Immunization Action Coalition and the Hepatitis B Coalition

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Issue Number 276            October 11, 2001

CONTENTS OF THIS ISSUE

  1. Second chance to improve your vaccine injection techniques! New video shows best practices
  2. Nevada passes new law for hepatitis A, hepatitis B, and varicella vaccinations
  3. New! Varicella Vaccine Information page on IAC's website
  4. Institute of Medicine Immunization Safety Review Committee releases report on thimerosal
  5. CDC issues report on state-based immunization registries
  6. New! Anthrax and Smallpox Information page on IAC's website
  7. VAERS data now available online
  8. CDC publishes news on vaccination among children in Head Start, child care centers, and schools
  9. CDC issues public health dispatch on recent polio outbreak in the Dominican Republic and Haiti
  10. Polio eradication priorities identified in Africa by CDC
  11. CDC provides influenza activity update and vaccine recommendations for 2001-2002

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October 11, 2001
SECOND CHANCE TO IMPROVE YOUR VACCINE INJECTION TECHNIQUES! NEW VIDEO SHOWS BEST PRACTICES

Since we first offered this video in IAC Express #273 in September, IAC has processed 356 orders for 445 videotapes! We also have a pending order for 500 videotapes from one state. Because it was so popular, we are announcing the offer once again as follows:

Every clinic in the United States that delivers vaccination services should have a copy of this brand-new 35-minute video titled "Immunization Techniques: Safe, Effective, Caring" available for clinic staff! Developed by the California Department of Health Services Immunization Branch in collaboration with a team of national experts, this video teaches best practices about how to administer intramuscular (IM) and subcutaneous (SC) vaccines to infants, children, and adults. It is designed for use as a "hands-on" instructional program for new staff as well as a refresher course for experienced health professionals.

The video provides discussion of all the following:

  • Anatomic sites
  • Choice of needle size
  • Vaccines and routes of administration
  • How to "draw up" doses of vaccine

Infants, toddlers, kindergartners, and adults are vaccinated in the video to demonstrate these techniques.

The video comes with presenter's notes that include instructional objectives, pre- and post-tests, photos showing vaccination sites appropriate for infants and toddlers, and a skills checklist to help you document that your staff is well trained.

IAC distributes the video and presenter's notes at $15 per set (to U.S. addresses). California Distance Learning Health Network (CDLHN) offers it at $25 per set. The versions are the same except that IAC's video comes in a plain cardboard sleeve and the presenter's notes are printed in black and white, while CDLHN's video box and presenter's notes are printed in color. The videotape and text of presenter's notes are identical.

An IAC order form is available at: http://www.immunize.org/catg.d/2020a.pdf

If you'd like to place an order with IAC, send your order payment (check, credit card information, or purchase order to Immunization Action Coalition, 1573 Selby Ave., Ste. 234, St. Paul, MN 55104 and include your complete mailing information and phone number. You can fax your order with payment information to IAC at (651) 647-9131. If you are placing an order from outside  the United States, please call IAC at (651) 647-9009 for pricing information.

Alternatively, you can order online (U.S. addresses only) at: http://www.immunize.org/iztech

CDLHN also offers the following resources developed by the California Department of Health Services Immunization Branch in addition to the video  and presenter's notes:

Anatomic Sites for Immunization poster (33" x 13") sold in quantities of 5 posters at $20 per set;

Comfort Measures poster (25" x 20") in English-language and Spanish-language versions, sold in quantities of 5 posters at $20 per set.

If you have questions about CDLHN materials or wish to place an order, call (619) 594-3348, email cdlhn@projects.sdsu.edu, or visit CDLHN online at http://www.cdlhn.com/
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October 11, 2001
NEVADA PASSES NEW LAW FOR HEPATITIS A, HEPATITIS B, AND VARICELLA VACCINATIONS

On September 7, 2001, the Nevada Board of Health applied its existing administrative code for school-entry vaccination to three new vaccines: hepatitis A, hepatitis B, and varicella. Hepatitis A and B vaccination will be required for elementary-school entry beginning July 1, 2002, and varicella  vaccination will be required beginning July 1, 2003.

Catch-up vaccines for children already enrolled will not be required. Varicella vaccination for children who have had chickenpox disease will not be required.

To view IAC's chart of state mandates for hepatitis B prevention and their implementation dates, go to: http://www.immunize.org/laws/hepb.htm

To view IAC's chart of state mandates for varicella prevention and their implementation dates, go to: http://www.immunize.org/laws/varicel.htm

We depend on our readers to help us stay informed and to ensure we offer the most accurate and current information available on state vaccination mandates. Please let us know when any changes occur in your state.
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October 11, 2001
NEW! VARICELLA VACCINE INFORMATION PAGE ON IAC'S WEBSITE

See the new Varicella Vaccine Information page on the website of the Immunization Action Coalition (IAC) for helpful varicella news. The page includes journal article references and links, links to recommendations from AAP and ACIP, case histories, photos, and numerous resources.

