Report to / Rapport au:
Health, Recreation and Social Services
Committee /
Comité de la santé, loisirs et services sociaux
and Council / et au Conseil
6 March 2002 / le 6 mars 2002
Submitted by / Soumis par: Dick Stewart, General Manager / Directeur Général
Public
Health and Long-Term Care / Santé publique et des soins de longue durée
724-4122,
Ext. / poste: 23684, Robert.Cushman@ city.ottawa.on.ca
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Ref No:
ACS2002-PEO-HEA-0002 |
SUBJECT: RESULTS OF BIG SHOT CHALLENGE/DÉFI-ÉCHEC
À LA GRIPPE INFLUENZA
IMMUNIZATION PROGRAM FOR RESIDENTS AND STAFF OF HEALTH AND RESIDENTIAL CARE FACILITIES AND ORGANIZATIONS
OBJET: RÉSULTATS DE BIG SHOT CHALLENGE/DÉFI-ÉCHEC À
LA GRIPPE, PROGRAMME D’IMMUNISATION CONTRE
LA GRIPPE POUR LES RÉSIDENTS ET LE PERSONNEL
REPORT RECOMMENDATION
That the Health, Recreation and Social Services Committee recommend
Council receive this report for information.
Que le Comité de la santé, des loisirs
et des services sociaux recommande que le Conseil prenne connaissance de ce
rapport à titre d’information.
In 1999 the Big Shot Challenge/Défi-Échec À La Grippe partnership was formed between the former Region of Ottawa-Carleton Health Department, Homes for the Aged in Ottawa-Carleton, Ontario Long-Term Care Association (Region 2), Ontario Residential Care Association (Region 2) and the Ottawa-Carleton Community Care Access Centre. It was initiated to help combat the devastating effect influenza can have on our community’s long-term health and residential care and health care agencies by improving resident and staff influenza immunization rates. The partnership has been instrumental in implementing three very successful campaigns involving a total of 114 health care organizations in 1999, 165 in 2000 and 152 in 2001.
The Big Shot Challenge/Défi-Échec À La Grippe Campaign goals are to immunize at least 90% of residents in all health and residential care facilities. In addition the program aims to immunize at least 70% of full/part-time employees/patients, contract staff, students doing placement work, volunteers, health professionals (such as physicians) and emergency service workers coming into acute care hospitals, homes for the aged, nursing homes, chronic care facilities/units and retirement residences where care/assistance in the activities of daily living is provided.
Among the 88 facilities legally designated as homes for the aged, nursing homes or retirement residences, 92% of residents (93% last year and 91% the year previously) and 79% of staff (86% last year and 77% the year previously) were immunized against influenza last fall. Seven acute care hospitals participated in the challenge for the second year with 47% of their 16,225 staff being immunized (51% of 15,000 last year). Approximately the same number of staff was immunized both years. Please see Annexes A and B for immunization rates by type of facility/organization.
Big Shot Challenge/Défi-Échec À La Grippe plaques are being awarded to 1 acute care hospital, 7 homes for the aged, (including the four operated by City of Ottawa), 9 nursing homes, 39 retirement residences, 14 health care (staffing) agencies, 2 emergency service agencies and 2 community health centres, health-related associations, etc. Of the 74 award winners, 20 are first time award recipients (Annex C) and 54 are repeat award recipients (Annex D). Honorable mention for immunizing 60-69% of staff and 80-89% of residents is made for another 15 participants: one acute care hospital, three nursing homes, seven retirement residences, three health care agencies and one association (Annex E).
The 2001-2002 influenza season has been moderate and as of March 4th, there had been 13 confirmed influenza A (probably Panama strain) outbreaks, two in acute care hospitals and 11 in long-term care facilities.
If there is an influenza outbreak in a health or residential care facility, only persons who are immunized or taking anti-viral medication are allowed to work in the facility (or affected part of very large facilities).
In the unlikely event that persons insist on working when they should not, City of Ottawa Public Health staff meet with them and if necessary use the Ontario Health Protection and Promotion Act to order them not to work in any health or residential care facility in the city with an influenza outbreak. The Ministry of Health and Long-Term Care, the Ontario Hospital Association and the Ontario Medical Association support the use of such orders.
DISCUSSION
For the third year in a row, the Big Shot Challenge/Défi-Échec À La Grippe has been a real success due to the commitment and creativity of health and residential-care facility management, attending physicians, residents and staff in all health care organizations. City of Ottawa Emergency Medical Services (EMS) is particularly to be commended for achieving 100% staff coverage this year.
This is a good example of the dedication and professionalism of each paramedic in the City of Ottawa to comply with the Ontario Ambulance Act, which requires paramedics to receive an influenza vaccination in the autumn of each year. According to the Chief Medical Officer of Health for the Province of Ontario, Dr. Colin D’Cunha, “the single most effective measure to protect both patients and EMS personnel from the transmission of influenza infection is the annual influenza vaccination. Since ambulance personnel may be exposed to persons infected with the influenza virus, unimmunized EMS personnel may develop influenza and put patients who are under their care at risk for influenza infection”.
