Immunization Action Coalition and the Hepatitis B Coalition

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Issue Number 299            March 4, 2002

CONTENTS OF THIS ISSUE

  1. Advisory Committee on Immunization Practices (ACIP) recommends delaying varicella vaccination until at least age 18 months during shortage
  2. IOM releases report on safety review of multiple immunizations
  3. Tennessee adds hepatitis B immunization requirement for middle-school attendance
  4. Visit IAC's new International Adoption web page for immunization and hepatitis B information
  5. New poster from California shows technique for "Comforting Restraint" of children receiving shots
  6. HFI's Hepatitis Summit is set for July 18-19 in California
  7. Volunteers needed for 3-month overseas polio eradication field assignments

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March 4, 2002
ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES (ACIP) RECOMMENDS DELAYING VARICELLA VACCINATION UNTIL AT LEAST AGE 18 MONTHS DURING SHORTAGE

On February 20, 2002, CDC's Advisory Committee on Immunization Practices (ACIP) voted to  recommend that providers prioritize use of limited supplies of varicella vaccine because of a shortage in the United States. Until supplies increase in late spring or early summer, according to ACIP, providers should delay vaccination of children aged 12-18 months until age 18 months or until the "two-year visit." Providers also should implement a system for calling back dose-delayed children when more vaccine becomes available.

To read about the ACIP vote on CDC's website, go to:
http://www.cdc.gov/nip/news/shortages/varicella_02-20-02.htm
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March 4, 2002
IOM RELEASES REPORT ON SAFETY REVIEW OF MULTIPLE IMMUNIZATIONS

On February 20, 2002, the Institute of Medicine (IOM) released its report titled "Immunization Safety Review: Multiple Immunizations and Immune Dysfunction." According to the 105-page report, the  current infant and childhood immunization schedule does not increase the risk of contracting Type I  diabetes or infections such as pneumonia or meningitis. The review committee recommends that the U.S. Department of Health and Human Services study parental perceptions of vaccine risks and benefits in order to develop better communication tools.

The study was requested by the Centers for Disease Control and Prevention (CDC) and the National Institute of Allergy and Infectious Diseases (NIAID).

Following is an excerpt from the Question-and-Answer page about this report on CDC's website:

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Public confidence in our immunization programs is essential to our nation's health. In recent years, increasing public attention has focused on issues regarding vaccine safety. Vaccine safety concerns may decrease public acceptance of immunizations and result in resurgence of vaccine preventable diseases. Issues involving the safety of vaccines, particularly childhood vaccines, may concern certain members of the public, health care professionals, the public health community, the media, Congress, vaccine manufacturers, and federal agencies.

In response to these concerns, the Centers for Disease Control and Prevention and the National Institutes of Health have asked the National Academy of Sciences, Institute of Medicine (IOM) to establish an independent expert committee to review hypotheses about existing and emerging  immunization safety concerns. These reviews include an assessment of factors such as the biologic mechanisms of the hypothesis, competing alternative hypotheses, as well as the available scientific evidence to date.

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To read the IOM press release about the report, go to:
http://www4.nationalacademies.org/news.nsf/isbn/0309083281?opendocument

To read the report for free online, go to:
http://www.nap.edu/books/0309083281/html/

For information on ordering the report in book form, go to:
http://www.nap.edu/catalog/10306.html

To read an overview of the report on CDC's website, go to:
http://www.cdc.gov/nip/vacsafe/concerns/gen/multiplevac_iom.htm
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March 4, 2002
TENNESSEE ADDS HEPATITIS B IMMUNIZATION REQUIREMENT FOR MIDDLE-SCHOOL ATTENDANCE

Effective July 2002, in time for the 2002-2003 academic year, seventh graders in the state of Tennessee will be required to be immunized against hepatitis B. Students will have to show proof that they received at least one dose of hepatitis B vaccine in order to attend school. They then must complete the series according to the vaccine schedule.

To see IAC's Hepatitis B Prevention Mandates web page, newly updated to reflect Tennessee's new requirement, go to: http://www.immunize.org/laws/hepb.htm

IAC tracks this and other state-by-state mandates regarding immunization on our website at: http://www.immunize.org/laws/

Please be sure to let us know of any new immunization and hepatitis B laws in your state. Although we follow state activities, we also rely on readers to keep us informed. Send emails with your updates to admin@immunize.org
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March 4, 2002
VISIT IAC'S NEW INTERNATIONAL ADOPTION WEB PAGE FOR IMMUNIZATION AND HEPATITIS B INFORMATION

If you want links and bibliographic references to journal articles about international adoptees; websites; resources for adopting parents; and CDC immunization recommendations, take a look at IAC's new web page on International Adoption issues.

