Immunization Action Coalition and the Hepatitis B Coalition

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Issue Number 587            March 13, 2006

CONTENTS OF THIS ISSUE

  1. New: Laminated U.S. childhood and adult immunization schedules are a must for every exam room
  2. New: Current U.S. childhood and adult immunization schedules now available for PDAs
  3. NIP schedules March 14–15 teleconference on promoting infant immunization through Spanish-language media outlets
  4. March issue of CDC's Immunization Works electronic newsletter now available on the NIP website
  5. MMWR focuses on public health response to Hurricanes Katrina and Rita in states other than Louisiana
  6. Erratum: MMWR corrects storage information for live attenuated influenza vaccine
  7. CDC website posts presentation slides from ACIP's February 21–22 meeting
  8. CDC updates its Influenza web section with news about the geographic spread of avian influenza
  9. Pandemic influenza: new Update newsletter and checklists for school districts and home healthcare providers now available
  10. NFID issues Call to Action on immunizing children with asthma against influenza
  11. CDC issues update on U.S. influenza activity during February 19–25
  12. New: FDA issues draft guidelines for accelerated development of seasonal and pandemic influenza vaccines
  13. CDC reports that during 1999–2004 global measles deaths were reduced 48 percent to 454,000

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ABBREVIATIONS: AAFP, American Academy of Family Physicians; AAP, American Academy of Pediatrics; ACIP, Advisory Committee on Immunization Practices; CDC, Centers for Disease Control and Prevention; FDA, Food and Drug Administration; IAC, Immunization Action Coalition; MMWR, Morbidity and Mortality Weekly Report; NIP, National Immunization Program; VIS, Vaccine Information Statement; VPD, vaccine-preventable disease; WHO, World Health Organization.
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March 13, 2006
NEW: LAMINATED U.S. CHILDHOOD AND ADULT IMMUNIZATION SCHEDULES ARE A MUST FOR EVERY EXAM ROOM

A set of laminated immunization schedules will be a useful and welcome addition to every exam room at your practice site. IAC adapted the schedules from the ones posted on NIP's website. Each is coated in durable plastic for heavy-duty use, complete with essential footnotes, and printed in color for easy comprehension. Following is information on the schedules, including their prices and ordering options.

Childhood schedule. Based on the ACIP/AAP/AAFP-approved Recommended Childhood and Adolescent Immunization Schedule, 2006, this 2-page, 8.5" x 11" schedule is printed back-to-back. To view it, go to: http://www.immunize.org/immschedules/immschedule_child.pdf

Note: The laminated childhood schedule does not include information about administering the newly licensed rotavirus vaccine because rotavirus vaccine is not on the official 2006 childhood schedule on which the laminated schedule is based.

Prices for the childhood schedule are $4 each for 1–4 copies and $3 each for 5–19 copies. Discount pricing is available for larger quantities.

Adult schedule. Based on the ACIP/AAFP/ACOG-approved Recommended Adult Immunization Schedule, Oct. 2005–Sept. 2006, this 4-page, 11" x 17" schedule is printed back-to-back and folded to  8.5" x 11". To view it, go to: http://www.immunize.org/immschedules/immschedule_adult.pdf

Prices for the adult schedule are $5 each for 1–4 copies and $4 each for 5–19 copies. Discount pricing is available for larger quantities.

Ordering options. Order online with a credit card, or order by mail or fax, using a credit card, check, or purchase order. Shipping is free within the United States.

For more ordering information, go to: http://www.immunize.org/immschedules Questions? Email admin@immunize.org or call (651) 647-9009.
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March 13, 2006
NEW: CURRENT U.S. CHILDHOOD AND ADULT IMMUNIZATION SCHEDULES NOW AVAILABLE FOR PDAs

The current childhood and adult immunization schedules are now available for Palm OS and Pocket PC hand-held devices. Called Shots 2006, the freeware is available on the website of the Group on Immunization Education of the Society of Teachers of Family Medicine. In addition, online versions of both schedules are available.