To view IAC's Varicella Vaccine Information web page, go to: http://www.immunize.org/varicella
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October 11, 2001
INSTITUTE OF MEDICINE IMMUNIZATION SAFETY REVIEW COMMITTEE RELEASES REPORT ON THIMEROSAL

On October 1, 2001, the Institute of Medicine (IOM) Immunization Safety Review Committee published its findings and recommendations on  thimerosal-containing vaccines in a report titled "Thimerosal-Containing Vaccines and Neurodevelopmental Disorders."

The Committee conducted two separate plausibility assessments: 1) biological plausibility, and 2) causal-link plausibility. The Committee determined that "the hypothesis that thimerosal exposure through the recommended childhood immunization schedule has caused neurodevelopmental disorders is not supported by clinical or experimental evidence" and that "the evidence is inadequate to accept or reject a causal relationship between exposure to thimerosal from vaccines and the neurodevelopmental disorders of autism, ADHD, and speech or language delay."

Table ES-1 summarizes the Committee's recommendations and conclusions.

For the complete text of the IOM thimerosal report, go to: http://www.nap.edu/catalog/10208.html

For CDC's information on the report and thimerosal, go to: http://www.cdc.gov/nip/news/iom-thim10-1-01.htm

For IAC's Thimerosal Information web page, go to: http://www.immunize.org/thimerosal
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October 11, 2001
CDC ISSUES REPORT ON STATE-BASED IMMUNIZATION REGISTRIES

On October 5, 2001, the Centers for Disease Control (CDC) published "Development of Community- and State-Based Immunization Registries: CDC Response to a Report from the National Vaccine Advisory Committee" as part of its Morbidity and Mortality Weekly Report (MMWR) Recommendations and Reports series (Vol. 50, RR-17).

The Summary reads as follows:

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Immunization registries are confidential, population-based computerized systems that contain information regarding children's vaccinations. Registries provide a critical tool for increasing and sustaining vaccination coverage. A national health objective for 2010 is to increase to 95 percent the proportion of children under 6 years who participate in fully operational population-based immunization registries. According to 2000 data, 24 percent of U.S. children are participating in population-based immunization registries. In 1998, to facilitate community- and state-based immunization registry development in the United States, the National Vaccine Advisory Committee (NVAC) launched the Initiative on Immunization Registries. Through public hearings and parent focus groups, NVAC identified four concerns that needed to be addressed to increase registry participation: a) protecting each person's privacy and the  confidentiality of registry information; b) ensuring participation of vaccination providers and recipients; c) overcoming technical and operational challenges; and d)determining resources needed to develop and maintain immunization registries. In January 1999, NVAC approved the report Development of Community-and State-Based Immunization Registries (available at <http://www.cdc.gov/nip/registry/nvac.htm>; accessed July 30, 2001). The following report summarizes NVAC's recommendations and describes CDC's National Immunization Program activities in response to NVAC's recommendations.

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Note: The above-quoted URL may not work as a link; you may have to copy or retype it in your address line.

To view or print the full MMWR report, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5017a1.htm

To obtain a camera-ready (PDF format) copy of the report, go to: http://www.cdc.gov/mmwr/PDF/rr/rr5017.pdf
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October 11, 2001
NEW! ANTHRAX AND SMALLPOX INFORMATION PAGE ON IAC'S WEBSITE

Don't miss the new Anthrax and Smallpox Information page on the website of the Immunization Action Coalition (IAC). The page includes links to ACIP  recommendations, a link to the Department of Defense Anthrax Vaccine Immunization Program (AVIP), and a link to CDC resources.

To view IAC's Anthrax and Smallpox Information web page, go to: http://www.immunize.org/anthrax
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October 11, 2001
VAERS DATA NOW AVAILABLE ONLINE

The Vaccine Adverse Event Reporting System (VAERS) data set is available online. Data in compressed "self extracting zip files" can be downloaded into  spreadsheet applications using Windows. Sponsored by the CDC and the FDA, VAERS receives reports of events that occur after immunization. Some of these events may occur coincidentally following vaccination while others may truly be caused by vaccination.

For further background information regarding the VAERS data sets, go to: http://www.vaers.org/data.htm, which directs you to the README file for definitions of terms, caveats to interpretation, and more.

