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Immunization Action Coalition

IAC Express 2010

Issue number 899: November 22, 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. New IAC handout presents scientific evidence that vaccines are unrelated to the development of autism
  2. IAC updates two influenza handouts, one on the importance of getting the whole family vaccinated against influenza, the other on warning signs of serious influenza infection
  3. Spotlight on immunize.org: One-stop access to all IAC's handouts for patients and staff
  4. Adult vaccination coverage estimates from the 2009 National Health Interview Survey are now online
  5. IAC's Video of the Week stresses the importance of hepatitis B testing for Asian Americans
  6. Article in the journal Pediatrics indicates influenza vaccination of pregnant women safely protects women and their infants
  7. Influenza vaccination is recommended for almost everyone, so please keep vaccinating!
  8. December 5-11 is National Influenza Vaccination Week--special events are planned throughout the week
  9. New DVD for 2010! "Immunization Techniques: Best Practices with Infants, Children, and Adults"--from the California Department of Public Health, Immunization Branch
  10. Now online: Interim guidance on using influenza antivirals during 2010-11 influenza season
  11. Bulk quantities of the 2010-11 influenza vaccine pocket guides are available--FREE!--from the National Influenza Vaccine Summit
  12. MMWR reports on survey results of U.S. syringe exchange programs in 2008
  13. MMWR reports on occupational transmission of Neisseria meningitidis in California in 2009
  14. View this excellent archived webinar on vaccine handling and storage and receive free CE credit
  15. CDC Features educates public on the safety of influenza vaccines
  16. New: CDC announces addition of 2010 influenza module to its "You Call the Shots" training course--free CE credit is available
  17. Free CE credit available for viewing archived webinar on malaria eradication
 
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 899: November 22, 2010
1.  New IAC handout presents scientific evidence that vaccines are unrelated to the development of autism

Healthcare professionals will find IAC's newest handout, "Evidence Shows Vaccines Unrelated to Autism," to be extremely helpful when talking with parents who have read about or heard claims that vaccines cause autism. The 2-page document lays out scientific evidence that refutes claims that any relationship exists between vaccines and autism. It also presents information on the findings of current research into autism's causes.

To access "Evidence Shows Vaccines Unrelated to Autism," go to: http://www.immunize.org/catg.d/p4028.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

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2 IAC updates two influenza handouts, one on the importance of getting the whole family vaccinated against influenza, the other on warning signs of serious influenza infection

IAC recently revised the following two handouts for healthcare professionals and their patients.

(1) IAC updated "Don't take chances with your family's health--make sure you all get vaccinated against influenza every year!" with new figures on the number of people who die from influenza and its complications each year. Go to: http://www.immunize.org/catg.d/p4069.pdf

(2) IAC made a minor change to "Seek emergency medical care if you or a family member shows the signs below--a life could be at risk!" Go to: http://www.immunize.org/catg.d/p4073.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

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3 Spotlight on immunize.org: One-stop access to all IAC's handouts for patients and staff

Looking for one-stop access to IAC's handouts for patients and staff? Look no further. IAC's Handouts web section features an online table that allows visitors to sort more than 250 handouts alphabetically by title, and also by language, issue date, and item number.

To access the View-All Handouts table, visit http://www.immunize.org/handouts/view-all.asp

IAC's Handouts for Patients and Staff web section offers healthcare professionals and the public 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

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4 Adult vaccination coverage estimates from the 2009 National Health Interview Survey are now online

CDC published "Announcements: Adult Vaccination Coverage Estimates Online" in the November 19 issue of MMWR. The announcement is reprinted below. Also included below are the key findings of the survey, which NCIRD posted on November 17.


MMWR announcement:

New adult vaccination coverage estimates from the 2009 National Health Interview Survey (NHIS) are now available online at http://www.cdc.gov/vaccines/stats-surv/nhis/2009-nhis.htm Estimates of vaccination coverage for hepatitis A, hepatitis B, herpes zoster (shingles), human papillomavirus, influenza (2008-09 season), pneumococcal disease, and tetanus with and without pertussis are presented overall and by selected characteristics (i.e., age, vaccination target group status, and race/ethnicity).

These estimates update the 2008 estimates published in July 2009. NHIS is a national household survey of the civilian, noninstitutionalized population in the United States.


Key findings from the NHIS survey of 2009 adult vaccination Coverage:
  • In 2009, adult vaccination coverage for influenza (2008-09 season), pneumococcal disease, and hepatitis was lower than the Healthy People 2010 targets. However, overall 2008-2009 seasonal influenza vaccination coverage did improve compared to 2007-2008.
     
  • Hepatitis B vaccination coverage increased in 2009 from 2008 among adults age 19-49 years at high risk for infection, particularly among non-Hispanic blacks. There were no differences in hepatitis B vaccination coverage between non-Hispanic whites and blacks.
     
  • Vaccination coverage with two new vaccines primarily recommended to minimize long-term complications of infectious diseases, herpes zoster (shingles), and infection with human papillomavirus (HPV), was low but increased by 3.3 and 6.6 percentage points, respectively.

To access the MMWR announcement in web-text (HTML) format, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5945a5.htm

To access the key findings and other information from the NHIS survey, go to: http://www.cdc.gov/vaccines/stats-surv/nhis/2009-nhis.htm

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5 IAC's Video of the Week stresses the importance of hepatitis B testing for Asian Americans

IAC encourages IAC Express readers to watch "Hepatitis B Awareness Campaign," a 30-second public service announcement (PSA) for television. The Hepatitis B Foundation, together with the Department of Health and Human Service's Office of Minority Health and the Association of Asian Pacific Community Health Organizations, created the PSA to raise community awareness of hepatitis B and encourage Asian Americans to get tested for this preventable and treatable disease.

The PSA will be available on the home page of IAC's website through November 28. To access it, go to: http://www.immunize.org and click on the image under the words Video of the Week. After November 28, you can view the video on http://www.youtube.com/watch?v=zckvA4IMHYY

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

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6 Article in the journal Pediatrics indicates influenza vaccination of pregnant women safely protects women and their infants

The November issue of the journal Pediatrics includes a commentary titled "Helping Mothers Prevent Influenza Illness in Their Infants." It was written by Elizabeth P. Schlaudecker, MD, and Mark C. Steinhoff, MD; both are with Cincinnati Children's Hospital Medical Center. The article's opening paragraph is reprinted below.


Although pediatricians are well aware that influenza can be a problem for infants younger than 6 months, they may be less familiar with the high rates of influenza disease and complications among pregnant women. We provide here a summary of recent data on increased risk of influenza in pregnancy and in very young infants and on vaccine protection of these 2 groups at high-risk. Pediatricians should be aware of their central role in assisting in the vaccine prevention of influenza in pregnancy and in the young infant.

To access the full text of the article, go to: http://pediatrics.aappublications.org/cgi/reprint/126/5/1008

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7 Influenza vaccination is recommended for almost everyone, so please keep vaccinating!

If you don't have influenza vaccine, you can direct patients to the Google Flu Vaccine Finder. It helps the public find nearby locations where influenza vaccine is available. It's as simple as entering a zip code. Visit the Google Flu Vaccine Finder: http://www.google.com/flushot

Following is a list of resources related to influenza disease and vaccination for healthcare professionals and the public.

To access IAC's handouts related to influenza, including screening questionnaires, patient education pieces, and sample standing orders, go to: http://www.immunize.org/handouts/influenza-vaccines.asp

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8 December 5-11 is National Influenza Vaccination Week--special events are planned throughout the week

This year's National Influenza Vaccination Week (NIVW) is scheduled for December 5-11. CDC would like to hear from you if your organization is planning an activity during National Influenza Vaccination Week--or beyond--to encourage influenza vaccination. To access the event submission form, go to: http://www.cdc.gov/flu/NIVW/form.htm

To see what others have planned for NIVW, go to: http://www.cdc.gov/flu/NIVW/activities.htm

The CDC's website was recently updated with these four pertinent resources:

(1) Calendar of NIVW Events
The CDC website was recently updated with the following calendar. Each day of NIVW is devoted to a specific population in need of vaccination:

  • Sunday, December 5: The NIVW Kick-Off for General Public
  • Monday, December 6: Family Vaccination Day
  • Tuesday, December 7: Chronic Conditions Day
  • Wednesday, December 8: Employee Health Day
  • Thursday, December 9: Older Adults Vaccination Day
  • Friday, December 10: Young Adults Vaccination Day
  • Saturday, December 11: NIVW Wrap-Up for General Public

(2) A letter to partners from NCIRD Director Anne Schuchat, MD
In the letter, Dr. Schuchat presents details about the NIVW Calendar of Events outlined above and encourages partners to promote NIVW through local media outlets, use NCIRD's promotional tools to reach various audiences, and post their events on the NIVW web section.

