Susan M. Kansagra, Vikki Papadouka, Anita Geevarughese, and Kevin J. Konty are with and Michael A. Hansen was with the New York City Department of Health and Mental Hygiene, New York City, NY. Jane R. Zucker is with the Immunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, assigned to the Bureau of Immunization, New York City Department of Health and Mental Hygiene, New York, NY.
Am J Public Health. 2014 Jan;104(1):e45-9. doi: 10.2105/AJPH.2013.301671. Epub 2013 Nov 14.
We determined the success of the school-located vaccination (SLV) program, implemented in 2009 in New York City to deliver pandemic influenza A (H1N1) monovalent vaccine (pH1N1), versus provider offices in reaching children who had never previously received influenza vaccine.
We compared the immunization history of children vaccinated in school versus provider offices. We included records in the Citywide Immunization Registry with pH1N1 administered between October 2009 and March 2010 to elementary school-aged children.
In total, 96,524 children received pH1N1 vaccine in schools, and 102,933 children received pH1N1 vaccine in provider offices. Of children vaccinated in schools, 34% had never received seasonal influenza vaccination in the past, compared with only 10% of children vaccinated at provider offices (P < .001). Children vaccinated in schools were more likely to have received a second dose of pH1N1 in 2009-2010 than those vaccinated in provider offices (80% vs 45%).
The SLV program was more successful at reaching children who had never received influenza immunization in the past and should be considered as a strategy for delivering influenza vaccine in routine and emergency situations.
我们旨在确定 2009 年在纽约市实施的学校定位疫苗接种（SLV）计划的成功情况，该计划旨在提供大流行性流感 A（H1N1）单价疫苗（pH1N1），以与医疗服务提供者办公室在为从未接受过流感疫苗的儿童接种疫苗方面进行比较。
我们比较了在学校和医疗服务提供者办公室接种疫苗的儿童的免疫接种史。我们将 2009 年 10 月至 2010 年 3 月期间在全市免疫登记处记录的 pH1N1 接种给小学年龄的儿童纳入研究。
共有 96524 名儿童在学校接种了 pH1N1 疫苗，102933 名儿童在医疗服务提供者办公室接种了 pH1N1 疫苗。在学校接种疫苗的儿童中，34%的儿童过去从未接种过季节性流感疫苗，而在医疗服务提供者办公室接种疫苗的儿童中，这一比例仅为 10%（P <.001）。与在医疗服务提供者办公室接种疫苗的儿童相比，在学校接种疫苗的儿童在 2009-2010 年更有可能接种第二剂 pH1N1 疫苗（80%对 45%）。
SLV 计划在为过去从未接受过流感免疫的儿童接种疫苗方面更成功，应考虑将其作为在常规和紧急情况下提供流感疫苗的策略。
