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Issue 1009
IAC Express: Weekly immunization news and information
Issue 1009: August 14, 2012

TOP STORIES


IAC HANDOUTS

OFFICIAL RELEASES AND ANNOUNCEMENTS

FEATURED RESOURCES

JOURNAL ARTICLES AND NEWSLETTERS

EDUCATION AND TRAINING

CONFERENCES AND MEETINGS



TOP STORIES

CDC reports sharp increase in number of U.S. cases of influenza A (H3N2v) infections and releases information about human contact with pigs
On August 9, Joseph Bresee, MD, chief, Epidemiology and Prevention Branch, Influenza Division, CDC, conducted a press briefing at which he presented updated information on the increase in U.S. influenza A (H3N2v) infections. A transcript of the press briefing is available; a paragraph of it is reprinted below.

In a related move, on August 10, CDC released to its partners some key points about influenza A (H3N2v) infection. In this IAC Express article, a portion of the key points follows the information on the press briefing.

From the transcript of the August 9 press briefing
So as of today, there are 145 confirmed cases of influenza infection with H3N2v virus, since the current outbreaks began in July of this year. This includes one case in Hawaii, one case in Illinois, 113 cases being reported from Indiana, and 30 cases being reported from Ohio. This is clearly a significant increase since last week's total, so we thought it would be good to try to put this into context. Like we reported last week, confirmed cases have had exposure to swine, and most of these infections have occurred in people exhibiting swine, family members of exhibitors, people visiting swine barns at fairs, or people attending fairs where swine are present. The severity of human illness associated with this virus continues to resemble that of seasonal flu. Most cases are mild and self-limited and resolve on their own. Most cases have occurred in children. CDC has not received any report of deaths associated with H3N2v infection, and there have been two confirmed hospitalizations with H3N2v infection so far. Both patients have recovered and have been discharged. 


From the August 10 key points
On August 10, CDC released to its partners some key points about influenza A (H3N2v). A section about preventing transmission from pigs to humans is reprinted below:

Take Action to Prevent the Spread of Flu Viruses Between People and Pigs
  • Wash your hands frequently with soap and running water before and after exposure to animals.
     
  • Never eat, drink or put things in your mouth while in animal areas and don’t take food or drink into animal areas.
     
  • Children younger than 5 years, people 65 years and older, pregnant women, and people with certain chronic medical conditions (like asthma, diabetes, heart disease, weakened immune systems, and neurological or neurodevelopmental conditions) are at high risk from serious complications if they get influenza. These people should consider avoiding exposure to pigs and swine barns this summer, especially if sick pigs have been identified.
     
  • If you have animals–including swine–watch them for signs of illness and call a veterinarian if you suspect they might be sick.
     
  • Avoid close contact with animals that look or act ill, when possible.
     
  • Avoid contact with pigs if you are experiencing flu-like symptoms.
     
  • If you must come in contact with pigs while you are sick, or if you must come in contact with pigs known or suspected to be infected, or their environment, you should use appropriate protective measures (for example, wear protective clothing, gloves, masks that cover your mouth and nose, and other personal protective equipment) and practice good respiratory and hand hygiene.
Related Link

Interim recommendations for the public and healthcare professionals were included in the August 3 CDC Health Advisory titled Increase in Influenza A H3N2v Virus Infections in Three U.S. States

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CDC posts information for clinicians about human infections with H3N2v virus
On August 10, CDC posted Interim Information for Clinicians about Human Infections with H3N2v Virus. It includes sections on the following topics:
  • Background
  • Clinical Presentation and Risk Groups
  • Clinical Diagnosis
  • Clinician Reporting
  • Laboratory Diagnosis and Test Interpretation—Hospital and Clinical Laboratories
  • Laboratory Diagnosis and Test Interpretation—State Public Health Laboratories
  • Clinical Management
  • Vaccination
  • Prevention
  • For More Information
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CDC publishes MMWR Early Release about evaluation of rapid influenza diagnostic tests for detection of H3N2v viruses
On August 10, CDC published Evaluation of Rapid Influenza Diagnostic Tests for Influenza A (H3N2)v Virus and Updated Case Count—United States, 2012 as an MMWR Early Release. The first paragraph is reprinted below.

Previous reports have described cases of influenza A (H3N2) variant (H3N2v) virus infection with the influenza A (H1N1)pdm09 M gene detected in the United States during July 2011–July 2012. This report provides (1) an update on the number of reported cases of H3N2v infections from July 12 to August 9, 2012, in the United States, (2) an updated results interpretation for the CDC Flu Real-Time Reverse Transcription Polymerase Chain Reaction (rRT-PCR) Dx Panel for A (H3N2)v for public health laboratories, and (3) an evaluation of rapid influenza diagnostic tests for the detection of H3N2v viruses.

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Spotlight on immunize.org: influenza section offers one-stop access to vaccination resources Looking for online influenza vaccination resources? Look no further. To help you carry out your influenza vaccination activities this season, IAC’s Influenza web section offers one-stop access to essential materials, resources, and recommendations. In addition, IAC has launched a special section on swine-origin variant H3N2 influenza A virus (H3N2v) to help you stay up to date on the latest developments, official recommendations, and resources related to the recent outbreaks in the United States.

