Issue Number 422            November 3, 2003

CONTENTS OF THIS ISSUE

  1. Looking for additional places to refer patients for flu vaccine? These nationwide email and phone resources will help
  2. Attention adult medical specialists: The latest issue of "Vaccinate Adults!" is on the Web
  3. CDC's Division of Viral Hepatitis launches Spanish version of its website
  4. "The Vaccine Handbook" is now available for order online or by phone
  5. CDC reports on 2002 Italian measles epidemic
  6. The Conference on Innovative Administration Systems for Vaccines is planned for December 18-19
  7. "Shots for Tots" Louisiana Infant Immunization Conference set for December 11-12 in New Orleans
  8. Revised: IAC corrects an error in the October 27 issue of "IAC EXPRESS"

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November 3, 2003
LOOKING FOR ADDITIONAL PLACES TO REFER PATIENTS FOR FLU VACCINE? THESE NATIONWIDE EMAIL AND PHONE RESOURCES WILL HELP

Are patients who don't have time to come into your office for flu vaccine calling you for referrals? If so, you may be interested in directing them to one of three excellent sources that have information about flu vaccine clinics in all 50 states. Two sources are accessible on the Web and one, by toll-free phone number.

ON THE WEB
The American Lung Association's "Find a Flu Shot" web page directs users to nearby clinics. Users can search by their postal zip code, telephone area code, or state.

To access the "Find a Flu Shot" web page, go to:
http://www.findaflushot.com/lungusa

The National Immunization Program, Centers for Disease Control and Prevention (CDC), offers links to websites that will help the public find clinics.

To access the "Looking for flu shot locations?" section of CDC's website, go to: http://www.cdc.gov/nip/flu/Public.htm#locate

BY TOLL-FREE PHONE CALL
CDC's National Immunization Information Hotline will direct callers to their local health department; the health department will give people information about flu vaccine clinics in the local area.

The National Immunization Information Hotline is staffed Monday through Friday from 8 am ET to 11 pm ET. The number for English speakers is (800) 232-2522; for Spanish speakers, (800) 232-0233; for TTY, (800) 243-7889.
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November 3, 2003
ATTENTION ADULT MEDICAL SPECIALISTS: THE LATEST ISSUE OF "VACCINATE ADULTS!" IS ON THE WEB

The hard copy of the November 2003 issue of "VACCINATE ADULTS!" was just mailed to nearly 150,000 adult medicine specialists and health departments. You can access the entire issue or selected articles from the website of the Immunization Action Coalition (IAC). Immunization and hepatitis experts at the federal Centers for Disease Control and Prevention (CDC) have reviewed each article and education piece in the issue for accuracy (with the exception of editorials).

Just in time for this year's influenza vaccination season, the new issue has information about FluMist, the new live, attenuated influenza vaccine, as well as a piece that will help providers implement standing orders for administering influenza vaccine to adults. In addition, we devote two pages to summarizing the recommendations for adult immunization. This is information you won't find anywhere else; we hope you'll peruse the table of contents (given below) and read articles that interest you online.

HOW TO ACCESS "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 November 2003 issue, linked below, is large at 353,640 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 November 2003 issue, go to: http://www.immunize.org/va/va11.pdf

SUMMARIES OF INDIVIDUAL ARTICLES AND FEATURES Summaries of "VACCINATE ADULTS!" articles and features are below, followed by URLs.

  1. "Ask the Experts"
    CDC immunization expert William Atkinson, MD, MPH, and viral hepatitis experts Linda Moyer, RN, and Eric Mast, MD, answer readers' questions.
     
    HTML: http://www.immunize.org/va/va11exprt.htm
    PDF: http://www.immunize.org/va/va11exprt.pdf
     
  2. "Vaccine Highlights"
    A digest of recent recommendations and news about vaccines and vaccine resources pertaining to adults.
     
    HTML: http://www.immunize.org/va/va11vac.htm
    PDF: http://www.immunize.org/va/va11vac.pdf
     
  3. "Give These People Influenza Vaccine!"
    This one-page professional education sheet has the latest information on the populations for whom influenza vaccine is recommended or encouraged.
     
