Vaccine Updates in Pregnancy: Prevention, Education, and Outreach for Indigenous Communities | August 27, 2024

Date of Presentation: August 27, 2024

Type: Past Presentation

Audience: Clinical

Program: Care and Access for Pregnant People

Keywords: #contraception #contraceptive care #pregnancy #pregnant #reproductive health #vaccine #vax

In this presentation, LCDR Abby Petrulis, PharmD and Dr. Chelsea Kettering, DrPH, MPH, provide an overview of the latest vaccine updates in pregnancy. LCDR Petrulis and Dr. Kettering discuss recent changes in fall vaccines and updated recommendations from the CDC Advisory Committee on Immunization Practices. Furthermore, they evaluate the ideal timing and recommended immunizations for people of childbearing potential in the antepartum, intrapartum and postpartum periods, and compares various workflow and documentation processes to incorporate immunizations into prenatal care. Finally, they share strategies, best practices, and available resources for the community.

The new Care and Access for Pregnant People ECHO Program includes an opportunity to engage in a didactic presentation, gain insight on how I/T/U facilities may effectively integrate timely pregnancy care, and become part of a learning community.

Recording:

Presented by:

Abigail (Abby) Petrulis, PharmD, MS, BCPS

Clinical Pharmacist | Haskell Indian Health Center

LCDR Abby Petrulis is a board-certified clinical pharmacist with the Indian Health Service. She has a passion for immunizations and was the previous Immunization Coordinator for the Phoenix Indian Medical Center before moving into her current role as a pharmacist integrated into the primary care team at the Haskell Indian Health Center. She is the Chair of the Pharmacists Expanding Vaccine Access Committee, a group of immunization subject-matter experts looking to expand access through vaccine education. On a day-to-day basis, she manages patients with chronic conditions such as diabetes, hypertension, and more while also serving as the Immunization Coordinator for the clinic. When she’s not deep-diving into pharmacokinetic or immunogenicity data, she’s usually kayaking with her dog Minnie.

Chelsea Kettering, DrPH, MPH

Assistant Scientist | Johns Hopkins Center for Indigenous Health

Chelsea joined the Center for Indigenous Health in February 2024 and is an enrolled Dine (Navajo) woman – Deeshchii’nii nishli, Tachii’nii bashishchiin, Kinyaani dashicheii, To’aheedliinii dashinali. She works as an Assistant Scientist within both the Infectious Disease and Social/Behavioral Interventions programs of the Department of International Health.

During the COVID-19 pandemic, Chelsea served as the co-lead Epidemiologist for the Navajo Nation public health team response effort and is dedicated to improving public health outcomes among Indigenous populations. Her previous work also focused upon cancer, vaccine, suicide/mental health, and related cultural-specific programs. She is currently assisting in the Dine Household Water Survey project as the Analysis Lead and Maternal Immunization study.

Chelsea has a Doctor of Public Health (DrPH, 2019) in Epidemiology and a Masters of Public Health (MPH, 2015) in Social and Behavioral Sciences. She recently completed a two-year fellowship with the HEAL Initiative University of California San Francisco Global Health-Hospital Medicine program and earned a Certificate in Spatial Analysis for Public Health from Johns Hopkins Bloomberg School of Public Health in 2023. Outside of work, she is currently on her Six Star Journey to run the six designated World Marathon Majors.

Chelsea is based in Broomfield, Colorado.

CDR Tina Pattara-Lau

Lead Faculty

CDR Tina Pattara-Lau, MD, FACOG, is the Maternal and Child Health Consultant with the IHS Office of Clinical and Preventive Services. In this role, she serves as subject matter expert, develops national programs and policies, and collaborates with federal and community resources to optimize patient access to quality care. She began her IHS career in 2015 as an OB/GYN at Phoenix Indian Medical Center, Parker and Peach Springs Indian Health Centers, and Valleywise Health Medical Center. During the COVID-19 pandemic she developed modified guidelines for OB/GYN care including delivery of telehealth prenatal care, vaccine education for patients, and multidisciplinary simulation training for Obstetric Readiness in the Emergency Department.

