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Immunization Action Coalition
IAC Express 2008
Issue number 727: April 28, 2008
 
Contents of this Issue
Select a title to jump to the article.
  1. CDC reminds parents of the importance of immunization and urges them to seek information from their child's doctor
  2. Updated Pink Book now available for purchase and downloading
  3. Updated and online: CDC's webcast toolkit on vaccine storage and handling
  4. CDC issues an important update on Hib vaccine shortage
  5. Update: IAC revises three popular immunization resources
  6. CDC experts update online "Ask the Experts" topics on General Immunization, Hepatitis A, and Hepatitis B
  7. VIS translations: VISs for varicella, meningococcal, and MMR vaccines now available in Turkish
  8. Parents PACK newsletter covers vaccine mandates and individual liberties, as well as U.S. measles outbreaks
  9. NCIRD annual report for 2008 available online
  10. Draft recommendations of the Immunization Safety Office Scientific Agenda now online
  11. World Hepatitis Day is May 19
  12. Important: Be sure to give influenza vaccine throughout the influenza season--through the spring months
  13. CDC updates its Seasonal Flu web section
  14. Hepatitis B Foundation's B Informed patient conference scheduled for June 27-28 in Los Angeles
  15. Viral Hepatitis Prevention Board updates its website with new meeting report
  16. Points Across conference, "Collaborations That Work, Partnerships That Last," scheduled for May 14 in Baltimore
 
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.
  
Issue 727: April 28, 2008
1.  CDC reminds parents of the importance of immunization and urges them to seek information from their child's doctor

On April 24, CDC issued a press release titled "National Infant Immunization Week Reminds Parents of the Importance of Immunizations and Encourages Them to Look to Their Child's Doctor for Information: More than twenty percent of children not fully protected against vaccine-preventable disease." Portions of the press release are reprinted below.


The U. S. Department of Health and Human Services (HHS) and the Centers for Disease Control and Prevention (CDC) will launch National Infant Immunization Week (NIIW) with events beginning April 19 and continuing through April 26, 2008.

Parents, caregivers, and healthcare providers will be reminded during NIIW of the benefits of vaccination and the importance of routine childhood vaccination. One focus will be encouraging parents to become informed medical consumers by talking to their healthcare providers and asking them questions about vaccines.

"Immunization has been cited as one of the ten great public health achievements of the 20th century. We can now protect children from more vaccine-preventable diseases than ever before," said Dr. Anne Schuchat, director of the National Center for Immunization and Respiratory Diseases. "More than four million children are born each year in the U.S. and each one will need to be vaccinated. We prevent millions of cases of disease and thousands of deaths when we vaccinate them."

There are now vaccines to protect children against 15 diseases before age two. Despite recent gains in infant immunization coverage, more than 20 percent of the nation's two-year-olds are not fully immunized against infectious diseases to which they are especially vulnerable.

"A substantial number of children in the United States still aren't adequately protected from vaccine-preventable diseases," said Dr. Schuchat. "The suffering or death of even one child from a vaccine-preventable disease is an unnecessary human tragedy. Let us renew our efforts to ensure that no child, adolescent, or adult will have to needlessly suffer from a vaccine-preventable disease."

The number of cases of most vaccine-preventable diseases and deaths is at an all time low. Vaccination programs in the United States have contributed to the elimination of many vaccine-preventable diseases and have greatly reduced the incidence of most other vaccine-preventable diseases.

"Infants are more vulnerable to many diseases than older children and adults," said Dr. Schuchat. "Yet it's important for adults to also be vaccinated to keep themselves healthy and to keep from spreading infections to vulnerable people, including children."

Although vaccines have drastically reduced vaccine-preventable diseases, they are still circulating in many parts of the world and the United States can see a return of these diseases if we don't maintain high vaccine coverage levels. Diligent efforts are required to ensure our immunization programs remain strong  to protect our children. . . .

For more information please visit www.cdc.gov/vaccines or call (800) 232-4636.

To access the press release, go to:
http://www.cdc.gov/od/oc/media/pressrel/2008/r080424.htm

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2 Updated Pink Book now available for purchase and downloading

The Tenth Edition of the Pink Book, formally titled "Epidemiology and Prevention of Vaccine-Preventable Diseases" has been updated and reprinted (second printing). Substantive changes were made to chapters that cover the following: general immunization recommendations, haemophilus influenzae type b, measles, mumps, rubella, varicella, hepatitis A, influenza, meningococcal disease, and human papillomavirus. Several appendices were also revised.

