Irene T. Pierce, M.S.N., Executive Director

Summary of LCHD/CHC H1N1 Vaccination Clinic Data

(October 22, 2009 – March 26, 2010)

Population Health Services

Community Health Assessment

2645 Washington Avenue

Waukegan, IL 60085

July, 2010

Introduction

The H1N1 vaccination campaign was a significant challenge nation wide and locally. In

Lake County, with a estimated 2008 population of roughly 714,000, about 302,000

H1N1 vaccine doses were ordered by all health care providers, 248,900 were shipped

and 112,363 were administered (based on the most recent IDPH report (4/29/2010).

However, as a result of the confusing vaccine accounting system established in Illinois,

these figures are very likely underestimated since many health care providers with

multi-jurisdictional locations were often counted as a single arbitrary location. In

addition, due to the under-reporting of vaccine use, reliable figures regarding the

actual number of vaccinations given are not currently available.

The LCHD/CHC public vaccination campaign officially began on October 22, 2009 and

continues to this date (April, 2010). In total, our department received 121,330 vaccine

doses; 112,632 doses were distributed to department clinics or forwarded to hospitals,

special education districts, other healthcare providers, school vaccination clinics

sponsored by the department and many other community partners (see Attachment 1).

Those clinics included school districts, Highland Park appointment-based clinics,

townships, special minority outreach clinics (e.g., 3 Mexican Consulate clinics and 3

faith-based clinics organized for African Americans) (see Attachment 2). These

numbers include 28,356 individuals who received vaccinations at LCHD/CHC clinic

sites throughout the county during the October 22, 2009 to March 26, 2010 time

period. Of these 28,356 individuals, 97% were Lake County residents and 3% were

residents of other counties. This report provides a summary of information

gathered from these 28,356 individuals and entered into the NEXTGEN

electronic medical record system, as well as, several maps depicting

department efforts and the department-sponsored clinic in Highland Park.

Summary of LCHD/CHC Clinic Data

Gender: Females (55.4%), compared to males (44.6%), accounted for a slightly larger

proportion of those vaccinated during this campaign (see Figure 1).

Age: The most represented age groups among those vaccinated were the 5 to 14 year

olds (28.5%) and those under 5 (19.8%). These were followed by the 35 to 44 (13.1%),

25 to 34 (11.9%) and 15 to 24 year (9.2%) old groups respectively (see Figure 2).

The least represented group by age were those 65 and older (see Figure 2).

Figu re 1. Sex

Fem a le55.4%

Ma le44.6%

Figu re 2. Age

19.8%

28.5%

9.2%

11.9%13.1%

8.3%

5.9%

2.3%0.8% 0.2%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

<5 5 to 14 15 t o24

25 t o34

35 t o44

45 t o54

55 t o64

65 t o74

75 to84

85+

Race/Ethnicity: The reader will please note that the following data regarding the

racial/ethnic group membership reported by those who received vaccinations should

be interpreted with caution. This is due to inaccuracies in self-reporting or recording

an individual’s race or ethnicity.

By race, Whites (44.4%) were the most represented group followed by a combined

group (Other) composed of Native Americans, Native Hawaiians, Alaskan Natives and

Pacific Islanders (39.2%). Asians (6.4%) and African Americans (4.1%) were the least

represented unique racial groups. Finally, there was a small group whose racial

category was either unreported or unknown representing about 6% of those vaccinated

(see Figure 3).

Figu re 3. Ra ce

Ca u ca sia n44.4%

A frica n A merica n4.1%

A sia n6.4%

Ot h er39.2%

Un report ed / Unkn own

6.0%

By ethnic group, Hispanic individuals accounted for about 41% of those vaccinated

while the remaining roughly 59% were either non-Hispanic or their ethnic background

was unreported or unknown (see Figure 4).

