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Immunization Action Coalition

IAC Express 2011

Issue number 955: September 26, 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. MMWR publishes notice about FDA change to age indication for Boostrix and reviews ACIP guidance for the use of Tdap vaccine
  2. Bulk quantities of the 2011-12 Influenza Vaccine Pocket Guides and PPSV Pocket Guides available--FREE!--from the National Influenza Vaccine Summit
  3. Spotlight on immunize.org: stay current with media coverage about vaccines and vaccine-preventable diseases
  4. New England Journal of Medicine publishes results of CDC study on rotavirus vaccination
  5. IAC revises one-page version of "After the Shots" to provide space for writing medication instructions
  6. IAC's Video of the Week discusses issues involved in building better vaccines
  7. Vaccine Education Center offers updated resources
  8. MMWR reports on measles outbreak started by case imported from Malaysia
  9. CDC releases final state-level vaccination coverage statistics for the 2010-11 influenza season
  10. NFID blog explores issues related to infectious diseases
  11. IAC's popular laminated versions of the 2011 U.S. immunization schedules are available. Order a supply for your workplace today!
  12. Award-winning DVD! "Immunization Techniques: Best Practices with Infants, Children, and Adults"--from the California Department of Public Health, Immunization Branch
  13. 2011-12 influenza vaccine VISs now available in Hmong and Karen
  14. Program on adult immunization planned for October 4 in Piscataway, NJ; view it in person or on your computer screen
 
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 955: September 26, 2011
1.  MMWR publishes notice about FDA change to age indication for Boostrix and reviews ACIP guidance for the use of Tdap vaccine

CDC published "FDA Approval of Expanded Age Indication for a Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine" in the September 23 issue of MMWR.

On July 8, FDA approved an expanded age indication for the tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine (Tdap) Boostrix (GlaxoSmithKline). Boostrix is now licensed for use in individuals ages 10 years and older as a single-dose booster vaccination (i.e., the age indication now includes people age 65 and older).

The article also reviews ACIP recommendations for the use of Tdap in people starting at ages 11-12 years. The article includes a new clarification as well--that either Tdap vaccine can be used for people age 65 years and older. The last two paragraphs of the article follow.


For prevention of tetanus, diphtheria, and pertussis, ACIP recommends that adolescents and adults receive a one-time booster dose of Tdap. Adolescents aged 11 through 18 years who have completed the recommended childhood diphtheria and tetanus toxoids and pertussis vaccine (DTP/DTaP) vaccination series should receive a single dose of Tdap instead of tetanus and diphtheria toxoids (Td) vaccine, preferably at a preventive-care visit at age 11 or 12 years. For adults aged 19 through 64 years who previously have not received a dose of Tdap, a single dose of Tdap should replace a single decennial Td booster dose. Persons aged 65 years and older (e.g., grandparents, child-care providers, and health-care practitioners) who have or who anticipate having close contact with an infant aged less than 12 months and who previously have not received Tdap should receive a single dose of Tdap to protect against pertussis and reduce the likelihood of transmission. For other adults aged 65 years and older, a single dose of Tdap vaccine may be administered instead of Td vaccine in persons who previously have not received Tdap. Tdap can be administered regardless of interval since the last tetanus or diphtheria toxoid--containing vaccine. After receipt of Tdap, persons should continue to receive Td for routine booster vaccination against tetanus and diphtheria, in accordance with previously published guidelines.

Currently, two Tdap products are licensed for use in the United States, Boostrix and Adacel (Sanofi Pasteur, Toronto, Canada). Adacel has been approved by FDA as a single dose in persons aged 11 through 64 years. With the recent FDA expanded licensure for use of Boostrix, ACIP will be reviewing the current recommendations on use of Tdap in persons aged 65 years and older. At this time, either Tdap product may be used in persons aged 65 years and older.


To access the full MMWR article, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6037a3.htm
 
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2 Bulk quantities of the 2011-12 Influenza Vaccine Pocket Guides and PPSV Pocket Guides available--FREE!--from the National Influenza Vaccine Summit

To aid in efforts to vaccinate against influenza and pneumococcal disease, readers are invited to place orders now for bulk quantities of the National Influenza Vaccine Summit's 2011-12 Influenza Vaccine Pocket Information Guide and Pneumococcal Polysaccharide Vaccination (PPSV) Pocket Guide. Both are 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. Place a bulk order now, and your organization will be ready to educate healthcare professionals at upcoming immunization training sessions and conferences. Each staff person who administers influenza or PPSV vaccine needs these handy resources.

