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Immunization Action Coalition

IAC Express 2011

Issue number 912: February 7, 2011

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: 2011 U.S. Recommended Adult Immunization Schedule is now available
  2. FDA expands Menveo vaccine age indications to 2-55 years
  3. CDC launches new herpes zoster web section
  4. Spotlight on immunize.org: reminder to use IAC'S newly developed handouts and staff education materials
  5. IAC's Video of the Week features a hockey-themed immunization public service announcement
  6. IAC updates "Hepatitis A and B Vaccines: Be sure your patient gets the correct dose!" and "Vaccines with Diluents: How to use them"
  7. IAC's "Vaccinations for adults: You're NEVER too old for immunizations" now available in Spanish and nine other translations
  8. Award-winning DVD! "Immunization Techniques: Best Practices with Infants, Children, and Adults"--from the California Department of Public Health, Immunization Branch
  9. Influenza vaccination is recommended for almost everyone, so please keep vaccinating!
  10. January issue of CDC's Immunization Works newsletter now available
 
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 912: February 7, 2011
1.  New: 2011 U.S. Recommended Adult Immunization Schedule is now available

On February 4, CDC published "Recommended Adult Immunization Schedule--United States, 2011" in MMWR.

The MMWR article is reprinted below in its entirety, excluding two figures and footnotes. CDC has posted downloadable versions of the 2011 U.S. Recommended Adult Immunization Schedule; links are provided at the end of this IAC Express article.


Each year, the Advisory Committee on Immunization Practices (ACIP) reviews the recommended adult immunization schedule to ensure that the schedule reflects current recommendations for the licensed vaccines. In October 2010, ACIP approved the adult immunization schedule for 2011, which includes several changes. The notation for influenza vaccination in the figure and footnotes was changed to reflect the expanded recommendation for annual influenza vaccination for all persons aged 6 months and older, which was approved by ACIP in February 2010. In October 2010, ACIP issued a permissive recommendation for use of tetanus, diphtheria, and acellular pertussis (Tdap) vaccine in adults aged 65 years and older, approved the recommendation that Tdap vaccine be administered regardless of how much time has elapsed since the most recent tetanus and diphtheria toxoids (Td)-containing vaccine, and approved a recommendation for a 2-dose series of meningococcal vaccine in adults with certain high-risk medical conditions. The vaccines listed in the figures have been reordered to keep all universally recommended vaccines together (e.g., influenza, Td/Tdap, varicella, human papillomavirus [HPV], and zoster vaccines). Clarifications were made to the footnotes for measles, mumps, and rubella (MMR) vaccination; HPV vaccine; revaccination with pneumococcal polysaccharide vaccine (PPSV), and Haemophilus influenza type b (Hib) vaccine. Finally, a statement has been added to the box at the bottom of the footnotes to clarify that a vaccine series does not need to be restarted, regardless of the time that has elapsed between doses.

Additional information is available as follows: schedule (in English and Spanish [a Spanish-language version is not currently available]) at http://www.cdc.gov/vaccines/recs/schedules/adult-schedule.htm; information about adult vaccination at http://www.cdc.gov/vaccines/default.htm; ACIP statements for specific vaccines at http://www.cdc.gov/vaccines/pubs/acip-list.htm; and reporting adverse events at http://www.vaers.hhs.gov or by telephone, (800) 822-7967

CHANGES FOR 2011
Footnotes (Figures 1 and 2)
  • The influenza vaccination footnote (#1) is revised and shortened to reflect a recommendation for vaccination of all persons aged 6 months and older, including all adults. The high-dose influenza vaccine (Fluzone), licensed in 2010 for adults aged 65 years and older, is mentioned as an option for this age group.
     
  • The Td/Tdap vaccination footnote (#2) has language added to indicate that persons aged 65 years and older who have close contact with an infant aged less than 12 months should get vaccinated with Tdap; the additional language notes that all persons aged 65 years and older may get vaccinated with Tdap. Also added is the recommendation to administer Tdap regardless of interval since the most recent Td-containing vaccine.
     
  • The HPV vaccination footnote (#4) has language added to the introductory sentences to indicate that either quadrivalent vaccine or bivalent vaccine is recommended for females.
     
