Immunization Action Coalition and the Hepatitis B Coalition

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Issue Number 384            May 12, 2003

CONTENTS OF THIS ISSUE

  1. Attention adult medicine specialists: Spring 2003 issue of "Vaccinate Adults!" is available now
  2. April "Immunization Works!" gives providers ideas for talking with vaccine-hesitant parents
  3. CMS releases new Medicare payment rates for administering influenza, pneumococcal, and hepatitis B vaccines
  4. New on the Web: The Sabin Vaccine Institute posts white paper on global vaccine shortage
  5. Hepatitis B Foundation re-launches website
  6. After six months and almost 1,200 deaths, Burkina Faso's meningitis epidemic eases
  7. 2003 National HIV Prevention Conference to take place in Atlanta on July 27-30
  8. Illinois Immunization and Communicable Disease Conference set for July 14-16
  9. CDC notifies readers about special Mother's Day supplement to "Pediatrics"
  10. CDC publishes an update of smallpox vaccine adverse events surveillance

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May 12, 2003
ATTENTION ADULT MEDICINE SPECIALISTS: SPRING 2003 ISSUE OF "VACCINATE ADULTS!" IS AVAILABLE NOW

In the next week or two, start checking your mailbox for your hard copy of the new "VACCINATE ADULTS!" In the meantime, you can print a copy of it from the website of the Immunization Action Coalition (IAC). With the exception of editorials, each article and education piece in this 12-page issue has been reviewed for accuracy by immunization specialists at the federal Centers for Disease Control and Prevention (CDC).

Tailored to the practical needs of health professionals who routinely vaccinate adults, the new issue has a Q&A feature--"Ask the Experts"--that answers complex and timely immunization questions. "Vaccine Highlights" and "Recommended Adult Immunization Schedule, United States, 2002-2003" will keep health professionals current about recommendations, schedules, and more. Use the one-page professional education sheet "Don't Be Guilty of These Errors in Vaccine Storage and Handling" to assess your storage and handling procedures and correct any deficiencies you find.

HOW TO READ "VACCINATE ADULTS!" ON THE WEB
You can download the entire issue from the web or view selected articles from the table of contents below.

To view the table of contents with links to individual articles, go to:
http://www.immunize.org/va

Please note: The PDF file of the entire spring 2003 issue, linked below, is large at 325,678 bytes. Some printers cannot print such a large file. For tips on downloading and printing PDF files, go to: http://www.immunize.org/nslt.d/tips.htm

To download the entire PDF version of the spring 2003 issue, go to:
http://www.immunize.org/va/va10.pdf

Here are summaries of "VACCINATE ADULTS!" articles and professional education pieces, followed by URLs.

  1. "Ask the Experts"
    CDC immunization expert William Atkinson, MD, MPH, and viral hepatitis experts Harold Margolis, MD, and Linda Moyer, RN, answer readers' questions.
     
    HTML: http://www.immunize.org/va/va10exprt.htm
    PDF: http://www.immunize.org/va/va10exprt.pdf
     
  2. "Vaccine Highlights"
    A digest of recent recommendations and news about vaccines.
     
    HTML: http://www.immunize.org/va/va10vac.htm
    PDF: http://www.immunize.org/va/va10vac.pdf
     
  3. "IAC Welcomes Advisory Board Liaisons"
    IAC introduces readers to seven new Advisory Board liaisons representing professional and international organizations, as well as the federal government.
     
    HTML: http://www.immunize.org/genr.d/advbd.htm
    PDF: http://www.immunize.org/va/va10adv.pdf
     
  4. "Recommended Adult Immunization Schedule, United States, 2002-2003," "Footnotes for Recommended Adult Immunization Schedule, United States, 2002-2003," and "Recommended Immunizations for Adults with Medical Conditions, United States, 2002-2003."
    Issued in October 2002, these materials are condensed to three pages for easy reference and easy copying.
     
    PDF: http://www.immunize.org/nslt.d/n27/scdadult.pdf
     
  5. "Vaccine Administration Record for Adults"
    Updated in April, this hands-on record presents a clear approach to documenting the administration of vaccines, including combination vaccines.
     
    HTML: http://www.immunize.org/catg.d/p2023b.htm
    PDF: http://www.immunize.org/catg.d/p2023b.pdf
     
  6. "Don't Be Guilty of These Errors in Vaccine Storage and  Handling"
    This newly created one-page sheet succinctly explains ten commonly reported errors in vaccine storage and handling and presents suggestions for correcting each.
     
    HTML: http://www.immunize.org/catg.d/p3036.htm
    PDF: http://www.immunize.org/catg.d/p3036.pdf
     
  7. "Check Your State's Rates"
    This chart shows influenza and pneumococcal immunization rates by state for adults 65 years of age and older.
     