It should be noted that, by race/ethnicity, those individuals who were vaccinated

during this campaign represent about 3% of the estimated 2008 Lake County White

population; 3% of the county’s estimated 2008 African American population; 4.3% of

the county’s estimated 2008 Asian population and 8.3% of the county’s estimated

2008 Hispanic population respectively.

Among those of Hispanic ethnicity, individuals from Mexico accounted for the majority

(64.2%) of the group, while a combined group of “Other” Hispanics accounted for an

additional 30.7%. Central American (2.1%), Puerto Rican (1.9%), South American

(.5%) and Cuban (.5%) groups represented roughly 5% of all those of Hispanic ethnicity

vaccinated during this campaign (see Figure 5).

Figu re 4. Et h nicit y

Hispa nic40.8%

non-Hispa nic / Not

Report ed/Un k.59.2%

Chronic Conditions: Among those vaccinated during this campaign, approximately

5% (1,515) reported suffering from a chronic medical condition. The most frequently

reported chronic condition was asthma (~46%) followed by diabetes (~22%) (see

Figure 6).

Figure 5. His panic Ethnic ity

Mexica n64.2%

Ot h er Hispa nic

30.7%

Cen t ra l A m erica n

2.1%

Sou t h A m erica n

0.5%

Pu ert o Rica n1.9%

Cu ba n0.5%

Figu re 6. Ch ron ic Condit ions

45.7%

22.3%

8.3%5.3% 5.2% 3.0% 2.2% 1.9% 1.8% 1.9% 1.5% 0.9%

0.0%5.0%

10.0%15.0%20.0%25.0%30.0%35.0%40.0%45.0%50.0%

Asthm

a

Dia

betes

Heart D

isord

er

Anemia

Imm

unosuppresion

Lung Dis

order

Liver D

isorder

Seizure

Disorder

Blood D

isorder

Kid

ney Dis

order

Neuromuscula

r Dis

order

Spinal C

ord Inju

ry

Clinics: Of all those vaccinated, the majority (41%) received their vaccination at the

Advocate Condell Medical Building clinic. An additional 9.9% were treated at the Carl

Sandburg Middle School clinic. The remaining 49.1% of those vaccinated were roughly

equally distributed throughout the remaining clinic sites (see Figure 7).

High Risk Groups: Consistent with federal guidelines, the H1N1 vaccination

campaign originally targeted the following “high risk” groups: all individuals 6 months

to 24 years of age (264,564 estimated Lake County population); all individuals who live

with or care for children younger than 6 months of age (12,500 estimated Lake County

population); all pregnant women (12,000 estimated Lake County population); health

care and emergency services personnel(13,650 estimated Lake County population) and

people age 25 through 64 who have health issues associated with a higher risk of

medical complications associated with influenza (3,000 estimated Lake County

population).

From the beginning of the H1N1 campaign until the 15th of December, 2009 when

Figure 7. Clinics

9.9%8.0%

6.4% 5.9% 5.1%3.7% 3.6% 3.2% 3.1% 2.8% 2.6% 2.3%

1.0% 0.5% 1.3%

40.6%

0.0%

5.0%

10.0%

15.0%

20.0%

25.0%

30.0%

35.0%

40.0%

45.0%

L Advoca

te C

ondell M

edical B

uildin

g

L Carl

Sandburg

Mid

dle S

chool

L Fie

ld H

ouse A

t Hin

kston P

ark

L Round L

ake Are

a Park

Dis

tric

t

C BM

B IZ

P NCH

Genera

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ine

P BM

B Genera

l Medic

ine

P NES G

eneral M

edicin

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L Vern

on Hill

s Hig

h Sch

ool

L Lakes C

omm

unity H

igh S

chool

P NSH

Genera

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L Wauconda H

igh S

chool

P MLC G

eneral M

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P BM

B Pre

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L Zio

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Hig

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All O

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ites

vaccine was indicated to be given to all population groups, 16,091 individuals were

vaccinated. Of this number, 9,733 (~61%) members of the identified “high risk/high

priority” groups received the H1N1 vaccine. More specifically, 8,506 individuals under

25 years of age; 727 pregnant women and 500 individuals 25 to 64 years of age with a

chronic illness were vaccinated. There were no data included in this analysis for health

care workers or emergency medical services personnel (EMS) due to these groups

having received their vaccine at venues other than LCHD/CHC clinics. Finally, there

were 6,358 individuals who received vaccination during this period whose high risk/

high priority status was not determined or is unknown (see Figure 8).

