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2012 Issues
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Issue 1002
IAC Express: Weekly immunization news and information
Issue 1002: July 3, 2012

TOP STORIES

IAC HANDOUTS

FEATURED RESOURCES

JOURNAL ARTICLES AND NEWSLETTERS

EDUCATION AND TRAINING



TOP STORIES

CDC publishes recommendations for use of Tdap vaccine in adults age 65 years and older
CDC published Updated Recommendations for Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis (Tdap) Vaccine in Adults Aged 65 Years and Older — Advisory Committee on Immunization Practices (ACIP), 2012 in the June 29 issue of MMWR (pages 468–470). The first paragraph and the section titled "Guidance for Use" are reprinted below.

Since 2005, the Advisory Committee on Immunization Practices (ACIP) has recommended a tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine booster dose for all adolescents aged 11 through 18 years (preferred at 11 through 12 years) and for those adults aged 19 through 64 years who have not yet received a dose. In October 2010, despite the lack of an approved Tdap vaccine for adults aged 65 years and older, ACIP recommended that unvaccinated adults aged 65 years and older be vaccinated with Tdap if in close contact with an infant, and that other adults aged 65 years and older may receive Tdap. In July 2011, the Food and Drug Administration (FDA) approved expanding the age indication for Boostrix (GlaxoSmithKline Biologicals, Rixensart, Belgium) to aged 65 years and older. In February 2012, ACIP recommended Tdap for all adults aged 65 years and older. This recommendation supersedes previous Tdap recommendations regarding adults aged 65 years and older.

Guidance for Use

Tdap use in adults. ACIP recommends that all adults aged 19 years and older who have not yet received a dose of Tdap should receive a single dose. Tdap should be administered regardless of interval since last tetanus or diphtheria toxoid-containing vaccine. After receipt of Tdap, persons should continue to receive Td for routine booster immunization against tetanus and diphtheria, according to previously published guidelines. Currently, Tdap is recommended only for a single dose across all age groups. ACIP will begin discussions on the need for additional doses of Tdap and timing of revaccination of persons who have received Tdap previously.

Tdap products in adults aged 65 years and older. Providers should not miss an opportunity to vaccinate persons aged 65 years and older with Tdap. Therefore, providers may administer the Tdap vaccine they have available. When feasible, Boostrix should be used for adults aged 65 years and older; however, ACIP concluded that either vaccine [Boostrix or Adacel] administered to a person 65 years or older is immunogenic and would provide protection. A dose of either vaccine may be considered valid.

Tetanus prophylaxis in wound management for adults. As part of standard wound management care to prevent tetanus, a tetanus toxoid–containing vaccine might be recommended for wound management in adults aged 19 years and older if 5 years or more have elapsed since last receiving Td. If a tetanus booster is indicated, Tdap is preferred over Td for wound management in adults aged 19 years and older who have not received Tdap previously.


Looking for ACIP recommendations? You’ll find all of them listed either chronologically by publication date or alphabetically by vaccine.

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"Adult Immunization Resources," listing now available online
Many excellent resources are available to assist adult immunization providers, but it can be challenging to locate the best information to meet specific needs. A new Adult Immunization Resources listing, compiled by IAC and CDC for presentation at the first National Adult Immunization Summit (NAIS) held in Atlanta on May 15–16, is now available on the IAC website.

This listing is the initial step in the development of a searchable database. In the interim, providers may find this online list to be helpful. This information will continue to be updated as new resources are identified.

Related Resources
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Spotlight on immunize.org: seven more healthcare organizations join IAC's Honor Roll
IAC encourages qualifying healthcare organizations to apply for its Honor Roll for Patient Safety. The honor roll recognizes hospitals, medical practices, professional organizations, and government entities that have taken a stand for patient safety by implementing mandatory influenza vaccination policies for healthcare workers. More than 200 organizations are now enrolled.

Since May 22, when IAC Express last reported on the Honor Roll for Patient Safety, the following seven healthcare organizations have been enrolled.

