The goal of the Connecticut Immunization Program is to improve and sustain vaccination coverage among children, adolescents, and adults; reduce vaccination disparities and improve access to quality immunization services across pediatric, adolescent and adult populations; enhance partnerships with vaccinators and private healthcare providers; improve readiness to respond to vaccine preventable disease (VPD) outbreaks and other related public health emergencies; reduce incidence of VPDs and related morbidity and mortality; and monitor the impact and strengthen the evidence base for vaccine policy and programs.
The work plan for Component 1 enumerates the target population, the methods of data collection, and the activities that will be undertaken to meet programs goals with performance measures to evaluate the activities. It covers all core aspects of the immunization program.
Additional projects will address immunization activities to increase vaccination in under vaccinated populations, prepare for outbreaks of vaccine preventable diseases, and improve the data (timeliness, completeness, accuracy) in the immunization information system (IIS).
AA1: Improving vaccination coverage among under vaccinated populations
Connecticut proposes to perform a gap analysis to compare the current pattern of under vaccination of children under two years of age to the Immunization Action Plan (IAP) areas currently designated during the fiscal year for this application. This will also for the development of a data-informed plan of deployment of IAP areas and IAP-like services. This will allow CT to increase the number of towns and cities with significant under vaccination rates covered by an IAP area and increase IAP-like outreach and education services provided to communities not covered by an IAP site. This will, as seen in the current IAP areas, increase vaccine coverage, reduce disparities, and maintain low VPD.
BB1: VPD Outbreak Response for Connecticut
The Department of Public Health (DPH) is the lead agency for responding to disease outbreaks, including outbreaks of Vaccine Preventable Diseases (VPDs) that impact Connecticut residents. While it is difficult to predict for all potential etiologies and circumstances, large outbreaks of VPDs have the potential to strain public health and health care infrastructure. During VPD disease outbreaks, DPH works closely with local health departments/districts (LHDs) to investigate the outbreak and implement appropriate control measures. During a severe outbreak of an infectious disease DPH Incident Command System (ICS) will serve as the operating protocol for the DPH response. The response will include a variety of response actions which may include: risk communication, surveillance and outbreak investigation, participation in special studies, enhanced surveillance data sharing with CDC, vaccine and other pharmaceutical distribution, environmental management, enhanced testing by the DPHL, and support for medical management of hospitalized cases. Specific response activities would be let by the Director of Infectious Diseases and staff within the Infectious Disease Section. DPH Laboratory staff would also be assigned to handle additional testing. The outcome would be to treat infected people and to prevent additional VPDs. The proposed period of performance for this project would be from July 1, 2019 to June 30, 2024.
CC2: Improving Data Completeness and Quality for Childhood Data in select IISs
In September 2018, Connecticut migrated to a new IIS, CT WiZ, integrating vaccine ordering and inventory management. Per state regulations, health care providers who vaccinate children up through age six, school entry, are mandated to report to the IIS. As it is a new IIS, providers have just begun to submit records electronically. In this fiscal year, CT will increase the percent of providers onboarded for bi-directional data exchange and trained to monitor their HL7 data qual