Home
|
About IAC
|
Contact
|
A-Z Index
|
Donate
|
Shop
|
SUBSCRIBE
Immunization Action Coalition

IAC Express 2010

Issue number 894: October 18, 2010

Please click here to subscribe to IAC Express as well as other FREE IAC periodicals.
Contents of this Issue
Select a title to jump to the article.
  1. AAP publishes recommendation for mandatory influenza immunization of all healthcare personnel
  2. Reminder: All doses of 2009 H1N1 influenza vaccine have expired
  3. Honor Roll updated with an AAP policy statement, NFID statement, healthcare institutions' mandatory influenza vaccination policies, and related editorials
  4. 2010-11 influenza vaccine pocket guides--FREE!--from the National Influenza Vaccine Summit
  5. MMWR publishes report on U.S. tetanus and pertussis vaccination coverage among adults in 1999 and 2008
  6. Spotlight on immunize.org: easy-to-access vaccine package inserts and contact information for vaccine manufacturers
  7. IAC's Video of the Week is a selection of videos of parents' accounts of losing a child to influenza
  8. New DVD for 2010! "Immunization Techniques: Best Practices with Infants, Children, and Adults"--from the California Department of Public Health, Immunization Branch
  9. MMWR publishes report on progress made worldwide toward controlling rubella and congenital rubella syndrome in 2009
  10. HHS presents panel discussion on pregnant women and influenza vaccination as part of its "Know What to Do About the Flu" webcast series
  11. MMWR announces the final vaccination coverage estimates for the 2009-10 influenza season
  12. IAC updates the patient screening questionnaire "Should You Be Tested for Hepatitis C?"
  13. PKIDs offers webinar on using social media to help educate the public, build community, and promote better health
  14. Influenza vaccine VISs now available in Amharic
 
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 894: October 18, 2010
1.  AAP publishes recommendation for mandatory influenza immunization of all healthcare personnel

The October issue of Pediatrics, the journal of the American Academy of Pediatrics (AAP), includes "Policy Statement--Recommendation for Mandatory Influenza Immunization of All Health Care Personnel." A portion of the recommendation's introduction is reprinted below.


Health care-associated influenza outbreaks are a common and serious public health problem that contributes significantly to patient morbidity and mortality and creates a financial burden on health care systems. Annual immunization of health care personnel (HCP) is a matter of patient safety and necessary to significantly reduce health care-associated influenza infections. Immunization rates of 80% or higher are essential for providing the "herd immunity" needed to have a significant impact on transmission of influenza by HCP in medical settings, but overall immunization rates for HCP remain near 40%.

Mandatory immunization is not a novel concept. Many health care facilities currently require specific vaccines and a tuberculin skin test as conditions for working in specific areas of the institution or for employment. Despite the sustained efforts of many organizations to improve influenza immunization rates with the use of voluntary campaigns, influenza coverage among HCP in the United States remains unacceptably low.

Mandatory programs for all HCP should be implemented nationwide. Mandating influenza vaccine for all HCP is ethically justified, necessary, and long overdue. Employees of health care institutions have both ethical and professional obligation to act in the best interests of the health of their patients. . . .

To access the complete recommendation, go to:
http://pediatrics.aappublications.org/cgi/reprint/126/4/809

Back to top
   
2 Reminder: All doses of 2009 H1N1 influenza vaccine have expired

All doses of monovalent 2009 H1N1 influenza vaccine expired on or before September 15, 2010, regardless of the date on the label, and should no longer be administered.

Patients should now be receiving 2010-11 seasonal influenza vaccine, which protects against the pandemic 2009 H1N1 strain as well as two additional strains of influenza.

For more information, go to: http://www.cdc.gov/h1n1flu/vaccination/QA_Central_Vacc_Rcvry_Prog.htm

Back to top
   
3 Honor Roll updated with an AAP policy statement, NFID statement, healthcare institutions' mandatory influenza vaccination policies, and related editorials

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 strengthening mandatory influenza vaccination policies for healthcare workers.

More than 80 organizations are now enrolled.

Since September 7, when IAC Express last reported on the Honor Roll for Patient Safety, a number of new entries have been made.

First, the following two organizations' position statements were added: (1) AAP's policy statement "Recommendation for Mandatory Influenza Immunization of All Health Care Personnel," which was published in the October issue of Pediatrics; and (2) National Foundation for Infectious Diseases' (NFID's) statement in support of mandatory influenza vaccination of healthcare personnel.