To access Dr. Schuchat's letter, go to: http://www.cdc.gov/flu/pdf/nivw/2010NIVW_PartnerLetter.pdf

(3) Media Relations Tool Kit
CDC recently posted its Influenza Awareness Campaign Media Relations Tool Kit. It is intended to help CDC partners expand and enhance their abilities to educate their communities about the importance of influenza vaccination through media outreach. Designed as a resource for media novices and experts alike, the tool kit offers a variety of tools, proven resources, models, and templates to help CDC's partners reach out to local media. To access the tool kit, go to: http://www.cdc.gov/flu/pdf/nivw/NIVW_Media_Toolkit_Final_1110.pdf

(4) CDC Influenza Public Service Announcements (PSAs)
CDC has created a media library to help interested professionals find, preview, and download broadcast-standard video. The resources are available free of charge for reproduction, and free or paid television placement. One of the five PSAs posted is in Spanish; 15-, 30-, and 60-second PSAs are available. To access the influenza PSAs, go to: http://www.cdcmediaresources.com

For more information and resources related to NIVW, go to the NIVS home page at http://www.cdc.gov/flu/NIVW

IAC Express will keep you informed about developments in the NIVW campaign as they unfold in the weeks ahead.

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9 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.

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10.  Now online: Interim guidance on using influenza antivirals during 2010-11 influenza season

CDC recently posted two documents for healthcare professionals on using influenza antiviral medications during the 2010-11 influenza season. They are "Interim Guidance on the Use of Influenza Antiviral Agents During the 2010-2011 Influenza Season" and "Summary Influenza Antiviral Treatment Recommendations for 2010-2011." Both have been submitted to the Morbidity and Mortality Weekly Report (MMWR) and will appear in that publication at a later date. In the interest of providing this guidance to healthcare providers as quickly as possible, it is being posted online in the interim.

To access "Interim Guidance on the Use of Influenza Antiviral Agents During the 2010-2011 Influenza Season," go to: http://www.cdc.gov/flu/professionals/antivirals/guidance

To access "Summary Influenza Antiviral Treatment Recommendations for 2010-2011" go to: http://www.cdc.gov/flu/professionals/antivirals/antiviralrec2010.htm

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11.  Bulk quantities of the 2010-11 influenza vaccine pocket guides are available--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 bulk quantities of the National Influenza Vaccine Summit's 2010-11 Seasonal Influenza Vaccination Pocket Information Guides. They're free--you can order them in the hundreds or thousands!

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. They're going fast, so to avoid disappointment, place your order ASAP!

If you have questions, email admininfo@immunize.org

BACKGROUND
For background information on the pocket guides, see http://www.immunize.org/express/issue898.asp#n10

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

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12.  MMWR reports on survey results of U.S. syringe exchange programs in 2008

CDC published "Syringe Exchange Programs--United States, 2008" in the November 19 issue of MMWR. A summary made available to the press is reprinted below.


A national survey reveals that the number of syringe exchange programs (SEPs) and the number of syringes exchanged in 2008 remained similar to recent years, in contrast to a period of rapid growth in the 1990s and early 2000s. In a survey of 123 SEPs, researchers with the Beth Israel Medical Center found that these SEPs operated in 93 cities and exchanged 29.1 million syringes in 2008. Budgets for SEPs increased steadily from 1994 through 2008, with the majority of funds (79 percent) coming from public sources. While previous studies have concluded that SEPs can reduce needle sharing among injection drug users (IDUs)--which may also reduce the transmission of blood borne pathogens like HIV, hepatitis B, and hepatitis C--authors note that SEPs also offer a point of access for a high-risk population to other disease prevention services, clinical care, and substance abuse treatment referral services. In addition to providing clean syringes, SEPs surveyed offered a range of services for IDUs: nearly all provided services such as HIV/STD (96 percent) and hepatitis (97 percent) prevention education; HIV counseling and testing services (87 percent); and substance abuse treatment referrals (89 percent).

