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Immunization Action Coalition
IAC Express 2006
Issue number 632: November 27, 2006
 
Contents of this Issue
Select a title to jump to the article.
  1. New: CDC posts provisional recommendations for use of shingles (herpes zoster) vaccine on the ACIP web section
  2. CDC releases Dear Colleague letter from Dr. Gerberding about National Influenza Vaccination Week
  3. National Influenza Vaccination Week is the time to motivate everyone in your community to get vaccinated; many resources are available to drive the message home
  4. CDC provides guidance for providers without sufficient vaccine to meet demand during National Influenza Vaccination Week
  5. IAC updates its online Ask the Experts information on measles, mumps, rubella, rabies, and meningococcal disease
  6. IAC revises two of its staff education pieces
  7. MMWR publishes information about December 7 satellite broadcast
  8. November issue of CDC's Pandemic Influenza Update now available on IAC's website
 
Abbreviations
AAFP, American Academy of Family Physicians; AAP, American Academy of Pediatrics; ACIP, Advisory Committee on Immunization Practices; CDC, Centers for Disease Control and Prevention; FDA, Food and Drug Administration; IAC, Immunization Action Coalition; MMWR, Morbidity and Mortality Weekly Report; NIP, National Immunization Program; VIS, Vaccine Information Statement; VPD, vaccine-preventable disease; WHO, World Health Organization.
  
Issue 632: November 27, 2006
1.  New: CDC posts provisional recommendations for use of shingles (herpes zoster) vaccine on the ACIP web section

On November 20, CDC posted provisional recommendations for use of shingles (herpes zoster) vaccine on the ACIP web section. The provisional recommendations are reprinted below in their entirety.


ACIP PROVISIONAL RECOMMENDATIONS FOR THE USE OF ZOSTER VACCINE

Date of ACIP vote: October 25, 2006

Date of posting of provisional recommendations: November 20, 2006

Tentative date of publication of recommendations in CDC Morbidity and Mortality Weekly Report: June 2007

On October 25, 2006, the ACIP made policy recommendations for use of live, attenuated varicella zoster virus vaccine for prevention of herpes zoster (shingles) and post-herpetic neuralgia.

Provisional recommendations for prevention of herpes zoster and post-herpetic neuralgia:

  • A single dose of zoster vaccine is recommended for adults 60 years of age and older whether or not they report a prior episode of herpes zoster. Persons with chronic medical conditions may be vaccinated unless a contraindication or precaution exists for their condition.
     
  • Contraindications and precautions to use of zoster vaccine are available at http://www.fda.gov/Cber/label/zosmer052506LB.htm

To access a ready-to-print (PDF) version of the provisional recommendations, go to:
http://www.cdc.gov/nip/recs/provisional_recs/zoster-11-20-06.pdf

All provisional ACIP recommendations can be found at
http://www.cdc.gov/nip/recs/provisional_recs

All published ACIP recommendations can be accessed at
http://www.cdc.gov/nip/ACIP
 

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2 CDC releases Dear Colleague letter from Dr. Gerberding about National Influenza Vaccination Week

On November 21, CDC released a Dear Colleague letter signed by Julie Gerberding, MD, CDC Director, intended for healthcare professionals who provide influenza vaccination. The letter describes the purpose of National Influenza Vaccination Week (NIVW), and encourages providers to offer vaccine to every patient who wishes to be protected against influenza.

The letter recommends that providers schedule additional clinics and/or extend clinic hours when feasible and also let patients know about plans for vaccination opportunities during the coming weeks. Providers who do not have sufficient quantity of the vaccine during NIVW should inform their patients that they can still be vaccinated against influenza after November.

Dr. Gerberding reminds providers: "As long as you have vaccine available, we hope you will offer it to every patient who enters your clinic or office. Even patients who do not typically seek vaccination are often motivated to do so when their provider recommends it. . ."

To access the letter in its entirety, go to:
http://www.ama-assn.org/ama1/pub/upload/mm/36/summit_nivw_gerberdi.pdf

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3 National Influenza Vaccination Week is the time to motivate everyone in your community to get vaccinated; many resources are available to drive the message home

The Department of Health and Human Services (HHS) and CDC have designated the week of November 27-December 3 as National Influenza Vaccination Week (NIVW). Professional societies, federal and state health agencies, and immunization organizations have developed numerous resources to help communities promote NIVW and to assist providers with all aspects of influenza vaccination.

