|IAC Express 1013: September 4, 2012
JOURNAL ARTICLES AND NEWSLETTERS
Reminder: August 2012 issues of Needle Tips and Vaccinate Adults available online
The August 2012 issues of Needle Tips and Vaccinate Adults are available online. Vaccinate Adults is an abbreviated version of Needle Tips with the pediatric content removed.
Click on the images below to download the entire August 2012 issues (PDF) of Needle Tips and/or Vaccinate Adults.
Needle Tips: View the table of contents, magazine viewer, and back issues
Vaccinate Adults: View the table of contents, magazine viewer, and back issues
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CDC publishes report on 2011 national and state vaccination coverage among adolescents age 13–17
CDC published National and State Vaccination Coverage Among Adolescents Aged 13–17 Years—United States, 2011 in the August 31 issue of MMWR (pages 671–677). The report includes information on vaccination coverage by age (Table 1); race, ethnicity, and poverty status (Table 2), and state and area (Table 3). A summary of data presented in the article (taken from a box on page 672) is reprinted below.
Since 2006, vaccination coverage with routinely recommended vaccines among U.S. adolescents has increased; but coverage with vaccines recommended at 11 or 12 years of age still remains below target levels, especially for human papillomavirus (HPV) vaccine.
CDC to expand efforts to promote HPV vaccination to physicians, teens, and parents
Given that HPV vaccination coverage among adolescent females is lagging behind coverage of other vaccinations recommended for adolescents, CDC is initiating measures to energetically promote HPV vaccination. In a letter dated August 30, NCIRD Director Dr. Anne Schuchat informs CDC grantees and partners that "business as usual" is not achieving the rate of vaccination needed to realize "the prospect of preventing most cervical cancer in an entire generation of women." Dr. Schuchat writes that urgent collective action is needed and outlines steps CDC is taking to explore new partnerships to increase the reach of CDC's message to physician and other audiences.
Dr. Schuchat concludes by encouraging CDC grantees and partners to be part of the effort to increase HPV vaccination and directs readers to several new tools they can use to "respond to this call to action." IAC Express readers will find links to some of the tools listed below.
CDC reports nation's first influenza H3N2v-associated death, as well as more cases and hospitalizations
On August 31, CDC posted CDC Reports More Cases, Hospitalizations and Nation’s First H3N2v-Associated Death. Portions of it are reprinted below.
Today, CDC is reporting 12 additional cases of H3N2 variant virus (H3N2v) infection, as well as the first H3N2v-associated death, which was reported by the state of Ohio. The death occurred in an older adult with multiple underlying health conditions who reportedly had direct exposure to pigs in a fair setting. While limited person-to-person spread of this virus has been detected and likely continues to occur sporadically, no sustained community transmission has been found. CDC is monitoring this situation and working with states to respond to these evolving outbreaks. The agency continues to urge people at high risk from serious flu complications to stay away from pigs and pig arenas at fairs this summer. . . .
The 12 new cases reported this week are from the states of Minnesota (1), Ohio (3), Pennsylvania (1), and Wisconsin (7). Cumulative totals for 2011 and 2012 by state are available in the H3N2v case count table.
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Study indicates children with neurologic disorders have high risk of death from influenza
On August 29, CDC issued a press release titled Children with neurologic disorders at high risk of death from flu: Health care and advocacy groups join to protect children most vulnerable to influenza. Portions of the press release are reprinted below.
A disproportionately high number of children with neurologic disorders died from influenza-related complications during the 2009 H1N1 pandemic, according to a study by scientists with the Centers for Disease Control and Prevention. The report in the journal Pediatrics underscores the importance of influenza vaccination to protect children with neurologic disorders. CDC is joining with the American Academy of Pediatrics, Families Fighting Flu, and Family Voices to spread the message about the importance of influenza vaccination and treatment in these children. . . .
Of the 336 children (defined as people younger than 18 years) with information available on underlying medical conditions who were reported to have died from 2009 H1N1 flu-associated causes, 227 had one or more underlying health conditions. One hundred forty-six children (64 percent) had a neurologic disorder such as cerebral palsy, intellectual disability, or epilepsy. Of the children with neurologic disorders for whom information on vaccination status was available, only 21 (23 percent) had received the seasonal influenza vaccine and 2 (3 percent) were fully vaccinated for 2009 H1N1.
Spotlight on immunize.org: five more healthcare organizations join IAC's Honor Roll for Patient Safety
IAC urges qualifying healthcare organizations to apply for its Honor Roll for Patient Safety. The honor roll recognizes hospitals, medical practices, professional organizations, and government entities that have taken a stand for patient safety by implementing mandatory influenza vaccination policies for healthcare workers. More than 200 organizations are now enrolled.
Since August 7, when IAC Express last reported on the Honor Roll for Patient Safety, the following five healthcare organizations have been enrolled.
Newly added healthcare organizations
Banner Health (multistate): Phoenix and Page, AZ; Fairbanks, AK; Susanville, CA; Greeley, Brush, Sterling, and Loveland, CO; Ogallala, NE; Fallon, NV; Torrington, Wheatland, and Worland, WY; Adventist HealthCare, Rockville, MD; Adventist Home Health, Silver Spring, MD; Cytology Services of Maryland, Laurel, MD; and Shady Grove Adventist Hospital, Rockville, MD.
