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COVID-19

Where are we with COVID-19?

What can you tell us about the COVID-19 vaccine?

COVID-19 in Arizona

• 182,203 cases overall

– Confirmed and probable

– A person is counted once, no matter how many tests

• 3,932 deaths

Data updated: 8/5/20

Links to Data Sources

• AZ Department of Health Services – Data Dashboard

• CDC Data

• Johns Hopkins University

Summary of COVID-19 VaccinesAugust 5, 2020

Presenting To

TAPI Tips

Karen Lewis, M.D. | Immunization Medical

Director

Coronaviruses

• Common colds (4)

• Severe Acute Respiratory Syndrome (SARS)

• Middle East Respiratory Syndrome (MERS)

• 2019 Novel Coronavirus

CDC PHIL 18110

Novel Coronavirus Naming

COVID-19 SARS-CoV-2

Spike Protein Used to Enter Cell

PHIL #18115

Vaccine Safety

• Preclinical animal studies

• Phase 1, 2, 3

• Food and Drug Administration approval

• CDC recommendations

• Post-licensure monitoring

mRNA and DNA in Cells

PHIL #22200

COVID-19 VaccineNon-replicating Viral Vector

Chimpanzee Adenovirus DNA SARS-CoV2 Spike Protein DNA

Chimp Adenovirus DNA SARS-CoV2 Spike Protein Chimp Adenovirus DNA

mRNA mRNA mRNA

Spike Proteins

mRNA COVID-19 Vaccines

Pfizer diagram

mRNA Codes for Spike Protein

Pfizer diagram

COVID-19 VaccinesSpike Proteins + Adjuvant

Spike proteins

DNA Vaccine

• DNA plasmid with instructions for spike protein

• Intradermal

• Room temperature

www.prnewswire.com

COVID-19 Vaccines

Operation Warp Speed

FDAEUA

RESOURCES COLLABORATION APPROVAL

Still Under Study

• One or two doses

• Handling requirements

• Fever, local reactions, etc.

• Efficacy

• Length of immunity

Flu Shots for Everyone This Year!

www.vaccinefinder.org

What are your thoughts on

recommending the COVID-19

vaccine when it’s available?

Poll

COVID-19 Impact on Vaccines – Catch Up!

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Odds ‘n Ends

1 2 3 4

How do I track down shot records?

If a parent comes in asking to get school-required vaccines, isn’t that a “win”?

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B

C

How long can my vaccine stay

out of temp range?

Temperatures

Private ----- VFC

My name is Machrina!

When do I report to VAERS?

When do I report to VAERS?

When in doubt, REPORT.

What would it take for 90% of my

patients to be up to date on their immunizations?

Best Practices in Immunization Delivery in Arizona

30

Dr. Daniel T. Cloud Awards

ACP Desert Pediatrics Cactus Children's Clinic Desert Shores Gilbert Kayenta Health Clinic NOAH - Sierra Health Center Pinal County Health Department - Casa Grande Tuscany Children ClinicAdelante Healthcare Buckeye Callie, Albert MD Desert Shores Pediatrics, PC Kids First Pediatrics Noah Balsz Health Center Ponderosa Pediatrics Twin Pediatrics/2nd StreetAdelante Healthcare Central Phoenix Canyonlands - Lake Powell Desert Valley Pediatrics Kids Kare Pediatrics Noah's Ark Pediatrics Providence General Medicine PC UMC North Hills PediatricsAdelante Healthcare Gila Bend Canyonlands - Safford Desert Willow Pediatrics Kino Pediatric Clinic North Country Health Care Pueblo Pediatrics United CHC - Three Points

Adelante Healthcare Mesa Canyonlands HC - Beaver Dam Desert Willow Pediatrics La Paz County Health Department North Country Health Care - Winslow Red Rock Pediatrics United Community Health Center - AmadoAdelante Healthcare Peoria Casa Grande Pediatrics East Valley Children's Center Lake Havasu Pediatrics North Country Health Care Flagstaff Renaissance Family Medical Center