The second printing of Pink Book is available for purchase and downloading:

PURCHASING OPTIONS
To order the second printing online from the Public Health Foundation for $35 (plus shipping and handling), go to:
http://bookstore.phf.org/product_info.php?products_id=552

Order it by phone at (877) 252-1200 (for U.S. calls) or (301) 645-7773 (for international calls); by fax at (301) 843-0159; or by email at phf@tasco1.com

DOWNLOADING OPTIONS
To download chapter files of the Pink Book, go to:
http://www.cdc.gov/vaccines/pubs/pinkbook/pink-chapters.htm

To download a text-only version, go to:
http://www.cdc.gov/vaccines/pubs/pinkbook/pink-text.htm

To access comprehensive information about the second printing, go to: http://www.cdc.gov/vaccines/pubs/pinkbook

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3 Updated and online: CDC's webcast toolkit on vaccine storage and handling

CDC recently updated its excellent webcast toolkit on vaccine storage and handling. Titled "How to Protect Your Vaccine Supply," it covers the following:

  • Cold chain
  • Storage and handling plans
  • Vaccine personnel
  • Storage equipment
  • Storage practices
  • Temperature monitoring
  • Storage troubleshooting
  • Selected biologicals
  • Inventory management
  • Vaccine shipments
  • Preparation and disposal

A CD-ROM will be available in the next several months. IAC Express will alert readers when it is.

To view the webcast, which requires Windows Media Player, go to:
https://www2a.cdc.gov/vaccines/ed/shtoolkit

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4 CDC issues an important update on Hib vaccine shortage

On April 23, CDC issued an update on the current Hib vaccine shortage with the intention that the message be disseminated widely to clinicians, immunization partners, and healthcare professionals. The update is reprinted below in its entirety.


Please remember that revised Hib recommendations are NOT office-specific--these affect the whole country.

Do not give the Hib vaccine booster to healthy children aged 12-15 months. Stocking vaccine to give the booster dose during the shortage can take away from providers who are struggling to provide the primary series. Continue to give booster to high-risk children with asplenia, sickle cell disease, HIV, other immune syndromes, or those who are Alaska American or Native American.

Don't miss an opportunity. Use what vaccine you have when appropriate. Do not turn away patients recommended to receive vaccine during the shortage; more vaccine is coming.

Plan for when the shortage is over. Utilize best practice/recall-reminder systems and review the catch-up schedule:
http://www.cdc.gov/vaccines/recs/schedules/child-schedule.htm#catchup

Manufacturers are working closely with agencies within HHS [Department of Health and Human Services] to address Hib supply issues. CDC will communicate updates on Hib vaccine supply as soon as they are available.


To access the CDC's Hib vaccine update, go to:
http://www.cdc.gov/vaccines/vac-gen/shortages/downloads/hib-flyer-042308.pdf

Following are some CDC resources related to the Hib vaccine shortage:

Flyer for clinicians:
http://www.cdc.gov/vaccines/vac-gen/shortages/downloads/hib-flyer-022008.pdf

Q&A for providers and public health agencies:
http://www.cdc.gov/vaccines/vac-gen/shortages/downloads/hib-faqs-recall-12-12-07.doc

Interim Hib recommendations:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5650a4.htm

Q&A for parents:
http://www.cdc.gov/vaccines/recs/recalls/hib-recall-parents-faqs-12-12-07.htm

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5 Update: IAC revises three popular immunization resources

IAC recently updated three of its most popular immunization resources. They are the "Summary of Recommendations for Adult Immunization," "Vaccinations for Adults: You're NEVER too old to get immunized!" and "Are You 11-19 Years Old? Then you need to be vaccinated against these serious diseases!" Details follow:

On the "Summary of Recommendations for Adult Immunization," content changes were made to the sections on hepatitis A, hepatitis B, and human papillomavirus. Formatting and wording changes were made to other sections.

To access a copy of the revised "Summary of Recommendations for Adult Immunization," go to:
http://www.immunize.org/catg.d/p2011.pdf

The section on human papillomavirus was changed on "Vaccinations for Adults: You're NEVER too old to get immunized!"

To access a copy of the revised "Vaccinations for Adults: You're NEVER too old to get immunized!" go to:
http://www.immunize.org/catg.d/p4030.pdf

The sections on human papillomavirus and influenza were changed on "Are You 11-19 Years Old? Then you need to be vaccinated against these serious diseases!"

To access a copy of the revised "Are You 11-19 Years Old? Then you need to be vaccinated against these serious diseases!" go to:
http://www.immunize.org/catg.d/p4020.pdf

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6 CDC experts update online "Ask the Experts" topics on General Immunization, Hepatitis A, and Hepatitis B

Vaccination experts at CDC recently reviewed and updated information on three of IAC's online "Ask the Experts" Q&A sections. The sections are general immunization, hepatitis A, and hepatitis B. All of IAC's "Ask the Experts" Q&As are reviewed and updated annually. The process is ongoing; IAC Express will inform readers as sections are reviewed and revised.