HealthMap Vaccine Finder directs users to nearby locations that give influenza vaccinations
The web-based Google “Flu Finder” program, previously used to promote nationwide influenza vaccination locations, is no longer available. The public can now find influenza vaccination clinics, pharmacies, other influenza vaccination venues by using the free, online HealthMap Vaccine Finder.
This year, the Vaccine Finder is expanding to cover all four types of influenza vaccine: intramuscular, intradermal, nasal spray, and high dose.
Influenza vaccination providers who want to list their clinic, pharmacy, health department, or other venue with HealthMap Vaccine Finder can sign up using an online form.
Contact the HealthMap team at email@example.com with questions regarding this program.
An exciting development is on the horizon: the Vaccine Finder will expand later this year to allow users to search for nearby vaccination providers of 10 adult vaccines, including hepatitis A, hepatitis B, HPV, MMR, meningococcal, pneumococcal, Td, Tdap, varicella, and zoster.
HealthMap is a team of researchers, epidemiologists, and software developers at Children's Hospital Boston.
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IAC updates "Screening Questionnaire for Inactivated Injectable Influenza Vaccination" and "Screening Questionnaire for Live Attenuated Intranasal Influenza Vaccination"
IAC recently updated the information on egg allergy on page 2 of its Screening Questionnaire for Inactivated Injectable Influenza Vaccination (TIV) and Screening Questionnaire for Live Attenuated Intranasal Influenza Vaccination (LAIV). Page 2 of each questionnaire gives healthcare professionals background information about the questions asked on page 1 of the questionnaires.
IAC's Handouts for Patients and Staff web section offers healthcare professionals and the public more than 250 FREE English-language handouts (many also available in translation), which we encourage website users to print out, copy, and distribute widely.
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IAC updates "Guides for determining the number of doses of influenza vaccine to give to children ages 6 months through 8 years during the 2012–2013 influenza season"
IAC recently revised its Guides for determining the number of doses of influenza vaccine to give to children ages 6 months through 8 years during the 2012–2013 influenza season, based on information in CDC's influenza recommendations for the 2012–13 influenza season.
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IAC updates "Standing Orders for Administering Influenza Vaccine to Adults" and "Standing Orders for Administering Influenza Vaccines to Children and Adolescents"
IAC recently revised information on egg allergy in its Standing Orders for Administering Influenza Vaccine to Adults and Standing Orders for Administering Influenza Vaccines to Children and Adolescents. In addition, information on which children need two doses of 2012–13 influenza vaccine was added to the influenza standing orders for children and adolescents.
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IAC updates "Influenza Vaccine Products for the 2012–2013 Influenza Season"
IAC recently revised its Influenza Vaccine Products for the 2012–2013 Influenza Season by adding information about Agriflu (TIV; Novartis Vaccines). The piece was also reformatted and retitled. Previously, the title was "Influenza Vaccine Products for the 2011–2012 Influenza Season"
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FDA posts guidance on storing and using temperature-sensitive biological products during severe weather
On August 30, FDA posted Impact of Severe Weather Conditions on Biological Products. The document includes information on vaccines that require refrigeration or frozen storage. Guidance is given for these situations:
JOURNAL ARTICLES AND NEWSLETTERS
CDC publishes report on measles outbreaks and transmission in the Horn of Africa during 2010–11
CDC published Measles—Horn of Africa, 2010–2011 in the August 31 issue of MMWR (pages 678–684). A press summary of the article is reprinted below.
Severe drought, famine, war, large-scale population movements, and overcrowded refugee camps led to a complex emergency in the Horn of Africa during 2010–2011. A large measles outbreak occurred in Somalia, and large influxes of refugees from southern and central areas of Somalia into camps in Kenya and Ethiopia near the Somalia borders led to measles virus transmission among refugees and to outbreaks in Ethiopia and Kenya. To prevent large measles outbreaks and ultimately reach measles elimination, vaccination strategies must be implemented to achieve and maintain uniformly high 2-dose measles vaccination coverage to reach the 93 percent–95 percent population immunity threshold that can provide herd immunity in refugee settings and in all countries.
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2011 National Immunization Survey included households with only cell phone service
CDC published Announcement: Addition of Households with Only Cellular Telephone Service to the National Immunization Survey, 2011 in the August 31 issue of MMWR (page 685). A portion of the article is reprinted below.
Beginning in 2011, the NIS sampling frame was expanded from a single landline frame to dual landline and cellular telephone sampling frames. This change increased the representativeness of the sample characteristics but had little effect on the final 2011 NIS and NIS-Teen national estimates of vaccination coverage overall and when stratified by poverty status.
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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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Editor-in-ChiefKelly L. Moore, MD, MPH
Managing EditorJohn D. Grabenstein, RPh, PhD
Associate EditorSharon G. Humiston, MD, MPH
Writer/Publication CoordinatorTaryn Chapman, MS
Courtnay Londo, MA
Style and Copy EditorMarian Deegan, JD
Web Edition ManagersArkady Shakhnovich
Contributing WriterLaurel H. Wood, MPA
Technical ReviewerKayla Ohlde