Tina graduated from the University of California, Berkeley with degrees in Molecular and Cell Biology and Psychology. She commissioned into the US Public Health Service in 2007 and received her medical degree from the Uniformed Services University of the Health Sciences in 2011. She completed her OB/GYN residency at the Naval Medical Center, San Diego, is board certified, and a fellow of the American College of Obstetricians and Gynecologists

Read the full bio …

Dr. Patricia Capo

Faculty

Dr. Patricia (Tricia) Capo, MD, FACOG, is an ObGyn physician at Alaska Native Medical Center and Southcentral Foundation in Anchorage, Alaska. She graduated from Mayo Clinic Alix School of Medicine and completed her residency training at The Mayo Clinic and Greenville Hospital System in South Carolina. Tricia has an inherent passion for Indigenous women’s health. She is a member of the Minnesota Chippewa Tribe and grew up on the White Earth Reservation in northern Minnesota. As a physician and a patient in the IHS system she hopes to provide a unique perspective and strive for quality care for Indigenous people.

Read the full bio …

Resources Provided:

To Claim CE (Available Following the Session)

Date added: August 15, 2024

Resources

Past Presentation

Vaccine Updates in Pregnancy: Prevention, Education, and Outreach for Indigenous Communities | August 27, 2024

Recording:

Presented by:

Abigail (Abby) Petrulis, PharmD, MS, BCPS

Clinical Pharmacist | Haskell Indian Health Center

Chelsea Kettering, DrPH, MPH

Assistant Scientist | Johns Hopkins Center for Indigenous Health

CDR Tina Pattara-Lau

Lead Faculty

Dr. Patricia Capo

Faculty

Resources Provided:

Northwest Portland Area Indian Health Board
Native BOOST Project Manager

Great Lakes Inter-Tribal Epidemiology Center

Tigua Indian from Ysleta del Sur Pueblo
Good Medicine Tribal Public Health Consulting
Lead Consultant

Crow Nation
Rocky Mountain Tribal Leaders Council
Project Coordinator

CDC Foundation
Tribal Public Health Educator

Rocky Mountain Tribal Leaders Council
Epidemiology Center Director

Diné (Navajo)
Northwest Portland Area Indian Health Board
TEC-IVAC Program Manager

Kauffman & Associates
Graphic Designer

Lummi
Northwest Portland Area Indian Health Board
Maternal Child Health Programs Director
Native BOOST Project Director

Oglala Sioux
Great Plains Tribal Epidemiology Center
Epidemiology and Disease Prevention Program Manager

Diné (Navajo)
Northwest Portland Area Indian Health Board
Native BOOST Provider Expert

Stockbridge-Munsee Band of Mohican Indians
Good Medicine Tribal Public Health Consulting
CEO and Founder

Alaska Native Tribal Health Consortium
Communication Lead

Rosebud Sioux
Great Plains Epidemiology Center
Senior Director

Seminole/Muscogee
Southern Plains Tribal Health Board
Tribal Epidemiology Center Core Program Manager

Southern Plains Tribal Health Board
Epidemiologist

Great Lakes Inter-Tribal Epidemiology Center
Communication Lead

Oglala Lakota
Great Plains Epidemiology Center
EDP Program Director

Cochita Pueblo
Albuquerque Area Tribal Epidemiology Center
Program Director for the Good Health and Wellness in Indian Country Program

Inter-Tribal Council of Arizona
Vaccine Epidemiologist

Great Lakes Inter-Tribal Epidemiology Center
Epidemiologist

	Jason Arion Butler is an enrolled member of the Ute Tribe of Fort Duchesne, Utah and is also part Mojave and Cherokee. He resides in Gibson, Idaho with his wife of 22 years, children, and grandchild who are all enrolled members of the Shoshone-Bannock Tribes. He graduated from Idaho State University with a Bachelor of Arts in Psychology and earned his Master of Science in Family and Human Development from Arizona State University. He has spent the past 5+ years employed by the Shoshone-Bannock Tribes, Tribal Health and Human Services Department, where he spent time serving as the Recovery Service Coordinator for the Four Directions Treatment Center, the manager for the Community Health Representative program, and recently accepted the position of Behavioral Health Manager. He strives to incorporate Native culture, traditions, morals, and values into the healthcare services provided to Native communities, implementing these practices into his work with the Shoshone-Bannock Tribes and advocating for the reconstruction of healthcare practices nationally. Today he says, “I am loving life and am extremely thankful to have found a career path I love.