To access the revised Q&As on general immunization, go to:
http://www.immunize.org/askexperts/experts_general.asp

To access the revised Q&As on hepatitis A, go to:
http://www.immunize.org/askexperts/experts_hepa.asp

To access the revised Q&As on hepatitis B, go to:
http://www.immunize.org/askexperts/experts_hepb.asp

To access the index of "Ask the Experts" sections, go to:
http://www.immunize.org/askexperts

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7 VIS translations: VISs for varicella, meningococcal, and MMR vaccines now available in Turkish

The VISs for varicella vaccine (dated 3/13/08), meningococcal vaccine (dated 1/28/08), and MMR vaccine (dated 3/13/08) are now available in Turkish. IAC gratefully acknowledges Dr. Mustafa Kozanoglu and Dr. Murat Serbest for the translations.

Varicella vaccine VIS
To access Turkish version of the varicella VIS, go to:
http://www.immunize.org/vis/tu_var.pdf

To access English version of the varicella vaccine VIS, go to:
http://www.immunize.org/vis/varic07.pdf


Meningococcal vaccine VIS (interim)
To access Turkish version of the meningococcal vaccine VIS, go to: http://www.immunize.org/vis/tu_men.pdf

To access English version of the meningococcal vaccine VIS, go to: http://www.immunize.org/vis/menin06.pdf


MMR vaccine VIS
To access Turkish version of the MMR vaccine VIS, go to:
http://www.immunize.org/vis/tu_mmr03.pdf

To access English version of the MMR vaccine VIS, go to:
http://www.immunize.org/vis/mmr03.pdf

For information about the use of VISs, and for VISs in more than 30 languages, visit IAC's VIS web section at http://www.immunize.org/vis

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8 Parents PACK newsletter covers vaccine mandates and individual liberties, as well as U.S. measles outbreaks

The April issue of Parents PACK, an electronic newsletter published by the Vaccine Education Center (VEC) of Children's Hospital of Philadelphia, has two articles of interest to parents and health professionals.

The feature article, "Mandates and Individual Liberties," presents a summation of remarks made by Arthur Caplan, PhD, during a panel discussion on vaccine mandates held on March 26 at the Franklin Institute in Philadelphia. Dr. Caplan is the chair of the Department of Medical Ethics at the University of Pennsylvania.

The spotlight article, "Measles Outbreaks in the U.S.," presents information on outbreaks that have resulted from measles importation since January 2008.

To access the April issue of Parents PACK, go to:
https://www.chop.edu/consumer/jsp/division/generic.jsp?id=88171

To view a recording of the March 26 panel discussion on vaccine mandates, go to: http://www2.fi.edu/rss/lecturenotes/index.php

Published monthly, Parents PACK gives VEC a way to communicate directly with parents about vaccination issues, provides parents with vaccination information more regularly than doctor visits can, and gives parents a source for up-to-date immunization information. VEC requests that healthcare professionals tell their patients about Parents PACK and its resources. Encourage parents to visit the following link and to check back often for updates:
http://www.chop.edu/consumer/jsp/division/generic.jsp?id=79354

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9 NCIRD annual report for 2008 available online

Now available online, NCIRD's 2008 annual report can be downloaded in its entirety or in sections.

To access NCIRD's 2008 annual report, go to:
http://www.cdc.gov/vaccines/about/annual-rpts

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10.  Draft recommendations of the Immunization Safety Office Scientific Agenda now online

In response to a 2005 Institute of Medicine (IOM) recommendation, and to guide the Immunization Safety Office's (ISO's) scientific direction, ISO is developing a five-year ISO Scientific Agenda. Draft recommendations are now available in two formats--Microsoft Word and PDF:

To access the draft recommendations in Microsoft Word format, go to:
http://www.cdc.gov/vaccinesafety/00_pdf/agenda_background_080321.doc

To access the draft recommendations in ready-to-print (PDF) format, go to:
http://www.cdc.gov/vaccinesafety/00_pdf/agenda_background_080321.pdf

For additional information on the ISO Scientific Agenda, go to:
http://www.cdc.gov/vaccinesafety/agenda.htm

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11.  World Hepatitis Day is May 19

[The following is cross posted from IAC's Hep Express electronic newsletter, 4/16/08.]

Help promote the first ever global World Hepatitis Day on May 19! Representatives from around the world have been planning this campaign for a year under the umbrella of a new group, the World Hepatitis Alliance (WHA). This day will be a historic event, dedicated to raising awareness of and changing perceptions about the more than 500 million people living with HBV and HCV.