For FAQs about VAERS, go to: http://www.vaers.org/vaers.htm

For more information about the VAERS program in general, visit http://www.vaers.org, call (800)822-7967, or send an email to info@vaers.org
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October 11, 2001
CDC PUBLISHES NEWS ON VACCINATION AMONG CHILDREN IN HEAD START, CHILD CARE CENTERS, AND SCHOOLS

CDC published the article "Vaccination Coverage Among Children Enrolled in Head Start Programs and Licensed Child Care Centers and Entering School--United States and Selected Reporting Areas, 1999-2000 School Year" in the October 5, 2001, issue of Morbidity and Mortality Weekly Report (MMWR). The 9-page article includes 3 tables. 

The Editorial Note at the end of the article states in part:

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Since 1980, national coverage for recommended childhood vaccines among children entering school has been over 90 percent. Although the incidence of  vaccine-preventable disease is at an all-time low, coverage from over 90 percent to over 95 percent is considered necessary to prevent transmission of  measles in secondary schools. . . .The implementation and enforcement of state vaccination requirements have resulted in high levels of coverage among the U.S. school-aged and licensed child care population attending these  facilities. State requirements constitute an important component of the effort to meet 2010 objectives and ensure vaccination of children aged 5 and 6 years who had not been vaccinated during early childhood.

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To obtain the complete text of this article online, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5039a2.htm

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5039.pdf

HOW TO OBTAIN A FREE ELECTRONIC SUBSCRIPTION TO THE MMWR:
To obtain a free electronic subscription to the "Morbidity and Mortality Weekly Report" (MMWR), visit CDC's MMWR website at: http://www.cdc.gov/mmwr Select "Free MMWR Subscription" from the menu at the left of the screen. Once you have submitted the required information, weekly issues of the MMWR and all new ACIP statements (published as MMWR's "Recommendations and Reports") will arrive automatically by e-mail.
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October 11, 2001
CDC ISSUES PUBLIC HEALTH DISPATCH ON RECENT POLIO OUTBREAK IN THE DOMINICAN REPUBLIC AND HAITI

CDC issued "Update: Outbreak of Poliomyelitis--Dominican Republic and Haiti, 2001-2001" in the October 5, 2001, issue of Morbidity and Mortality Weekly Report (MMWR). According to the update, "From July 12, 2000, through September 18, 2001, a total of 21 cases of poliomyelitis (including two  fatal cases) were reported from the Caribbean island of Hispaniola, divided between Haiti and the Dominican Republic." The update concludes by stating that travelers to this location who are not vaccinated adequately are at risk for polio.

To obtain the complete text of this article online, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5039a3.htm

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5039.pdf

HOW TO OBTAIN A FREE ELECTRONIC SUBSCRIPTION TO THE MMWR:
see story #8.
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October 11, 2001
POLIO ERADICATION PRIORITIES IDENTIFIED IN AFRICA BY CDC

There has been substantial progress in poliomyelitis eradication in Africa, but Angola, Democratic Republic of Congo (DR Congo), Ethiopia, and Nigeria remain priorities, according to a report published in the September 28, 2001, issue of Morbidity and Mortality Weekly Report (MMWR).

To obtain the full text of this article online, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5038a3.htm

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5038.pdf

HOW TO OBTAIN A FREE ELECTRONIC SUBSCRIPTION TO THE MMWR:
see story #8.
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October 11, 2001
CDC PROVIDES INFLUENZA ACTIVITY UPDATE AND VACCINE RECOMMENDATIONS FOR 2001-2002

CDC published a report titled "Update: Influenza Activity--United States and Worldwide, May-September 2001" in the September 28, 2001, issue of Morbidity and Mortality Weekly Report (MMWR). According to the report,  from May through September 2001, influenza A (H1N1), A (H3N2), and B viruses have continued to circulate worldwide. The majority of viruses are well matched to the components of the 2001-2002 influenza vaccine. 

The following ACIP recommendations, included in the report, address an anticipated delay in influenza vaccine delivery. Providers should: 1) target vaccine available in September and October to persons at increased risk for influenza complications and to healthcare workers; 2) beginning in November, also offer vaccine to contacts of high-risk persons, healthy persons aged 50-64 years, and any others who want to reduce their risk for influenza; and 3) continue vaccinating patients in December and throughout the flu season as long as vaccine is available.

To obtain the full text of the report online, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5038a2.htm

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5038.pdf

The latest information regarding influenza vaccine is available on CDC's website: http://www.cdc.gov/nip/flu

HOW TO OBTAIN A FREE ELECTRONIC SUBSCRIPTION TO THE MMWR:
see story #8. 

 

Immunization Action Coalition1573 Selby AvenueSt. Paul MN 55104
E-mail: admin@immunize.org Web: http://www.immunize.org/
Tel: (651) 647-9009Fax: (651) 647-9131

This page was updated on October 11, 2001