IAC Express 2009
Issue number 777: February 2, 2009
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Contents of this Issue
Select a title to jump to the article.
  1. MMWR publishes article about 5 Hib cases in children under age 3 in Minnesota, including one death
  2. Every Child By Two issues press release about unvaccinated child who died from Hib meningitis
  3. IAC's Video of the Week stresses the importance of influenza immunization for healthcare personnel
  4. New article on the shifting hypotheses about vaccines and autism available online
  5. CDC releases Spanish-language versions of the 2009 child, adolescent, and catch-up immunization schedules
  6. IAC updates its guides to contraindications and precautions to commonly administered vaccines
  7. Important: Be sure to give influenza vaccine throughout the influenza season--through spring 2009
  8. February 10 is the date for IZTA's teleconference on National Infant Immunization Week
  9. NIH Conference on the Management of Hepatitis B issues final consensus statement
  10. PKIDS launches new website for girls
  11. Don't forget to register for the 2009 National Immunization Conference!
  12. Reminder: Conference on Vaccine Research to be held April 27-29
  13. WHO publishes the December 2008 meeting report of the Global Advisory Committee on Vaccine Safety
 
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 777: February 2, 2009
1.  MMWR publishes article about 5 Hib cases in children under age 3 in Minnesota, including one death

CDC published "Invasive Haemophilus influenzae Type B Disease in Five Young Children--Minnesota, 2008" in the January 30 MMWR. Previously, this information was available in electronic format as an MMWR Early Release and was covered in the January 26 edition of IAC Express.

To access a web-text (HTML) version of the complete article, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5803a4.htm

To access a ready-to-print (PDF) version of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5803.pdf

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

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2 Every Child By Two issues press release about unvaccinated child who died from Hib meningitis

On January 27, Every Child By Two (ECBT) issued a press release in response to the report of five Hib cases, including one death, in Minnesota. The press release follows in its entirety.


Unvaccinated Minnesota Child Dies from Hib Meningitis

Rise in Vaccine Exemptors Leads to Outbreaks of Deadly, Preventable Diseases

January 27, 2009 (WASHINGTON, DC): The Centers for Disease Control and Prevention (CDC) announced last week that five children in Minnesota have been infected with the bacterial infection Haemophilus influenzae type b (Hib) resulting in the death of one and serious complications for the remaining four. Parents chose not to vaccinate three of the infected children, including the child who died. One was too young to have completed the full series and the fifth infant received his primary vaccinations but suffered from an immune disorder which would have qualified him for a booster dose at twelve to fifteen months. The family was unaware of the child's condition and, due to a Hib vaccine shortage, physicians have been asked to defer the booster dose for non-risk children. The CDC still recommends Hib vaccines for all children at two, four and six months of age.

"It is completely unacceptable that a child has died from a vaccine-preventable disease," said Amy Pisani, executive director of Every Child By Two. "How many children must die before parents realize that there are consequences to not immunizing their children? Misinformation about the safety of vaccines, particularly an alleged link to autism, has scared many parents into believing their children are at risk from vaccines. Children are left vulnerable to deadly diseases when not vaccinated on time."

Pediatrician and author Dr. Ari Brown expressed concern over the outbreaks, "These five cases of very serious Hib disease in Minnesota remind us that these diseases are very real and very dangerous," said the author of the popular Baby 411 parenting guides, "It is a reminder that the CDC recommended vaccination schedule protects infants and young children as soon as it is safe to do so. Delaying or staggering vaccines in an 'alternative' schedule leaves the most vulnerable at risk."

"Yet another recent study published in the journal Pediatrics confirmed there is no link between vaccines and autism," said Dr. Deborah Wexler, executive director of the Minnesota-based Immunization Action Coalition. Twelve studies have been conducted worldwide confirming that MMR vaccine does not cause autism and six large studies have demonstrated there is no link between the preservative thimerosal, a preservative formerly used in some vaccines, and autism. "Parents need to trust in the scientific evidence that vaccines are safe, effective, and very necessary – we can't afford to lose one more child due to misguided beliefs about vaccines."

In recent months, officials have also reported outbreaks in cases of measles and pertussis.

Danielle Romaguera, a mother who lost her one month old infant Gabrielle to pertussis, expressed her sadness at the current Hib outbreak, "It's very difficult for my husband and me to learn that another family is suffering because of a preventable disease," she said. Infants too young to be vaccinated like Gabrielle depend on the community for protection to keep the disease at bay. "It is my greatest fear that parents who believe false information about vaccine safety won't immunize their babies and will experience the heartache of having to watch their babies suffer the way Gabrielle did."

