Methods: Since 2006 Children’s HealthSM, Dallas, TX has offered free influenza vaccinations to all HHC of individuals encountered within the network. HHC of any individual with an inpatient, outpatient, or emergency department encounter, are eligible for free influenza vaccination. A Flu Clinic also operates during the influenza season each year to provide influenza vaccination to patients and HHC.
Results: From 2007-2017, a total of 56,335 patient HHC (>5,500 per year), were immunized for influenza at no cost to the recipients. For the 2016-17 season 26% of those vaccinated were the HHC of a patient 0 to 2 years old, and 1182 contacts of 828 immunocompromised hosts (Solid organ transplant/Oncology/Premature infants) received free flu vaccine. 76% of all HHC were between 19 - 50 years old, with 2% older than 65 and 13% 18 years old or younger. The estimated annual cost of the program during this period was $120,613 compared with the cost of a five day influenza ICU admission of $216,000.
Conclusion: A systems based program to offer free influenza vaccinations for pediatric HHC is a feasible approach to increase vaccination among HHC of high risk individuals and create a cocoon effect of protection for pediatric patients. Further studies are needed to investigate the direct effect of immunized household contacts on the morbidity of influenza among high risk pediatric groups.
J. Siegel, None