    HTML: http://www.immunize.org/catg.d/2013flu.htm
    PDF: http://www.immunize.org/catg.d/2013flu.pdf
     
  4. "Standing Orders for Administering Influenza Vaccine to Adults"
    This one-page sheet outlines the purpose, policy, and procedures for using standing orders for influenza vaccine administration and presents information about contraindications, precautions, and administration techniques.
     
    PDF: http://www.immunize.org/catg.d/p3074.pdf
     
  5. "Hepatitis B and the Health Care Worker"
    Updated in September, this two-page reference sheet explains which health care workers require hepatitis B vaccine, serologic testing, and postexposure prophylaxis.
     
    HTML: http://www.immunize.org/catg.d/2109hcw.htm
    PDF: http://www.immunize.org/catg.d/2109hcw.pdf
     
  6. "Summary of Recommendations for Adult Immunization"
    Adapted from recommendations made by the Advisory Committee on Immunization Practices, this two-page sheet outlines information about nine vaccines commonly given to adults, including details about the populations for whom each is recommended, the routine and catch-up schedule for each, and contraindications for each.
     
    HTML: http://www.immunize.org/catg.d/p2011b.htm
    PDF: http://www.immunize.org/catg.d/p2011b.pdf
     
  7. "Adult Resources and Order Form"
    Order materials for patients and clinic staff here.
     
    PDF: http://www.immunize.org/va/catalog.pdf
     
  8. "Letter from the Executive Director: Stay in Touch to Keep Receiving VACCINATE ADULTS!"
    IAC's Executive Director, Deborah L. Wexler, MD, encourages her colleagues to support IAC by becoming contributors.
     
    HTML: http://www.immunize.org/va/va11back.htm
    PDF: http://www.immunize.org/va/va11back.pdf

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November 3, 2003
CDC'S DIVISION OF VIRAL HEPATITIS LAUNCHES SPANISH VERSION OF ITS WEBSITE

[The following is cross posted from the Immunization Action Coalition's "HEP EXPRESS" electronic newsletter, 10/30/03.]

The Centers for Disease Control and Prevention's Division of Viral Hepatitis recently created a Spanish mirror site of their viral hepatitis website. Check out the resources available on this site and recommend it to your Spanish-speaking patients, clients, and friends.

The website can be accessed directly at
http://www.cdc.gov/spanish/enfermedades/hepatitis

The site can also be accessed by clicking on the "CDC en Español" link found throughout the English-language version.
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November 3, 2003
"THE VACCINE HANDBOOK" IS NOW AVAILABLE FOR ORDER ONLINE OR BY PHONE

"The Vaccine Handbook: A Practical Guide for Clinicians" by Gary S. Marshall, MD, is now in stock and available for order online or by phone. Published by Lippincott Williams & Wilkins, the handbook discusses a spectrum of vaccines, each separately, and presents information about the disease the vaccine prevents and its epidemiology, the vaccine's efficacy and safety, and the practical questions most frequently asked about the vaccine's use. A chapter addresses specific parental concerns about vaccines and their safety. The book is softbound and costs $39.95.

To order online from the publisher, go to: http://www.lww.com/products/?6073 To order by phone, or for additional information, call (800) 638-3030.
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November 3, 2003
CDC REPORTS ON 2002 ITALIAN MEASLES EPIDEMIC

The Centers for Disease Control and Prevention (CDC) published "Measles Epidemic Attributed to Inadequate Vaccination Coverage--Campania, Italy, 2002" in the October 31 issue of "Morbidity and Mortality Weekly Report" (MMWR). A summary made available to the press is reprinted below in its entirety.

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Measles can be severe and sometimes fatal, even in industrialized countries.

The interruption of measles transmission can be achieved only with coordinated and uniform actions, aimed to improve vaccination coverage. A large measles outbreak occurred in 2002 in Campania, a large region in southern Italy. The outbreak occurred as a result of low vaccination coverage and affected primarily unvaccinated school-aged children. Four measles-associated deaths, 15 encephalitis [cases], and 594 hospitalizations were detected. The epidemic, although limited initially to Campania, spread to other areas, affecting mainly other Italian southern regions.

