Immunization Action Coalition and the Hepatitis B Coalition

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Issue Number 615            August 14, 2006

CONTENTS OF THIS ISSUE

  1. New: CDC publishes recommendations for preventing rotavirus gastroenteritis among infants and children
  2. Important: ACOG posts excerpts from its recommendations for use of HPV vaccine on its website
  3. Attention: August 15 teleconference on the upcoming 2006-07 influenza season to feature presentations from CDC
  4. New: IAC develops form for healthcare workers to sign if declining influenza vaccination
  5. New: August issue of CDC's Immunization Works electronic newsletter now online
  6. Free: Two Spanish- and English-language films on immunization now available from Migrant Clinicians Network
  7. New VIS translations: VISs for injectable and nasal-spray influenza vaccines now in additional languages
  8. New: Thai-language VISs now available for hepatitis A, Tdap, and rotavirus vaccines
  9. Free CME credits: Web-enhanced teleconferences on adolescent immunization scheduled for August and September
  10. Campaign underway to vaccinate Lebanon's displaced children against measles and polio

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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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August 14, 2006
NEW: CDC PUBLISHES RECOMMENDATIONS FOR PREVENTING ROTAVIRUS GASTROENTERITIS AMONG INFANTS AND CHILDREN

On August 11, CDC published "Prevention of Rotavirus Gastroenteritis Among Infants and Children: Recommendations of the Advisory Committee on Immunization Practices (ACIP)" in MMWR Recommendations and Reports. The summary is reprinted below in its entirety.

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In February 2006, a live, oral, human-bovine reassortant rotavirus vaccine (RotaTeq) was licensed for use among U.S. infants. The Advisory Committee on Immunization Practices recommends routine vaccination of U.S. infants with 3 doses of this rotavirus vaccine administered orally at ages 2, 4, and 6 months. The first dose should be administered between ages 6–12 weeks. Subsequent doses should be administered at 4–10 week intervals, and all 3 doses should be administered by age 32 weeks. Rotavirus vaccine can be co-administered with other childhood vaccines. Rotavirus vaccine is contraindicated for infants with a serious allergic reaction to any vaccine component or to a previous dose of vaccine. . . .

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To access a ready-to-print (PDF) version of the recommendations, go to: http://www.cdc.gov/mmwr/PDF/rr/rr5512.pdf

To access a web-text (HTML) version, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5512a1.htm
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August 14, 2006
IMPORTANT: ACOG POSTS EXCERPTS FROM ITS RECOMMENDATIONS FOR USE OF HPV VACCINE ON ITS WEBSITE

The website of American College of Obstetricians and Gynecologists (ACOG) recently posted excerpts from the organization's recommendations for use of human papillomavirus (HPV) vaccine. The complete ACOG recommendations are scheduled for publication in the September issue of the journal Obstetrics & Gynecology. The opening paragraph of the excerpted recommendations is reprinted below.

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The U.S. Food and Drug Administration recently approved a quadrivalent human papillomavirus (HPV) vaccine for females aged 9–26 years. The American College of Obstetricians and Gynecologists (ACOG) recommends the vaccination of females in this age group. The Advisory Committee on Immunization Practices has recommended that the vaccination routinely be given to girls when they are 11 or 12 years old. Although obstetrician–gynecologists are not likely to care for many girls in this initial vaccination target group, they are critical to the widespread use of the vaccine for females aged 13–26 years. Specific recommendations regarding the use of the quadrivalent HPV vaccine will be published in the September 2006 issue of Obstetrics & Gynecology. Because of the urgent nature of this information, excerpts of the recommendations are being posted online in advance of publication.

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To read the excerpted material in its entirety, go to:
http://www.acog.org/departments/dept_notice.cfm?recno=7&bulletin=3945
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August 14, 2006
ATTENTION: AUGUST 15 TELECONFERENCE ON THE UPCOMING 2006-07 INFLUENZA SEASON TO FEATURE PRESENTATIONS FROM CDC

The National Immunization Coalition TA [technical assistance] Network has scheduled a teleconference about the upcoming influenza season. It will be held at 1:00PM, ET, August 15.