This campaign continues to be very successful in improving senior’s health and mobility while decreasing deaths. The campaign is based on the solid evidence of the correlation between high influenza immunization rates and fewer flu outbreaks and deaths. A randomized study in England has confirmed the value of staff influenza immunization. Immunizing 61% of staff reduced the influenza death rate in residents by 41%. Evidence from cohort and randomized controlled trials suggest that each dose of vaccine yields a 1-2 hour decrease in lost work time, an average cost saving of approximately $40 per immunized employee.
This past fall, most health and residential care facilities in the City of Ottawa maintained high levels of average resident/patient and staff immunization rates. Further increases are expected next season in order to reduce influenza-related illness and death among facility residents/patients. Given three years’ success with the Big Shot Challenge/Défi-Échec À La Grippe, it will be repeated in the fall of 2002.
The Big Shot Challenge/Défi-Échec À La Grippe continues to be a successful partnership model with a strong health promotion focus. Key strategies included resource development/ distribution, media promotion, advocacy and individual consultation. Aventis Pasteur Limited, the company supplying the vaccine again this year, provided corporate sponsorship for the translation of several flyers into 14 languages. The new influenza display and banner –“Be a Warrior Against the Flu Bug-Combattez le virus de la grippe!” was used extensively for the promotion of the Big Shot Challenge/Défi-Échec À La Grippe and for the Universal Influenza Immunization Campaign.
FINANCIAL IMPLICATIONS
The vaccine was supplied by the Ontario Ministry of Health and Long-Term Care. Individual facilities and physicians provided additional supplies and arranged for the actual immunizations. Funds for this program are in the Public Health Branch Operating Budget.
Annex A: Resident Influenza Immunization Coverage
Annex B: Staff Influenza Immunization Coverage
Annex C: First Time Award Recipients
Annex D: Repeat Award Recipients
Annex E: Honorable Mention Awards
The staff of the Public Health and Long-Term Care Branch of the People Services Department will repeat the expanded Big Shot Challenge/Défi-Échec À La Grippe Campaign in the fall of 2002.
Homes for the
Aged, Nursing Homes, Retirement Residences, Emergency Service Organizations,
Service Providers, Hospitals, Community Health Centres and Health-related
Associations
Ottawa,
2001/2002
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2001 BIG SHOT CHALLENGE/DÉFI-ÉCHEC À LA GRIPPE
FIRST TIME AWARD
RECIPIENTS
Barrhaven Manor
Belcourt Manor
Canada Care Medical Incorporated
Canadian Mental Health Association
Elmsmere Residence
Emergency Medical Services
Empress Kanata Seniors Residence
Kilian Residence
Kimberlane/Alexander House
Longfields Manor
Ontario Provincial Police
Palisades Retirement Residence
Para-Med Home Health Care (Orleans)
Presland Residence
Respircare
Retire-At-Home Services
Rideau Gardens Retirement Home
Sterling Place
The Peter D. Clark Long-Term Care Centre
Villa Orleans
2001 BIG SHOT CHALLENGE/DÉFI-ÉCHEC À LA GRIPPE
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Bearbrook Court Retirement Residence Billings Lodge Blackburn Villa Bradson Home Health Care Camilla Gardens Carleton Lodge Central Health Services Centre d’Accueil Champlain Colonel By Retirement Home Communicare Therapy Inc. Cumberland Lodge Elmwood Lodge Extendicare Laurier Manor Extendicare Medex Extendicare New Orchard Lodge Extendicare Starwood Extendicare West End
Villa GEM Health Care Services inc. Glebe Centre
Incorporated Golden Care Home Services Hillel Lodge Hunt Club Manor Island Lodge Kanata Retirement Residence Landmark Court Lynnwood Park Retirement
Lodge McLeod Retirement Home Nepean Senior’s Home Support New Edinburgh Square Ogilvie
Villa Retirement Home Orchard View Living Centre Osgoode Care Centre Para-Med Home Health Care (Ottawa) Parklane Residence Rest Home Queensway Carleton Hospital Queenswood Villa Retirement Home |
Richmond Dementia Care Home Rideau Place Retirement Home Riverpark Place Retirement Residence Rothwell Heights Lodge Sarsfield Colonial Home Senior Services Centre (Rideau Township) St. Joseph’s Manor St. Patrick’s Home of Ottawa Inc. Steff Kim Lodge Stittsville Villa Retirement Home The Arthritis Society The Edinburgh Thorncliffe Place Retirement Home Unitarian House Vital Aire Villa Marconi Wabano Centre for Aboriginal Health Wymering Manor |
2001 BIG SHOT CHALLENGE/DÉFI-ÉCHEC À LA GRIPPE
HONOURABLE MENTION AWARDS
Carlingview Manor
Children’s Hospital of Eastern Ontario
Continental Health Care Services Inc.
Duford Residence
Hampton Lodge
Kaymar Rehabilitation
Madonna Nursing Home
Maison
Accueil-Sagesse
Mont
St-Joseph Convent
Residence St-Marie
Rockwood Residence
Stillwater Creek Retirement Home
Villa
Marguerite
We Care Home Health Services
