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Immunization Action Coalition

IAC Express 2010

Issue number 904: December 13, 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. MMWR publishes CDC's recommendations for preventing pneumococcal disease among infants and children
  2. February to be publication date for "Recommended Adult Immunization Schedule--United States, 2011" and "Recommended Immunization Schedules for Persons Aged 0 Through 18 Years--United States, 2011"
  3. New: CDC publishes an updated edition of the interim VIS for rotavirus vaccine
  4. Spotlight on immunize.org: most popular handouts for patients and staff
  5. Nine new healthcare organizations have been added to IAC's Honor Roll for Patient Safety
  6. IAC's Video of the Week features Dr. Paul Offit discussing the new booster recommendations for meningococcal conjugate vaccine
  7. National Influenza Vaccine Summit is accepting nominations for its 2011 Immunization Excellence Awards through March 1
  8. IAC updates its handout for healthcare professionals about PPSV vaccination
  9. IAC updates three handouts that answer the public's questions about measles, mumps, and rubella
  10. Online course on vaccine safety and patient communication offers free CE credit to nurses who participate
  11. California's EZ-IZ e-learning website posts two training modules on vaccine storage
  12. November issue of CDC's Immunization Works newsletter presents information on California's pertussis outbreak and ACIP's October 2010 meeting
  13. CDC website posts the live meeting archive from the October ACIP meeting
  14. Influenza vaccination is recommended for almost everyone, so please keep vaccinating!
  15. New DVD for 2010! "Immunization Techniques: Best Practices with Infants, Children, and Adults"--from the California Department of Public Health, Immunization Branch
  16. Register for the 2011 National Immunization Conference by February 18 to get the early-bird rate
  17. Clinical Vaccinology course scheduled for March 4-6 in Chicago
  18. MMWR publishes report on the progress India made toward polio eradication from January 2009 to October 2010
 
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 904: December 13, 2010
1.  MMWR publishes CDC's recommendations for preventing pneumococcal disease among infants and children

On December 10, MMWR published "Prevention of Pneumococcal Disease Among Infants and Children--Use of 13-Valent Pneumococcal Conjugate Vaccine and 23-Valent Pneumococcal Polysaccharide Vaccine" as an MMWR Recommendations and Reports. Portions of the summary section are reprinted below.


On February 24, 2010, a 13-valent pneumococcal polysaccharide-protein conjugate vaccine (PCV13 [Prevnar 13, Wyeth Pharmaceuticals Inc., marketed by Pfizer Inc.]) was licensed by the Food and Drug Administration (FDA) for prevention of invasive pneumococcal disease (IPD) caused among infants and young children by the 13 pneumococcal serotypes covered by the vaccine and for prevention of otitis media caused by serotypes also covered by the 7-valent pneumococcal conjugate vaccine formulation (PCV7 [Prevnar, Wyeth]). PCV13 contains the seven serotypes included in PCV7 (serotypes 4, 6B, 9V, 14, 18C, 19F, and 23F) and six additional serotypes (serotypes 1, 3, 5, 6A, 7F, and 19A). PCV13 is approved for use among children aged 6 weeks-71 months and supersedes PCV7, which was licensed by FDA in 2000.

This report summarizes recommendations approved by the Advisory Committee on Immunization Practices (ACIP) on February 24, 2010, for the use of PCV13 to prevent pneumococcal disease in infants and young children aged <6 years. Recommendations include (1) routine vaccination of all children aged 2-59 months, (2) vaccination of children aged 60-71 months with underlying medical conditions, and (3) vaccination of children who received >=1 dose of PCV7 previously. . . . Recommendations also are provided for targeted use of the 23-valent pneumococcal polysaccharide vaccine (PPSV23, formerly PPV23) in children aged 2-18 years with underlying medical conditions that increase their risk for contracting pneumococcal disease or experiencing complications of pneumococcal disease if infected. . . .