Figu re 8. Nu m ber a nd % of High Risk Grou p Mem bers V a ccin a t ed from t he St a rt of t h e Ca m pa gin t o Decem ber 15, 2009

High Risk St a t u s Unkn own, 6,358

(40%)

In div idu a ls <25 y rs., 8,506 (52%)

Ch ild Ca ret a ker (0%)

Hea lt h Ca re Worker / EMS (0%)

A ge 25-64 wit h Ch ron ic Medica l Condit ion, 500

(3%)

Pregn a nt Wom en, 727 (5%)

Conclusions

1. From the beginning of the H1N1 campaign until the 15th of December, 2009 when

vaccine was indicated to be given to all population groups LCHD/CHC was consistent

with federal and state guidelines, focusing on the identified high risk population groups

that accounted for 61% of those vaccinated.

2. By gender, 55% of those vaccinated were women

3. By age, the most represented age group were the 5 to 14 with 29% of those

vaccinated.

4. The department reached out to minority groups with 41% of those vaccinated of

Hispanic (about 14% of total county population) ethnicity and over 4% African

Americans (about 6% of total county population).

5. About 5% of those vaccinated reported having a chronic medical condition, with

asthma and diabetes listed as the most common conditions.

6. The majority of those vaccinated (41%) received their vaccination at Advocate

Condell Medical building in Gurnee.

7. Of the 121,330 doses of vaccine received by LCHD/CHC represents about 33% of all

doses ordered by all health care providers for this campaign. This fact underscores the

need to utilize existing health care infrastructure for planning efficient vaccination

campaigns in the future and continue building external capacity and partnerships.

ATTACHMENT # 2 H1N1 School-based Community Clinics ~ 2009-2010

Please note that the data presented in this attachment was NOT included in the data

from the NextGen database and, as a result, was NOT included in the data used to produce this report.

Administered School District Clinic Location Date Doses

Barrington - District 220 Barrington High School 11/8/2009 2489 Barrington - District 220 Barrington High School 12/12/2009 1072 Oak Grove - District 68 Oak Grove School 12/13/2009 885 Milburn - District 24 Milburn Central 12/14/2009 480 Stevenson - District 125 Stevenson High School 12/20/2009 1907 Deerfield - District 109 Shepard Middle School 1/6/2010 496 Libertyville - District 70 Butterfield Middle School 1/15/2010 30 Libertyville - District 70 Butterfield Middle School 1/16/2010 246

Deerfield - District 113 Deerfield and Highland

Park High Schools 1/22/2010 140 Lake Zurich - District 95 Lake Zurich High School 1/29/2010 55 Lake Zurich - District 95 Lake Zurich High School 1/30/2010 13

H1N1 LCHD Community and CHC Clinics ~ 2009-2010 Administered

Clinic Location Date Doses LCHD Mass Walk-in Clinics Gurnee Mass Walk-in 10/29/2009 1,318 Mundelein Mass Walk-in 10/29/2009 1,484 North Chicago Mass Walk-in 10/29/2009 824 Round Lake Mass Walk-in 10/29/2009 1,275 Waukegan Mass Walk-in 10/29/2009 1,167 Gurnee Mass Walk-in 10/30/2009 865 North Chicago Mass Walk-in 10/30/2009 233 Mundelein Mass Walk-in 10/30/2009 795 Round Lake Mass Walk-in 10/30/2009 919 Waukegan Mass Walk-in 10/30/2009 1,133

Total 10,013 LCHD Appt-Based at Schools/Park District Highland Park Appt-Based 11/7/2009 1,900

Township and Other Locations Warren Township Center 2/5/2010 128 Belvidere Mall* 2/09/10-2/12/10 474 St. Matthews Church** 2/28/2010 22 Shalam Seventh Day Ad-ventist**

2/20/2010 6 Shiloh Church** 3/14/2010 26 Belvidere Mall* 03/25/10-3/28/10 407 New Hope Christian Fel-lowship Church* 03/31/10-4/3/10 334

Total 1,397 * Mexican Consulate Clinics ** African American Churches