were responsible for administering intranasal vaccine (live, attenuated influenza vaccine [LAIV]). We assessed the performance, as measured by the number of vaccinations administered, and effort expended by these volunteers.
A total of 5319 (44%) of the 12,090 elementary school children in the county received LAIV. Of the estimated 3547 (66%) children eligible and consenting to receive a second dose, 3124 (88%) received it. In total, 8806 doses of LAIV were administered. Health department nurses worked 42 person-days and were assisted by medical and allied health professionals volunteering 87 person-days without compensation, totaling 581 person-hours spent in this effort.
A mass school-located influenza vaccination program using medical and lay volunteers guided by health department nurses is feasible. Several issues were identified to improve future clinics and help make the program sustainable.
确定利用志愿者协助学校集中接种流感疫苗的可行性。
马里兰州卡罗尔县的地方卫生部门在 2005-2006 学年期间实施了一套基于小学的集中接种疫苗计划。除了使用卫生部门人员外，财政限制还需要利用医疗志愿者和非专业志愿者来协助卫生专业人员。医疗志愿者包括医生、护士和药剂师，负责接种鼻内疫苗（活的、减毒流感疫苗[LAIV]）。我们评估了这些志愿者的表现，以接种疫苗的数量和所花费的努力来衡量。
全县共有 12090 名小学生中有 5319 名（44%）接种了 LAIV。在估计有 3547 名（66%）有资格和同意接受第二剂疫苗的儿童中，有 3124 名（88%）接受了第二剂疫苗。总共接种了 8806 剂 LAIV。卫生部门的护士工作了 42 人天，并得到了无报酬志愿的医疗和辅助医疗专业人员 87 人天的协助，总共有 581 人小时用于这项工作。
在卫生部门护士的指导下，利用医疗和非专业志愿者开展大规模学校集中流感疫苗接种计划是可行的。确定了一些问题，以改进未来的诊所并帮助使该计划可持续发展。