  • The MMR vaccination footnote (#6) has been revised mainly by consolidating common language that previously had been part of each of the three vaccine component sections into one introductory statement.
     
  • The revaccination with PPSV footnote (#8) clarifies that one-time revaccination after 5 years only applies to persons with indicated chronic conditions who are aged 19 through 64 years.
     
  • The meningococcal vaccination footnote (#9) has language added to indicate that a 2-dose series of meningococcal conjugate vaccine is recommended for adults with anatomic or functional asplenia, or persistent complement component deficiencies, as well adults with human immunodeficiency (HIV) virus infection who are vaccinated. Language has been added that a single dose of meningococcal vaccine is still recommended for those with other indications. Also, language has been added to clarify that quadrivalent meningococcal conjugate vaccine (MCV4) is a quadrivalent vaccine.
     
  • The language for the selected conditions for the Hib footnote (#12) has been shortened to clarify which persons at high risk may receive 1 dose of Hib vaccine.

The recommended adult immunization schedule has been approved by the Advisory Committee on Immunization Practices, the American Academy of Family Physicians, the American College of Obstetricians and Gynecologists, and the American College of Physicians.


To access the full article in web-text (HTML) format, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6004a10.htm

To access the full article in ready-to-print (PDF) format, go to: http://www.cdc.gov/mmwr/pdf/wk/mm6004.pdf

To access the 2011 U.S. Recommended Adult Immunization Schedule in color (8.5" x 11"), suitable for use in exam rooms, go to: http://www.cdc.gov/vaccines/recs/schedules/downloads/adult/adult-schedule.pdf

To access CDC's web page that features the 2011 adult immunization schedule in various formats, go to: http://www.cdc.gov/vaccines/recs/schedules/adult-schedule.htm#hcp

 
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2 FDA expands Menveo vaccine age indications to 2-55 years

On January 28, FDA approved Menveo vaccine (Novartis) for use in children, adolescents, and adults ages 2 years through 55 years. Menveo, a quadrivalent meningococcal conjugate vaccine, is indicated to prevent invasive meningococcal disease caused by Neisseria meningitidis serogroups A, C, Y and W-135. Menveo received initial FDA approval in 2010 for use in adolescents and adults from ages 11 to 55 years of age.

To access the FDA approval letter, go to: http://www.fda.gov/BiologicsBloodVaccines/Vaccines/ApprovedProducts/ucm242237.htm

To access the new Menveo package insert, go to: https://www.novartisvaccinesdirect.com/PDF/Menveo_Full_Promotional_PI.pdf
 
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3 CDC launches new herpes zoster web section

CDC has launched a new Shingles (Herpes Zoster) web section. This page pulls together many valuable resources on shingles disease and zoster vaccination for both healthcare professionals and members of the public.

To visit CDC's new shingles web section, go to: http://www.cdc.gov/shingles
 
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4 Spotlight on immunize.org: reminder to use IAC'S newly developed handouts and staff education materials

IAC wants to remind you that during the past year, we have created several new patient handouts and staff-education materials. Please review them to see if they might be of help to you in your work setting.

(1) "Sample Text for Admission Orders for Hepatitis B Vaccine Birth Dose in Newborn Nursery"
If your hospital's newborn admission orders don't include language for administering the birth dose to all infants prior to hospital discharge, here is some language you can use or adapt. Go to: http://www.immunize.org/catg.d/p2131.pdf

(2) "Evidence Shows Vaccines Unrelated to Autism"
For parents, staff, and policymakers, this piece lays out scientific evidence that refutes claims of a relation between vaccines and autism. It also presents information on the findings of current research into autism's causes. Go to: http://www.immunize.org/catg.d/p4028.pdf

(3) "Personal Belief Exemptions for Vaccination Put People at Risk. Examine the Evidence for Yourself"
A handout for parents, staff, and policymakers presenting evidence that parents who choose personal-belief exemptions for their children put others at risk. Go to: http://www.immunize.org/catg.d/p2069.pdf