Presenters are Jeanne M. Santoli, MD, MPH, who will speak about influenza vaccine supply for 2006-07, and Curtis Allen, who will speak about CDC's plans for communicating about influenza vaccine and CDC's educational materials available for promoting influenza vaccination within the community. Santoli is deputy director, Division of Immunization Services, National Center for Immunization and Respiratory Diseases, CDC (NCIRD/CDC), and Allen is with the Office of Media Relations, NCIRD/CDC.

To register for the teleconference, send an email to IZTA@aed.org Include this message: "Sign me up for the flu update call."

For additional information, or to access earlier programs, go to: http://www.izcoalitionsta.org/confcall.cfm
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August 14, 2006
NEW: IAC DEVELOPS FORM FOR HEALTHCARE WORKERS TO SIGN IF DECLINING INFLUENZA VACCINATION

In July, IAC developed the one-page form "Declination of influenza vaccination." It is intended for the use of healthcare employers who recommend that their employees receive annual influenza vaccination. It succinctly states reasons for vaccinating healthcare workers against the disease and provides space for the employee's signature if the employee declines vaccination.

To access a ready-to-print (PDF) version of the form, go to:
http://www.immunize.org/catg.d/p4068.pdf

To access a web-text (HTML) version, go to:
http://www.immunize.org/catg.d/p4068.htm
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August 14, 2006
NEW: AUGUST ISSUE OF CDC'S IMMUNIZATION WORKS ELECTRONIC NEWSLETTER NOW ONLINE

The August issue of Immunization Works, a monthly email newsletter published by CDC, is available on CDC'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 August issue has already appeared in previous issues of IAC Express. Following is the text of four articles we have not covered.

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OTHER NEWS AND SUMMARIES

MUMPS OUTBREAK SUBSIDES: The mumps outbreak that began in Iowa in December 2005 appears to be subsiding, as over 98% of cases had onset dates from January 1 through June 30. From January 1 through July 22, 2006, a total of 4,908 cases of mumps were reported to CDC from 15 outbreak-affected states. The majority of cases, 4,894 or 98%, were reported from eight states (Iowa, Kansas, Illinois, Nebraska, Missouri, South Dakota, Pennsylvania, and Wisconsin) that had endemic, in-state transmission (i.e., outbreak states). An additional 14 cases associated with travel to, or temporary residence in an outbreak-affected state were reported from seven states (Colorado, Minnesota, Mississippi, New York, New Mexico, Michigan, and Texas). It is expected that once the outbreak is over, the number of cases being reported each week will be higher than in previous years, due to improved mumps surveillance.

The age-group-specific incidence was highest among persons 18-24 years old (32 per 100,000) reflecting transmission in college and university settings. While most cases occurred among persons who had received 2 doses of mumps-containing vaccine (the vaccine has an estimated efficacy of 90%), preliminary data suggest attack rates were higher among persons who had received only 1 dose of vaccine. In July, the American College Health Association (ACHA) distributed a letter to universities and colleges across the United States. The letter encouraged the vaccination of enrolled students with 2 doses of MMR vaccine before returning to school. State and local health departments are encouraged to remain vigilant for mumps cases, especially among college and university students when they return to school in the fall. For more information about mumps, please visit CDC's mumps website at http://www.cdc.gov/nip/diseases/mumps

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MEETINGS, CONFERENCES & RESOURCES

PROMOTE HCW VACCINATION: CDC has recently updated posters and flyers for healthcare worker (HCW) vaccinations, "Healthcare Workers! Are your vaccinations up-to-date?" The updated materials reflect the Advisory Committee on Immunization Practices' (ACIP's) new pertussis vaccine recommendations. They can be downloaded and printed in black and white or commercial quality color from http://www.cdc.gov/nip/publications/default.htm#healthcare

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RESPIRATORY NEWS & RESOURCES

NEW COUGH GUIDELINES: New guidelines on the diagnosis and treatment of cough in adults and children have been released by the American College of Chest Physicians (ACCP). These [new] practice guidelines (1) more narrowly focus . . . on the diagnosis and treatment of cough, the symptom, in adult and pediatric populations, and minimize the discussion of cough as a defense mechanism; (2) improve on the rigor of the evidence-based review and describe the methodology in a separate section; (3) update and expand, when appropriate, all previous sections; and (4) add new sections with topics that were not previously covered. The new guidelines can be found at the ACCP's website at http://www.chestjournal.org/content/vol129/1_suppl

