VCOM Carolinas Research Day 2023

Clinical Studies

A Descriptive Analysis on Middle School Aged Vaccinations for Mandatory and Elective Vaccines Among Different Methods of Healthcare Delivery Natalie R. LaGattuta, MPH, BS; Taylor C. Wilson, BS; Jordan A. Failla, BS; Alexis M. Stoner, PhD, MPH; Karen Fradua, MS; Jaime Brown, MD; Sheri Byrd, MD; Angela Wilson, MBA Edward Via College of Osteopathic Medicine, 350 Howard Street, Spartanburg, SC 29303

Abstract # CLIN-19

Abstract

Results

Conclusions

‘„‹Ž‡ Š‡ƒŽ–Š …Ž‹‹…• •‡”˜‡ ƒ —‹“—‡ ”‘Ž‡ ‹ ™Š‹…Š –Š‡› …ƒ ‘ˆˆ‡” ƒˆˆ‘”†ƒ„Ž‡ ƒ† ƒ†ƒ’–ƒ„Ž‡ …ƒ”‡ –‘ –Š‡ ’‘’—Žƒ–‹‘ ‹ ™Š‹…Š –Š‡› •‡”˜‡Ǥ Š‡ ‘„‹Ž‡ …Ž‹‹…• „‡‰ƒ ‹ ʹͲʹͲ ƒ• ƒ ’ƒ”–‡”•Š‹’ ™‹–Š ‘—–Š ƒ”‘Ž‹ƒ ‡’ƒ”–‡– ‘ˆ ‡ƒŽ–Š ƒ† ˜‹”‘‡–ƒŽ ‘–”‘Ž ȋ Ȍ –‘ ƒ††”‡•• –Š‡ Ž‘™ ˜ƒ…‹ƒ–‹‘ ”ƒ–‡• –Šƒ– ”‡•—Ž–‡† ˆ”‘ –Š‡ Ǧͳͻ ’ƒ†‡‹…Ǥ Š‹• •–—†› ‹• ƒ †‡•…”‹’–‹˜‡ ƒƒŽ›•‹• ƒ† ‡šƒ‹‡• –Š‡ —„‡” ‘ˆ ˜ƒ…‹ƒ–‹‘• ‘ˆ †ƒ’ ƒ† ƒ– †‹ˆˆ‡”‡– Ž‘…ƒ–‹‘• ‘ˆ ƒ†‹‹•–”ƒ–‹‘ ‹…Ž—†‹‰ ’‡†‹ƒ–”‹…‹ƒ ‘ˆˆ‹…‡•ǡ –Š‡ ‘˜‡Ž ‘„‹Ž‡ ˜ƒ…‹ƒ–‹‘ Ž‹‹…ǡ ƒ† –Š‡ ’ƒ”–ƒ„—”‰ ‡ƒŽ–Š ‡’ƒ”–‡–Ǥ Š‡ ˜ƒ”‹ƒ„Ž‡• ‘ˆ ‹–‡”‡•– ƒ† –Š‡ •–—†› ‡†’‘‹–• ˆ‘…—•‡† ‘ †ƒ’ ƒ† ˜ƒ…‹ƒ–‹‘• ƒ‘‰ •–—†‡–• ƒ‰‡† ͳͳǦͳʹ ‹ ’ƒ”–ƒ„—”‰ ‘—–› ƒ…‘”†‹‰ –‘ –›’‡ ‘ˆ Š‡ƒŽ–Š…ƒ”‡ †‡Ž‹˜‡”› Ž‘…ƒ–‹‘Ǥ ”‘ ’”‹Ž –‘ ƒ› ‘ˆ ʹͲʹͳǡ –Š‡ ‘„‹Ž‡ …Ž‹‹… ™ƒ• ƒ„Ž‡ –‘ ƒ†‹‹•–‡” ʹ͹ͻ †ƒ’ ˜ƒ…‹‡• ƒ† ͳͺͻ ˜ƒ…‹‡• –‘ •–—†‡–• ƒ– Ž‘…ƒŽ ‹††Ž‡ •…Š‘‘Ž•ǡ ™Š‹…Š •—”’ƒ••‡• –Š‡ —„‡” ‘ˆ ˜ƒ…‹‡• ƒ†‹‹•–‡”‡† ƒ– ‘–Š‡” •‹–‡• ˆ”‘ —‰—•– ʹͲʹͲ –‘ ƒ› ʹͲʹͳ ™Š‡ …‘’ƒ”‡† ‹†‹˜‹†—ƒŽŽ› ˆ‘” „‘–Š †ƒ’ ƒ† ˜ƒ…‹ƒ–‹‘•Ǥ › ƒ••‡••‹‰ –Š‡ –‘–ƒŽ ˜‘Ž—‡ ‘ˆ ˜ƒ…‹‡• ƒ†‹‹•–‡”‡† „› ‡ƒ…Š ‰”‘—’ǡ –Š‡ ‘„‹Ž‡ …Ž‹‹… ’”‘˜‡† ‹–•‡Žˆ –‘ ’Žƒ› ƒ …”—…‹ƒŽ ”‘Ž‡ ‹ –Š‡ ˜ƒ…‹ƒ–‹‘ ‡ˆˆ‘”–• ‘ˆ –Š‡ ’ƒ”–ƒ„—”‰ …‘—‹–›Ǥ Methods Objective: ‡–‡”‹‡† ‹ˆ –Š‡ ‘„‹Ž‡ …Ž‹‹… ™ƒ• ƒ ‡ˆˆ‡…–‹˜‡ ‘†ƒŽ‹–› –‘ †‡Ž‹˜‡” ˜ƒ…‹ƒ–‹‘• ‹ –Š‡ ’ƒ”–ƒ„—”‰ …‘—‹–› „› ƒ••‡••‹‰ ˜ƒ…‹ƒ–‹‘ …‘—–• ˆ‘” „‘–Š –Š‡ •…Š‘‘ŽǦ ƒ†ƒ–‘”› †ƒ’ ƒ† •…Š‘‘ŽǦ‘’–‹‘ƒŽ ˜ƒ…‹ƒ–‹‘• ƒ‘‰ ͳͳ – ͳʹǦ›‡ƒ”Ǧ‘Ž† •–—†‡–• —•‹‰ †‹ˆˆ‡”‡– ‘†‡• ‘ˆ †‡Ž‹˜‡”›ǡ ‹…Ž—†‹‰ –Š‡ Ǧ ƒ”‘Ž‹ƒ• ‘„‹Ž‡ …Ž‹‹…Ǥ Hypothesis ǣ ‡ ‡š’‡…–‡† ƒ †‹ˆˆ‡”‹‰ —„‡” ‘ˆ ˜ƒ…‹ƒ–‹‘• „‡–™‡‡ ‘„‹Ž‡ …Ž‹‹…ǡ ‘—–Š ƒ”‘Ž‹ƒ Š‡ƒŽ–Š †‡’ƒ”–‡–ǡ ƒ ‘—–’ƒ–‹‡– Š‘•’‹–ƒŽǦƒˆˆ‹Ž‹ƒ–‡† ’‡†‹ƒ–”‹… ‘ˆˆ‹…‡ǡ ƒ† ƒ ’”‹˜ƒ–‡ ’‡†‹ƒ–”‹… ‘ˆˆ‹…‡ ‹ ’ƒ”–ƒ„—”‰ǡ ‘—–Š ƒ”‘Ž‹ƒǤ Methods • ‘ŽŽ‡…–‡† ˜ƒ…‹ƒ–‹‘ …‘—–• ˆ‘” †ƒ’ ƒ† ˜ƒ…‹‡• ˆ‘” ͳͳ – ͳʹǦ›‡ƒ”Ǧ‘Ž† •–—†‡–• ˆ”‘ —‰—•– ʹͲʹͲǦ ƒ› ʹͲʹͳ ƒ– –Š‡ ‘„‹Ž‡ …Ž‹‹… •‹–‡•ǡ ƒ Ž‘…ƒŽ Š‡ƒŽ–Š †‡’ƒ”–‡–ǡ ƒ ‘—–’ƒ–‹‡– Š‘•’‹–ƒŽǦƒˆˆ‹Ž‹ƒ–‡† ’‡†‹ƒ–”‹… ‘ˆˆ‹…‡ǡ ƒ† ƒ ’”‹˜ƒ–‡ ’‡†‹ƒ–”‹… ‘ˆˆ‹…‡Ǣ Š‘™‡˜‡”ǡ –Š‡ ‘„‹Ž‡ Ž‹‹… ‘Ž› ƒ†‹‹•–‡”‡† „‘–Š †ƒ’ ƒ† ˆ”‘ ’”‹Ž ʹͲʹͳǦ ƒ› ʹͲʹͳǤ • ‘„‹Ž‡ Ž‹‹… †ƒ–ƒ ™ƒ• …‘ŽŽ‡…–‡† „› ’•–ƒ–‡ —‹œƒ–‹‘ ”‘‰”ƒ –Š”‘—‰Š –Š‡‹” ”‡‰‹•–”ƒ–‹‘ ƒ† ƒ†‹‹•–”ƒ–‹˜‡ ’”‘…‡••Ǥ ƒ–ƒ …‘ŽŽ‡…–‡† ‹…Ž—†‡† –Š‡ –‘–ƒŽ —„‡” ‘ˆ Š‹Ž†”‡ •‡”˜‡† „› –Š‡ ‘„‹Ž‡ …Ž‹‹… ƒ† –‘–ƒŽ —„‡” ‘ˆ ˜ƒ…‹‡• ƒ†‹‹•–‡”‡† • ‡ƒŽ–Š †‡’ƒ”–‡– †ƒ–ƒ …‘ŽŽ‡…–‡† ˆ”‘ –Š‡ –ƒ–‡™‹†‡ —‹œƒ–‹‘ Ž‹‡ ‡–™‘” ȋ Ȍ • —–’ƒ–‹‡– Š‘•’‹–ƒŽ „ƒ•‡† ’‡†‹ƒ–”‹… …Ž‹‹… †ƒ–ƒ ™ƒ• ’—ŽŽ‡† ˆ”‘ –Š‡ ‡Ž‡…–”‘‹… ‡†‹…ƒŽ ”‡…‘”†• —–‹Ž‹œ‹‰ –Š‡ •’‡…‹ˆ‹… †ƒ–‡• ƒ† ƒ‰‡ ”ƒ‰‡• ˆ‘” –Š‡ •–—†› • ”‹˜ƒ–‡ ’”ƒ…–‹…‡ †ƒ–ƒ ™ƒ• ’—ŽŽ‡† ˆ”‘ –Š‡ ‡Ž‡…–”‘‹… ‡†‹…ƒŽ ”‡…‘”†• —–‹Ž‹œ‹‰ –Š‡ †ƒ–‡• ‘ˆ –Š‡ •–—†›ǡ –Š‡ ƒ‰‡ ”ƒ‰‡ǡ ƒ† …‘†‡• ͻͲͶ͸Ͳ ƒ† ͻͲͶ͸ͳǡ …‘†‡• •’‡…‹ˆ‹…ƒŽŽ› ˆ‘” ˜ƒ…‹‡ ƒ†‹‹•–”ƒ–‹‘ • ‘ŽŽ‡…–‡† †ƒ–ƒ ˆ”‘ ‡ƒ…Š ‡–‹–› ‹…Ž—†‡† –‘–ƒŽ —„‡”• ˆ‘” „‘–Š †ƒ’ ƒ† ˜ƒ…‹‡ Analysis • ‘–ƒŽ —„‡” ‘ˆ †ƒ’ †‘•‡• ȋƒ†ƒ–‘”› ˜ƒ…‹‡ ”‡“—‹”‡† ˆ‘” ‹††Ž‡ •…Š‘‘Ž ‡–”›Ȍ ƒ† –Š‡ –‘–ƒŽ —„‡” ‘ˆ „‘–Š ˆ‹”•– ‘” •‡…‘† †‘•‡• ™ƒ• …ƒŽ…—Žƒ–‡† ˆ‘” ‡ƒ…Š •‹–‡ • ”‘’‘”–‹‘ ‘ˆ ’ƒ”–‹…‹’ƒ–• –Šƒ– ”‡…‡‹˜‡† –Š‡ †ƒ’ ƒ† –Š‡ –Š‘•‡ –Šƒ– ”‡…‡‹˜‡† ‡‹–Š‡” ˆ‹”•– ‘” •‡…‘† †‘•‡ ‘ˆ ™‡”‡ …ƒŽ…—Žƒ–‡† Objective/Hypothesis

