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|8 Influenza and Pneumococcal Vaccination Rates among Long-Term Care Facility Residents
Description | Specific Indicators | Corresponding OPHS Outcomes | Corresponding National Indicators | Data Sources | Alternative Data Sources | ICD Codes | Analysis Check List | Method of Calculation | Basic Categories | Indicator Comments | Cross-References to Other Sections | Acknowledgements | References | Changes Made
Proportion of residents of long-term care facilities who have been vaccinated against influenza for the current influenza season by the date specified in the MOHLTC reporting requirements.
Proportion of residents of long-term care facilities who have been vaccinated against pneumococcal pneumonia.
- Influenza vaccination coverage rates among residents of long-term care facilities for each influenza season.
- Lifetime pneumococcal disease vaccination coverage rates among residents of long-term care facilities.
Corresponding Outcome from the Ontario Public Health Standards (OPHS):
The Ontario Public Health Standards (OPHS) establish requirements for the fundamental public health programs and services carried out by boards of health, which include assessment and surveillance, health promotion and policy development, disease and injury prevention, and health protection. The OPHS consist of one Foundational Standard and 13 Program Standards that articulate broad societal goals that result from the activities undertaken by boards of health and many others, including community partners, non-governmental organizations, and governmental bodies. These results have been expressed in terms of two levels of outcomes: societal outcomes and board of health outcomes. Societal outcomes entail changes in health status, organizations, systems, norms, policies, environments, and practices and result from the work of many sectors of society, including boards of health, for the improvement of the overall health of the population. Board of health outcomes are the results of endeavours by boards of health and often focus on changes in awareness, knowledge, attitudes, skills, practices, environments, and policies. Boards of health are accountable for these outcomes. The standards also outline the requirements that boards of health must implement to achieve the stated results.
Link to OPHS
Outcomes Related to this Indicator
- Societal Outcomes (Vaccine Preventable Diseases): Target coverage rates for vaccine preventable diseases are achieved;
- Board of Health Outcomes (Vaccine Preventable Diseases): Target coverage rates for provincially funded immunizations are achieved.
Corresponding Health Indicator(s) from Statistics Canada and CIHI
Numerator: Number of long-term care facility residents who have been vaccinated against influenza for the current influenza season by the date specified in the MOHLTC reporting requirements.
|Denominator: Number of residents who live at the long-term facility on the date of reporting|
|Original source: Public Health Unit |
|Distributed by: Public Health Unit|
|Suggested citation (see Data Citation Notes):|
Long-Term Care Facility Vaccination Data [years], Date Collected: [date]
Analysis Check List
Method of Calculation
Number of residents of long-term care facilities who have benn vaccinated against influenza for the current influenza season by the date specified in the MOHLTC reporting requirements
| x 100|
Total number of residents of long-term care facilities who live in the long-term care facility on the date of reporting
Number of residents of long-term care facilities who have been vaccinated against pneumococcal pneumonia
| x 100|
|Total number of residents of long-term care facilities who live in the facility on the date specified in the reporting requirements|
- Geographic areas: public health unit.
- Coverage rates for influenza and pneumonia typically reflect data collected manually from nursing homes and homes for the aged. Depending on the health unit, data may also be collected from retirement homes. Use caution if comparing data between health units as reporting by facilities may not be consistent.
- The influenza surveillance season starts on September 1 and ends on August 31 every year.
- High coverage rates result in "herd immunity" where unimmunized persons are protected because the chance of an infected person coming in contact with a susceptible person is very low.
- Polysaccharide pneumococcal vaccine is recommended by NACI for all individuals > 65 years of age and all individuals > 5 years of age who are at higher risk of invasive pneumococcal disease. The recommendation is for a single lifetime dose of pneumococcal vaccine; however, re-immunization should be considered for those of any age at highest risk of invasive infection, after 5 years in those aged > 10 years at the time of initial immunization with polysaccharide vaccine and after 3 years for those who received the initial vaccine when they were < 10 years of age.
- Vaccination against influenza is an annual event.
- National objectives include 95% coverage for annual influenza vaccination of residents of long-term care facilities
- Often, data for this indicator is collected soon after the vaccine is released and prior to finishing vaccination of all residents. Given the possible variation in date of collection between facilities and Public Health Units, use caution when comparing rates.
- Invasive Streptococcus pneumoniae became reportable in Ontario in November 2001, therefore coverage rates for the pneumococcal vaccine are not available prior to this time and may differ in terms of availability by health unit area.
Cross-References to Indicators in Other Sections
Katherine Haimes , Ottawa Public Health
Stephanie Wolfe, Simcoe Muskoka District Health Unit
Core Indicators Infectious Disease Subgroup
Core Indicators Infectious Disease Subgroup
Effie Gournis, Toronto Public Health
Rachel Savage, Ontario Agency for Health Protection and Promotion
- Evans AS, Brachman PS. Bacterial Infections in Humans: Epidemiology and Control. Springer, 1998.
- Heymann DL. Control of Communicable Diseases Manual. American Public Health Association, 2004.
- Guthrie B, Dunn A, Mays JH, O’Reilley L, Gardner C, Garcia H, Futcher J. Staff Influenza Immunization and Disease Rates in Long-Term Care Facilities – The Leeds, Grenville and Lanark Experience. PHERO, Volume 11(8), September 29, 2000;192-195.
- Pohani G. Summary Report of the 2000/2001 Ontario Influenza Season. PHERO, Volume 12(11), December 22, 2001; 330-340.
- Pohani G, Henry B, Nsubuga J. Summary Report of the 1999/2000 Ontario Influenza Season. PHERO, Volume 11(7), July and August 2000;136-149.
- National Advisory Committee on Immunization. Canadian Immunization Guide, Seventh Edition, 2006. Ottawa, ON: Public Health Agency of Canada, 2006. Available at http://www.phac-aspc.gc.ca/publicat/cig-gci/index-eng.php
- Public Health Agency of Canada. CCDR 2006;32S3:1-44. Canadian National Report on Immunization, 2006. Available at: http://www.phac-aspc.gc.ca/publicat/ccdr-rmtc/06vol32/32s3/index.html
- Public Health Agency of Canada. Final Report of Outcomes from the National Consensus Conference for Vaccine-Preventable Diseases in Canada. CCDR 2007;33S3:1-56. Available at: http://www.phac-aspc.gc.ca/publicat/ccdr-rmtc/08vol34/34s2/index-eng.php
Type of Review
(Formal or Adhoc)
Changes made by
January 13, 2009
Infectious Disease subgroup
|June 13, 2011||Ad hoc|
Sherri Deamond on behalf of CIWG
- Added acknowledgments section