Investigating the Rates of Flu Vaccine Uptake Amongst Children Aged 2-4 Years in a Primary Care Setting During the 2015-2016 Flu Season

Nourah Alhennawi*, Vinny Khunge**
University of Manchester, Manchester, UK.*, Bridge Medical Practice, Manchester, UK.**
Global studies have indicated that children are the engines of influenza outbreaks as they are the main transmitters of the virus. Therefore, the national immunisation programme has been extended to include children aged 2-4 years. Vaccinating such groups can induce herd immunity and relieve the socioeconomic burden associated with the flu. The live, attenuated influenza vaccine (LAIV) is licensed for child immunisation and has shown to be effective and well tolerated due to its various benefits including the nasal administration.
To assess whether 60% or more of children aged 2-4 were vaccinated using the LAIV during the 2015-2016 flu season, based on national guidelines and standards. To explore the potential barriers and drivers to vaccination.
The Egton Medical Information Systems (EMIS) was used to collect data. The dates of birth were customised to document children born on/after September 31, 2010 and on/ before August 31, 2013. 204 children were found to meet the criteria.
Out of 204, 98 children were vaccinated, revealing a total percentage of 48% of registered children who had been vaccinated, dissatisfying the audit’s standard (60%). The main vaccination barrier was the low perceived risk of flu, while drivers included the vaccine’s nasal administration.
Conclusion and proposals
Children are affected by the flu the most annually, therefore offering the vaccine to 100% of entitled individuals is key. To improve uptake, proposals included:
• Patient education regarding the benefits of immunisation.
• Recording parent contact details to relay vaccine reminders.
• Recording vaccine refusal reasons to explore concerns.
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