NATIONAL INFLUENZA VACCINATION WEEK (NIVW) WEBINAR
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NATIONAL INFLUENZA VACCINATION WEEK
(NIVW) WEBINAR
MICHELLE (SHELLY) DOEBLER, MPH – INFLUENZA EPIDEMIOLOGIST
ALYSSA STROUSE, MPH – ADULT AND ADOLESCENT IMMUNIZATION COORDINATOR
MICHIGAN DEPARTMENT OF HEALTH AND HUMAN SERVICES (MDHHS)
DIVISION OF IMMUNIZATION
1
INSTRUCTIONS FOR WEBINAR PARTICIPATION
Getting Started How to Ask Questions
The webinar will start at 12:00 PM EDT 1. Click on the icon found at the bottom part of your
Audio is through your computer speakers or headset – screen
you may not hear sound until the webinar begins
2. A box will open where you can type in questions,
Audio check - use Audio Settings to test speaker or
comments, indicate sound problems, etc.
headset
3. Use this throughout the webinar to ask questions
Technical Help
▪ Telephone (844) 678-6200 for technical support
This webinar is being recorded and a link will be
provided to registrants within 48 hours
2
Introduction
Current Flu Activity and Surveillance
Flu Dashboard and Coverage Data
PRESENTATION 2nd Dose Flu Vaccine
OUTLINE National Influenza Vaccination Week (NIVW)
Make a Strong Flu Vaccine Recommendation
Vaccinating during COVID-19 Pandemic
Resources
3
INFLUENZA SURVEILLANCE
NATIONAL DATA
4
INFLUENZA DISEASE BURDEN Difficult to predict severity and timing Rates of serious illness and death greatest in: Persons aged 65 years and older Children
VIROLOGIC- 2020-2021
FLU SEASON
Week Total
48 since
(ending week 40
Nov 28)
# Specimens 17,104 195,300
tested
No. positive 17 (0.1%) 429
specimens (0.2%)
Influenza A 10 214
positive (58.8%) (49.9%)
Influenza B 7 (41.2%) 215
positive (50.1%)
6
NATIONAL SURVEILLANCE- VIROLOGIC 2019-2020 FLU SEASON
Week 48 Total
(ending since
Nov. 30) week 40
# Specimens 26,576 227,629
tested
No. positive 2,713 10,826
specimens (10.2%) (4.8%)
Influenza A 784 3,271
positive (28.9%) (30.2%)
Influenza B 1,929 7,555
positive (71.1%) (69.8%)
7
INFLUENZA-LIKE ILLNESS
SURVEILLANCE
NETWORK
Outpatient flu-like illness
network
Fever (100 degrees F)
Cough and/or Sore Throat
ILI Percentage for Week Ending
November 28: 1.6%
National baseline: 2.6%
8
FLU-ASSOCIATED
PEDIATRIC DEATHS
2019-2020 flu season: 195 total
influenza-associated pediatric
deaths
Michigan reported 6 of these
deaths
Zero flu-associated pediatric
deaths reported so far for
2020-2021 flu season
9
ILI ACTIVITY SEASONAL COMPARISON
10INFLUENZA SURVEILLANCE
MICHIGAN DATA
11Number of Reports and ILI % by Region during week ending Nov. 28:
INFLUENZA Region C N SE SW
SURVEILLANCE- No. of Reporters (19) 7 3 6 3
MICHIGAN ILINET ILI % 0.6 2.9 0.4 0.3
Percentage of visits due to ILI
for week ending Nov. 28: 1.0%
Below regional baseline: 1.9%
www.Michigan.gov/flu -> Flu Dashboard 1213
Total IHSP Cases, 2015-2016 through 2020-2021
160
140
120
INFLUENZA
100
Number of Cases
80
SURVEILLANCE-
60 MICHIGAN
40 HOSPITALIZATIONS
20
0
40 41 42 43 44 45 46 47 48 49 50 51 52 53 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
MMWR Week
2015-16 2016-17 2017-18 2018-19 2019-20 2020-21
14CURRENT FLU SEASON ACTIVITY
Lower flu activity so far this season
Southern Hemisphere reported much lower levels of activity than a typical flu season
Fewer countries are reporting flu surveillance data and fewer viruses are being detected in general
Physical distancing and other preventative measures to reduce spread of COVID-19, may have also helped to
reduce the spread of influenza
COVID-19 pandemic also has influenced health-seeking behaviors and testing priorities and capacities making
interpretation challenging
It is unclear what impact the ongoing COVID-19 pandemic will have on current flu season in the U.S.