Healthcare organizations
Tri-City Medical Center, Oceanside, CA; Franciscan Alliance, Inc., Mishawaka, IN; CoxHealth, Springfield, MO; Kettering Health Network, Kettering, OH; Tuality Healthcare, Hillsboro, OR; Intermountain Healthcare, Murray, UT; and Children's Hospital of The King's Daughters, Norfolk, VA

Related Links
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Every Child By Two News discusses the Supreme Court's ruling on the Affordable Care Act
On June 28, Every Child By Two News published Supreme Court Rules on Affordable Care Act: Justices Rule Individual Mandate Constitutional. The first two paragraphs are reprinted below.

Supreme Court Rules On Affordable Care Act: Justices Rule Individual Mandate Constitutional

The U.S. Supreme Court issued its ruling today on the constitutionality of the Affordable Care Act. The Justices ruled that the individual mandate—the requirement that most Americans buy health insurance—is constitutional. Without a doubt there is much to consume in the several hundred page decision, including the decision on whether states can be forced to expand Medicaid. What seems clear however is that the individual mandate will be allowable as a tax on citizens.

Vaccination coverage was explicitly addressed in the statute; requiring all health insurers to provide all ACIP recommended vaccinations with no co-payments or other cost sharing requirements (deductibles) when the vaccines are provided by an in-network provider. Health advocates have been preparing for the full implementation of these provisions, including an anticipated reduction in the number of plans "grandfathered" out of the requirements until they make "significant changes" to their plans. Today's decision directly impacts the manner in which Americans of all ages will attain and pay for vaccinations into the future.


Access to the complete article is available.

About Every Child By Two (ECBT)

Founded by Former First Lady Rosalynn Carter and Former First Lady of Arkansas Betty Bumpers in 1991, ECBT works to raise awareness of the critical need for timely immunizations and to foster a systematic way to immunize all of America's children by age two.

Sign up to receive Every Child By Two News.

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CDC reports on progress in U.S. Immunization Information Systems in 2010
CDC published Progress in Immunization Information Systems—United States, 2010 in the June 29 issue of MMWR (pages 464–467).  A press summary of the article is reprinted below.

Immunization information systems (IIS), computerized systems that consolidate vaccination data, are a proven tool to increase vaccination rates. An annual survey of immunization programs shows 82 percent of U.S. children less than 6 years of age participate in IIS, up from 78 percent in 2009. Vaccination provider sites enroll in IIS to share vaccination data and to use IIS functions and features that support vaccine delivery. Provider participation in IIS is essential to ensure providers have access to complete immunization histories for the children they serve. To encourage provider site participation, almost three-quarters of U.S. immunization programs are planning to interface their IIS with VTrckS, CDC’s new national vaccine ordering and inventory management system for publicly purchased vaccine.

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IAC HANDOUTS

IAC revises its staff education piece "Hepatitis A, B, and C: Learn the Differences"
IAC updated its staff education piece Hepatitis A, B, and C: Learn the Differences to reflect ACIP's most recent hepatitis A and B vaccination recommendations.

IAC's Handouts for Patients and Staff web section offers healthcare professionals and the public more than 250 FREE English-language handouts (many also available in translation), which we encourage website users to print out, copy, and distribute widely.

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FEATURED RESOURCES

CDC's "Information for Health Care Professionals about Adolescent Vaccines" is packed with useful material
CDC's four-page fact sheet Information for Health Care Professionals about Adolescent Vaccines focuses particularly on educating healthcare professionals about four vaccines: Tdap, meningococcal, HPV, and influenza. The fact sheet succinctly summarizes the ACIP recommendations for each vaccine; lists the Tdap, meningococcal, HPV, and influenza vaccine products licensed for use in the United States; discusses the possible side effects for each vaccine, and lists contraindications and precautions to consider before vaccination.

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CDC's fact sheets give parents easy-to-understand information about vaccines for preteens and teens
CDC's Preteen and Teen Vaccines web page of print materials houses a selection of plain-language fact sheets intended to give parents easy-to-understand information about four vaccines recommended for preteens and teens. The fact sheets cover the following vaccines and topics:
Fact sheets and other print materials are available in Spanish, Vietnamese, and Korean and for American Indian/Alaska Native populations. CDC plans to post additional print resources to its Preteen and Teen Vaccines web page, so be sure to check back often.