For a product description, system requirements, downloading and installation information for the hand-held devices and to access the online schedules, go to: http://www.immunizationed.org Click on the option you want.
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March 13, 2006
NIP SCHEDULES MARCH 14–15 TELECONFERENCE ON PROMOTING INFANT IMMUNIZATION THROUGH SPANISH-LANGUAGE MEDIA OUTLETS

NIP will conduct a one-hour technical assistance teleconference to help communities promote infant immunization through Spanish-language media outlets during National Infant Immunization Week and Vaccination Week in the Americas (NIIW–VWA). Teleconference participants can choose to join the call on either March 14 from noon to 1PM ET or March 15 from 3PM to 4PM ET.

The teleconference is intended for program coordinators, health departments, and immunization coalitions. Its goal is to inform participants about NIP's 2006 Spanish-language infant immunization campaign materials, television and radio Public Service Announcement (PSA), and tips for local placement of the campaign, especially through minority media outlets.

HMA Associates, Inc., NIP's childhood campaign contractor, will lead the call. HMA is a nationally recognized, multicultural marketing firm.

To register and receive connection information and materials, email your name, organization, city, state, and preferred call date to Cindy Alvarez at ctg7@cdc.gov Put "Registration for Infant Immunization Campaign Technical Assistance Teleconference" in the subject line of the email.
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March 13, 2006
MARCH ISSUE OF CDC'S IMMUNIZATION WORKS ELECTRONIC NEWSLETTER NOW AVAILABLE ON THE NIP WEBSITE

The March issue of Immunization Works, a monthly email newsletter published by CDC, is available on NIP's website. The newsletter offers members of the immunization community non-proprietary information about current topics. CDC encourages its wide dissemination.

Some of the information in the March issue has already appeared in previous issues of IAC Express. Following is the text of three articles we have not covered.

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NEW ACIP RECOMMENDATIONS
[Note: The February 27 issue of IAC Express covered most of the key votes ACIP members took at the February 21-22 meeting. Following is information on one vote we did not report on.]

PERTUSSIS: The ACIP voted to recommend the administration of Tetanus and Diphtheria Toxoids and Acellular Pertussis (Tdap) to protect healthcare personnel (HCP) from pertussis and to reduce transmission in healthcare facilities. The ACIP recommendation is for HCP who work in hospitals or ambulatory care settings and have direct patient contact to receive a single dose of Tdap as soon as feasible, at an interval as short as 2 years from the last dose of Td. Priority should be given to the vaccination of HCP who have direct contact with infants less than 12 months of age. Hospitals and ambulatory care facilities should provide Tdap for HCP, using approaches that will maximize vaccination rates.

Tdap is not licensed for use among adults 65 years and older, and ACIP does not recommend Tdap for this age group. Recommendations for the use of Tdap in adults 65 years and older will be updated as new data become available.

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MEETINGS, CONFERENCES, AND RESOURCES

JOBS TELECONFERENCE: NIP's Global Immunization Division (GID) and the National Center for HIV, STD and TB Prevention's Global AIDS Program (GAP) are hosting a WEB/NET Recruitment Conference on Thursday, March 30, 2006, at 1:30PM ET. The conference can be accessed via the Internet from any computer.

Participants will learn about opportunities for CDC employment and placement for medical officers, epidemiologists, public health advisors, behavioral scientists, and other health professionals with public health experience. Permanent positions and term appointments are available in a variety of international locations and with partner organizations, including WHO and UNICEF. During the WEBMET Recruitment Conference, participants will have the opportunity to ask questions of program leaders. For more information, please visit http://www.cdc.gov/nip/webutil/about/menu-about.htm and click on "employment."