15INFLUENZA VACCINATION COVERAGE- FLU
DASHBOARD
WWW.MICHIGAN.GOV/FLU -> FLU DASHBOARD
1617
18
19
20
2-DOSE RECOMMENDATION: 6 MONTHS-8
YEARS
# of doses needed is based on child’s age at time of 1st dose of
2020-21 flu vaccine and # of doses of flu vaccine received in
previous seasons
How many seasonal (i.e., trivalent, quadrivalent) flu vaccines
received before 7/1/2020
If 2 or more doses: give 1 dose this season
If only 1 dose or has NEVER received flu vaccine: give 2 doses this
season (separate by 4 weeks)
2 doses do not need to be from the same season or consecutive
seasons, need to be spaced at least 4 weeks apart
It is not too late to give children their second dose
If the child turns 9 years between dose 1 and dose 2, still give
dose 2
MCIR is programmed for 2-dose assessment. Make sure to use MCIR! 21
www.michigan.gov/flu → Resources → Health Professional ResourcesMICHIGAN 2-DOSE COVERAGE
22MICHIGAN 2-DOSE
COVERAGE
23NATIONAL INFLUENZA VACCINATION WEEK
DECEMBER 6-12
24www.cdc.gov/flu/resource-center/nivw/index.htm
NATIONAL INFLUENZA VACCINATION WEEK (NIVW)
NIVW 2020 is being observed from December 6-12 – This week!
NIVW Digital Toolkit
Previous flu vaccination coverage data have shown that few people get vaccinated against influenza- after the end
of November.
As long as flu viruses are spreading and causing illness, vaccination should continue throughout flu season in order
to protect as many people as possible against flu.
Vaccination efforts should continue through the holiday season and beyond. It’s not too late to vaccinate.
25HOW YOU CAN PARTICIPATE IN NIVW!
1. Share Your #SleeveUp Shot and a message on why you are getting a flu vaccine this year.
Please participate in the outreach:
Post a photo on Twitter, Facebook, Instagram or LinkedIn with #SleeveUp
Share why you’re getting vaccinated this year
Tag @CDCFlu on Twitter or CDC on Facebook, Instagram or LinkedIn
2. CDC is organizing a tweetstorm on Wednesday, December 9 at noon EST. At that
time, we ask our partners and their networks to post a message about NIVW and the
importance of getting vaccinated against flu as we head into winter. Find our tweetstorm
messages here.
3. Encourage your followers, members, patients, friend and family to get a flu vaccine if they
have not already. Flu vaccination is more important than ever! Get vaccinated to protect
your loved ones and your community! 26
www.cdc.gov/flu/resource-center/nivw/index.htm#SLEEVEUP TO FIGHT FLU
CDC published several resources encouraging everyone to
#MaskUp, #LatherUp, and roll their #SleeveUp for a flu
vaccine this flu season.
These resources include social media frames to put your
own #SleeveUp photo in, graphics, and social media content.
These resources are available in the CDC Flu
Communication Resource Center.
Share these new resources with your colleagues and
communities.