Every Child By Two, the Rosalynn Carter/Betty Bumpers Organization for Early Childhood Immunization, works to ensure that all children receive timely immunizations and continues to seek methods to institutionalize vaccine delivery and ensure access to vaccines for all children. For more information, visit http://www.ecbt.org and http://www.vaccinateyourbaby.org

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3 IAC's Video of the Week stresses the importance of influenza immunization for healthcare personnel

In IAC's Video of the Week, FDA urges healthcare facilities to ensure that influenza vaccination programs are available for their personnel.

Vaccinating healthcare workers will decrease the likelihood that they will contract influenza, and also decrease the chance that they will infect others. This is especially important because these personnel often provide care to patients at high risk of serious and even fatal complications if they contract influenza. Of course another benefit of vaccinating staff is that it also protects their families from getting the disease.

Persons who should be immunized include physicians, nursing staff, pharmacists, technicians, emergency personnel, dental personnel, and students. The list also includes those who are not directly involved in patient care, such as clerical, dietary, housekeeping, and security staff.

CDC estimates that only 40% of healthcare workers get the flu vaccine each year. Yet studies have shown that low vaccination rates among health care personnel contribute to influenza outbreaks in healthcare facilities, and this needlessly puts patients at risk. It has also been shown that there is a lower incidence of nosocomial influenza cases in those facilities where staff vaccination rates are higher.

The 2-minute video will be available on the home page of IAC's website through February 8. To access it, go to: http://www.immunize.org and click on the image under the words Video of the Week, which you'll find toward the top of the page. It may take a few moments for the video to begin playing; please be patient!

Remember to bookmark IAC's home page to view a new video every Monday. While you're at our home page, we encourage you to browse around--you're sure to find resources and information that will enhance your practice's immunization delivery.

To view IAC's video collection, go to:
http://www.vaccineinformation.org/video

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4 New article on the shifting hypotheses about vaccines and autism available online

An article titled "Vaccines and Autism: A Tale of Shifting Hypotheses" by Drs. Paul Offit and Jeffrey Gerber is currently available online, courtesy of Clinical Infectious Diseases. The authors discuss the three hypotheses that have been proposed by those claiming a link between vaccines and autism and review the relevant epidemiological evidence.

To access this article in PDF format, go to:
http://www.journals.uchicago.edu/doi/pdf/10.1086/596476

The article will be published in the February 15 print issue of Clinical Infectious Diseases.

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5 CDC releases Spanish-language versions of the 2009 child, adolescent, and catch-up immunization schedules

On February 2, the Spanish-language versions of the 2009 recommended child, adolescent, and catch-up immunization schedules were added to the CDC website at http://www.cdc.gov/vaccines/recs/schedules/child-schedule.htm#sp

The Spanish-language version of the 2009 recommended adult immunization schedule was posted to the CDC website on January 14 and can be accessed directly at http://www.cdc.gov/vaccines/recs/schedules/downloads/adult/2009/adult-schedule-sp.pdf

To access CDC's web page featuring both the child and adult schedules in different formats, go to: http://www.cdc.gov/vaccines/recs/schedules

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6 IAC updates its guides to contraindications and precautions to commonly administered vaccines

IAC recently revised two resources about vaccination contraindications and precautions.

"Guide to Contraindications and Precautions to Commonly Used Vaccines" was updated with changes in wording to TIV and LAIV precautions, changes in abbreviations for PPSV and MCV, a change in wording for zoster vaccine contraindications, and a change in a hepatitis B footnote.

To access the updated piece, go to:
http://www.immunize.org/catg.d/p3072a.pdf

"Guide to Contraindications and Precautions to Commonly Used Vaccines in Adults" was updated with information about arthus in the Tdap section, changes in abbreviations for PPSV and MCV, and a change in wording for zoster vaccine contraindications.

To access the updated piece, go to:
http://www.immunize.org/catg.d/p3072.pdf

IAC's Print Materials web section offers healthcare professionals and the public approximately 250 FREE English-language materials (many also available in translation), which we encourage website users to print out, copy, and distribute widely. To access all of IAC's free print materials, go to: http://www.immunize.org/printmaterials

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7 Important: Be sure to give influenza vaccine throughout the influenza season--through spring 2009

Influenza activity is increasing, and yearly vaccination is the first and most important step in protecting against influenza and its complications. It is important to continue vaccinating into the spring months. The supply of influenza vaccine is robust; if you run out of vaccine in your work setting, please place another order.