This page will point you and parents (or prospective parents) in the direction of the International Adoption Clinic at the University of Minnesota, the National Adoption Information Clearinghouse, and more. You will also find helpful print materials for parents on topics such as hepatitis B in children adopted from abroad.

To visit IAC's new International Adoption web page, go to:
http://www.immunize.org/adoption/
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March 4, 2002
NEW POSTER FROM CALIFORNIA SHOWS TECHNIQUE FOR "COMFORTING RESTRAINT" OF CHILDREN RECEIVING SHOTS

The Immunization Branch of the California Department of Health Services has created a poster that clearly depicts the proper way for a parent to hold a child during immunizations. The small poster (8.5 by 11 inches) is designed to be visible in provider offices for the benefit of parents of infants, toddlers, and older children.

The restraint methods demonstrated in the poster are the same as those seen in the popular video "Immunization Techniques: Safe, Effective, Caring." They show how to anchor a child's legs between an adult's legs with both seated and how to hug a child to keep arms in place.

To obtain a camera-ready (PDF format) copy of the "Comforting Restraint" poster in English, go to:
http://www.immunize.org/news.d/comfrten.pdf

To obtain a camera-ready (PDF format) copy of the "Comforting Restraint" poster in Spanish, go to:
http://www.immunize.org/news.d/comfrtsp.pdf

The color posters can also be ordered from the California Distance Learning Health Network (CDLHN) for $2 each. These are double-sided, with the English version on one side and the Spanish version on the other.

To order the "Comforting Restraint" posters from CDLHN online or to print an order form to send in by mail or fax, go to: http://www.cdlhn.com/default.cfm

Please note that from the CDLHN default page above, you must click on "Courses and Materials" on the lefthand bar and then on "Books and Materials" to get to the order form.

For more information or for ordering assistance, call (619) 594-3348.
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March 4, 2002
HFI'S HEPATITIS SUMMIT IS SET FOR JULY 18-19 IN CALIFORNIA

The Hepatitis Foundation International (HFI) is hosting this 2-day education and training conference for health providers at all levels, as well as for patient advocates and "all others working with people who are affected or infected by hepatitis." The Hepatitis Summit, with the theme "Viral Hepatitis: An Emerged Epidemic," will take place July 18 and 19 in La Mirada, Los Angeles County, California.

Program topics include the epidemiology of viral hepatitis, sexual transmission and risks, and managing the coinfected HIV/HCV patient. Experts in the field of viral hepatitis will be present from the National Institutes of Health, the Centers for Disease Control and Prevention, the Huntington Medical Institutes, and other organizations. Continuing education credits are available.

The registration fee is $125. Hotel and other information will be provided upon receipt of registration.

To read about the summit and/or print out a registration form to mail in, go to:
http://www.hepfi.org/summit.htm

For more information or to request a registration form, contact HFI by phone at (800) 891-0707.
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March 4, 2002
VOLUNTEERS NEEDED FOR 3-MONTH OVERSEAS POLIO ERADICATION FIELD ASSIGNMENTS

The Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO), and the United Nations Children's Fund (UNICEF) seek health professionals to assist with polio eradication in endemic countries in Africa, Asia, and the Eastern Mediterranean. Field assignment activities with the international Stop Transmission of Polio (STOP) program include surveillance of acute flaccid paralysis; helping to plan, monitor, and evaluate National Immunization Days; house-to-house immunizations; and polio case investigations.

The 3-month assignments begin in May 2002, September 2002, and January 2003. A one-week training course in Atlanta, Georgia, is required before the assignment begins. Training and per diem and travel expenses are provided, but the assignments do not pay a salary. Qualifications include either a graduate degree or licensure in a health field AND at least 3 years of relevant work experience; or at least 5 years of relevant work experience in disease surveillance, field epidemiology, and mass immunization services or programs.

For more information on the STOP program, go to:
http://www.cdc.gov/nip/global

To apply to the STOP team program, go to:
http://www.cdc.gov/nip/global/stopteam/application.htm

You may also contact program staff by email at NIPSTOPteam@cdc.gov

 

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 March 4, 2002