THE 2011-12 INFLUENZA POCKET GUIDE PROVIDES THE FOLLOWING
INFORMATION:
  • Important points for healthcare providers
     
  • Indications, contraindications, and precautions for the injectable, intradermal, and intranasal influenza vaccines
     
  • Clear direction regarding which children ages 6 months through 8 years need 2 doses of influenza vaccine this year
     
  • Dosage, route of administration, and indicated age group for all the various influenza vaccine products
     
  • Talking points for discussing influenza vaccination with patients

See an image of the influenza vaccine pocket guide at http://www.immunize.org/pocketguides/pocketguide_flu.pdf

The influenza pocket guide also serves as a reminder to keep giving influenza vaccine throughout influenza season (through the spring months).

THE PPSV POCKET GUIDE PROVIDES THE FOLLOWING INFORMATION:

  • Indications for vaccination with PPSV, contraindications, and precautions
     
  • Indications for vaccination with 2 doses of PPSV and intervals between doses
     
  • Dosage and routes of administration

See an image of the PPSV pocket guide at http://www.immunize.org/pocketguides/pocketguide_ppsv.pdf

The 2011-12 influenza pocket guide and PPSV pocket guide are 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/issue949.asp#n3

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

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3 Spotlight on immunize.org: stay current with media coverage about vaccines and vaccine-preventable diseases

Looking for the latest media coverage about vaccines and vaccine-preventable diseases (VPDs)? Look no further. When vaccines make the news, IAC's Vaccine News web section helps you stay current. IAC selects relevant, timely, and interesting news articles, features, opinion pieces, and editorials about vaccines and VPDs from a variety of news sources. For each selection, IAC provides the headline, publisher, opening sentences, and a link. In addition, the Vaccine News section features a live feed from Google News.

To access the Vaccine News web section, visit http://www.immunize.org/vaccinenews
 
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4 New England Journal of Medicine publishes results of CDC study on rotavirus vaccination

On September 22, the New England Journal of Medicine (NEJM) published results of a CDC study on rotavirus vaccination. The study used data from a large U.S. insurance database for 2001-2009 to assess rotavirus vaccine coverage and its impact on healthcare use and treatment costs for diarrhea-related illness in children under age 5 years. The study showed that vaccinating infants against rotavirus has resulted in dramatic decreases in healthcare use and treatment costs for diarrhea-related illness in U.S. infants and young children.

A preview of "Rotavirus Vaccine and Health Care Utilization for Diarrhea in U.S. Children" is available at http://www.nejm.org/doi/full/10.1056/NEJMoa1000446

To access the CDC press release about the study, go to: http://www.cdc.gov/media/releases/2011/p0921_rotavirus.html
 
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5 IAC revises one-page version of "After the Shots" to provide space for writing medication instructions

IAC revised the one-page version of "After the Shots. . . What to do if your child has discomfort" to provide space for the child's provider to include recommendations for the use of medication if desired. Go to: http://www.immunize.org/catg.d/p4014.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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6 IAC's Video of the Week discusses issues involved in building better vaccines

IAC encourages IAC Express readers to watch a 4-minute video titled "How to Build Better Vaccines." It is part of a series from the Decade of Vaccines Collaboration. The presenter is Anne Moscana, MD, director, Division of Pediatric Infectious Disease, Weill Cornell Medical Center.

The video will be available on the home page of IAC's website through October 2. To access it, go to: http://www.immunize.org and click on the image under the words Video of the Week.

Remember to bookmark IAC's home page to view a new video every Monday.

To access the archives of IAC's Videos of the Week, go to: http://www.immunize.org/votw
 
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7 Vaccine Education Center offers updated resources

The Vaccine Education Center (VEC) at the Children's Hospital of Philadelphia recently released updated fact sheets about Tdap and influenza. Intended for patients, parents, and providers, these resources answer the most frequently asked questions about these vaccines and the diseases against which they protect. English- and Spanish-language versions are available.

The fact sheets are available online or can be ordered for $4 per 50-sheet pad, plus shipping.

To access a ready-to-copy (PDF) version of "Tdap: What you should know" in English, click here.

To access a ready-to-copy (PDF) version of "Tdap: What you should know" in Spanish, click here.

To access a ready-to-copy (PDF) version of "Influenza: What you should know" in English, click here.

To access a ready-to-copy (PDF) version of "Influenza: What you should know" in Spanish, click here.

To order online, click here.
 
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8 MMWR reports on measles outbreak started by case imported from Malaysia

CDC published "Notes from the Field: Measles Among U.S.-Bound Refugees from Malaysia--California, Maryland, North Carolina, and Wisconsin, August-September 2011" in the September 23 issue of MMWR. The last two sentences follow.


To prevent measles in U.S. residents at home and abroad, CDC recommends that eligible persons without evidence of measles immunity be vaccinated as recommended. Before international travel, infants aged 6-11 months should receive 1 MMR vaccine dose, and persons aged >=12 months should receive 2 doses unless they have other evidence of measles immunity.