To access the complete recommendations in ready-to-print (PDF) format, go to: http://www.cdc.gov/mmwr/pdf/rr/rr5911.pdf

To access the complete recommendations in web-text (HTML) format, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5911a1.htm


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2 February to be publication date for "Recommended Adult Immunization Schedule--United States, 2011" and "Recommended Immunization Schedules for Persons Aged 0 Through 18 Years--United States, 2011"

CDC will publish the "Recommended Adult Immunization Schedule--United States, 2011" in MMWR on February 4, 2011, and the "Recommended Immunization Schedules For Persons Aged 0 Through 18 Years--United States, 2011" in MMWR on February 11, 2011. For the past few years, both schedules have been published in MMWR in January.

The move to a February publication date is expected to be permanent, beginning in 2011. The reason for the move is to allow adequate time for CDC to approve recommendations ACIP votes on during its late-October meeting and to incorporate those recommendations into the immunization schedules for the following year.


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3 New: CDC publishes an updated edition of the interim VIS for rotavirus vaccine

On December 6, CDC published an updated edition of the interim VIS for rotavirus vaccine. This edition includes information about a possible increased risk of intussusception among vaccine recipients and revised wording on porcine circovirus, along with several minor changes.

Because the updated edition refers to a potential adverse event (intussusception) not mentioned in the previous edition, CDC recommends that only the updated (12/6/2010) edition be used starting immediately.

To access the 12/6/10 interim VIS for rotavirus vaccine from the IAC website, go to: http://www.immunize.org/vis/rota_06.pdf

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

For general information about VISs from CDC's website go to: http://www.cdc.gov/vaccines/pubs/vis

For CDC's latest news on VISs, go to http://www.cdc.gov/vaccines/pubs/vis/vis-news.htm


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4 Spotlight on immunize.org: most popular handouts for patients and staff

Looking for quick access to IAC's most popular handouts for patients and staff? Look no further. IAC's Handouts web section provides links to some of the most popular pieces in the right column of the main Handouts page at http://www.immunize.org/handouts You'll also find a link to the complete list of the "Top 25."

To access IAC's Most Popular Handouts page directly, visit http://www.immunize.org/handouts/top-picks.asp

IAC's Handouts for Patients and Staff web section offers healthcare professionals and the public more than 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 handouts, go to: http://www.immunize.org/handouts To view all of the handouts in alphabetical order go to: http://www.immunize.org/handouts/view-all.asp


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5 Nine new healthcare organizations have been added to IAC's Honor Roll for Patient Safety

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 90 organizations are now enrolled.

Since November 8, when IAC Express last reported on the Honor Roll for Patient Safety, four hospitals/health systems and five medical practices have been enrolled.

The four hospitals/health systems are Children's Hospital, Colorado (various Colorado locations); Johnston Health, Smithfield, NC; Main Line Health System, Bryn Mawr, PA; and Saint Joseph Mercy Health System, Ann Arbor, Livingston, and Saline, MI.

The five medical practices are Bridge Community Health Clinic, Wausau, WI; DayOne Family Healthcare, Battle Creek, MI; Delaware Valley Pediatric Associates, Lawrenceville, NJ; Kidz 1st Pediatrics, Rochester Hills, MI; and South Austin Family Practice Clinic, Austin, TX.

In addition, IAC has added the following article to the News and Article section of the honor roll: "Mandatory Flu Vaccination of Healthcare Workers: A Patient Safety Imperative" (Infection Control Today, 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


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6 IAC's Video of the Week features Dr. Paul Offit discussing the new booster recommendations for meningococcal conjugate vaccine

IAC encourages IAC Express readers to watch a 3-minute video from Medscape. In this video, Paul Offit, MD, of the Vaccine Education Center at Children's Hospital of Philadelphia, discusses the new booster recommendations for meningococcal conjugate vaccine. Registration is required to access this feature on Medscape. There is no charge to register.

The video will be available on the home page of IAC's website through December 19. To access it, go to: http://www.immunize.org and click on the image under the words Video of the Week. To view the video after December 19, go to: http://www.medscape.com/viewarticle/732947

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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7 National Influenza Vaccine Summit is accepting nominations for its 2011 Immunization Excellence Awards through March 1

The nomination form for the National Influenza Vaccine Summit's Immunization Excellence Awards is now available. The awards recognize individuals and organizations that have made extraordinary contributions toward improved adult and/or childhood influenza vaccination within their communities. Awards will be presented during the National Influenza Vaccine Summit meeting to be held in May. The deadline for nominations is March 1, 2011.

