{"id":9870,"date":"2021-08-10T06:00:07","date_gmt":"2021-08-10T05:00:07","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=9870"},"modified":"2021-08-05T15:26:07","modified_gmt":"2021-08-05T14:26:07","slug":"pop-up-vaccination-centres-at-major-sporting-events-a-valuable-addition-to-the-armoury-capturing-a-difficult-demographic","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2021\/08\/10\/pop-up-vaccination-centres-at-major-sporting-events-a-valuable-addition-to-the-armoury-capturing-a-difficult-demographic\/","title":{"rendered":"Pop-up vaccination centres at major sporting events \u2013 a valuable addition to the armoury, capturing a difficult demographic"},"content":{"rendered":"<p><em><strong>\u201cThe Open\u201d Golf &#8211; a successful example<\/strong><\/em><\/p>\n<p>In the midst of this pandemic it has long been realised that vaccination was the only viable exit from \u2018lockdown\u2019 and\/or interminable cont<img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-9872 alignright\" style=\"font-size: 1rem\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2021\/08\/golf2.jpg\" alt=\"\" width=\"635\" height=\"409\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2021\/08\/golf2.jpg 635w, https:\/\/blogs.bmj.com\/bjsm\/files\/2021\/08\/golf2-300x193.jpg 300w\" sizes=\"auto, (max-width: 635px) 100vw, 635px\" \/><span style=\"font-size: 1rem\">act tracing and local shutdown.<\/span><sup>2<\/sup><span style=\"font-size: 1rem\"> Indeed as well as preventing hospitalisation and death, double vaccination significantly reduces the chance of Long Covid in all age groups.<\/span><sup>3 <\/sup><span style=\"font-size: 1rem\">The UK, as a world leader in vaccine invention and production<\/span><sup>4\u00a0 <\/sup><span style=\"font-size: 1rem\">has mounted a remarkable programme with stepwise capture of tiered risk categories and essential workers.<\/span><sup>2 <\/sup><span style=\"font-size: 1rem\">\u00a0By 28<\/span><sup>th<\/sup><span style=\"font-size: 1rem\"> July this had covered 88% (1<\/span><sup>st<\/sup><span style=\"font-size: 1rem\"> dose) and 71% (2 doses) of the adult population and over 99% of the \u2018particularly vulnerable\u2019. More recently it has been offered to younger age groups where there remains a significant gender gap with males proving to be more difficult to capture<\/span><sup>5<\/sup><span style=\"font-size: 1rem\"> (social media pressure, mixed risk messaging). The latter have not altered but it has become increasingly obvious that travel and concerts\/ festivals and even \u201cThe Open\u201d itself would become dominated by Covid certification<\/span><sup>6 <\/sup><span style=\"font-size: 1rem\">and tempting relevant vaccinees away from their busy lives might prove productive. This is particularly true of young elite sportsmen whose constant travelling and anxiety concerning vaccine side-effects, have hampered their access to vaccination.<\/span><\/p>\n<p>An emergency plan driven by the national situation came to fruition when a local provider (Kent &amp; Medway CCG\u2019s Thanet Primary Care Vaccination Consortium)<sup>7<\/sup> set up a vaccination centre at the entrance to this major sporting event &#8211; hosting up to 32,000 spectators a day. Very clear signage, event messaging and an enviable location served to highlight the availability and an innovative recruitment mechanism maximised numbers. <sup>Fig1&amp;2\u00a0 <\/sup>The latter \u2018high vis clerks\u2019 offered immediate advice (vaccine availability(Pfizer\/AstraZeneca) \/second dose timing) and then booked immediate vaccination or a later \u2018e\u2019 appointment. Vaccinees were identified via NIMS and entered on the PINNACLE vaccination system and gave oral informed(leaflet) consent with appropriate allergy safeguards. They were finally seated for a full 15mins after vaccination for recovery, next to the Event Medical Centre.<\/p>\n<p>1635 individuals were vaccinated, 84% male and 96% under 40 years of age (Pfizer), 8%\u00a0 for 1<sup>st<\/sup> dose and a huge 92% the final 2<sup>nd<\/sup>. Older AstraZeneca\u2019s (4%) were all 2<sup>nd<\/sup> dose. There were no observed serious acute allergic reactions but a handful of patients had vasovagal responses and were placed appropriately on ground beds for recovery. 61 caddies and players were also \u2018captured\u2019 on 2 of the championship days, making up an important pressure group who added to the positive messaging available across the venue and local press.<sup>8<\/sup><\/p>\n<p><span style=\"font-size: 1rem\">A significant number of younger people were able to be vaccinated, much to their surprise and acclimation. The siting, labelling\/messaging and efficiency of capture were clearly major influences on recruitment and hence these numbers. It was clearly an opportunity to access a group that were normally hemmed in by their work and busy lives and continues the vital work of protecting the young even though their true \u2018risk of harm\u2019 has been found to be substantially lower than vulnerable older age groups.<\/span><\/p>\n<p>The players (our sporting icons) and their caddies made highly visible and valuable PR in subsequent press releases and coverage<sup>8<\/sup> , a potentially positive example and influence against any vaccine negativity.