To access the full article, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6037a4.htm
 
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9 CDC releases final state-level vaccination coverage statistics for the 2010-11 influenza season

CDC published "Announcements: Final State-Level 2010-11 Influenza Vaccination Coverage Estimates Available Online" in the September 23 issue of MMWR. The entire article follows.


Final state-specific influenza vaccination coverage estimates for the 2010-11 season are now available online at FluVaxView
(http://www.cdc.gov/flu/professionals/vaccination/vaccinecoverage.htm). The online information includes estimates of the cumulative percentage of persons vaccinated by the end of each month, from August 2010 through May 2011, for each state, for each U.S. Department of Health and Human Services region, and for the United States overall. Analyses were conducted using Behavioral Risk Factor Surveillance System data for adults aged >=18 years and National Immunization Survey data for children aged 6 months-17 years. Estimates are provided by age group and race/ethnicity. These estimates are presented using an interactive feature, complemented by an online summary report. This posting updates the estimates presented in the MMWR report, "Interim Results: State-Specific Influenza Vaccination Coverage--United States, August 2010-February 2011."


To access the article in MMWR, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6037a5.htm
 
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10.  NFID blog explores issues related to infectious diseases

The National Foundation for Infectious Diseases (NFID) invites IAC Express readers to explore InfectiousDiseaseNews.com--a regularly updated and professionally written blog about current research, trials, treatments, and issues in the field of infectious diseases. Infectious Disease News blogger William Schaffner, MD, is the president of the National Foundation for Infectious Diseases (and also a member of IAC's Advisory Board).

Dr. Schaffner comments on a host of issues related to vaccine-preventable diseases on the blog. For example, his September 16 blog post discusses the important role of pharmacists in delivering vaccines to the nation's adults.

To access this blog, go to: http://infectiousdiseasenews.com/Blog.aspx You will need to register on the site in order to make comments, but registration is free and easy.
 
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11.  IAC's popular laminated versions of the 2011 U.S. immunization schedules are available. Order a supply for your workplace today!

IAC's laminated versions of the 2011 U.S. child/teen and adult immunization schedules are covered with a tough, washable coating that lets them stand up to a year's worth of use in every area of your workplace where immunizations are given. Each has six pages (i.e., three double-sided pages) and is folded to measure 8.5" by 11".

Laminated schedules are printed in color for easy reading, come complete with essential tables and footnotes, and include contraindications and precautions--a feature that will help you make an on-the-spot determination about the safety of vaccinating patients of any age.

PRICING
1-4 copies: $7.50 each
5-19 copies: $5.50 each
20-99 copies: $4.50 each

To view images of the laminated schedules, or to order online or download an order form, go to: http://www.immunize.org/shop/laminated-schedules.asp

For quotes on customizing or placing orders in excess of 999 schedules, call (651) 647-9009 or email admininfo@immunize.org

To learn about other essential immunization resources available for purchase from IAC, go to: http://www.immunize.org/shop
 
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12.  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.

Prices start at $17 each for 1-9 copies and are greatly reduced for large orders, dropping to $3 each for 1,000-1,499 copies.

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

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

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

Note for healthcare settings located in California: Contact your local health department immunization program for a free copy.
 
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13.  2011-12 influenza vaccine VISs now available in Hmong and Karen

The 2011-12 VIS for inactivated influenza (TIV) vaccine and the 2011-12 VIS for live, intranasal influenza (LAIV) vaccine are now available in Hmong and Karen. IAC gratefully acknowledges the Minnesota Department of Health for the translations.

To access the new translations of the VIS for TIV, as well as the English version, go to: http://www.immunize.org/vis/vis_flu_inactive.asp

To access the new translations of the VIS for LAIV, as well as the English version, 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
 
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14.  Program on adult immunization planned for October 4 in Piscataway, NJ; view it in person or on your computer screen

The New Jersey Department of Health and Senior Services, New Jersey Immunization Network, and University of Medicine & Dentistry of New Jersey (UMDNJ)--School of Public Health are collaborating to provide "Vaccines for Life: 2011 Updates for Adult Immunizations" on October 4 from 9:30-11:00 AM, Eastern Time. You can view it live in person or live on your computer screen (live streaming).

Registration is required to attend the program in person. To register, go to: https://njlmn.rutgers.edu

To prepare to view the program live on your computer screen (live streaming), go to: https://njlmn.rutgers.edu/jsp/cat2/cat_date.jsp Scroll down to events held on October 4. At the far right (under the "Status" subhead), you will find a hyperlink titled "LIVE streaming info." Click on it for all necessary directions and links.
 
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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.