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Reminder: CDC's Pink Book is available in print, online, and as an e-Book
Published in May 2011, the twelfth edition of the Pink Book (formally titled Epidemiology and Prevention of Vaccine-Preventable Diseases) is available in print (softcover) for purchase ($35) from the Public Health Foundation, for free download from the NCIRD Vaccines and Immunizations web page, and in e-reader format from Amazon.com, Google Play, and Barnes and Noble.

The Pink Book provides healthcare professionals with comprehensive information on vaccine-preventable diseases.

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JOURNAL ARTICLES AND NEWSLETTERS

June issue of CDC's Immunization Works newsletter now available
CDC recently released the June issue of its monthly newsletter Immunization Works and posted it on the website of the National Center for Immunization and Respiratory Diseases (NCIRD). The newsletter is provided to national healthcare provider and consumer groups for distribution to their members and constituencies. The immunization information provided is non-proprietary and is encouraged to be widely disseminated and shared.

The June issue includes information about what has been going on in immunization in the past month. Much of it has already been covered in previous issues of IAC Express.

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EDUCATION AND TRAINING

The Immunization Partnership plans July 19 webinar on effectively engaging immunization coalition members
The Immunization Partnership's webinar titled Tools for Effectively Engaging Coalition Members and Stakeholders will take place on July 19 from noon to 1:30 p.m. ET (9 a.m. to 10:30 a.m. PT). Fran Butterfoss, founding president, CoalitionsWork, is one of the presenters. Participation is limited to the first 110 people who register.

The Immunization Partnership

With a focus on the Houston (TX) area, The Immunization Partnership works to eradicate vaccine-preventable diseases by developing and coordinating community resources through public and private partnerships. The organization has three focus areas: support of immunization information systems, advocacy, and education.

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About IAC Express 
The Immunization Action Coalition welcomes redistribution of this issue of IAC Express or selected articles. When you do so, please add a note that the Immunization Action Coalition is the source of the material and provide a link to this issue.
If you have trouble receiving or displaying IAC Express messages, visit our online help section.
IAC Express is supported in part by Grant No. U38IP000589 from the National Center for Immunization and Respiratory Diseases, CDC. Its contents are solely the responsibility of IAC and do not necessarily represent the official views of CDC. IAC Express is also supported by educational grants from the following companies: Baxter Healthcare Corp.; CSL Biotherapies; GlaxoSmithKline; MedImmune, Inc.; Merck Sharp & Dohme Corp.; Novartis Vaccines; Ortho Clinical Diagnostics, Inc.; Pfizer, Inc.; and sanofi pasteur.
IAC Express Disclaimer
ISSN: 1526-1786

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Video of the Week
Video: Founders of ECBT: Betty Bumpers and Rosalynn Carter
Founders of ECBT: Every Child By Two (ECBT) was founded by Former First Lady Rosalynn Carter and Former First Lady of Arkansas Betty Bumpers in 1991. Carter and Bumpers have been working on immunizations since their husbands were governors in the early 1970s and have been credited with the passage of laws mandating school-age vaccination requirements.
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Issue Abbreviations
AAFP, American Academy of Family Physicians; AAP, American Academy of Pediatrics; ACIP, Advisory Committee on Immunization Practices; AMA, American Medical Association; CDC, Centers for Disease Control and Prevention; FDA, Food and Drug Administration; IAC, Immunization Action Coalition; MMWR, Morbidity and Mortality Weekly Report; NCIRD, National Center for Immunization and Respiratory Diseases; NIVS, National Influenza Vaccine Summit; VIS, Vaccine Information Statement; VPD, vaccine-preventable disease; WHO, World Health Organization.
Publication Staff
Editor: Deborah L. Wexler, MD
Managing Editor: Dale Thompson, MA
Associate Editor: Teresa Anderson, DDS, MPH
Editorial Assistant: Janelle Tangonan Anderson
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This page was reviewed on July 3, 2012
 
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This website is supported in part by a cooperative agreement from the National Center for Immunization and Respiratory Diseases (Grant No. 5U38IP000290) at the Centers for Disease Control and Prevention (CDC) in Atlanta, GA. The website content is the sole responsibility of IAC and does not necessarily represent the official views of CDC.