Related Link
Access the Diseases & Vaccines web section for information and resources on vaccine-preventable diseases

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Reminder: CDC's August 16 Immunization Update will cover recent immunization developments
CDC will air Immunization Update 2012 on August 16 from 9 a.m. to 11:30 a.m. ET and will rebroadcast the session on the same day from noon to 2:30 p.m. ET.

The update will cover the following topics:
  • Influenza
  • Pertussis outbreaks and Tdap
  • ACIP recommendations for healthcare personnel
  • Pneumococcal conjugate vaccine for immunocompromised adults
  • Vaccine storage and handling
  • Vaccine Information Statements (VISs) and barcodes
  • Vaccine briefs
Presenters include Iyabode Akinsanya-Beysolow, MD, MPH; Andrew Kroger, MD, MPH; Raymond Strikas, MD, MPH; and JoEllen Wolicki, BSN, RN. All are with CDC's National Center for Immunization and Respiratory Diseases (NCIRD). Other guest experts will participate.

Additional details and registration information are available.

A DVD of the course will be available after September on NCIRD's Education & Training page.

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IAC HANDOUTS

IAC updates two handouts that advise patients with hepatitis C or HIV which vaccinations they need
IAC completely revised and reformatted Vaccinations for Adults with Hepatitis C Infection (formerly titled "If you have hepatitis C, which vaccinations do you need?") and Vaccinations for Adults with HIV Infection (formerly titled "If you have HIV infection, which vaccinations do you need?").

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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IAC updates "Meningococcal Vaccination Recommendations by Age and/or Risk Factor"
IAC updated its new staff-education piece Meningococcal Vaccination Recommendations by Age and/or Risk Factor by adding vaccine trade names that correspond to these meningococcal vaccine abbreviations: MCV4, MCV4-D, and MPSV. The trade names were added near the top of the piece under the title. 

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OFFICIAL RELEASES AND ANNOUNCEMENTS

September 1 is application deadline for  the Epidemic Intelligence Service's July 2013–June 2015 program
CDC published Announcement: Epidemic Intelligence Service Application Deadline—September 1, 2012 in the August 10 issue of MMWR (page 602). The first two sentences of the announcement are reprinted below.

Applications are now being accepted for CDC's July 2013–June 2015 Epidemic Intelligence Service (EIS) program. EIS is a 2-year, postgraduate program of service and on-the-job training for health professionals interested in the practice of epidemiology.

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FEATURED RESOURCES

Pertussis Protection Campaign aims to increase Tdap vaccination of Minnesota's healthcare professionals
The Pertussis Protection Campaign is an innovative project of the Minnesota Academy of Family Physicians Foundation (MAFP/F) in collaboration with the Immunization Action Coalition (IAC). It focuses on increasing Tdap vaccination among Minnesota's family physicians and other healthcare personnel.

The pertussis campaign began in July when MAFP/F conducted a mailing to medical directors and clinic managers at 400-plus family medicine clinics in Minnesota. The campaign urges physicians and other medical staff to set a date to receive Tdap vaccine if they have not already been vaccinated.

To encourage Minnesota physicians and healthcare organizations to participate in the campaign, MAFP/F created a downloadable campaign kit (available at the link above) with links to multiple resources that can help providers carry out the campaign. Professional societies and healthcare systems from other states who are interested in conducting similar campaigns in their states are encouraged to view these online resources.

Questions about the campaign? Contact
Lynn Balfour, Executive Director
Minnesota Academy of Family Physicians Foundation
foundation@mafp.org
(952) 542-0130 or (800) 999-8198

The mission of the Minnesota Academy of Family Physicians Foundation, as the philanthropic arm of the Minnesota Academy of Family Physicians, is to support family physician healthcare delivery, research, and education, and to promote the specialty of family medicine. 

IAC is proud of its association with MAFP/F in this effort.

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American College of Physicians' Guide to Adult Immunization now available as a FREE App
The American College of Physicians (ACP) recently announced that its Guide to Adult Immunization is now available as a free ACP Immunization Advisory App that can be downloaded via iTunes. A free webinar on communicating risks and benefits of vaccination to patients is also available.

Updated in March 2012 and produced by faculty of ACP's Quality Improvement Programs and members of the ACP Adult Immunization Advisory Board, Guide to Adult Immunization (4th Edition: A Team-Based Manual) is intended to help internists develop systematic processes for incorporating immunization in their day-to-day practice.

The complete guide is available electronically at no charge in high- and low-resolution PDF formats. It can also be downloaded in individual sections. To access the guide electronically, click on the first link above.

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JOURNAL ARTICLES AND NEWSLETTERS

July 2012 issue of CDC's Immunization Works newsletter now available
CDC recently released the July 2012 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 made available to national healthcare provider and consumer groups for distribution to their members and constituencies. The immunization information included is non-proprietary and is encouraged to be widely disseminated and shared.

The July issue contains 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

Archived recording of VICNetwork's July 25 "Influenza Update" webinar now available
Did you miss the July 25 VICNetwork webinar titled "Influenza Outlook: Strategies and Plans for the 2012–13 Flu Season"? If so, you can listen to an archived recording and download the slides from the VICNetwork.org website.

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CONFERENCES AND MEETINGS

Archived video broadcast of the June 2012 ACIP meeting now available
ACIP recently posted the archived video broadcast of its June 20–21 meeting.

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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

Our mailing address is
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Copyright (C) 2012 Immunization Action Coalition
All rights reserved.
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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.
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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 August 14, 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.