Hepatitis A, B, and C Prevention Programs
Information and Programs for Adults and Adolescents at Risk
 
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Juvenile corrections facilities

 
Yakima County Health District
Program name: Yakima County Health District 
Population served: Juvenile detention/youth
Eligibility: All youth
Region served: Yakima County, WA
Funding: Grants, sponsors, donations
Program started: October 1996
Number of clients: We inservice 30-50 kids/week and average 20 kids/week for immunizations.
Contact: Darlene Agnew
Immunization Program Coordinator
Yakima County Health District
104 North 1st Street
Yakima, WA 98901
Phone: (509) 249-6514
Fax: (509) 575-7894
Email:
darlenea@co.yakima.wa.us
Website: None
Description:

In October 1996, the Yakima Immunization Action Coalition with the Yakima Health District and a group of local organizations, coordinated a pilot project: an in-school hepatitis B immunization clinic for adolescents in Yakima County. The clinic was so well received that we expanded to most of the schools in Yakima County. This was a community effort which included volunteers from the public, sponsors from local businesses, school administrators, school nurses, EMTs, local physicians, and funding from the State of Washington and pharmaceutical companies. We successfully immunized 12,000 adolescents who received all three doses. We did not have one incident, accident, or altercation.

We extended our outreach to the population incarcerated in juvenile detention. These children range from 9-17 years of age. They are not usually in the public school setting. Many have dropped out of school or are attending alternative school.

In October 1996, we contracted to have classes with the juveniles in detention and talk about risk factors and prevention. After spending time with this group of children, it was apparent that they would greatly benefit from hepatitis B immunization. Their crimes ranged from simple truancy to car theft, burglary, shoplifting, assault, weapon use, drug trafficking and drug use, and alcohol abuse. Having unprotected sex with multiple partners is a problem, as is pregnancy.

In July 1997, we began providing hepatitis B immunization to this group. Hepatitis A and adult Td vaccines have recently been added. Hepatitis A immunization was added because Yakima County is one of the top 13 counties in the state for hepatitis A morbidity. To date, over 1,300 children in juvenile detention have been immunized.

This project continues to be a community effort. The program involves Planned Parenthood, as their staff do in-house STD exams and treatment, pregnancy testing, and HIV testing and counseling. The administrators of the juvenile detention facility have provided support and security. Providence Health Communities Alliance provides all the vaccine supplies as well as nursing time. "Tree Top," a local business, supplies apple juice for the kids getting immunizations. Yakima County Health District provides weekly education classes addressing risk factors and prevention for hepatitis A,B,C,D; AIDS; and STDs. The Yakima County Health District is available to assist and support all our other agencies and partners.

We are sure that with ambition and the real passion to help troubled youth, any locale could duplicate these successes. The secret to success is to gather all your unlimited resources and lead the pack. The secret to success is coordination of local resources and the involvement of partners in the community to address problems with a coordinated, cost-effective effort.


Immunization Action Coalition
www.immunize.org
admin@immunize.org
          Hepatitis Prevention Programs
www.hepprograms.org
admin@hepprograms.org

1573 Selby Ave, Ste 234   St Paul, MN 55104   Tel (651) 647-9009   Fax (651) 647-9131