To access the full article in web-text (HTML) format, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5945a4.htm

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13.  MMWR reports on occupational transmission of Neisseria meningitidis in California in 2009

CDC published "Occupational Transmission of Neisseria meningitides--California, 2009" in the November 19 issue of MMWR. The first paragraph of the article and portions of the Editorial Note are reprinted below.


Neisseria meningitidis is a leading cause of bacterial meningitis and sepsis. The case-fatality rate for meningococcal disease is 10%-14%; survivors can experience brain damage, hearing loss, limb loss, and learning disabilities. On December 11, 2009, the California Department of Public Health (CDPH) initiated an investigation of two secondary cases of meningococcal disease in a police officer and a respiratory therapist following occupational contact with an unconscious adult. This report describes the events surrounding occupational transmission of N. meningitidis and recommends measures to control and prevent secondary transmission of N. meningitidis. Breaches in infection control, notification delays, and lack of worker exposure assessment and postexposure chemoprophylaxis (PEP) likely contributed to secondary cases. Employers should provide adequate infection-control training to staff members, PEP to exposed workers, and report notifiable diseases promptly.

From the Editorial Note:
CDC's Advisory Committee on Immunization Practices (ACIP) recommends PEP for close contacts of patients with meningococcal disease. ACIP defines close contacts for PEP as (1) household members, (2) child care center personnel, and (3) persons directly exposed to the patient's oral secretions (e.g., by kissing, mouth-to-mouth resuscitation, endotracheal intubation, or endotracheal tube management). Although the majority of workers were offered PEP, albeit late, whether PEP would have been recommended for police officer 1 (PO1) is unclear and would depend on how strictly the evaluating clinician interpreted the ACIP recommendations. Other types of exposures not defined specifically in the ACIP recommendations might warrant PEP based on the clinician's judgment. However, because PO1 was experiencing symptoms as early as December 5, timely notification and assessment could have resulted in earlier diagnosis and treatment.

Healthcare facilities should review their local health authority reporting procedures to ensure timely reporting of notifiable diseases, such as N. meningitidis, and employers should provide infection-control training and PEP to potentially exposed workers. Employers also should conduct timely and thorough investigations to identify and evaluate workers potentially exposed to a patient suspected to have meningococcal disease.

To access the full article in web-text (HTML) format, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5945a2.htm

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14.  View this excellent archived webinar on vaccine handling and storage and receive free CE credit

You can advance your knowledge of vaccine handling and storage by viewing the 1.5-hour webinar "Protecting your Vaccine: Protecting your Patients." The presenters are Patricia Beckenhaupt, RN, MS, MPH, public health analyst, National Center for Immunization & Respiratory Diseases, CDC; and Debra S. Blog, MD, MPH, director, Bureau of Immunization, New York State Department of Health.

Continuing Education (CE) credit is available for viewing the module and completing an evaluation.

Originally broadcast on August 26, the webinar is sponsored by the School of Public Health, State University of New York, Albany. To view it, go to: http://www.albany.edu/sph/coned/phl/protect.htm

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15.  CDC Features educates public on the safety of influenza vaccines

The "CDC Features" web section now includes information for the public on the excellent safety record of influenza vaccines.

To access "Flu Vaccines Have Good Safety Records," go to: http://www.cdc.gov/Features/FluVaccines

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16.  New: CDC announces addition of 2010 influenza module to its "You Call the Shots" training course--free CE credit is available

CDC recently announced the addition of the 2010 influenza module to NCIRD's web-based training course "You Call the Shots." This module discusses influenza disease, the groups at highest risk, the groups for whom routine immunization is recommended, and characteristics of influenza vaccine.

Continuing Education (CE) credit is available for viewing the module and completing an evaluation.

To access the influenza module, and to see the other modules available, go to: http://www.cdc.gov/vaccines/ed/youcalltheshots.htm and click on the pertinent link.

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17.  Free CE credit available for viewing archived webinar on malaria eradication

"Malaria Eradication: Back to the Future" was webcast live on November 18; the archived webcast has been posted, and continuing education (CE) credit is available.

The webcast is part of CDC's monthly series Public Health Grand rounds. To access the webinar, go to: http://www2a.cdc.gov/TCEOnline

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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.