GET SMART: CDC's "Get Smart, Know When Antibiotics Work" campaign offers an electronic newsletter. Readers may view past issues and subscribe at http://www.cdc.gov/drugresistance/community/news.htm

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To access the complete August issue from the NIP website, go to:
http://www.cdc.gov/nip/news/newsltrs/imwrks/2006/200608.htm
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August 14, 2006
FREE: TWO SPANISH- AND ENGLISH-LANGUAGE FILMS ON IMMUNIZATION NOW AVAILABLE FROM MIGRANT CLINICIANS NETWORK

The Migrant Clinicians Network (MCN) recently announced that its Migrant Immunization Initiative has developed two short films on immunization. Available in both English and Spanish and in DVD and VHS formats, the films cover tetanus vaccine and hepatitis A vaccine. Each film is about 10 minutes long.

Intended for the use of clinicians who serve low-literate Spanish- or English-speaking patients, the films should be used in clinical settings for educating migrant, mobile, or underserved populations. They are available free of charge; postage is free to U.S. addresses. Clinicians who receive the films will be asked to complete a questionnaire to evaluate the films' effectiveness.

To order the films online, go to: http://www.migrantclinician.org/excellence/immunizations Or download the order form, complete it, and fax it to MCN at (512) 327-0719, or email it to ihargrove@migrantclinician.org
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August 14, 2006
NEW VIS TRANSLATIONS: VISs FOR INJECTABLE AND NASAL-SPRAY INFLUENZA VACCINES NOW IN ADDITIONAL LANGUAGES

The current versions of the VISs for trivalent inactivated influenza vaccine (TIV; injectable) and live attenuated intranasal influenza vaccine (LAIV; nasal spray) are now available on the IAC website in Chinese, Korean, Tagalog, and Vietnamese. IAC gratefully acknowledges the California Department of Health Services for these translations. The current VIS for TIV is also available in Turkish. IAC gratefully acknowledges Mustafa Kozanoglu, MD, and Murat Serbest, MD, for this translation

VISs for TIV (dated 6/30/06)
To obtain a ready-to-print (PDF) version of the VIS for TIV in Chinese, go to: http://www.immunize.org/vis/ch_flu06.pdf

To obtain it in Korean, go to:
http://www.immunize.org/vis/ko_flu06.pdf

To obtain it in Tagalog, go to:
http://www.immunize.org/vis/ta_flu06.pdf

To obtain it in Turkish, go to:
http://www.immunize.org/vis/tu_flu06.pdf

To obtain it in Vietnamese, go to:
http://www.immunize.org/vis/vn_flu06.pdf

To obtain it in English, go to:
http://www.immunize.org/vis/2flu.pdf

VISs for LAIV (dated 6/30/06)
To obtain a ready-to-print (PDF) version of the VIS for LAIV in Chinese, go to: http://www.immunize.org/vis/chLAIV06.pdf

To obtain it in Korean, go to:
http://www.immunize.org/vis/koLAIV06.pdf

To obtain it in Tagalog, go to:
http://www.immunize.org/vis/taLAIV06.pdf

To obtain it in Vietnamese, go to:
http://www.immunize.org/vis/vnLAIV06.pdf

To obtain it in English, go to:
http://www.immunize.org/vis/liveflu.pdf

For information about the use of VISs, and for VISs in more than 30 languages, visit IAC's VIS web section at http://www.immunize.org/vis
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August 14, 2006
NEW: THAI-LANGUAGE VISs NOW AVAILABLE FOR HEPATITIS A, Tdap, AND ROTAVIRUS VACCINES

The current version of the VIS for hepatitis A vaccine (dated 3/21/06) and the interim versions of the VISs for rotavirus vaccine (dated 4/12/06) and Tdap (tetanus-diphtheria-acellular pertussis) vaccine (dated 6/10/06) are now available on the IAC website in Thai. IAC gratefully acknowledges Asian Pacific Health Care Venture for the translations.