1. The National Influenza Vaccine Summit recently launched http://www.preventinfluenza.org This website offers healthcare professionals, the public, and the media one-stop shopping for resources that encourage and facilitate influenza vaccination throughout December and into the first months of 2007. The website includes recommendations, dosing and vaccine administration resources, toolkits, VISs, standing orders, screening questionnaires, patient-education materials, Medicare billing information, and more. The website is updated frequently, so please visit it often. (And if you have a website, please create a link to http://www.preventinfluenza.org).

It also includes a newsletter published on November 21, describing how local Community Immunization Providers (CIPs), such as the Visiting Nurse Associations of America, are offering to work in partnership with state and local health departments and other healthcare organizations during NIVW. To read the entire article, which lists participating CIPs, go to: http://www.preventinfluenza.org/summit_news_4b.pdf

The Summit's website also provides a link to the American Medical Association's Influenza Vaccine Availability Tracking System, which provides healthcare professionals looking for vaccine with continually updated information on distributors who have vaccine to sell or donate
(http://www.ama-assn.org/ama/pub/category/16919.html).

2. The homepage of CDC's Influenza web section has been completely reformatted and updated to promote influenza vaccination during NIVW and beyond. New information includes two short podcasts for the public that stress the seriousness of influenza disease and the effectiveness of the vaccine. To access the Influenza web section go to: http://www.cdc.gov/flu

The web section also provides a link to a newly developed web page of promotional materials in English and Spanish, such as NIVW television and radio ads and public service announcements that local, county, and state health departments can use during NIVW (some can also be used after NIVW). The web page is located on the website of the National Immunization Coalition TA [technical assistance] Network (a program of the Academy for Educational Development) at http://www.izcoalitionsta.org/category.cfm?id=23

3. Persons looking for an influenza clinic can use the American Lung Association's website to find a clinic in their area. Called the Flu Clinic Locator, the website locates public clinics based on the user's five-digit zip code. The Flu Clinic Locator will remain active as long as public influenza clinics are offered. To access it, go to: http://www.flucliniclocator.org

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4 CDC provides guidance for providers without sufficient vaccine to meet demand during National Influenza Vaccination Week

On November 21, CDC published "Guidance for Providers without Sufficient Vaccine to Meet Demand During National Influenza Vaccination Week (NIVW)." The document is reprinted below in its entirety.


While CDC anticipates an unprecedented number of influenza vaccine doses this season and understands from the manufacturers that the vast majority of doses will be distributed by the end of November, we recognize that many providers didn't receive their vaccine as early in the vaccination season as they would have liked, making it difficult for them to vaccinate all of their patients during October and early November. In addition, some providers may still be awaiting completion of their vaccine orders as NIVW begins. This brief document is intended to provide guidance and suggestions for providers in that situation.

The purpose of NIVW is to emphasize the importance of influenza vaccination and the need to continue vaccination activities beyond Thanksgiving and into December and January, with providers implementing outreach and offering vaccination prior to, during, and following NIVW that are tailored to the patients they plan to serve and the vaccine supply that they have available.

For providers who are concerned that they will not have sufficient vaccine available during NIVW, we recommend using this week to do outreach to patients, letting them know that vaccination opportunities will continue into December and beyond, what those opportunities are, and if needed, to schedule appointments for those opportunities. Providers can also contact their local or state health department to learn about other  healthcare providers and clinics in their communities that are administering influenza vaccine.

If patients reach out to a provider for vaccination and vaccine is not yet available, the importance of this outreach can be positively reinforced with the patient, and information can be shared about the opportunities that the provider is planning for vaccination in the coming weeks. If appointments will be needed for these opportunities, an appointment can also be scheduled. For patients who express concern about the fact that a vaccination isn't immediately available at the time they contact the provider, the following information and talking points are suggested:
  • I appreciate your interest in calling about an influenza vaccination for yourself or your family member.
     
  • Ideally, people should be vaccinated by the end of November, but it is certainly not too late to get the vaccine in December or January in most years. The flu season typically peaks in February or later, so CDC recommends continuing to vaccinate into December, January, and beyond as needed.
     
