Ellen, a PHN, is the program manager for the River City Influenza Immunization Initiative. The program is part of a statewide initiative funded by a 3-year grant from the Massachusetts Department of Public Health. The overall goal of the statewide initiative is to eliminate ethnic and racial disparities in influenza immunization status and to decrease morbidity and mortality from influenza and pneumonia. Ellen’s role in the statewide program is to plan and implement a new initiative in River City to increase influenza immunization rates in Hispanic adults aged 50 years and older. Data from the Department of Public Health indicate that of the 256,400 adults aged 50 years and above in River City, 43% received flu shots last year, well below the statewide average of 67% and the HP2010 objective of 90%. The proportion of the River City population aged 50 and above who were immunized for influenza was much lower among Hispanics (22%) than white (58%) or black (45%) residents. Why do you think the influenza immunization rate for the older Hispanic population is so much lower than for other groups in River City? Ellen has used health status data to identify lower influenza immunization rates among older Hispanics as the community health problem her program will address. What community assets and strengths might be available to address this priority health program and how might Ellen identify them? (Harkness & DeMarco, 2012, pp. 134,136).
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