VIS FOR HEPATITIS A VACCINE
To obtain a ready-to-print (PDF) version in Thai, go to:
http://www.immunize.org/vis/th_hpa06.pdf

To obtain it in English, go to:
http://www.immunize.org/vis/v-hepa.pdf

INTERIM VIS FOR ROTAVIRUS VACCINE
To obtain a ready-to-print (PDF) version in Thai, go to:
http://www.immunize.org/vis/th_rota06.pdf

To obtain it in English, go to:
http://www.immunize.org/vis/rota_06.pdf

INTERIM VIS FOR Tdap VACCINE
To obtain a ready-to-print (PDF) version in Thai, go to:
http://www.immunize.org/vis/th_tdap.pdf

To obtain it in English, go to:
http://www.immunize.org/vis/tdap.pdf

To obtain Thai-language VISs for eleven additional vaccines, go to:
http://www.immunize.org/vis/#thai

For information about the use of VISs, and for VISs in more than 30 languages, go to: http://www.immunize.org/vis
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August 14, 2006
FREE CME CREDITS: WEB-ENHANCED TELECONFERENCES ON ADOLESCENT IMMUNIZATION SCHEDULED FOR AUGUST AND SEPTEMBER

The one-hour teleconference A New Era in Adolescent Immunization: Promoting Health and Preventing Disease is scheduled for the three remaining Wednesdays in August and the first Wednesday in September. Each offers Web or telephone participation, as well as a live Q&A session.

Sponsored by Boston University School of Medicine, the course will (1) provide a current overview of infectious diseases for which adolescents are at risk; (2) familiarize clinicians with the growing number of vaccines available to prevent those diseases; and (3) offer practical strategies for vaccinating the adolescent population. It is intended for office based pediatricians, family physicians (including osteopaths), pediatric/adolescent gynecologists, and ob/gyns with a secondary specialty in infectious disease.

Web-enhanced teleconferences are scheduled for the following Wednesdays:

  • August 16 (3PM ET)
  • August 23 (8PM ET)
  • August 30 (2PM ET)
  • September 6 (1PM ET)

For additional information on participation and CME credit, go to: http://adolescentimmunization.haymarketmedical.com
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August 14, 2006
CAMPAIGN UNDERWAY TO VACCINATE LEBANON'S DISPLACED CHILDREN AGAINST MEASLES AND POLIO

UNICEF recently issued two press releases related to vaccinating children displaced by the conflict in Lebanon. Excerpts from both follow:

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Beirut
August 7, 2006

MEASLES VACCINATION CAMPAIGN FACES UP TO CHALLENGES OF ONGOING LEBANON CONFLICT

The campaign to protect tens of thousands of children displaced by the ongoing conflict in Lebanon against the twin threat of measles and polio is moving up a gear this week. . . .

It's feared that outbreaks of measles and polio could easily occur in the crowded and unsanitary conditions in which many displaced families now find themselves. . . .

With no sign of a let-up in the conflict, the campaign faces serious challenges. Families displaced by the bombardment and fighting in the south have been widely scattered: according to Lebanon's Higher Relief Commission, some 130,000 people are currently living in 823 schools and other public locations. An even larger number—565,000—is thought to have found shelter with relatives and friends.

Vaccination teams must cover each location despite the worsening shortage of fuel gripping the country. . . .

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Beirut
August 4, 2006

UNICEF AND PARTNERS BEGIN IMMUNISATION CAMPAIGN FOR CHILDREN DISPLACED BY THE LEBANON CONFLICT

UNICEF measles campaign in Beirut has been seriously hampered by recent bombings. While the campaign is still going on, it has been greatly disrupted.

The initial focus of the campaign, administered by the Lebanon Ministry of Health with the support of UNICEF, WHO, and NGO partners, was 18,000 children who are now camped in crowded and often unsanitary conditions in the Beirut area. Children up to the age of 15 were being given injectable vaccine to shield them from measles. Young children, aged five and under, were receiving polio vaccine drops and Vitamin A. . . .

"Immunisation is vital in a crisis like this one," said UNICEF Lebanon Representative Roberto Laurenti. "The last thing these distressed and fearful families need is to have their children fall victim to a potentially fatal disease. . . ."

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To access the complete August 7 press release, go to:
http://www.unicef.org/media/media_35241.html

To access the complete August 4 press release, go to:
http://www.unicef.org/media/media_35215.html

 

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 August 14, 2006