  • This is why CDC and other groups are sponsoring National Influenza Vaccination Week during the last week of November, to get out the message that continuing to vaccinate beyond Thanksgiving is important to protect Americans against the flu.
     
  • At this time, I am planning to administer the vaccine ________________ (timing and types of vaccination opportunities that are planned) ________.

For providers who have already used their doses and aren't scheduled to receive further shipments, additional vaccine is still available for purchase. Distributors with vaccine for sale have been invited to post vaccine availability at this AMA-sponsored website: http://www.ama-assn.org/ama/pub/category/16919.html

For more information about NIVW, go to the CDC website at: www.cdc.gov/flu

To access the document online, go to:
http://www.cdc.gov/flu/professionals/vaccination/nivwguidance.htm

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5 IAC updates its online Ask the Experts information on measles, mumps, rubella, rabies, and meningococcal disease

The IAC website recently posted updated Ask the Experts information on the following diseases and vaccines: measles, mumps, rubella, rabies, and meningococcal disease. IAC extends thanks to William L. Atkinson, MD, MPH, and Andrew T. Kroger, MD, MPH, for reviewing and revising these Ask the Experts web pages so that they reflect the most current information. Both are medical epidemiologists with CDC's National Center for Immunization and Respiratory Diseases.

To access the measles, mumps, and rubella Ask the Experts, go to:
http://www.immunize.org/catg.d/p2021c.htm

To access the rabies Ask the Experts, go to:
http://www.immunize.org/catg.d/p2021p.htm

To access the meningococcal disease Ask the Experts, go to:
http://www.immunize.org/catg.d/p2021j.htm

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6 IAC revises two of its staff education pieces

IAC recently updated the following education pieces for healthcare professionals:

"Medical Management of Vaccine Reactions in Adult Patients" was recently reformatted. To access a ready-to-print (PDF) version of the reformatted piece, go to:
http://www.immunize.org/catg.d/p3082.pdf

"Vaccine Administration Record for Adults" was changed to include an example page that demonstrates how to record combination vaccines. To access a ready-to-print (PDF) version of the expanded piece, go to:
http://www.immunize.org/catg.d/p2023b.pdf

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7 MMWR publishes information about December 7 satellite broadcast

CDC published "Notice to Readers: Satellite Broadcast: Adult Immunization 2006" in the November 24 issue of MMWR. The article is reprinted below in its entirety.


CDC and the Public Health Training Network will present the satellite broadcast and webcast, "Adult Immunization 2006" on December 7, 2006, at noon EST. The 2.5-hour broadcast will outline vaccine-preventable diseases among adults in the United States, highlight the 20062007 Adult Immunization Schedule, and describe strategies to improve adult vaccination coverage levels. The program will include a discussion of vaccines routinely recommended for adults, including influenza, pneumococcal, Tdap, human papillomavirus, and herpes zoster. The program also will address vaccines recommended for healthcare workers and identify resources for vaccine recommendations for international travel. Participants nationwide can interact with course instructors via toll-free telephone lines during a live question-and-answer session.

Additional information about the program is available at http://www2.cdc.gov/phtn/adult-imm06/default.asp Information for site administrators about establishing and registering a viewing location for groups is available at http://www.cdc.gov/phtnonline This website also is appropriate for individual participants who wish to view the broadcast from a specific location or who seek Continuing Education credit.

No registration is necessary to access the webcast via an Internet connection. The webcast will be available until January 8, 2007, and will become available as a self-study DVD and Internet-based program in February 2007.

To access a web-text (HTML) version of the complete article, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5546a5.htm

To access a ready-to-print (PDF) version of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5546.pdf

To receive a FREE electronic subscription to MMWR (which includes new ACIP statements), go to:
http://www.cdc.gov/mmwr/mmwrsubscribe.html

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8 November issue of CDC's Pandemic Influenza Update now available on IAC's website

CDC recently issued the November issue of the email newsletter Pandemic Influenza Update. To access it, go to: http://www.immunize.org/pandemic/panflu1106.pdf

To access a range of pandemic influenza resources on the IAC website, go to http://www.immunize.org/pandemic

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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.