Second, nine institutions and two medical practices have enrolled. The latest additions to the honor roll are AnMed Health, Anderson, SC; Atlantic Health Hospitals, Morristown, NJ; Cincinnati Children's Hospital Medical Center, OH; Garland Health Department, TX; Grady Health System, Atlanta, GA; Family HealthCare Center, Fargo, ND; Charleston Area Medical Center, WV; Medical University of South Carolina Medical Center, Charleston, SC; Northern Michigan Regional Health System, Petoskey, MI; Pacific Medical Centers, Seattle, WA; and St. Joseph's Hospital and Health Center, Dickinson, ND.

Third, two editorials were added to the News and Articles section of the honor roll: (1) "Mandate Flu Shots for Health Workers; Ill-informed Objections Shouldn't Trump Patient Safety," Minneapolis StarTribune, September 19, 2010; and (2) "Mandating Influenza Vaccination for Health Care Workers: Putting patients and professional ethics over personal preference" by Gregory A. Poland, MD, MACP, FIDSA, Mayo Clinic; Vaccine, August 16, 2010.

To be included in the honor roll, an organization's mandate must require influenza vaccination for employees and must include serious measures to prevent transmission of influenza from unvaccinated workers to patients. Such measures might include a mask requirement, reassignment to non-patient-care duties, or dismissal of the employee.

To find out specific information on the mandates of the enrolled organizations or to submit your organization's application for the honor roll, go to: http://www.immunize.org/honor-roll

Back to top
   
4 2010-11 influenza vaccine pocket guides--FREE!--from the National Influenza Vaccine Summit

To aid in efforts to vaccinate against influenza, the Immunization Action Coalition is inviting IAC Express readers to place orders now for the National Influenza Vaccine Summit's 2010-11 Seasonal Influenza Vaccination Pocket Information Guides. They're free!

These laminated, 3.75 x 6.75-inch, 2-color cards serve as a convenient reference for front-line healthcare professionals who vaccinate patients. The cards provide the following information:

  • Indications, contraindications, and precautions for the injectable and intranasal seasonal influenza vaccines
  • Clear direction regarding which children need 2 doses of influenza vaccine this year
  • Dosage, route of administration, and indicated age group for all the various seasonal influenza vaccine products
  • Talking points for discussing seasonal influenza vaccination with patients

See an image of the seasonal influenza vaccine pocket guide at http://www.preventinfluenza.org/fluguide/pocketguide_flu.pdf

These pocket guides also serve as a reminder to keep giving seasonal influenza vaccine throughout influenza season (through the spring months).

The Summit is also pleased to be able to offer pocket guides for the administration of pneumococcal polysaccharide vaccine (PPSV). See an image of the PPSV pocket guide at http://www.immunize.org/ppvguide/pocketguide.pdf

Each of these pocket guides is designed to be used by healthcare professionals only; THEY ARE NOT PATIENT HANDOUTS.

HOW TO ORDER
Place your order at http://www.preventinfluenza.org/pocketguides There is no cost for the pocket guides, shipping, or handling within the U.S. Quantities are limited, so to avoid disappointment, place your order today!

If you have questions, email admininfo@immunize.org

BACKGROUND
These pocket guides were developed by, and are being provided under the sponsorship of the National Influenza Vaccine Summit, http://www.preventinfluenza.org The Summit brings together public and private stakeholders to facilitate and promote influenza vaccination. The pocket guides are also distributed by many major medical, nursing, and pharmacist organizations, specialty societies, state health departments, Indian Health Service Area facilities, Quality Improvement Organizations, Visiting Nurse Associations, community vaccinators, and many others.

Thanks for your dedication to immunization, and don't forget to keep vaccinating against seasonal influenza through the spring months!

Back to top
   
5 MMWR publishes report on U.S. tetanus and pertussis vaccination coverage among adults in 1999 and 2008

CDC published "Tetanus and Pertussis Vaccination Coverage Among Adults Aged >=18 Years--United States, 1999 and 2008" in the October 15 issue of MMWR. The first paragraph is reprinted below.