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NIP NEEDS PILOT TESTERS: The National Immunization Program (NIP) has an ongoing need for volunteers to pilot test immunization training courses. Volunteers are particularly needed in the following occupations: physicians, pharmacists, health educators, medical assistants, and nurses. To learn more about becoming a pilot tester, please send an email to nippilot@cdc.gov

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To access the complete March issue from the NIP website, go to:
http://www.cdc.gov/nip/news/newsltrs/imwrks/2006/200603.htm
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March 13, 2006
MMWR FOCUSES ON PUBLIC HEALTH RESPONSE TO HURRICANES KATRINA AND RITA IN STATES OTHER THAN LOUISIANA

The March 10 issue of MMWR focuses on public heath activities in states other than Louisiana that were directly or indirectly affected by Hurricanes Katrina and Rita. MMWR focused on activities in Louisiana in its January 20 issue.

The lead article in the March 10 issue, "Public Health Response to Hurricanes Katrina and Rita—United States, 2005," provides context for the 2005 Atlantic hurricane season by presenting an historical overview of Atlantic hurricane activity in the past several decades.

Another article, "Surveillance for Illness and Injury After Hurricane Katrina—Three Counties, Mississippi, September 5–October 11, 2005," includes information about the need to increase pre-hurricane tetanus booster vaccination to reduce the burden on the healthcare system after hurricanes. Portions of the article's Editorial Note are reprinted below.

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In the immediate aftermath of Hurricane Katrina, visits to hospital EDs [emergency departments] in the three southernmost counties of Mississippi likely increased; at the one facility with available pre-hurricane data, visits increased approximately twofold. This burden on a damaged healthcare infrastructure was partially shifted to DMATs [federal Disaster Medical Assistance Teams], which were able to fill the role of certain facilities rendered inoperable by the storm. The most common healthcare visits to EDs and DMATs in the immediate post-hurricane period were for minor injuries, primarily puncture wounds, lacerations, strains, and sprains. . . . Many persons visited healthcare facilities for tetanus vaccination, and records did not always indicate whether associated injuries were present. . . . Pre-hurricane preparations might reduce the post-hurricane burden on healthcare systems by (1) improving tetanus booster vaccination coverage, (2) communicating to residents that tetanus vaccination is not required after disasters . . . .

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To access a web-text (HTML) version of the complete article, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5509a2.htm

To access a ready-to-print (PDF) version of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5509.pdf

To receive a FREE electronic subscription to MMWR (which includes new ACIP statements), go to:
http://www.cdc.gov/mmwr/mmwrsubscribe.html
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March 13, 2006
ERRATUM: MMWR CORRECTS STORAGE INFORMATION FOR LIVE ATTENUATED INFLUENZA VACCINE

CDC published "Erratum: Vol. 55, No. RR-2" in the March 10 issue of MMWR. It is reprinted below in its entirety.

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In the MMWR Recommendations and Reports, "Influenza Vaccination of Health-Care Personnel: Recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP)," an error occurred on page 9 in the section on LAIV [live attenuated influenza vaccine] storage. The first sentence of the paragraph should read, "LAIV must be stored at 5 degrees F (-15 degrees C) or colder."

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To access a web-text (HTML) version of the article, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5509a13.htm

To access a ready-to-print (PDF) version of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5509.pdf
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March 13, 2006
CDC WEBSITE POSTS PRESENTATION SLIDES FROM ACIP'S FEBRUARY 21–22 MEETING

The CDC website recently posted the PowerPoint slides presented at the February 21–22 ACIP meeting. Slides are available on the following:

  • Human papillomavirus vaccine (HPV)
  • Rotavirus vaccine (RV)
  • General recommendations on immunizations
  • Varicella zoster immune globulin (VZIG)
  • Influenza
  • Tetanus toxoid, diphtheria toxoid, and acellular pertussis vaccine (Tdap)
  • Herpes zoster vaccine
  • Evidence-based ACIP recommendations

To access the slides, go to: http://www.cdc.gov/nip/ACIP/mtg-slides-feb06.htm
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March 13, 2006
CDC UPDATES ITS INFLUENZA WEB SECTION WITH NEWS ABOUT THE GEOGRAPHIC SPREAD OF AVIAN INFLUENZA

CDC recently updated its Influenza web section with information that the following were added to a list of countries reporting animal cases of avian influenza: Albania and Poland (posted 3/9/06); and Pakistan (posted 3/3/06).