United Community Health Center - La CanadaAdelante Healthcare Phoenix Catalina Pediatrics El Rio Community Health Center - Pascua Lake Powell Medical Center North Country Health Care Lake Havasu City Rojas, Oscar MD United Community Health Center - Sahuarita Heights ClinicAdelante Healthcare Surprise Children's Medical Center - Tucson El Rio Community Health Center Congress LeChee Health Facility North Scottsdale Pediatric Association Sacred Peaks Health Center United Community Health Center - Vail ClinicAdelante Healthcare Tidwell Children's Medical Group - Southwest El Rio Community Health Center Northwest Longoria, Theresa MD Northwest Pediatrics Saguaro East Medical Group

United Community Health Center Continental PediatricsAdelante Healthcare West Phoenix Children's Oasis Pediatrics, PC El Rio Community Health Center Pasqua Yaqui Mariposa Community Health Center Rio Rico Orange Grove Pediatrics San Simon Health Center United Community Health Center La Canada PediatricsAdelante Healthcare Wickenburg Chinley Comprehensive Care Facility El Rio Community Health Center Southwest Pediatrics Mesquite Pediatrics Oscar Rojas, MD San Xavier Clinic University of AZ Health Network - Elks ClinicAdvance Pediatrics Cibecue Health Center El Rio Community Health Southeast MIHS - 7th Avenue Family Health Center Pagan, Lizette MD Sant Singh Khalsa, MD University of AZ Health Network -WilmotAll About Kids Pediatrics Cibecue Indian Health Center El Rio Health Center El Pueblo MIHS Glendale Family Health Center Paloma Pediatrics Santa Rosa Health Center

Valleywise Community Health Center - AvondaleAllen, David R. MD CIGNA Medical Group - C.J. Harris El Rio Pascua Clinic MIHS Maryvale Family Health Center Papago Buttes Pediatric Center Sells Indian Hospital and Clinic

Verde Valley Medical Clinic, CottonwoodApache County Public Health Services CIGNA Medical Group - Chandler Estrella Pediatrics, P.C. MIHS Mesa Family Health Center Partners for Healthy Students a service of Yavapai Regional Medical Center Southwest Pediatrics DBA Arbor Medical Partners West Valley PediatricsArizona Elks Pediatric Clinic - BUMG CIGNA Medical Group - Paradise Valley Flagstaff Pediatric Care MIHS-Guadalupe Family Health Center Pediatras Arizona St. Joseph's Family Practice Clinic

White River Indian Health Service HospitalArizona Pediatric Clinic CIGNA Medical Group - Paseo Flagstaff Primary Care Miller, Melissa MD Pediatric Associates, PC St. Luke's Pediatrics Wickenburg Family Health CenterArrowhead Pediatrics Glendale CIGNA Medical Group - Phoenix Central Four Corners Regional Health Center Mountain Park - Baseline Pediatric MultiCare WestSulfur Springs Medical Center

Winslow Indian Health ServiceArrowhead Pediatrics Sun City CIGNA Medical Group - Scottsdale Ft. Defiance Health Services Clinic Mountain Park - East Pediatric MultiCare WestSun Life Center for Children

Winslow Service UnitAZ Kids Doc Pediatrics CIGNA Medical Group - South Mountain Gering, Stanley MD Mountain Park - Gateway PediatriTDLR - Black Canyon Sun Life Center for Women and Children - CG Yavapai County Community Health ServicesBallard, Kathryn, MD CIGNA Medical Group - Stapley Gila County Health Department - Globe Mountain Park - Goodyear Pendelton Pediatrics Sun Life Family Health Center -Eloy Yavapai County Education Service AgencyBanner – Children’s Multi-Specialty & Primary Care Clinic CIGNA Medical Group - Tempe Gila County Health Department - Payson Mountain Park - Maryvale Pepka, Albert MD Sun Life Family Health Center - San Manuel Yavapai PediatricsBanner – Children’s Multi-Specialty & Primary Care Clinic CIGNA Medical Group - The Point Gila River Health Care - Ak-Chin Clinic Mountain Park - Tempe Pepka, Lisa M MD