27
www.cdc.gov/flu/resource-center/nivw/index.htmNO ONE HAS TIME FOR FLU
CDC and AMA Team up with the Ad Council to Urge Flu
Vaccination to Reduce Deaths, Hospitalizations amid COVID-19
Pandemic
English: https://getmyflushot.org/
Spanish: https://vacunatecontralainfluenza.org/
Ad Council Flu Vaccine Resources
Webinar covering Ad Council’s Flu Vaccination Campaign
• Campaign Toolkit: http://getmyflushot.adcouncilkit.org/
• No Time For Flu Video
• Nadie Tiene Tiempo para la Influenza (Spanish Video)
28KEY CDC CAMPAIGN LINKS AND RESOURCES
• Clinician Resources
o Fight Flu Toolkit
o Make A Strong Flu Vaccine Recommendation
• Campaign and Social Media Toolkits:
o Campaign Toolkit
o Social Media Toolkit
• Videos
o Roll Up Your Sleeve for Your Annual Flu Vaccine
o Flu Can Be Very Serious – Flu Vaccine Protects
• VaccineFinder (a tool you can place on your website to help them find vaccination
locations near them)
o Download widgets from CDC website
• Key Consumer Web Resources
o Protect Your Health This Season
o What You Need to Know for 2020-21
o The Difference between Flu and COVID-19
• Multi-Language Resources:
29
o Multi-Language Factsheets
o Spanish Communication ResourcesRESOURCES FOR HEALTH CARE PROFESSIONALS
CDC Resources for Clinicians for the 2020-2021 Flu Season
Interim Guidance for Routine and Influenza Immunization Services During the COVID-19 Pandemic
Guidance for Planning Vaccination Clinics Held at Satellite, Temporary, or Off-Site Locations
Flu module for NHSN to report voluntary weekly flu vaccination coverage
Making a Strong Flu Vaccine Recommendation Resources for Healthcare providers
Current Season Info For Health Care Providers
Make a Strong Flu Vaccine Recommendation (S.H.A.R.E model)
Tools to Prepare Your Practice for Flu Season
#HowIRecommend video series
Clinician Outreach and Communication Activity (COCA) Webinar Resources (Free Continuing
Education)
COCA Call: August 20, 2020 – 2020-2021 Influenza Vaccination Recommendations and Clinical Guidance
during the COVID-19 Pandemic
Testing and Treatment of 2020-2021 Seasonal Influenza During the COVID-19 Pandemic
Recommendations for Influenza Prevention and Treatment in Children: An Update for Pediatric Providers 30MAKE A STRONG FLU VACCINE RECOMMENDATION
31IMPORTANCE OF A STRONG HEALTH CARE PERSONNEL FLU
VACCINE RECOMMENDATION
Many consider health care professionals (HCPs) to be their most
trusted source of information when it comes to vaccines
HCPs have a critical role in helping parents and patients choose
vaccines
Perceptions about the strength of an HCP’s recommendation
may have implications for vaccine uptake
Flu vaccination can reduce the likelihood of hospitalizations and
death and preserves scarce healthcare resources for care of
patients with COVID-19
32MAKE A STRONG FLU RECOMMENDATION (SHARE MODEL)
SHARE the reasons why the influenza vaccine is right for the patient given his or her age, health status, lifestyle,
occupation, or other risk factors.
HIGHLIGHT positive experiences with influenza vaccines (personal or in your practice), as appropriate, to
reinforce the benefits and strengthen confidence in influenza vaccination.
ADDRESS patient questions and any concerns about the influenza vaccine, including side effects, safety, and
vaccine effectiveness in plain and understandable language.
REMIND patients that influenza vaccines protect them and their loved ones from serious influenza
illness and influenza-related complications.
EXPLAIN the potential costs of getting influenza, including serious health effects, time lost (such as
missing work or family obligations), and financial costs.
33IT’S NOT TOO LATE TO FIGHT FLU!
Continue to encourage, promote and strongly
recommend flu vaccine until flu viruses are no
longer spreading and causing illness!
Remind patients at your practice to get their annual
flu vaccine by sharing messages through your patient
portal or other reminders.