To access these resources, go to: http://www.cdc.gov/flu/whatsnew.htm#updated and click on the pertinent link(s).

To access a broad range of continually updated information on seasonal influenza, avian influenza, and pandemic influenza, go to: http://www.cdc.gov/flu
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March 13, 2006
PANDEMIC INFLUENZA: NEW UPDATE NEWSLETTER AND CHECKLISTS FOR SCHOOL DISTRICTS AND HOME HEALTHCARE PROVIDERS NOW AVAILABLE

The federal government has recently issued three Pandemic influenza resources:

(1) The March 9 issue of the email newsletter Pandemic Influenza Update is now available on the IAC website. To access it, go to: http://www.immunize.org/pandemic/panflu030906.pdf

To access a range of pandemic influenza resources on the IAC website, go to:
http://www.immunize.org/pandemic

(2) School District (K-12) Pandemic Influenza Planning Checklist was added to the Planning & Response Activities section of the federal government's pandemic and avian influenza website.

To access a web-text (HTML) version of the checklist, go to: http://www.pandemicflu.gov/plan/schoolchecklist.html

A ready-to-print (PDF) version is also available. To access it, click on the link above, scroll down to the hypertext phrase Printer Friendly Version of Checklist, and click on it.

(3) Home Health Care Services Pandemic Influenza Checklist was added to the Planning & Response Activities section of the federal government's pandemic and avian influenza website.

To access a ready-to-print (PDF) version of it, go to:
http://pandemicflu.gov/plan/pdf/HealthCareChecklist.pdf

To access a web-text (HTML) version, go to:
http://pandemicflu.gov/plan/healthcare.html

To access an array of pandemic and avian influenza resources on the federal government website, go to: http://www.pandemicflu.gov
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March 13, 2006
NFID ISSUES CALL TO ACTION ON IMMUNIZING CHILDREN WITH ASTHMA AGAINST INFLUENZA

Citing statistics indicating that only one-third of children with asthma receive influenza vaccine in a given year, the National Foundation for Infectious Diseases (NFID) issued a Call to Action. The document was developed from the proceedings of an expert roundtable meeting NFID held in November 2005. Participants included representatives from leading medical associations.

Titled Influenza and Children with Asthma, the Call to Action is the critical first step of a new initiative to address low influenza rates in children with asthma. The initiative will include a monograph, to be published later in 2006, that will provide a comprehensive look at existing barriers to pediatric influenza immunization in this high-risk population.

To access the Call to Action, as well as a press release about the initiative, go to: http://www.nfid.org/docs/asthma.html Click on the pertinent link(s).
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March 13, 2006
CDC ISSUES UPDATE ON U.S. INFLUENZA ACTIVITY DURING FEBRUARY 19-25

CDC published "Update: Influenza Activity—United States, February 19–25, 2006" in the March 10 issue of MMWR. The opening paragraph is reprinted below.

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During February 19–25, 2006, the number of states reporting widespread influenza activity increased to 21. Fourteen states reported regional activity, 10 reported local activity, and five reported sporadic activity. . . .

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To access a web-text (HTML) version of the article, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5509a9.htm

To access a ready-to-print (PDF) version of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5509.pdf
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March 13, 2006
NEW: FDA ISSUES DRAFT GUIDELINES FOR ACCELERATED DEVELOPMENT OF SEASONAL AND PANDEMIC INFLUENZA VACCINES

On March 2, FDA issued a press release announcing the availability of two draft guidelines for accelerated development of influenza vaccine. One guideline pertains to development of vaccine against seasonal influenza, the other to development of vaccine against pandemic influenza. Portions of the press release are reprinted below.