There are four categories of recognition:
  • Overall Season Activities
  • Healthcare Personnel Campaign
  • Immunization Coalitions/Public Health/Community Campaign
  • Corporate Campaign
To access complete information and the online nomination form, go to: http://fs16.formsite.com/APhA/2011NIVSAwards

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8 IAC updates its handout for healthcare professionals about PPSV vaccination

IAC recently updated "Pneumococcal polysaccharide vaccine (PPSV): CDC answers your questions." New information was added to the column titled "Who needs a second dose of PPSV," and minor edits were made.

To access "Pneumococcal polysaccharide vaccine (PPSV): CDC answers your questions," go to: http://www.immunize.org/catg.d/p2015.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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9 IAC updates three handouts that answer the public's questions about measles, mumps, and rubella

IAC recently revised three of its Q&A patient-education handouts: "Measles: Questions and Answers," "Mumps: Questions & Answers," and "Rubella: Questions & Answers." New questions were added, and additional information was incorporated into existing answers.

The revised handouts are ready-to-print versions of some of the CDC-reviewed material located on IAC's Vaccine Information website (www.vaccineinformation.org). The website is intended for the public, health professionals, and the media.

Measles
To access the revised ready-to-print (PDF) handout "Measles: Questions and Answers," go to: http://www.immunize.org/catg.d/p4209.pdf

Mumps
To access the revised ready-to-print (PDF) handout "Mumps: Questions and Answers," go to: http://www.immunize.org/catg.d/p4211.pdf

Rubella
To access the revised ready-to-print (PDF) handout "Rubella: Questions and Answers," go to: http://www.immunize.org/catg.d/p4218.pdf

For web-text (HTML) versions of these and other fully formatted documents, go to: http://www.vaccineinformation.org and click on the disease. You will be taken to Q&As about each disease and vaccine.

To access Q&As about other diseases and vaccines in ready-to-print (PDF) format, go to: http://www.immunize.org/printmaterials/questions.asp


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10.  Online course on vaccine safety and patient communication offers free CE credit to nurses who participate

The American Nurses Association (ANA) and Every Child by Two (ECBT) have produced an online continuing education (CE) webcast for nurses on vaccine safety and patient communication. Combining a nurse-panel presentation with patient-nurse video vignettes, this course offers practical knowledge and skills to increase immunization competency.

Course instructors are Mary Beth Koslap-Petraco, DNP, PNP-BC, CPNP, and Katie Brewer, MSN, RN.

For comprehensive information, go to: http://www.anaimmunize.org/Webcast


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11.  California's EZ-IZ e-learning website posts two training modules on vaccine storage

EZ-IZ recently posted two interactive online lessons: "Monitoring Refrigerator Temperatures" and "Monitoring Freezer Temperatures." Each provides step-by-step information on recording acceptable temperatures and recording unacceptable temperatures and taking action.

EZ-IZ is the e-learning website for the VFC Program of the Immunization Branch of the California Department of Public Health.

To access the lesson modules, go to: http://eziz.org/pages/eziz_training.html

To access related materials on vaccine storage and handling, go to: http://eziz.org/resources/materials_storageandhand.html

To access the EZ-IZ home page, go to: http://eziz.org

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12.  November issue of CDC's Immunization Works newsletter presents information on California's pertussis outbreak and ACIP's October 2010 meeting

CDC recently released the November issue of its monthly newsletter Immunization Works and posted it on the website of the National Center for Immunization and Respiratory Diseases (NCIRD). The newsletter offers the immunization community information about current topics. The information is in the public domain and can be reproduced and circulated widely.

One of the issue's feature articles, "Pertussis Outbreak in California," is reprinted below minus its extensive list of resources. Another feature, "The Advisory Committee on Immunization Practices (ACIP) Meeting," is also reprinted below. [Note: Most articles in the November Immunization Works newsletter have been covered in previous issues of IAC Express.]