In 2005, the Advisory Committee on Immunization Practices (ACIP) recommended that the newly licensed tetanus, diphtheria, and acellular pertussis (Tdap) vaccine replace a single decennial dose of tetanus diphtheria (Td) vaccine for persons aged 10-64 years. According to these recommendations, Tdap may be used to protect against pertussis even when <10 years have passed since the most recent tetanus vaccination. For adults with infant contact and healthcare personnel (HCP) with direct patient contact (two groups at increased risk for transmitting pertussis to those who are most susceptible), the single recommended Tdap dose is suggested to be administered as soon as 2 years after the last tetanus vaccination. To assess changes in tetanus vaccination coverage and the use of Tdap among U.S. adults, CDC analyzed data from the National Health Interview Survey (NHIS) for 1999 and 2008. This report summarizes the results of that analysis, which indicated that self-reported tetanus vaccination coverage (vaccination within the preceding 10 years) was 60.4% in 1999 and 61.6% in 2008. Among adults aged 18-64 years, Tdap coverage was estimated to be 5.9% in 2008. Of those who reported receiving a tetanus vaccination during 2005-2008, 52.0% reported receiving Tdap. Tdap vaccination coverage among adults with infant contact was 5.0% and among HCP was 15.9%. Of those adults with infant contact and HCP who had received a tetanus vaccination during 2005-2008, 60.0% and 60.3% reported receiving Tdap, respectively. Healthcare providers should recommend Tdap vaccination to adults aged 18-64 years whose most recent tetanus vaccination was >=10 years prior; the interval for HCP and persons with infant contact can be as short as 2 years.

To access the full article in web-text (HTML) format, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5940a3.htm

Back to top
   
6 Spotlight on immunize.org: easy-to-access vaccine package inserts and contact information for vaccine manufacturers

Looking for vaccine product information? IAC's Package Inserts and Manufacturers web sections make it easy to find all package insert information for vaccines licensed for use in the United States. In addition, the Manufacturers section provides website links, contact information, and product listings for vaccine and immune globulin manufacturers.

For links to package inserts for all U.S.-licensed vaccines, visit: http://www.immunize.org/packageinserts

For the listings of U.S. vaccine product manufacturers, visit: http://www.immunize.org/resources/manufact_vax.asp

In addition to the listings of vaccine package inserts and vaccine manufacturers, IAC's online compendium of immunization resources includes descriptions and links for the following sections: Books and Periodicals, CDC Materials, Continuing Education Opportunities, Email News Services, Government Agencies, Hotlines, International Organizations, Partners, and more. To access these sections, go to http://www.immunize.org/resources

Back to top
   
7 IAC's Video of the Week is a selection of videos of parents' accounts of losing a child to influenza

IAC encourages IAC Express readers to watch a selection of eight videos recently posted by Families Fighting Flu. In each video, a parent who has lost a child to influenza talks about their child's life, influenza illness, and death. Their message to other parents is clear: Vaccinate your children against influenza.

Each video has a run time of approximately 2 minutes. The video selection will be available on the home page of IAC's website through October 24. To access it, go to: http://www.immunize.org and click on the image under the words Video of the Week. Scroll down and click on an image next to a title that begins "The Story of . . . ."

After October 24, the videos will be available on the website of Families Fighting Flu at http://www.familiesfightingflu.org/?page_id=9 To learn more about Families Fighting Flu, go to: http://www.familiesfightingflu.org

Remember to bookmark IAC's home page to view a new video every Monday. To view an IAC Video of the Week from the past, go to the video archive at http://www.immunize.org/votw

Back to top
   
8 New DVD for 2010! "Immunization Techniques: Best Practices with Infants, Children, and Adults"--from the California Department of Public Health, Immunization Branch

The California Department of Public Health (CDPH), Immunization Branch, recently updated its award-winning training video, "Immunization Techniques: Best Practices with Infants, Children, and Adults." The 25-minute program can be used to train new employees and to refresh the skills of experienced staff. The video demonstrates the skills and techniques needed to administer vaccines to patients of all ages. It includes instruction on the following:

  • Selecting, preparing, and administering injectable, oral, and nasal vaccines
  • Documenting immunizations
  • Making patients comfortable and educating them
  • Facilitating staff and patient communication

Prices start at $17 each for 1-9 copies and are greatly reduced for large orders, dropping to $4.25 each for 1,000-1,500 copies.

To learn more about the DVD, and find out how to order it, go to: http://www.immunize.org/shop/toolkit_iztechdvd.asp

For quotes on larger quantities, call (651) 647-9009 or email admininfo@immunize.org

The Immunization Action Coalition is the only nationwide vendor of this new DVD.

Note for healthcare settings located in California: Contact your local health department immunization program for a free copy.

Back to top
   
9 MMWR publishes report on progress made worldwide toward controlling rubella and congenital rubella syndrome in 2009

CDC published "Progress Toward Control of Rubella and Prevention of Congenital Rubella Syndrome--Worldwide, 2009" in the October 15 issue of MMWR. A summary made available to the press is reprinted below in its entirety.


