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(4) Data Linkages To Support A Mening B Outbreak


Danelle Wallace, MPH – SDIR Manager/Epidemiologist, County of San Diego HHSA


Between June and September 2018, three cases of serogroup B meningococcal disease in students at a local university were reported to the County of San Diego Health and Human Services Agency (HHSA). In response to the outbreak, increased public health efforts were undertaken to protect those at-risk, including mass vaccination clinics, residential hall vaccination events, and education and outreach activities. The County of San Diego partnered with the university as well as local pharmacies and health care providers to increase immunization status among students attending the university. Vaccination efforts targeted undergraduate students living on-campus in traditional residence halls and non-traditional residential settings as well as other groups considered at higher risk for transmission such as Greek life participants and varsity athletes. Multiple student rosters provided by the university were combined into a master roster that included variables indicating information about at-risk group membership, which was electronically queried against the San Diego Immunization Registry (SDIR) and the California Immunization Registry (CAIR) to assess individual vaccination status. From October 5 through November 15, 2018, 4,364 meningococcal serogroup B vaccinations were administered at campus events. By November 15, 30% of undergraduates age 23 and under had received at least one dose. Immunization Information Systems (IIS) may be used in public health emergencies to assist with mass vaccination campaigns, targeting at-risk individuals and preventing unnecessary vaccinations. Data linkages and coordination between public and private entities in San Diego County were essential to the efforts to vaccinate students at-risk for meningococcal serogroup B disease.

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