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To obtain the complete text of the article online, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5243a4.htm

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to:
http://www.cdc.gov/mmwr/PDF/wk/mm5243.pdf

HOW TO OBTAIN A FREE ELECTRONIC SUBSCRIPTION TO THE MMWR:
To obtain a free electronic subscription to "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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November 3, 2003
THE CONFERENCE ON INNOVATIVE ADMINISTRATION SYSTEMS FOR VACCINES IS PLANNED FOR DECEMBER 18-19

The Centers for Disease Control and Prevention (CDC) published "Notice to Readers: Vaccine Delivery Technologies" in the October 31 issue of "Morbidity and Mortality Weekly Report" (MMWR). The notice is reprinted below in its entirety.

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The U.S. Department of Health and Human Services (DHHS) is sponsoring the Conference on Innovative Administration Systems for Vaccines, to be held December 18-19, 2003, in Rockville, Maryland. The conference will feature recent scientific and clinical developments in existing and investigational methods to administer vaccines by routes that avoid the dangers and drawbacks of needle and syringe and that facilitate rapid implementation of mass vaccination programs. Sessions will include presentations on vaccination by the transcutaneous and mucosal (nasal, oral, and pulmonary) routes and by needle-free jet injection. The conference is coordinated by the Office of the Assistant Secretary for Public Health Preparedness of DHHS and sponsored by five DHHS agencies: National Vaccine Program Office, Food and Drug Administration, National Institutes of Health, the Strategic National Stockpile, and CDC. Exhibition facilities will be available. Additional information about the conference, including registration and hotel reservations, is available from Science Applications International Corporation at telephone, (301) 228-3124; e-mail, vaccine750@saic.com and from CDC at http://www.cdc.gov/nip/dev#administration

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To obtain the complete text of the article online, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5243a10.htm

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to:
http://www.cdc.gov/mmwr/PDF/wk/mm5243.pdf
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November 3, 2003
"SHOTS FOR TOTS" LOUISIANA INFANT IMMUNIZATION CONFERENCE SET FOR DECEMBER 11-12 IN NEW ORLEANS

The Astor Crowne Plaza Hotel, New Orleans, is the site for the 12th annual "Shots for Tots" Louisiana Infant Immunization Conference. To take advantage of the early-bird registration rate of $25, make sure to mail your registration no later than November 5.

For information about the conference program and registration, go to: http://www.shotsfortots.com/html/11th_annual.html or call Gina Deris at (504) 483-1900.
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November 3, 2003
REVISED: IAC CORRECTS AN ERROR IN THE OCTOBER 27 ISSUE OF "IAC EXPRESS"

The Immunization Action Coalition (IAC) made an error in the title of one of the articles published in the October 27 issue of "IAC EXPRESS." The incorrect title read "CDC Health Advisory: Unvaccinated Philadelphia Man Reported to Have Contracted Respiratory Diphtheria in Haiti." The correct information is that the Centers for Disease Control and Prevention (CDC) identified the man as a Pennsylvania resident, not a Philadelphia resident.

IAC regrets the error and any confusion it may have caused our readers. We extend our thanks to Perrianne Lurie, MD, MPH, FACPM, of the Pennsylvania Department of Health, for bringing the error to our attention.

To access a corrected version of the title from the IAC website, go to: http://www.immunize.org/genr.d/issue420.htm#n5

About IZ Express

IZ Express is supported in part by Grant No. 1NH23IP922654 from CDC’s National Center for Immunization and Respiratory Diseases. Its contents are solely the responsibility of Immunize.org and do not necessarily represent the official views of CDC.

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ISSN 2771-8085

Editorial Information

  • Editor-in-Chief
    Kelly L. Moore, MD, MPH
  • Managing Editor
    John D. Grabenstein, RPh, PhD
  • Associate Editor
    Sharon G. Humiston, MD, MPH
  • Writer/Publication Coordinator
    Taryn Chapman, MS
    Courtnay Londo, MA
  • Style and Copy Editor
    Marian Deegan, JD
  • Web Edition Managers
    Arkady Shakhnovich
    Jermaine Royes
  • Contributing Writer
    Laurel H. Wood, MPA
  • Technical Reviewer
    Kayla Ohlde

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