(4) "Vaccines with Diluents: How to Use Them"
IAC's new resource for staff features a table of vaccines requiring reconstitution. Go to: http://www.immunize.org/catg.d/p3040.pdf

(5) "Need Help Responding to Vaccine-hesitant Parents? Science-based Materials Are Available from These Respected Organizations."
A list of science-based materials available to help in responding to vaccine-hesitant parents. Go to: http://www.immunize.org/catg.d/p2070.pdf

(6) "Recommendations for Pneumococcal Vaccine Use in Children"
This resource contains tables to help simplify the PCV13 and PPSV recommendations for children. Go to: http://www.immunize.org/catg.d/p2016.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/view-all.asp
 
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5 IAC's Video of the Week features a hockey-themed immunization public service announcement

IAC encourages IAC Express readers to watch a 2.36-minute hockey-themed public service announcement (PSA) titled, "Avoid the Penalty--Take the Shot." This PSA was created by Weiss Communications for immunization coalitions from Southeastern Pennsylvania and the Pennsylvania Immunization Coalition and previewed at Influenza Immunization Awareness Night at a Philadelphia Flyers game in December.

The video will be available on the home page of IAC's website through February 13. To access it, go to: http://www.immunize.org and click on the image under the words Video of the Week.

For more information about the Pennsylvania Immunization Coalition and affiliated local coalitions, go to: http://www.immunizepa.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

 
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6 IAC updates "Hepatitis A and B Vaccines: Be sure your patient gets the correct dose!" and "Vaccines with Diluents: How to use them"

IAC recently revised the following two handouts for healthcare professionals.

(1) "Hepatitis A and B Vaccines: Be sure your patient gets the correct dose," had changes made to the footnotes and other minor edits. Go to: http://www.immunize.org/catg.d/p2081.pdf

(2) "Vaccines with Diluents: How to use them" was revised in two significant ways. TriHIBit vaccine was removed as it is no longer available in the United States. Yellow fever, rabies, and JE-VAX vaccines were added to the table at the request of users. Go to: http://www.immunize.org/catg.d/p3040.pdf

To access all of IAC's free handouts, go to: http://www.immunize.org/handouts

 
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7 IAC's "Vaccinations for adults: You're NEVER too old for immunizations" now available in Spanish and nine other translations

Updated in December 2010, IAC's patient-education handout "Vaccinations for Adults--You're NEVER too old to get immunized!" is now available in Arabic, Chinese, French, Hmong, Karen (a language spoken in Burma and Thailand), Korean, Russian, Somali, Spanish, and Vietnamese. The Hmong, Karen, and Somali translations were generously donated by the Minnesota Department of Health.

To access the Spanish version of "Vaccinations for Adults--You're NEVER too old to get immunized," go to: http://www.immunize.org/catg.d/p4030-01.pdf

For Arabic: http://www.immunize.org/catg.d/p4030-20.pdf

For Chinese: http://www.immunize.org/catg.d/p4030-08.pdf

For French: http://www.immunize.org/catg.d/p4030-10.pdf

For Hmong: http://www.immunize.org/catg.d/p4030-02.pdf

For Karen: http://www.immunize.org/catg.d/p4030-24.pdf

For Korean: http://www.immunize.org/catg.d/p4030-09.pdf

For Russian: http://www.immunize.org/catg.d/p4030-07.pdf

For Somali: http://www.immunize.org/catg.d/p4030-12.pdf

For Vietnamese: http://www.immunize.org/catg.d/p4030-05.pdf

For English: http://www.immunize.org/catg.d/p4030.pdf

All IAC handouts available in translation can be accessed at http://www.immunize.org/handouts
 
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8 Award-winning DVD! "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, has 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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9 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

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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10.  January issue of CDC's Immunization Works newsletter now available

CDC recently released the January 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.

Most articles in the January Immunization Works newsletter have been covered in this issue or previous issues of IAC Express. The only topic not previously covered is an article about CDC's update of its norovirus website with new fact sheets.

To access the complete January issue of Immunization Works, go to: http://www.cdc.gov/vaccines/news/newsltrs/imwrks/2011/201101.htm
 
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Immunization Action Coalition  •  Saint Paul, MN
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.