Use MCIR to generate recalls for anyone overdue
for this season’s flu vaccine
Include those children 6 months – 8 years who require
a 2nd dose of flu vaccine
34FLU AND THE COVID-19 PANDEMIC
35INTERIM GUIDANCE FOR ROUTINE AND INFLUENZA
IMMUNIZATION SERVICES DURING THE COVID-19 PANDEMIC
The COVID-19 pandemic has caused healthcare providers to change how they operate to continue to
provide essential services to patients. Ensuring immunization services are maintained or reinitiated
is essential for protecting individuals and communities from vaccine-preventable diseases and
outbreaks and reducing the burden of respiratory illness during the influenza season.
For the 2020-2021 influenza season, influenza vaccination will be paramount to reduce the
impact of respiratory illnesses attributed to influenza in the population and resulting burdens on the
healthcare system during the COVID-19 pandemic.
36
www.cdc.gov/vaccines/pandemic-guidance/index.htmlCONSIDERATIONS FOR INFLUENZA VACCINE
Annual influenza vaccination is recommended for all persons aged 6 months and older to decrease morbidity and
mortality caused by influenza.
During the COVID-19 pandemic, reducing the overall burden of respiratory illnesses is important to protect
vulnerable populations at risk for severe illness, the healthcare system, and other critical infrastructure. Thus,
healthcare personnel should use every opportunity during the influenza vaccination season to administer influenza
vaccines to all eligible persons, including:
• Essential workers: Healthcare personnel, including staff in post-acute and long-term care facilities, as well as pharmacy staff,
and other critical infrastructure workforce
• Persons at increased risk for severe illness from COVID-19: Including adults aged 65 years and older, residents in post-
acute and long-term care facilities, and persons of all ages with certain underlying medical conditions. Severe illness from
COVID-19 has been observed to disproportionately affect members of certain racial and ethnic minority groups
• Persons at high risk for influenza complications: Including infants aged 6 months and older and young children agedSATELLITE, TEMPORARY, OR OFF-SITE VACCINATION CLINIC DURING
COVID-19 PANDEMIC
CDC released Guidance for Planning Vaccination Clinics Held at Satellite, Temporary, or Off-Site Locations
• Focuses on clinical considerations for planning a vaccination clinic, including vaccine storage, handling,
administration, and documentation.
• Applies to clinics that are open to the general public and those that are for targeted populations only
(i.e., critical workforce personnel and/or higher-risk priority groups).
• Guidance is broken down by: Planning Activities, Pre-Clinic Activities, During the Clinic Activities, and
Post-Clinic Activities.
38
www.cdc.gov/vaccines/hcp/admin/mass-clinic-activities/index.htmlFAQ – FLU VS. COVID-19
3940
SIGNS AND SYMPTOMS
Both COVID-19 and flu can have varying degrees of signs and
symptoms, ranging from no symptoms (asymptomatic) to severe Flu
symptoms. Common symptoms that COVID-19 and flu share include:
Flu viruses can cause mild to severe
• Fever or feeling feverish/chills illness, including common signs and
• Cough symptoms listed above.
• Shortness of breath or difficulty breathing Flu Symptoms
• Fatigue (tiredness) COVID-19
• Sore throat COVID-19 seems to cause more
• Runny or stuffy nose serious illnesses in some people. Other
signs and symptoms of COVID-19,
• Muscle pain or body aches
different from flu, may include change in
• Headache or loss of taste or smell.
• Some people may have vomiting and diarrhea, though this is more COVID-19 Symptoms 41
common in children than adults
www.cdc.gov/flu/symptoms/flu-vs-covid19.htmHOW LONG SYMPTOMS APPEAR AFTER EXPOSURE AND INFECTION
For both COVID-19 and flu, 1 or more If a person has COVID-19, it could take them longer to
days can pass between a person becoming develop symptoms than if they had flu.
infected and when he or she starts to
experience illness symptoms. Flu
Typically, a person develops symptoms anywhere from 1
to 4 days after infection.
Flu Symptoms
COVID-19
Typically, a person develops symptoms 5 days after
being infected, but symptoms can appear as early as 2
days after infection or as late as 14 days after
infection, and the time range can vary.