<\/p>\n<p>Anecdotal stories spoke of:<\/p>\n<ul>\n<li><em>\u2018really positive to find this here\u2019 <\/em><\/li>\n<li><em>\u2018really efficient \u2013 I was in and out in a flash and could go on and watch my sport\u2019 <\/em><\/li>\n<li><em>\u2018brilliant to find this when I have had real difficulty getting away from work\u2019 <\/em><\/li>\n<li><em>\u2018I wish it would be possible to have the final dose at 3 weeks as it was right at the beginning\u2019<\/em><\/li>\n<li><em>\u2018fantastic to get this done so my safety &amp; golf travel will be facilitated\u2019 <\/em><\/li>\n<\/ul>\n<p>Clearly a similar mechanism could be used at any major \u2018event\u2019 where target groups are likely to be attending. Success is undoubtedly almost guaranteed when organisers pay attention to siting, messaging and easy \u2018capture\u2019.<\/p>\n<p><strong>Acknowledgements<\/strong><\/p>\n<p>The vaccine centres would not have been possible without the professionalism and expertise of a varying group of 12 NHS team members daily from this Consortium. On the ground, administration for entry and certification was facilitated by Laura Kinloch of The R&amp;A and physical siting and set up was organised by the Senior R&amp;A Site Manager Mr Cammie Scott. We are grateful to Julia Walsh (Kent NHS) and Stuart Moffatt (R&amp;A) for their \u2018Comms\u2019 messaging &amp; expertise.<\/p>\n<p><strong>Authors and Affiliations:<\/strong><\/p>\n<p>Dr CG Nevill<sup>1<\/sup>, Dr A Peshen<sup>2<\/sup>, Dr A Murray<sup>3<\/sup>, Mr H Grau<sup>4<\/sup>, Dr D Glover<sup>5<\/sup><\/p>\n<p>1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Chief Medical Officer, \u201cThe Open\u201d &amp; Royal &amp; Ancient, Fife, UK.<\/p>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 GP Operational Lead for Thanet Primary Care Vaccination Consortium, Kent, UK.<\/p>\n<p>3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Chief Medical Officer for European Tour, Senior Covid MO R&amp;A.<\/p>\n<p>4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Statistician &amp; SAGA Site Operations Manager (CARE, Margate &amp; Mocketts Wood PCN).<\/p>\n<p>5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Chief Medical Officer Ladies European Tour, Covid MO R&amp;A.<\/p>\n<p><strong>Conflicts of Interest<\/strong><\/p>\n<p>There are no conflicts of Interest with authors Drs Nevill, Murray and Glover. GPs and staff from the Thanet Vaccination Consortium organise and are paid to run such vaccination centres throughout Thanet, Kent, England.<\/p>\n<p><strong>References<\/strong>:<\/p>\n<ol>\n<li>Young people urged to get jabs \u2013 The Guardian, p1, 26\/7\/2021.<\/li>\n<li>Joint Committee Vaccination and Immunisation -https:\/\/www.gov.uk\/government\/publications\/priority-groups-for-coronavirus-covid-19-vaccination-advice-from-the-jcvi-30-december-2020\/joint-committee-on-vaccination-and-immunisation-advice-on-priority-groups-for-covid-19-vaccination-30-december-2020.<\/li>\n<li>Spector T, Steves C, et al., King\u2019s College, London\/Zoe Long Covid Study: The Hidden Pandemic, Long Covid: https:\/\/institute.global&gt;policy&gt;hidden-pandemic-long covid.<\/li>\n<li>Folegatti PM\u00a0Ewer KJ\u00a0Aley PK\u00a0et al., \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Safety and immunogenicity of the ChAdOx1 nCoV-19 vaccine against SARS-CoV-2: a preliminary report of a phase 1\/2, single-blind, randomised controlled trial. Lancet.\u00a02020;\u00a0396:\u00a0467-478.<\/li>\n<li>NHS Covid Vaccinations Cumulative figures and breakdown \u2013 England.nhs.uk.<\/li>\n<li>DHSC &#8211; NHS COVID Pass &#8211; How to get the NHS COVID Pass and demonstrate your coronavirus (COVID-19) status when travelling abroad and domestically at events and venues in England: updated 26\/7\/2021.<\/li>\n<li>Kent &amp; Medway CCG\u2019s Thanet Primary Care Vaccination Consortium \u2013 Dr A Peshen, Margate &amp; Mocketts Wood Primary Care Network.<\/li>\n<li><a href=\"https:\/\/www.kentandmedwayccg.nhs.uk\/news-and-events\/news\/1635-shots-beat-covid-19-open\">https:\/\/www.kentandmedwayccg.nhs.uk\/news-and-events\/news\/1635-shots-beat-covid-19-open<\/a><\/li>\n<\/ol>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u201cThe Open\u201d Golf &#8211; a successful example In the midst of this pandemic it has long been realised that vaccination was the only viable exit from \u2018lockdown\u2019 and\/or interminable contact tracing and local shutdown.2 Indeed as well as preventing hospitalisation and death, double vaccination significantly reduces the chance of Long Covid in all age groups.3 [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2021\/08\/10\/pop-up-vaccination-centres-at-major-sporting-events-a-valuable-addition-to-the-armoury-capturing-a-difficult-demographic\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":404,"featured_media":9872,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[16129,16068],"class_list":["post-9870","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-covid","tag-featured"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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