Pertussis Outbreak in California: On June 17, 2010, California declared a pertussis (whooping cough) epidemic. As of November 16, 2010, 6,795 cases have been reported, including 10 infant deaths. This is the most cases reported in 63 years and the highest incidence in 52 years. The California Department of Public Health (CDPH) is urging parents to make sure their children are fully vaccinated against the disease. In addition parents, family members, and caregivers of infants need a booster shot of Tdap. Adults in general should get vaccinated with Tdap as part of their 10-year Td-containing vaccine booster. Adolescents should be getting Tdap as part of their 11-12-year-old preventive care visit or during any visit to their provider. CDPH has implemented expanded vaccine recommendations, which include young children and adults aged 65 and older. Please visit the CDPH web page (http://www.cdph.ca.gov/HealthInfo/discond/Pages/Pertussis.aspx) for additional information and the latest updates.


The Advisory Committee on Immunization Practices (ACIP) Meeting: The ACIP met in Atlanta, GA, on October 27-28, 2010. During the two days, the committee voted on several policies and recommendations. Please visit the ACIP website (http://www.cdc.gov/vaccines/recs/acip/default.htm) for the meeting notes, presentation slides, and additional information. Look for new MMWR recommendations on Meningococcal Conjugate Vaccine and Tetanus-Diphtheria-Toxoid-Acellular-Pertussis Vaccine in mid-December.


To access the complete November issue of Immunization Works, go to: http://www.cdc.gov/vaccines/news/newsltrs/imwrks/2010/201011.htm


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13.  CDC website posts the live meeting archive from the October ACIP meeting

The CDC website recently posted the live meeting archive of the October 27-28 ACIP meeting. To access it, go to: http://www.cdc.gov/vaccines/recs/acip/livemeeting-oct10.htm

CDC advises that you will need to "unzip" these files to view them. For instructions, click on the link given above and then scroll to the bottom of the ACIP live meeting web page.


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

Influenza vaccination is recommended for everyone age 6 months and older, so please keep vaccinating your patients.

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

To purchase supplies of influenza vaccine, visit IVATS, the Influenza Vaccine Availability Tracking System. IVATS is operated by the National Influenza Vaccine Summit and provides information about vaccine manufacturers and distributors who have influenza vaccine available for purchase. To access IVATS, go to: http://www.preventinfluenza.org/ivats

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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15.  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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16.  Register for the 2011 National Immunization Conference by February 18 to get the early-bird rate

The 2011 National Immunization Conference (NIC) will be held March 28-31 in Washington, DC. Register early and save money!

Registration rates and cutoff dates:
  • Early-bird registration, through 2/18/2011--$225
  • Regular registration, through 3/11/2011--$250
  • On-site registration--$275
For more information, or to register, go to: http://www.cdc.gov/vaccines/events/nic

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17.  Clinical Vaccinology course scheduled for March 4-6 in Chicago

The National Foundation for Infectious Diseases and the Emory Department of Medicine, Division of Infectious Diseases, and the Emory Vaccine Center will sponsor a Clinical Vaccinology course March 4-6, 2011, at the Hyatt Regency Chicago in Chicago.

The course focuses on new developments and issues related to the use of vaccines. It is designed for health professionals involved with or interested in the clinical use of vaccines and for public health officials and others involved in the prevention and control of infectious diseases.

Information regarding the preliminary program, registration, and hotel accommodations is available online at http://www.nfid.org/conferences/course311


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18.  MMWR publishes report on the progress India made toward polio eradication from January 2009 to October 2010

CDC published "Progress Toward Poliomyelitis Eradication--India, January 2009-October 2010" in the December 10 issue of MMWR. A portion of a summary made available to the press is reprinted below.


India is one of the last four countries that have never stopped poliovirus transmission. In 2010, the number of total wild polio virus (WPV) type 1 and type 3 cases in India has reached historical lows. However, there are pockets of children who have not been fully vaccinated: one of them being children of migrant subpopulations. Polio cases in India have historically centered in Uttar Pradesh and Bihar, two northern states known to have low childhood immunization coverage, large migrant and remote populations, and high population density. . . .

To access the full article in web-text (HTML) format, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5948a3.htm


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Immunization Action Coalition  •  Saint Paul, MN
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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.