For abundant information about influenza vaccination, visit the following two websites often. They 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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8 February 10 is the date for IZTA's teleconference on National Infant Immunization Week

The Immunization Coalitions Technical Assistance Network (IZTA) February 10 conference call will feature representatives from CDC describing plans for the 2009 National Infant Immunization Week (NIIW). Speakers will introduce new educational materials and present tips from successful NIIW programs.

This year is the 15th anniversary of NIIW. Each year NIIW highlights the importance of protecting infants from vaccine-preventable diseases and honors the achievements of immunization programs and their partners in promoting healthy communities. This year NIIW will be held April 25-May 2.

The call will be held at 1PM, ET. To register, send an email to izta@aed.org Include this message: "Sign me up for the NIIW call."

To access earlier programs, go to:
http://www.izta.org/confcall.cfm

IZTA is a program of the Center for Health Communication, Academy for Educational Development.

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9 NIH Conference on the Management of Hepatitis B issues final consensus statement

In October 2008, the National Institutes of Health (NIH) hosted the first Consensus Conference on the Management of Hepatitis B, which brought together an independent panel to weigh the available evidence, make general recommendations, and identify future research needs. The panel's written statement is based on a systematic literature review, expert presentations, and audience commentary. The final consensus statement is now available online and in print form.

To download the report online, go to:
http://consensus.nih.gov/2008/2008HepatitisBCDC120main.htm

To order a print copy of the report, go to:
http://www.meetinglink.org/OMAR/hepb/orderfinal.aspx

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10.  PKIDS launches new website for girls

PKIDS (Parents of Kids with Infectious Diseases) recently created a new website called Pirls, intended for girls ages 11-15. On the site, visitors can listen to music, play games, and ask questions about diseases that can affect them. Information about vaccine-preventable diseases is sprinkled throughout the site, including the games. The goal is to keep the site 90 percent fun and 10 percent educational, with the hope that girls will return often for fun and accidental learning.

To access Pirls, go to: http://www.pirls.pkids.org

PKIDS supports those whose children have been affected by viral hepatitis, HIV/AIDS and other chronic, viral infectious diseases and by educating the public about effective disease prevention practices. To visit their website, go to: http://www.pkids.org

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11.  Don't forget to register for the 2009 National Immunization Conference!

This year's National Immunization Conference will take place in Dallas on March 30-April 2, 2009. The current standard registration fee of $250 is good until March 14. For more information, including the draft agenda and registration information, go to: http://www.cdc.gov/vaccines/events/nic

For additional information, contact the NIC conference planning team at (404) 639-8225 or nipnic@cdc.gov

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12.  Reminder: Conference on Vaccine Research to be held April 27-29

The National Foundation for Infectious Diseases, in collaboration with CDC and 11 other national and international agencies and organizations, is sponsoring the Twelfth Annual Conference on Vaccine Research, April 27-29, 2009, at the Marriott Waterfront Hotel, Baltimore, Maryland. The conference is the largest scientific forum devoted exclusively to the research and development of all vaccines and related technologies for prevention and treatment of disease through immunization.

Additional information about the preliminary program, travel grants, abstract submission, registration, hotel accommodation, and exhibition space is available at http://www.nfid.org/conferences/vaccine09, by email (vaccine@nfid.org), by fax (301) 907-0878, by telephone (301) 656-0003, ext 19, and by mail (NFID, Suite 750, 4733 Bethesda Avenue, Bethesda, MD 20814-5278).

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13.  WHO publishes the December 2008 meeting report of the Global Advisory Committee on Vaccine Safety

On January 30, the WHO publication Weekly Epidemiological Record (WER) published "Global Advisory Committee on Vaccine Safety [GACVS], 17-18, December 2008." An expert clinical and scientific advisory body, GACVS deals independently and with scientific rigor with vaccine safety issues of potential global importance.

At the December meeting the committee reviewed the safety profiles of rotavirus vaccines and human papillomavirus (HPV) vaccines, discussed several vaccine safety alerts in immunization programs supported by WHO, and reviewed the progress of its subgroups.

To access a ready-to-print (PDF) version of the January 30 issue, go to: http://www.who.int/wer/2009/wer8405.pdf

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IZ Express is supported in part by Grant No. 1NH23IP922654 from CDC’s National Center for Immunization and Respiratory Diseases. Its contents are solely the responsibility of Immunize.org and do not necessarily represent the official views of CDC.

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