Rubella is usually a mild, febrile rash illness in children and adults; however, infection early in a woman's pregnancy, particularly during the first 16 weeks, can result in miscarriage, fetal death, or an infant born with birth defects, referred to as congenital rubella syndrome (CRS). Progress has been made globally in rubella control and CRS prevention, with two-thirds of all countries using rubella vaccine in their national routine vaccination programs. As of December 2009, a total of 130 World Health Organization (WHO) member states have introduced rubella-containing vaccine (RCV), a 57 percent increase from 83 member states in 1996. Two of six WHO regions (the Americas, European) have established goals for the elimination of rubella by 2010 and 2015, respectively. During 2009, a total of 121,344 rubella cases were reported from 167 member states to WHO, an 82 percent decrease from the 670,894 cases reported in 2000 from 102 member states. With the significant morbidity and cost resulting from infants born with CRS and the ease of introduction of RCV into the routine vaccination program, member states and regions that have not introduced RCV are encouraged to assess their burden of CRS and rubella and to determine whether introduction of RCV is appropriate.

To access the full article in web-text (HTML) format, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5940a4.htm

Back to top
   
10.  HHS presents panel discussion on pregnant women and influenza vaccination as part of its "Know What to Do About the Flu" webcast series

On October 13, a panel of four physicians was featured on a Department of Health and Human Services (HHS) "Know What to Do About the Flu" webcast that focused on the importance of influenza vaccination for pregnant women. Members of the panel were Dr. Howard Koh (HHS); Dr. Denise Jamieson (CDC); Dr. Laura Riley (American College of Obstetricians and Gynecologists); and Dr. Siobhan Dolan (March of Dimes).

The webcast has a run time of 23 minutes. To view it, go to http://www.flu.gov/video/webcasts/pregnant_women_flu_season.html

To access archived "Know What to Do About the Flu" videos, go to: http://www.flu.gov/video/webcasts

Back to top
   
11.  MMWR announces the final vaccination coverage estimates for the 2009-10 influenza season

CDC published "Announcement: Final 2009-10 Influenza Season Vaccination Coverage Estimates" in the October 15 issue of MMWR. A portion of the announcement is reprinted below.


The final national vaccination coverage estimates for the influenza A (H1N1) 2009 monovalent vaccine and the 2009-10 seasonal influenza vaccine (overall and for selected population subgroups) are available online at http://www.cdc.gov/flu/professionals/vaccination/coverage_0910estimates.htm These estimates update the interim estimates published on April 2 and April 30, 2010. . . . Final estimates are similar to interim estimates.

To access the announcement in web-text (HTML) format, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5940a5.htm

Back to top
   
12.  IAC updates the patient screening questionnaire "Should You Be Tested for Hepatitis C?"

IAC made minor revisions to its patient screening questionnaire "Should you be tested for hepatitis C?" Go to: http://www.immunize.org/catg.d/p2192.pdf

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

Back to top
   
13.  PKIDs offers webinar on using social media to help educate the public, build community, and promote better health

PKIDs (Parents of Kids with Infectious Diseases) has recently scheduled a new webinar. Titled "Communication Made Easy--Social Media-A Fresh Perspective," the webinar is intended to help immunization educators learn how to use social media to educate the public, build community, and promote better health.

It is scheduled for October 19 at 9AM Pacific time/noon Eastern time. For more information, or to pre-register, go to: https://cc.readytalk.com/r/euyw1c0r9z4o

For more information on the PKIDs' Communications Made Easy program, go to: http://www.pkids.org/cme

Back to top
   
14.  Influenza vaccine VISs now available in Amharic

The 2010-11 VISs for trivalent inactivated influenza vaccine (TIV; injectable) and live attenuated intranasal influenza vaccine (LAIV; nasal spray) are now available in Amharic (spoken in Ethiopia). IAC gratefully acknowledges the Parish Nursing Program of the DSMA Ethiopian Orthodox Tewahedo Church, Minneapolis, in collaboration with the Minnesota Department of Health, for the translations.

To access the Amharic translation of the VIS for injectable influenza vaccine, as well as the injectable influenza vaccine VIS in English and other translations, go to: http://www.immunize.org/vis/vis_flu_inactive.asp

To access the Amharic translation of the VIS for nasal-spray influenza vaccine, as well as the nasal-spray influenza vaccine VIS in English and other translations, go to: http://www.immunize.org/vis/vis_flu_live.asp

For information about the use of VISs, and for VISs in more than 35 languages, visit IAC's VIS web section at http://www.immunize.org/vis

Back to top
   
Immunization Action Coalition  •  1573 Selby Ave  •  St. Paul, MN 55104
tel 651-647-9009  •  fax 651-647-9131
 
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.