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For immediate release
March 2, 2006

FDA INITIATIVE HELPS EXPEDITE DEVELOPMENT OF SEASONAL AND PANDEMIC FLU VACCINES

In two guidance documents released today, one for seasonal, and the other for pandemic influenza vaccines, the FDA provides manufacturers with clear guidance on developing and submitting clinical data to show safety and effectiveness for new vaccines. Consistent with the aims of FDA's Critical Path Initiative to get products to market more quickly and to advance the development and use of new technologies, these documents outline specific approaches that vaccine developers may follow. . . .

A copy of the guidance, "Draft Guidance for Industry, Clinical Data Needed to Support the Licensure of Trivalent Inactivated Influenza Vaccines," is available at:
http://www.fda.gov/cber/gdlns/trifluvac.pdf

A copy of the guidance, "Draft Guidance for Industry, Clinical Data Needed to Support the Licensure of Pandemic Influenza Vaccines," is available at:
http://www.fda.gov/cber/gdlns/panfluvac.pdf

The public has 90 days to comment on the drafts. When finalized, the guidances will represent the FDA's current thinking on these topics.

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To access the complete press release, go to:
http://www.fda.gov/bbs/topics/NEWS/2006/NEW01330.html
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March 13, 2006
CDC REPORTS THAT DURING 1999–2004 GLOBAL MEASLES DEATHS WERE REDUCED 48 PERCENT TO 454,000

CDC published "Progress in Reducing Global Measles Deaths, 1999–2004" in the March 10 issue of MMWR. Portions of the article are reprinted below.

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Measles remains a substantial cause of global childhood mortality, particularly in developing countries. In their joint strategic plan for Measles Mortality Reduction, 2001–2005, the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) targeted 45 priority countries with the highest measles mortality for implementation of a comprehensive strategy for accelerated and sustained measles mortality reduction. Components of this strategy include achieving high routine vaccination coverage ([greater than] 90%) in every district and ensuring that all children receive a second opportunity for measles vaccination. In May 2003, the World Health Assembly endorsed a resolution urging member countries to achieve a goal (adopted in 2002 by the United Nations General Assembly Special Session on Children) to reduce 1999 deaths resulting from measles by half by the end of 2005. This report updates progress toward this goal and introduces a new goal for measles mortality reduction by 2010. . . .

Results from surveillance data combined with the natural history model indicate that overall global measles mortality decreased 48%, from 871,000 deaths (uncertainty bounds: 633,000–1,139,000) in 1999 to 454,000 deaths (uncertainty bounds: 329,000–596,000) in 2004. The largest percentage reduction during this period (59%) was in Sub-Saharan Africa, followed by East Asia and the Pacific (52%) and the Middle East and North Africa (50%). . . .

Because the 2005 measles mortality reduction goal likely was met on schedule (final 2005 data will not be available until 2007), a more ambitious goal has been proposed in the Global Immunization Vision and Strategy (GIVS). The new goal calls for a 90% reduction in measles mortality by 2010 compared with the 2000 level. However, major challenges exist to achieving this new goal. First, measles mortality reduction activities need to be successfully implemented in several large countries with high measles burden (e.g., India, Nigeria, and Pakistan). Second, to sustain the gains in reduced measles deaths in the 45 priority countries, vaccination systems need to be improved to ensure that 90% [or more] of infants are vaccinated against measles through routine health services before their first birthday. Third, priority countries will need to conduct follow-up SIAs [supplementary immunization activities] every 3–4 years until their routine vaccination systems are capable of providing two opportunities for measles vaccination to [more than] 90% of every birth cohort. Fourth, disease surveillance systems at district, provincial, and national levels need to be strengthened to enable case-based surveillance with testing of clinical specimens from suspected cases in laboratories participating in the global measles and rubella laboratory network. Finally, measles case management, including appropriate vitamin A supplementation, should be strengthened.

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To access a web-text (HTML) version of the complete article, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5509a8.htm

To access a ready-to-print (PDF) version of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5509.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 March 13, 2006