• ƒ•‡† ‘ –Š‡ –‘–ƒŽ —„‡”• ‘ˆ ˜ƒ…‹‡• ƒ†‹‹•–‡”‡† „› –Š‡ ‘„‹Ž‡ Ž‹‹…ǡ –Š‡ ’ƒ”–‡”•Š‹’ „‡–™‡‡ ƒ† ™ƒ• ƒ„Ž‡ –‘ ’”‘˜‹†‡ ‡‡†‡† ˜ƒ…‹‡• –‘ •–—†‡–• –Š”‘—‰Š‘—– ’ƒ”–ƒ„—”‰ ‘—–› • ˜‡ ™‹–Š‹ –Š‡ •‹‰‹ˆ‹…ƒ–Ž› •Š‘”–‡‡† –‹‡ ˆ”ƒ‡ǡ –Š‡ ‘„‹Ž‡ …Ž‹‹…• ”‡…‡‹˜‡† –Š‡ Š‹‰Š‡•– —„‡” ‘ˆ –‘–ƒŽ ˜ƒ…‹‡ …‘—–• ˆ‘” „‘–Š †ƒ’ ƒ† ‹†‹˜‹†—ƒŽŽ› ƒ† …‘„‹‡† ˆ‘” –Š‡ —„‡” ‘ˆ ˜ƒ…‹‡• ƒ†‹‹•–‡”‡† …‘’ƒ”‡† –‘ ƒŽŽ ‘–Š‡” ‰”‘—’• ™‹–Š‹ –Š‹• •–—†› • Š‡ ’‡”…‡–ƒ‰‡ ‘ˆ •–—†‡–• –Šƒ– ”‡…‡‹˜‡† –Š‡‹” ˆ‹”•– †‘•‡ ˜ƒ…‹‡ ˆ”‘ –Š‡ ‘„‹Ž‡ …Ž‹‹… ‹• ƒŽ•‘ …‘’ƒ”ƒ„Ž‡ –‘ ‘–Š‡” ‰”‘—’• • ‘’ƒ”‡† –‘ ƒŽŽ –Š‡ ‘–Š‡” •‹–‡• ‡šƒ‹‡† ‹ –Š‡ •–—†›ǡ –Š‡ ‘„‹Ž‡ …Ž‹‹… ™ƒ• ƒ„Ž‡ –‘ ƒ†‹‹•–‡” ‘”‡ †ƒ’ ƒ† ˜ƒ…‹‡• ˆ”‘ ’”‹Ž ʹͲʹͳǦ ƒ› ʹͲʹͳ –Šƒ ƒŽŽ ‘–Š‡” •‹–‡• ˆ”‘ —‰—•– ʹͲʹͲǦ ƒ› ʹͲʹͳ • – …ƒ ƒŽ•‘ „‡ ‡š’‡…–‡† –Šƒ– –Š‡ ‘„‹Ž‡ …Ž‹‹… Šƒ† ƒ Ž‘™‡” ’”‘’‘”–‹‘ ‘ˆ •–—†‡–• ”‡…‡‹˜‹‰ –Š‡ ˜ƒ…‹‡ ˆ‘ŽŽ‘™‹‰ –Š‡‹” †ƒ’ ˜ƒ…‹‡ †—‡ –‘ –Š‡ ’”‹ƒ”› ’—”’‘•‡ ‘ˆ –Š‡ …Ž‹‹… „‡‹‰ –‘ ’”‘˜‹†‡ ƒ†ƒ–‘”› ˜ƒ…‹ƒ–‹‘• –‘ –Š‡ •–—†‡–• Ǥ Limitations • ‘–Š ’‡†‹ƒ–”‹… …Ž‹‹…• ƒ† –Š‡ Š‡ƒŽ–Š †‡’ƒ”–‡– ‘ˆˆ‡” –Š‡ ‘’–‹‘ƒŽ ˆ‹”•– †‘•‡ ƒ– ‹‡ ƒ† •‡…‘† †‘•‡ ˆ‘ŽŽ‘™‹‰ ƒ– ƒ‰‡ –‡Ǥ Š‡”‡ ™‡”‡ •–—†‡–• ‹ –Š‹• •–—†› –Šƒ– Šƒ† …‘’Ž‡–‡† „‘–Š †‘•‡• ƒ† ™‡”‡ ‘– ‹…Ž—†‡† ™‹–Š‹ –Š‡ ˜ƒ…‹ƒ–‹‘ …‘—–• ƒ• –Š‡› Šƒ† ƒŽ”‡ƒ†› ”‡…‡‹˜‡† –Š‡‹” †‘•‡• ’”‹‘” –‘ –Š‡‹” †ƒ’ †‘•‡Ǥ Š‡ ‘˜‡Ž ‘„‹Ž‡ Ž‹‹… ’”‘˜‡† ‹–•‡Žˆ ƒ ƒ••‡– –‘ –Š‡ ˜ƒ…‹ƒ–‹‘ ‡ˆˆ‘”–• ‘ˆ –Š‡ ’ƒ”–ƒ„—”‰ …‘—‹–› ™‹–Š ƒ ƒ††‡† „‡‡ˆ‹– ‘ˆ …‘˜‡‹‡…‡ ƒ† ’‘–‡–‹ƒŽ ”‡†—…–‹‘ ‘ˆ „ƒ””‹‡”• –‘ …ƒ”‡ ’”‡•‡– ™‹–Š‹ ‘–Š‡” Š‡ƒŽ–Š …ƒ”‡ †‡Ž‹˜‡”› ‡–Š‘†•Ǥ —–—”‡ ™‘” ‹• ‡…‡••ƒ”› ’‘•–Ǧ’ƒ†‡‹… –‘ †‡–‡”‹‡ ‹ˆ –Š‡ •—…‡•• ‘ˆ –Š‡ ‘„‹Ž‡ Ž‹‹… ™ƒ• †—‡ –‘ ‡‹–Š‡” …Ž‘•—”‡ ‘ˆ ‡†‹…ƒŽ ‘ˆˆ‹…‡•ǡ …‘˜‡‹‡…‡ ‘” ‡ƒ•‡ ‘ˆ ƒ…‡••ǡ †‡…”‡ƒ•‡† „ƒ””‹‡”• –‘ …ƒ”‡ǡ ‘” ’Š‘„‹ƒ ‘ˆ ‡†‹…ƒŽ ‘ˆˆ‹…‡• ƒ† …‘–”ƒ…–‹‰ Ǧͳͻ ™ƒ• –Š‡ †”‹˜‹‰ ˆƒ…–‘” –‘ –Š‡ •—…‡•• ‘ˆ –Š‡ ‘„‹Ž‡ Ž‹‹…•Ǥ