	Carrie Sampson-Samuels is an enrolled member of the Confederated Tribes of the Umatilla Indian Reservation located in Eastern Oregon. Carrie has an early background in nursing providing patient care in long term and clinical care settings. Carrie then furthered her education in community health and health studies at Portland State University, later advancing her education in healthcare management at Oregon Health and Sciences University while serving in leadership and executive management for a Tribal health organization as the Community Health Director. Carrie has served Tribes from Oregon to Montana and the Treaty 7 Blackfoot Confederacy in Southern Alberta. As the Community Health Aide Project Director for the Northwest Portland Area Indian Health Board, Carrie has provided leadership, advocacy and project management for expansion for the Behavioral Health Aide and Community Health Aide Program under the umbrella and direction of the Tribal Community Health Provider Project. This work has led to the expansion of Tribal Community Health Providers in Washington, Oregon, and Idaho. Carrie is responsible for leading partnerships with the education institutions, key Tribal partner sites, contract experts and advisory workgroups. This includes development of education infrastructure, education curriculum, recruitment strategies, tools for integration of providers into tribal health organizations, and working with state partners to develop policy and infrastructure for provider reimbursement. Carrie manages and writes multiple grants that support all aspects of this work and provides technical assistance support to the Portland Area CHAP Certification Board. Carrie is the proud mother of 4 daughters and resides on a small ranch on her Tribal homelands.

	Dr. Liu is a generalist OB/GYN at Gallup Indian Medical Center. In addition to her medical degree, she holds a PhD in Health Policy. Among other publications, she served as the chief editor for the 2019 Oxford University Press book: “50 Studies Every Obstetrician and Gynecologist Should Know.” She has formal training in Quality Improvement processes through the Partners Clinical Process Improvement Leadership Program (CPIP), which she utilized to implement emergency contraception at Massachusetts General Hospital. During her six years at Gallup Indian Medical Center she has primary responsibility for preparing and reporting of metrics related to the delivery of obstetric care, and serves on the Continuing Medical Education committee.

	Dr. Hoover is from Chicago, where he grew up and went to medical school, at Rush University, on Chicago’s diverse West Side. He was trained in Urology at Boston Medical Center in Boston’s beautiful South End neighborhood. Dr. Hoover went on to pursue fellowship training in voiding dysfunction and laser prostate surgery at Beth Israel Deaconess Medical Center. Dr. Hoover is a Board-Certified Urologist, by the American Board of Urology, having achieved this honor in 2018. Dr. Hoover has several peer-reviewed publications, including research studies and medical illustrations. His family is happy to call Gallup home since the end of 2017. In their free time they like to explore New Mexico’s wilderness and go camping. Now that their two girls are growing up, it’s also imperative that we catch Pokemon wherever we go.Dr. Hoover is the only Urologist in McKinley County, New Mexico, and in any of the surrounding counties– it’s just him between Albuquerque and Flagstaff. He’s happy to continue seeing established patients, and is accepting new patients from the entire region. Dr. Hoover believes in communication, candor, and compassion as essential tenets of patient care. Dr. Hoover is an expert in general Urology, male and female voiding dysfunction, kidney stones and kidney stone surgery, BPH and laser prostate surgery, erectile dysfunction, vasectomy, prostate cancer, bladder cancer, kidney cancer, testicular cancer. Many of the procedures he do as a Urologist are done in the office including: cystoscopy, vasectomy, urodynamics, treatment foroveractive bladder, and many others. Please call/text or email and let him and his staff know how they can help you.

	Eric Wortmann, MD is the former Director of Emergency Medicine at Chinle Comprehensive Health Care Facility. Besides patient care, Eric has a deep passion for mentoring aspiring physicians and health care providers. He was the Education Director of Emergency Medicine at Chinle as well as Adjunct Faculty for the US Army teaching Special Forces Medics. He has been a visiting professor of Emergency Medicine in Haiti and has worked in the Dominican Republic since 1989. Eric has a long-time passion as a mid and long-distance running coach. He has lived on Kauai for 30 years. Currently he divides his time between Northern Italy and Hawaii. Recently he was accepted into Doctors without Borders USA and is awaiting his first assignment.

	Corey Detlefs, MD, FACS, is the Trauma Outreach Director and an Associate Professor of Surgery at the University of Arizona College of Medicine – Phoenix