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Understanding Barriers to Establishing Public JYNNEOS Mpox Vaccination Clinics in New Hampshire: Mpox vaccine clinic NH

Published online by Cambridge University Press:  18 September 2024

HeeEun Kang Open the ORCID record for HeeEun Kang [Opens in a new window] ,
Rattanaporn Mahatanan ,
Devin Lee ,
Stephanie Locke ,
Elizabeth A. Talbot  and
Benjamin P. Chan
HeeEun Kang*
Affiliation:
Section of Infectious Disease and International Health, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA Geisel School of Medicine, Dartmouth, Hanover, New Hampshire, USA
Rattanaporn Mahatanan
Affiliation:
Section of Infectious Disease and International Health, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA Geisel School of Medicine, Dartmouth, Hanover, New Hampshire, USA
Devin Lee
Affiliation:
Section of Infectious Disease and International Health, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA Geisel School of Medicine, Dartmouth, Hanover, New Hampshire, USA
Stephanie Locke
Affiliation:
New Hampshire Department of Health and Human Services, Division of Public Health Services, Concord, New Hampshire, USA
Elizabeth A. Talbot
Affiliation:
Section of Infectious Disease and International Health, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA Geisel School of Medicine, Dartmouth, Hanover, New Hampshire, USA New Hampshire Department of Health and Human Services, Division of Public Health Services, Concord, New Hampshire, USA
Benjamin P. Chan
Affiliation:
Section of Infectious Disease and International Health, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA Geisel School of Medicine, Dartmouth, Hanover, New Hampshire, USA New Hampshire Department of Health and Human Services, Division of Public Health Services, Concord, New Hampshire, USA
*
Corresponding author: HeeEun Kang; Email: [email protected]
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Abstract

Objective

2022 - 2023 mpox outbreak necessitated rapid distribution of JYNNEOS vaccines from US Strategic National Stockpile to state and local public health agencies. New Hampshire’s centralized public health structure required partnering with healthcare facilities to reach at-risk persons. Among the 67 organizations contacted to partner with, only 7 established public JYNNEOS vaccine clinics. The study objective was to identify barriers and resources needed for emergency public vaccination.

Methods

In March 2023, mixed-method surveys were developed and sent to 20 non-participating organizations and 7 participating organizations (“vaccine-partners”).

Results

35% (7/20) of non-participating organizations and 100% (7/7) vaccine-partners responded. Non-participating organizations (n = 5) identified lack of staffing (100%) and insufficient provider time or clinical resources (80%) as the most common barriers. Staffing needs reported by non-participating organizations included: administrative (100%); medical doctor or advanced practice practitioner (67%); and registered nurse, medical assistant, or licensed nursing assistant (67%). Vaccine partners reported similar staffing requirements. Estimated additional monthly funding needs were $3,750 for non-participating organizations and $1,680 for vaccine-partners.

Conclusions

A minority of NH healthcare facilities established public JYNNEOS vaccination clinics. The primary barrier was insufficient staffing; additional resources and funding needs were modest. Success of the next emergency vaccination campaign depends on sustained advocacy, resources, and partnership.

Type
Brief Report
Information
Disaster Medicine and Public Health Preparedness , Volume 18 , 2024 , e121
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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