Table 1: Total Number of Vaccines Administered by Method of Vaccine Delivery ȗ ‘–‡ǣ Š‹• ˜ƒŽ—‡ ‘Ž› ‹…Ž—†‡• ˆ‹”•– †‘•‡ ˜ƒ…‹‡•Ǣ ™Š‡”‡ƒ• –Š‡ ‘–Š‡” ‰”‘—’• ‹…Ž—†‡ „‘–Š ˆ‹”•– ƒ† •‡…‘† †‘•‡• ‘ˆ –Š‡ ˜ƒ…‹‡Ǥ

Outpatient Hospital Affiliated Pediatric Office

VCOM Mobile Clinic

Health Department

Private Pediatric Office

Total Tdap Doses Total HPV Doses Percentage of 11-12 year-old receiving Tdap who then received an HPV dose

279

79

64

177

189*

53*

67

81

67.74%

67.09%

100%

45.76%

Š‡ ’”‘’‘”–‹‘ ‘ˆ •–—†‡–• –Šƒ– ‘’–‡† –‘ ”‡…‡‹˜‡ ƒ †‘•‡ ‘ˆ –Š‡ ˜ƒ…‹‡ ƒˆ–‡” ”‡…‡‹˜‹‰ –Š‡ †ƒ’ ˜ƒ…‹‡ ˜ƒ”‹‡† „‡–™‡‡ ‡ƒ…Š ‰”‘—’Ǥ Š‡ ‘—–’ƒ–‹‡– Š‘•’‹–ƒŽ „ƒ•‡† ’‡†‹ƒ–”‹… …Ž‹‹… Šƒ† –Š‡ Ž‘™‡•– ’”‘’‘”–‹‘ ‘ˆ ’ƒ–‹‡–• ”‡…‡‹˜‹‰ ƒˆ–‡” –Š‡‹” †ƒ’ „‘‘•–‡” ƒ– ͶͷǤ͹͸ΨǤ ‘™‡˜‡”ǡ ͹ͶΨ ‘ˆ –Š‡ ’ƒ–‹‡–• –Šƒ– †‹† ‘– ”‡…‡‹˜‡ ƒ ˜ƒ…‹‡ †—”‹‰ ‘—” •–—†› –‹‡ ˆ”ƒ‡ Šƒ† ƒŽ”‡ƒ†› ”‡…‡‹˜‡† –Š‡ ‡–‹”‡ ˜ƒ…‹‡ •‡”‹‡• „‡…ƒ—•‡ ’ƒ–‹‡–• ƒ– –Š‹• ’”ƒ…–‹…‡ „‡‰‹ ˜ƒ…‹ƒ–‹‘ ƒ– ƒ‰‡ ͻǤ

Private pediatric practice ǣ ͷ ƒ††‹–‹‘ƒŽ ’ƒ–‹‡–• –Šƒ– ”‡…‡‹˜‡† –Š‡ †ƒ’ ˜ƒ…‹‡ ™‡”‡ ‡Ž‹‰‹„Ž‡ ˆ‘” –Š‡‹” ˆ‹”•– †‘•‡Ǣ Š‘™‡˜‡”ǡ –Š‡› Šƒ† ’”‹˜ƒ–‡ ‹•—”ƒ…‡ ƒ† ”‡…‡‹˜‡† ƒ ’”‡•…”‹’–‹‘ ˆ‘” –Š‡ ˜ƒ…‹‡ –‘ „‡ ƒ†‹‹•–‡”‡† ƒ– ƒ Ž‘…ƒŽ ’Šƒ”ƒ…›Ǥ ˆ –Š‘•‡ ”‡…‡‹˜‹‰ †ƒ’ǡ ͷͻ ™‡”‡ ‡Ž‹‰‹„Ž‡ ˆ‘” –Š‡‹” ˆ‹”•– †‘•‡ǡ ƒ† Ͷʹ ’ƒ–‹‡–• †‹† ”‡…‡‹˜‡ –Š‡‹” ˆ‹”•– †‘•‡ ‘ˆ –Š‡ ˜ƒ…‹‡Ǥ ͳ͵ ’ƒ–‹‡–• –Šƒ– ”‡…‡‹˜‡† –Š‡‹” •‡…‘† †‘•‡ ‘ˆ –Š‡ ˜ƒ…‹‡ ƒŽ•‘ ”‡…‡‹˜‡† –Š‡‹” ˆ‹”•– †‘•‡ ™‹–Š‹ –Š‡ •ƒ‡ –‹‡ ˆ”ƒ‡ ‘ˆ †ƒ–ƒ …‘ŽŽ‡…–‹‘ Outpatient hospital affiliated pediatric office: ˆ –Š‡ ͳ͹͹ ’ƒ–‹‡–• –Šƒ– ”‡…‡‹˜‡† –Š‡ †ƒ’ ˜ƒ…‹‡ǡ ͻ͸ ’ƒ–‹‡–• †‹† ‘– ”‡…‡‹˜‡ ƒ› ˜ƒ…‹‡Ǥ ˆ –Š‡ ͻ͸ ’ƒ–‹‡–• ”‡…‡‹˜‹‰ †ƒ’ –Šƒ– †‹† ‘– ”‡…‡‹˜‡ –Š‡ ˜ƒ…‹‡ǡ ͹ͳ Šƒ† ƒŽ”‡ƒ†› …‘’Ž‡–‡† –Š‡‹” ˜ƒ…‹ƒ–‹‘ •‡”‹‡•Ǥ ˆ –Š‡ ‘–Š‡” ʹͷ ’ƒ–‹‡–• ‘– ‰‹˜‡ –Š‡ ˜ƒ…‹‡ –Šƒ– Šƒ† ”‡…‡‹˜‡† †ƒ’ǡ ͵ Šƒ† ”‡…‡‹˜‡† ‘‡ †‘•‡ ‘ˆ –Š‡ ˜ƒ…‹‡ ’”‹‘” –‘ –Š‡‹” ˜‹•‹–ǡ ƒ† ‘Ž› ʹʹ ‘ˆ –Š‡ ͳ͹͹ ’ƒ–‹‡–• –Šƒ– ”‡…‡‹˜‡† †ƒ’ Šƒ† ”‡…‡‹˜‡† ‘ †‘•‡• ‘ˆ –Š‡ ˜ƒ…‹‡

