Experience implementing a university-based mass immunization program in response to a meningococcal B outbreak

Figures & data

Table 1. Details of MenB immunizations during the 2015 outbreak at the university.

MenB^a Immunizations
Day After Case 1 Diagnosis	Location	Event	Daily Doses, n	Cumulative Doses, n
40	Sports arena, UHC	Surge Clinic	503	503
41	Sports arena, UHC	Surge Clinic	678	1181
42	Sports arena, UHC	Surge Clinic	666	1847
43	Sports arena, UHC	Surge Clinic	638	2485
44	Sports arena, UHC	Surge Clinic	788	3273
47	Sports arena, pharmacy, UHC	Mass Immunization Clinic	898	4171
48	Sports arena, pharmacy,^b UHC	Mass Immunization Clinic	1110	5281
49	Sports arena, pharmacy, UHC	Mass Immunization Clinic	203	5484
50	Sports arena, pharmacy,^b UHC	Mass Immunization Clinic	249	5733
57	Off-campus	Clinic	78	5811
58	Off-campus	Clinic^c	181	5922
83	On-campus	Clinic	126	6118
84	On-campus	Clinic	186	6304
85	On-campus	Clinic	337	6641
90	On-campus	Mini-clinic	17	6658
91	On-campus	Mini-clinic	0	6658
118	Sports arena, pharmacy, UHC	Mass Immunization Clinic	637	7295
119	Sports arena, pharmacy,^b UHC	Mass Immunization Clinic	774	8069
120	Sports arena, pharmacy, UHC	Mass Immunization Clinic	1304	9373
163	On-campus	Orientation clinic	163	9536
167	On-campus	Orientation clinic	199	9735
169	On-campus	Orientation clinic	17	9752
180	On-campus	Orientation clinic	169	9921
184	On-campus	Orientation clinic	202	10,123
187	On-campus	Orientation clinic	184	10,307
191	On-campus	Orientation clinic	180	10,487
195	On-campus	Orientation clinic	20	10,507
198	On-campus	Orientation clinic	158	10,665
202	On-campus	Orientation clinic	151	10,816
264–265	Sports arena, pharmacy,^b UHC	Mass Immunization Clinic	2641	13,457
397–398	Sports arena, pharmacy, UHC	Mass Immunization Clinic	1198	14,665

UHC = University Health Center.

^aMenB-FHbp and MenB-4C combined total.

^bParticipating pharmacies included Safeway, Walgreens, and Albertsons.

^cApartment complex of Case 5.

Table 2. Sequential list of stations employed during mass immunization clinics at the university.

Station	Activity
Immunization check	Pharmacist cross-checked student immunization history with the state vaccine database to determine prior MenB immunization history.
Eligibility check	University employee volunteers confirmed University enrollment for vaccinees.
Forms	Students completed consent forms and were invited to participate in a behavioral study conducted by the State Health Authority.
Form check	Accuracy of consent forms were checked for insurance billing purposes.
Insurance station	Eligible students without health insurance were enrolled in the state-sponsored health plan. Donated vaccine was made available to students without health insurance if ineligible for enrollment in the state-sponsored health plan.
Medical station	Information was provided to students with medical questions about the vaccine. Consultation was provided to students based on responses to a series of prescreening questions.
Immunization station	Pharmacists advised students about potential side effects and completed immunization.
Rest area	Students were advised to rest for 15 minutes following their immunization; volunteers with basic medical experience were available, and snacks and water were provided. Students were invited to participate in a carriage study conducted by the CDC.
CDC carriage study station registration	Nasopharyngeal swabs were collected for meningococcal carriage study. Gift cards were provided to volunteers.
Swag table	Swag items were gifted to encourage participation in upcoming clinics; items included wristbands, pizza, and gift cards redeemable at the University Book Store.

CDC = Centers for Disease Control and Prevention.