COVID-19 Symptoms 42
www.cdc.gov/flu/symptoms/flu-vs-covid19.htmwww.cdc.gov/flu/symptoms/flu-vs-covid19.htm
HOW LONG SOMEONE CAN SPREAD THE VIRUS
If a person has COVID-19, they may be contagious for a longer period of time than if
they had flu.
Flu
For both Most people with flu are contagious for about 1 day before they show symptoms.
COVID-19 and Older children and adults with flu appear to be most contagious during the initial 3-4 days
of their illness but many remain contagious for about 7 days.
flu, it’s possible to
Infants and people with weakened immune systems can be contagious for even longer.
spread the virus for
How Flu Spreads
at least 1 day
before experiencing COVID-19
How long someone can spread the virus that causes COVID-19 is still under investigation.
any symptoms.
It’s possible for people to spread the virus for about 2 days before experiencing signs or
symptoms and remain contagious for at least 10 days after signs or symptoms first
appeared. If someone is asymptomatic or their symptoms go away, it’s possible to remain
contagious for at least 10 days after testing positive for COVID-19. 43
How COVID-19 SpreadsHOW EACH VIRUS SPREADS
Both COVID-19 and flu can spread from person-to-person, While COVID-19 and flu viruses are
between people who are in close contact with one another
thought to spread in similar ways,
(within about 6 feet). Both are spread mainly by droplets made
when people with the illness (COVID-19 or flu) cough, sneeze, or COVID-19 is more contagious
talk. These droplets can land in the mouths or noses of people among certain populations and age
who are nearby or possibly be inhaled into the lungs. groups than flu. Also, COVID-19 has
been observed to have more
It may be possible that a person can get infected by physical
human contact (e.g. shaking hands) or by touching a surface or superspreading events than flu. This
object that has virus on it and then touching his or her own means the virus that causes COVID-19
mouth, nose, or possibly their eyes. can quickly and easily spread to a lot of
people and result in continuous
Both flu virus and the virus that causes COVID-19 may be
spread to others by people before they begin showing
spreading among people as time
symptoms, with very mild symptoms or who never developed progresses.
symptoms (asymptomatic). How Flu Spreads
How COVID-19 Spreads 44
www.cdc.gov/flu/symptoms/flu-vs-covid19.htmPEOPLE AT HIGH-RISK FOR SEVERE ILLNESS
Both COVID-19 and flu illness can result in The risk of complications for healthy children is higher for flu
severe illness and complications. Those at highest compared to COVID-19. However, infants and children with
risk include: underlying medical conditions are at increased risk for
▪ Older adults both flu and COVID-19.
▪ People with certain underlying medical Flu
conditions
Young children are at higher risk of severe illness from flu.
▪ Pregnant people People at High Risk for Flu Complications
COVID-19
School-aged children infected with COVID-19 are at higher risk
of Multisystem Inflammatory Syndrome in Children (MIS-C), a rare
but severe complication of COVID-19.
People at Increased Risk of COVID-19 Severe Illness
45
www.cdc.gov/flu/symptoms/flu-vs-covid19.htmRESOURCES
46COVID-19: WEBSITE FOR PROVIDER SUPPORT
www.michigan.gov/vaccinesduringcovid
Updates to this website are ongoing
to support you with resources for
vaccinating in the context of
COVID-19
47GUIDANCE FOR PROVIDERS RETURNING
TO PRACTICE
4-page document
Your Health Care
Team
Office Visit Protocols
Office Preparation
Immunization-Specific
Information
www.michigan.gov/vaccinesduringcovid 48MDHHS CLEARINGHOUSE
49
Order FREE immunization-focused materials at www.healthymichigan.comCOVID-19 VACCINE
www.Michigan.gov/COVIDvaccine
Draft of COVID-19 Vaccination Plan
Immunizations during COVID-19
CDC FAQs
Provider Guidance and Education
50QUESTIONS?
MICHELLE (SHELLY) DOEBLER, MPH - DOEBLERM@MICHIGAN.GOV
ALYSSA STROUSE, MPH – STROUSEA2@MICHIGAN.GOV
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