References

Table 2: Total Number of Vaccines Administered by Pediatric Offices

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Outpatient Hospital Affiliated Pediatric Office

Private Practice

Total Number of Patients Total Tdap Doses Total First Dose of HPV Total Second Dose of HPV

81

457

‡ –Šƒ ƒŽŽ –Š‡ ’Ž‘›‡‡•ǡ …Š‘‘Ž —”•‡•ǡ ƒ† ‘Ž—–‡‡”• ™Š‘ Š‡Ž’‡† ƒ‡ –Š‡•‡ …Ž‹‹…• ’‘••‹„Ž‡Ǥ —‡ –‘ –Š‡ ƒ–—”‡ ‘ˆ –Š‹• •–—†› „‡‹‰ •‘Ž‡Ž› †‡Ǧ‹†‡–‹ˆ‹‡† ˜ƒ…‹ƒ–‹‘ †ƒ–ƒ ’”‘˜‹†‡† ˆ”‘ ‡ƒ…Š ‘ˆ –Š‡ ˜ƒ”‹‘—• ‡–Š‘†• ‘ˆ †‡Ž‹˜‡”›ǡ –Š‹• •–—†› ™ƒ• ‡š‡’– ƒ† …‘•‡– ™ƒ• ‘– ”‡“—‹”‡†Ǥ ƒ’’”‘˜ƒŽ ™ƒ• ‰”ƒ–‡† ‘ ƒ”…Š ʹͶǡ ʹͲʹʹǡ „› –Š‡ †™ƒ”† ‹ƒ ‘ŽŽ‡‰‡ ‘ˆ •–‡‘’ƒ–Š‹… ‡†‹…‹‡ •–‹–—–‹‘ƒŽ ‡˜‹‡™ ‘ƒ”† ‹ Žƒ…•„—”‰ǡ ‹”‰‹‹ƒǤ Š‡ —„‡” ƒ••‹‰‡† –‘ –Š‹• •–—†› ‹• ͳͺʹͻͷͶͺǦʹǤ ‘ ˆ—†‹‰ ™ƒ• ”‡“—‹”‡† ˆ‘” –Š‹• •–—†›Ǥ . Acknowledgements

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2 0 2 3 R e s e a r c h R e c o g n i t i o n D a y