Sunnyslope Family Health Center Your Neighborhood Health Care CenterBanner Children's - Power Peds CIGNA Westridge Pediatrics Gila River Health Care - Pediatrics Mountain Park - TollesonPhoenix Children's Clinic Sunrise Medical Group Yuma County Public Health DepartmentBANNER CHILDRENS BANNER HEALTH CLINIC Clara Vista Medical Associates Glendale Family Health Center Mountain View Pediatrics Phoenix Children's Primary Care Gateway Pediatrics Sunrise PediatricsBANNER CHILDREN'S BANNER HEALTH CLINIC Clinica Dr. Alfonso Salas Goodsite, Ronald MD Muncy, Gary MD Phoenix Indian Medical Sunset Community Health Center - Somerton Banner Health Center Greenway Clinica Hispana of the West Valley Grayhawk Pediatrics MVP Kids Care Pima Co HD - East Sunset Community Health Center North Yuma

Banner Health Clinic Payson Colorado River Pediatrics Greenlee County Health Department Clifton MVP Kids Care Pima Co HD - North Sunset Community Health Center San LuisBanner Health Clinic Payson Pediatrics Continental Pediatrics Greenlee County Health Department Duncan Nahata'Dziil Health Center Pima Co HD - South Sunset Community Health Center YumaBanner Medical Group - Estrella Copper Queen Med Assoc - Douglas Havasu Rainbow Pediatrics Navajo County Health Dept. - Holbrook Pinal Co HD - Mammoth SUNSET HEALTH WELLTON CLINICBarone, Dominic DO Cottonwood Pediatrics Hopi Health Care Center Navajo County Health Dept. - Winslow Pinal Co HD - Maricopa Sunshine Child & Adolescent Care Bethesda Peds - Gilbert Desert Canyon Pediatrics John C. Lincoln Children's Health Center Navajo County Public Health - Show Low Pinal Co HD - San Tan Valley Tsehootsooi Medical Center

Brisas Pediatrics Desert Mission CHC Joshua Tree Pediatrics NOAH - Desert Mission Health Center Pinal County Health - Coolidge Tucson Central PediatricsBylas Health Center Desert Shores Chandler Kachina Family Practice NOAH - Heuser Family Medicine Pinal County Health Department - Apache Junction Tucson Pediatrics

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Tips from T.I.P.S. friends!

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Tips from T.I.P.S. friends!

Phoenix Indian Medical Center

How does your practice monitor

immunization coverage levels?

Poll

Focus on Data

1 2 3 4

How often does your practice look

at your population’s immunization

coverage levels?

Poll

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Tips from T.I.P.S. friends!

- Documented workflow

- Make it easy to follow procedures

- Use of EMR and technology

- Small tests of change

Everyone does the same thing every time

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Tips from T.I.P.S. friends!

Evidence-Based Interventions

Chiricahua Community Health Centers

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Tips from T.I.P.S. friends!

Partner with families

Help it “make sense” to families

Cultural competence

Family-Centered Care

Ask questions. Humbly, actively listen.One size does not fit all.

Speak up!

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Tips from T.I.P.S. friends!

Team-Based Approach

Mountain Park Health Center’s Immunization pioneers, leaders and outstanding team

Don’t forget!

Why Immunize? 10 Things

Parents Need to Know About Why We Immunize Babies

For anyone who interacts with parents immunizing their kids: Medical Assistants, Vaccine Administrators, Certified Health Education Specialists and more!

Interested?

Please contact Laura Smith at LSmith@tapi.org for registration

information

Prizes for Everyone!! Drawing for folks who did EACH evaluationComplete the evaluation – include address

Thank you for your tips at T.I.P.S.!

www.TAPI.org