Findings from a community-based vaccination programme against influenza and pneumococcal disease for seniors in Singapore. Ho, H., Chen, W. K., Lim, P. L., & Chow, A. Annals of the Academy of Medicine Singapore, 45(9 Supplement 1):S232, 2016.
Findings from a community-based vaccination programme against influenza and pneumococcal disease for seniors in Singapore [link]Paper  abstract   bibtex   
Background & Hypothesis: In Singapore, influenza and pneumococcal vaccine uptake rates in the elderly are very low. Our institution organised a community-based programme providing these vaccines at no cost to seniors, to encourage vaccine uptake and to monitor its impact on health outcomes. Method(s): Our institution collaborated with multiple community-based and government stakeholders. Active recruitment was carried out using educational talks and engagement by our community partners. The events were sited at various community venues and comprised vaccinations given by our institution's Travel Clinic nurses, as well as educational sessions on healthy ageing topics. Result(s): Nine vaccination events were held from November 2015 to January 2016. A total of 656 seniors were vaccinated, with 636 receiving influenza vaccine and 632 receiving pneumococcal conjugate (PCV13) vaccine. The median age of participants was 72 years (interquartile range 62-77 years). Majority were female (64.6%), of Chinese ethnicity (84.4%), received primary school level education (42.4%), and resided in 1- or 2-room government housing rental flats (44.4%). Chronic disease prevalence was high, with 60.8% having hypertension, 57.6% having hyperlipidaemia and 28.1% having diabetes. Four percent reported influenza vaccination in the past year, and 4.3% reporting previous pneumococcal (PPSV23) vaccination. Post-vaccination, 1 patient reported systemic side effects (persistent rash for 1 month). Discussion & Conclusion(s): In this cohort of seniors, a high proportion came from the lower education and lower income strata. The burden of chronic disease was high and baseline vaccination rates were low. Community-based partnerships are a suitable means of recruiting such elderly participants for vaccination, to reduce their risk of severe illness from pneumonia and influenza.
@article{ho_findings_2016,
	title = {Findings from a community-based vaccination programme against influenza and pneumococcal disease for seniors in {Singapore}},
	volume = {45},
	issn = {0304-4602},
	url = {http://www.annals.edu.sg/pdf/45VolNo9Sep2016/SHBC2016.pdf http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed17&NEWS=N&AN=612898367},
	abstract = {Background \& Hypothesis: In Singapore, influenza and pneumococcal vaccine uptake rates in the elderly are very low. Our institution organised a community-based programme providing these vaccines at no cost to seniors, to encourage vaccine uptake and to monitor its impact on health outcomes. Method(s): Our institution collaborated with multiple community-based and government stakeholders. Active recruitment was carried out using educational talks and engagement by our community partners. The events were sited at various community venues and comprised vaccinations given by our institution's Travel Clinic nurses, as well as educational sessions on healthy ageing topics. Result(s): Nine vaccination events were held from November 2015 to January 2016. A total of 656 seniors were vaccinated, with 636 receiving influenza vaccine and 632 receiving pneumococcal conjugate (PCV13) vaccine. The median age of participants was 72 years (interquartile range 62-77 years). Majority were female (64.6\%), of Chinese ethnicity (84.4\%), received primary school level education (42.4\%), and resided in 1- or 2-room government housing rental flats (44.4\%). Chronic disease prevalence was high, with 60.8\% having hypertension, 57.6\% having hyperlipidaemia and 28.1\% having diabetes. Four percent reported influenza vaccination in the past year, and 4.3\% reporting previous pneumococcal (PPSV23) vaccination. Post-vaccination, 1 patient reported systemic side effects (persistent rash for 1 month). Discussion \& Conclusion(s): In this cohort of seniors, a high proportion came from the lower education and lower income strata. The burden of chronic disease was high and baseline vaccination rates were low. Community-based partnerships are a suitable means of recruiting such elderly participants for vaccination, to reduce their risk of severe illness from pneumonia and influenza.},
	language = {English},
	number = {9 Supplement 1},
	journal = {Annals of the Academy of Medicine Singapore},
	author = {Ho, H. and Chen, W. K. and Lim, P. L. and Chow, A.},
	year = {2016},
	keywords = {*Singapore, *influenza vaccination, *pneumococcal infection, Pneumococcus vaccine, aged, aging, case report, conjugate, controlled study, diabetes mellitus, ethnicity, female, government, hospital, housing, human, hyperlipidemia, hypertension, influenza vaccine, nurse, pneumonia, prevalence, primary school, rash, travel},
	pages = {S232},
}

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