HINI 2009 pandemic flu vaccination campaign: The homeless lesson

Service des Maladies Infectieuses et Tropicales, Assistance Publique Hopitaux de Marseille, Hôpital Nord, Marseille, France, URMITE, CNRS 6236 and AP-HM, Marseille, France.
PLoS Currents 02/2010; 2:RRN1146. DOI: 10.1371/currents.RRN1146
Source: PubMed


Homeless are deprived people of developed countries that have a particularly low vaccine coverage and are exposed to vaccine preventable infectious diseases. We report here the efficiency of a voluntary based one-day snapshot influenza vaccination in homeless shelter of Marseille, France, which allowed to obtain a 46.9% H1N1 pandemic vaccine coverage while at the same time only 6% of the French population has been vaccinated.

4 Reads
  • Source
    • "In Australia, influenza vaccination is recommended for homeless people and those providing care to them due to living conditions and prevalence of underlying medical conditions that will predispose to complications and transmission of influenza [18]. Initiatives to outreach snapshot vaccination interventions against influenza, HBV, HAV, Streptococcus pneumoniae, and diphtheria to homeless populations in France have also been reported as effective [19,20]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Influenza vaccination eligibility and uptake among homeless adults has not been previously assessed in the UK. This cross-sectional survey aimed to measure the proportion of homeless people visited by an NHS outreach service (Find and Treat) who were eligible for and had received vaccination during 2011/12. A cross-sectional survey was carried out in 27 separate homeless hostels, day centres and drug services in London between July and August in 2012. Eligibility for the survey was by virtue of being in attendance at one of 27 venues visited by Find and Treat. No specific exclusion criteria were used. 455 clients took part in the survey out of 592 approached (76.9%). A total of 190 homeless people (41.8%; 95%CI: 34.5,50.5) were eligible for influenza vaccination. In those aged 16-64, eligibility due to clinical risk factors was 38.9% (95%CI: 31.5,48.2). Uptake of vaccination in homeless 16-64 year olds with a clinical risk factor during the 2011/12 influenza season was 23.7% (95%CI: 19.8,28.3) compared to national levels of 53.2% (excluding pregnant women). In those aged over 65, uptake was 42.9% (95%CI: 16.8,100.0) compared with 74.0% nationally. This study demonstrates that the homeless population have high levels of chronic health problems predisposing them to severe complications of influenza, but vaccine uptake levels that are less than half those seen among eligible GP patient groups in England. It provides a clear example of the health inequalities and inverse care law that impact this population. The results of this study provide strong justification for intensifying efforts to ensure homeless people have access to influenza vaccination.
    BMC Public Health 01/2014; 14(1):44. DOI:10.1186/1471-2458-14-44 · 2.26 Impact Factor
  • The Lancet Infectious Diseases 08/2012; 12(11):822-3. DOI:10.1016/S1473-3099(12)70186-X · 22.43 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: The objective of this pilot research study was to explore the beliefs and barriers to flu vaccination from a sample homeless population in a small metropolitan community. In a collaborative academic-community partnership of a university undergraduate nursing education program, a local health department, and nonprofit agencies, a social marketing education program was developed by nursing students which included surveying the homeless for perceptions regarding flu vaccinations. There were a total of 87 homeless subjects that were surveyed. The measurements were obtained from various questions regarding flu vaccinations on a Qualtrics survey examining the barriers, beliefs, and practices of the homeless population. The focus addressed health disparities and barriers with nursing students serving as the catalyst to reach the homeless in an educational service-learning project. This project demonstrated a positive impact in meeting health care needs of homeless persons as the rate of flu vaccination was doubled from the previous year at one community day shelter. Nursing students developed their ability to impact a hard-to-reach population with positive changes in their attitudes by increased understanding of the health needs of the homeless.
    Public Health Nursing 10/2013; 31(2):175-82. DOI:10.1111/phn.12088 · 0.83 Impact Factor