    HTML: http://www.immunize.org/va/va10check.htm
    PDF: http://www.immunize.org/va/va10check.pdf
     
  8. "Coalition Catalog: Adult Resources"
    Order materials for patients and clinic staff here.
     
    PDF: http://www.immunize.org/va/catalog.pdf
     
  9. "Protect Your Patients: Three Timely Suggestions"
    IAC's Executive Director, Deborah L. Wexler, MD, presents a three-pronged approach for reducing disease by increasing adult influenza immunization rates in clinics and practices nationwide.
     
    HTML: http://www.immunize.org/va/va10back.htm
    PDF: http://www.immunize.org/va/va10back.pdf

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May 12, 2003
APRIL "IMMUNIZATION WORKS!" GIVES PROVIDERS IDEAS FOR WORKING WITH VACCINE-HESITANT PARENTS

The April issue of "Immunization Works!" an email newsletter published by the Centers for Disease  Control and Prevention (CDC), has an article for providers on communicating with parents who question vaccines.

Based on a CDC Provider's Guide titled "Helping Parents Who Question Vaccines," the article presents ideas on the following: questioning, respecting and addressing concerns, educating about responsibilities, exploring acceptable options, and keeping communication open.

In addition to the section on communication, the Provider's Guide has three other sections: (1) Concerns about Unimmunized Children in My Practice, (2) Child Care and School Requirements, and (3) For More Information.

To access the complete Provider's Guide from the CDC website, go to: http://www.cdc.gov/nip/vacsafe/parents-question-vacc-hcp.htm

To access the April issue of "Immunization Works!" from the Immunization Action Coalition website, go to: http://www.immunize.org/news.d/news403.htm
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May 12, 2003
CMS RELEASES NEW MEDICARE PAYMENT RATES FOR ADMINISTERING INFLUENZA, PNEUMOCOCCAL, AND HEPATITIS B VACCINES

The Centers for Medicare & Medicaid Services (CMS) recently released the "2003 Administration Rate Allowances" for influenza, pneumococcal, and hepatitis B vaccines. The rates went into effect March 1.

This year's administration rates average 94 percent higher than last year's. The average rate in 2002 was $3.98; the average rate for 2003 is $7.72. This rate reflects the cost of vaccine administration, not reimbursement for the cost of the vaccine. The payment rate for influenza vaccine has not yet been determined and will probably not be available until early fall.

To access a camera-ready (PDF) copy of the rate allowances from the website of the Immunization Action Coalition, go to: http://www.immunize.org/influenza/allowances.pdf

For more information, go to the CMS website at http://cms.hhs.gov/preventiveservices/2.asp
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May 12, 2003
NEW ON THE WEB: THE SABIN VACCINE INSTITUTE POSTS WHITE PAPER ON GLOBAL VACCINE SHORTAGE

The Sabin Vaccine Institute (SVI) has posted its most recent white paper, "Global Vaccine Shortage: The Threat to Children and What To Do About It," on its website. The 12-page document summarizes key points discussed at the Ninth Annual Vaccine Colloquium held October 2002 in Cold Spring Harbor, Long Island, NY. Colloquium participants included leaders from academia, government, industry, and philanthropy.

The white paper summarizes strategies to solve vaccine supply shortages and discusses issues that affect the vaccine market. The paper also lists the task forces and task-force goals established by participants and presents participants' individual recommendations.

To access a camera-ready (PDF) copy of the white paper from the SVI website, go to:
http://www.sabin.org/PDF/pub_globalshortage.pdf

To access the SVI homepage, go to: http://www.sabin.org
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May 12, 2003
HEPATITIS B FOUNDATION RE-LAUNCHES WEBSITE

In mid-April, the Hepatitis B Foundation re-launched its website with a new user-friendly design and more information than before. The upgrade is intended to help the foundation deliver the most current news about prevention, management, and treatment of hepatitis B to its audience of patients, families, health care professionals, and researchers in 56 countries worldwide.

Because hepatitis B is particularly prevalent in Asia and in Asian communities outside of Asia, the foundation made sure the updated site offers information in Asian languages. Sub-sites in Chinese, Korean, and Vietnamese are currently available. The foundation plans to add materials in additional languages in the future.

Other highlights of the website include a Drug Watch of approved compounds and those in development, information on clinical trials for hepatitis B, a bookstore, links to the foundation's free printable literature and newsletter, and links to other valuable hepatitis resources.

To access the website, go to: http://www.hepb.org
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May 12, 2003
AFTER SIX MONTHS AND ALMOST 1,200 DEATHS, BURKINA FASO'S MENINGITIS EPIDEMIC EASES

On May 2, health officials in Burkina Faso reported that none of the country's 53 districts was experiencing meningitis in epidemic proportions (at least 10 cases per 100,000 inhabitants). The number of new cases recorded nationwide has declined from 441 a week to 291. Two million doses of vaccine, obtained through the World Health Organization (WHO), helped contain the epidemic.