Although the campaign details are not being given to the media until May 19, the organizers are inviting hepatitis organizations to start promoting the campaign and its theme: "Am I Number 12?" This concept was designed not only to communicate the incredible statistic that one in 12 people worldwide has HBV or HCV--which is far higher than the prevalence of HIV or any cancer--but also to encourage people to question themselves and get tested. This inclusive theme is intended to combat the stigma often associated with hepatitis B and C by highlighting the extent of hepatitis viral infection across the world in a memorable way.

Teaser materials with the campaign logo have been developed for distribution by hepatitis groups. To view the teaser materials, visit the National Viral Hepatitis Roundtable website at http://www.nvhr.org/NVHR_World_Hepatitis_Day.htm Please feel free to share this artwork. The high-resolution versions of these materials have been uploaded onto the global campaign FTP site at http://portal.fleishman.com If using the website banner ads, we encourage you to add a hyperlink that links to the global campaign website at http://www.aminumber12.org

If your organization would like to be included on the World Hepatitis Day website, please send your organization logos and website URLs to worldhepday@fleishman.com

An inexpensive, but effective way to show that groups all over the world are involved in raising awareness of chronic viral hepatitis will be to show images of the teasers in recognizable global locations. Global organizers will collate these images into a variety of formats and distribute them to planners throughout the world. If possible, photograph examples of these teaser activities and forward them to the global team as soon as you can. Images should include some global cultural reference (e.g. someone wearing an "Am I Number 12?" tee shirt or carrying "Am I Number 12?" balloons in front of a well-known landmark). Please send your digital images to worldhepday@fleishman.com

Chris Taylor, viral hepatitis program manager, National Alliance of State and Territorial AIDS Directors, serves as the WHA North American representative. You can email Chris with questions at ctaylor@NASTAD.org

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12.  Important: Be sure to give influenza vaccine throughout the influenza season--through the spring months

Influenza is currently circulating, and vaccination should continue through the spring months. Visit the following websites often to find the information you need to keep vaccinating. Both are continually updated with the latest resources.

The National Influenza Vaccine Summit website at http://www.preventinfluenza.org

CDC's Seasonal Flu web section at http://www.cdc.gov/flu

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13.  CDC updates its Seasonal Flu web section

CDC recently updated two pages on its Seasonal Flu web section:

"Questions & Answers: The 2007-2008 Flu Season" (4/18/08)

"Questions & Answers: Influenza Antiviral Drug Resistance" (4/11/08)

To access these resources, go to: http://www.cdc.gov/flu/whatsnew.htm#updated and click on the pertinent link.

To access a broad range of continually updated information on seasonal influenza, avian influenza, pandemic influenza, and swine influenza, go to: http://www.cdc.gov/flu

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14.  Hepatitis B Foundation's B Informed patient conference scheduled for June 27-28 in Los Angeles

[The following is cross posted from IAC's Hep Express electronic newsletter, 4/16/08.]

The 8th Annual B Informed Patient Conference will take place June 27-28. The conference will be held at St. Vincent Medical Center in Los Angeles, in collaboration with the Hepatitis B Information & Support List, the HBV Adoption Support List, and the Asian Pacific Liver Center.

Last year almost 200 patients and family members gathered to attend the informative and supportive two-day conference that focused on the care and management of chronic hepatitis B. Through presentations by experts in the field, interactive Q&A sessions, and multiple workshop sessions, participants learned to live more successfully with chronic hepatitis B and gain new friends at the same time.

For more information on the program and registration, go to:
http://www.hepb.org/patients/patient_conference.htm

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15.  Viral Hepatitis Prevention Board updates its website with new meeting report

[The following is cross posted from IAC's Hep Express electronic newsletter, 4/16/08.]

The Viral Hepatitis Prevention Board (VHPB) website has been updated to include information from the meeting held in Lucca, Italy, March 13-14: "Prevention and Control of Viral Hepatitis: The role and impact of patient and advocacy groups in and outside Europe."

The meeting information is on the home page of the VHPB website at http://www.vhpb.org

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16.  Points Across conference, "Collaborations That Work, Partnerships That Last," scheduled for May 14 in Baltimore

This year's Points Across conference will be held in Baltimore on May 14. Titled "Collaborations That Work, Partnerships That Last," the conference is intended for health promotion professionals interested in initiating and sustaining partnerships as a way of maximizing effectiveness and cutting costs. The conference is a collaboration between the Maryland Partnership for Prevention and the Center for Immunization, Maryland Department of Health and Mental Hygiene.

To access the conference brochure, which includes a registration form, go to:
http://www.edcp.org/pdf/2008_MPP_Points_Across_Brochure.pdf

For additional information, call the Maryland Partnership for Prevention at (410) 902-4677.

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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.