KEYWORDS:
BRFSS, Influenza, Pneumoccocal, adult immunization, census, death statistics, influenza surveillance

BACKGROUND:
Increasing immunization levels of adults 65 years of age and older in Hawaii requires a combination of strategies. One of these strategies is to identify adult under-immunized pockets of need (PON) in order to target intervention efforts. The Hawaii Immunization Program partnered with the Hawaii DOH BRFSS program to identify PON areas in the State of Hawaii using available population-based data sets.

OBJECTIVE(S):
Identify adults under-immunized pockets of need (PON) areas in Hawaii using available population-based data sets.

METHOD(S):
Hawaii BRFSS data, the 2000 U.S. Census, death data, and statewide influenza surveillance information were compiled, analyzed and plotted by GIS spot map.

RESULT(S):
PON areas in Hawaii were identified and ranked in importance by size of the adult population 65 years of age and older. PON area maps will be presented along with the correlation between BRFSS data, the 2000 U.S. Census, death data, and statewide influenza surveillance information in determining immunization levels.

CONCLUSIONS(S):
This is the first time population-based data sets were used to support the use of census, death data and influenza surveillance to determine adult PON areas in Hawaii. Use of these existing data sets can be a cost effective way to determine adult PON areas.

LEARNING OBJECTIVES:
Understand the methods needed to employ population-based data sets in the determination of adult PON areas.