Of the 7,846 people reported to have contracted the disease since October 2002, 1184 (15 percent) have died. Located in the African meningitis belt, Burkina Faso suffers outbreaks of the disease each year during the dry season.

To access a press release about the epidemic from the AllAfrica website, go to:
http://allafrica.com/stories/printable/200305020235.html

To access additional information from the WHO website, go to:
http://www.who.int/csr/don/2003_05_02/en
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May 12, 2003
2003 NATIONAL HIV PREVENTION CONFERENCE TO TAKE PLACE IN ATLANTA ON JULY 27-30

Scheduled for July 27-30 in Atlanta, the 2003 National HIV Prevention Conference will bring together governmental and non-governmental organizations at all levels to implement, evaluate, disseminate, and further develop and strengthen effective HIV prevention efforts nationwide.

The conference has two goals: (1) to share effective prevention approaches and research findings among governmental, community, and academic partners in HIV prevention and (2) to strengthen collaborations between program practitioners and researchers in areas including behavioral interventions, vaccine development, epidemic monitoring, development of rapid and reliable diagnostic tests, and improved access to early HIV treatment.

For information on all aspects of the conference, go to:
http://www.2003hivprevconf.org or call (866) 277-6313.
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May 12, 2003
ILLINOIS IMMUNIZATION AND COMMUNICABLE DISEASE CONFERENCE SET FOR JULY 14-16

The annual Illinois Immunization and Communicable Disease Conference, including the Downstate Illinois Bioterrorism Summit, will be held July 14-16 in Springfield, IL.

For additional information, contact the Illinois Public Health Association at (217) 522-5686 (phone); (217) 522-5689 (fax); or bakerjo2001@yahoo.com (email).
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May 12, 2003
CDC NOTIFIES READERS ABOUT SPECIAL MOTHER'S DAY SUPPLEMENT TO "PEDIATRICS"

The Centers for Disease Control and Prevention (CDC) published a Notice to Readers, "Special Mother's Day Issue of 'Pediatrics'," in the May 9 issue of the "Morbidity and Mortality Weekly Report" (MMWR). The supplement, which includes a section on immunization, takes a multidisciplinary approach to improving maternal and child health. The notice is reprinted below in its entirety.

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The May supplement to the journal "Pediatrics" entitled "Maternal Influences on Child Health: Pre-conception, Prenatal, and Early Childhood" focuses on how mothers can influence their children's health before, during, and after pregnancy. Sponsored by CDC, the supplement takes a multidisciplinary approach to improving maternal and child health, highlighting research that relates to obstetrics and pediatrics. Topics include immunization, birth defects, developmental disabilities, reproductive health, human immunodeficiency virus/acquired immunodeficiency syndrome, injury control, chronic disease, nutrition, health education, and psychology.

The supplement should be informative for a wide audience, including pediatricians, obstetricians, public health researchers, and the general public. Abstracts of articles in this supplement are available at http://www.pediatrics.org

Additional information about the issue is available from CDC, telephone (404) 639-8165, email ecl7@cdc.gov

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To obtain the complete text of the article online, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5218a7.htm

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5218.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 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 email.
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May 12, 2003
CDC PUBLISHES AN UPDATE OF SMALLPOX VACCINE ADVERSE EVENTS SURVEILLANCE

The Centers for Disease Control and Prevention (CDC) published "Update: Adverse Events Following Civilian Smallpox Vaccination--United States, 2003" in the May 9 issue of the "Morbidity and Mortality Weekly Report" (MMWR). It includes reports of four new or reclassified cases or myopericarditis and one new case each of acute myocardial infarction and inadvertent inoculation. Excerpts from the report are reprinted below.

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During January 24-April 25, 2003, smallpox vaccine was administered to 34,541 civilian health-care and public health workers in 54 jurisdictions to prepare the United States for a possible terrorist attack using smallpox virus. This report updates information on vaccine-associated adverse events among civilians vaccinated since the beginning of the program and among contacts of vaccinees, received by CDC from the Vaccine Adverse Event Reporting System (VAERS) as of April 25. . . .

As of April 25, a total of 15 cases of myopericarditis have been reported; four new or reclassified cases were recorded during April 19-25. One new case of acute myocardial infarction (MI) was also reported.

During April 19-15, one new case of inadvertent inoculation (nonocular) was reported. . . .

During April 19-25, in addition to MI, nine other serious adverse events were reported: one case of respiratory distress, one case of coronary artery disease, one case of angina, one case of persistent fatigue, one case of premature ventricular contractions, and four cases of headache. . . .

Surveillance for adverse events during the civilian and military smallpox vaccination programs is ongoing; regular surveillance reports will be published in MMWR.

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To obtain the complete text of the report online, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5218a5.htm

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5218.pdf

 

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 May 12, 2003