Issue Number 310            April 29, 2002


  1. New mandates: Three states, three vaccines
  2. Immunization registries are poised to expand
  3. "Tecnicas de Vacunacion": Must-have video is now available for Spanish-speaking staff
  4. Revised translations! Download parent education brochure on hepatitis B shots for babies in 12 languages
  5. Michigan recognizes hospitals that give the birth dose of hepatitis B vaccine
  6. CDC offers smallpox webcast and videotape
  7. CDC satellite broadcast on HIV/STD behavioral interventions will be held Thursday, May 23


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April 29, 2002

Connecticut, Hawaii, and Illinois have enacted new vaccination requirements that take effect this year in order to prevent disease.

Following an outbreak of meningitis across the state in the 2000-2001 academic year, Connecticut now requires that "each student who resides in on-campus housing" in public and private colleges and universities "be vaccinated against meningitis as a condition of such residence." The law applies to all on-campus students, not just incoming freshmen, and takes effect this fall for the 2002-2003 school year.

Hawaii has added new varicella and hepatitis B prevention mandates to its list. Effective in July, middle-school students must be vaccinated against both diseases. Children entering day care, elementary school, and middle school must document varicella vaccination or immunity.

Illinois has passed a varicella vaccination requirement. Day care attendees and kindergarten students will now have to be vaccinated against varicella as well as eight other vaccine-preventable diseases. As State Public Health Director Dr. John R. Lumpkin argued, "Despite the widespread belief that chickenpox is a mild childhood disease, it in fact causes an average of five deaths a year in Illinois and hundreds of hospitalizations." Some state aid to school districts will be tied to 90 percent district compliance with the requirement by October 15 of each year.

Currently, 45 states have a hepatitis B mandate, and 35 have a varicella mandate. Beginning this summer, IAC will begin tracking all state meningococcal requirements.

IAC posts state-by-state mandates regarding immunization on our website at:

Please be sure to let us know of any new immunization laws or regulations in your state. Although we follow state activities, we also rely on readers to keep us informed. Send emails with your updates to

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April 29, 2002

Recently in IAC EXPRESS we announced abstract submission guidelines for the October 2002 Immunization Registry Conference (see IAC EXPRESS #303 at Soon we will be covering this third annual conference in more detail. Meanwhile, in light of a recent report on low-but-improving immunization registry use nationwide in the Morbidity and Mortality Weekly Report (MMWR; see IAC EXPRESS #293  at, we decided now would be a good time to promote  registries for those who still are not employing them--or for anyone who wants to learn more about them but doesn't know exactly where to start.

Registries are here to stay and represent our best hope for increasing and sustaining high immunization coverage, especially among children. Think of them as regional, or "population-based," interconnecting  databases for vaccination records. They collect information regarding children's vaccinations within a specified geographic area (as opposed to a non-geographic registry, which does not ensure that data from all of a child's possible providers are included). Registries can consolidate records from multiple physicians' offices to help with vaccination decisions, generate reminder and recall notices for vaccination appointments, provide official vaccination forms for school entry, and link to programs such as WIC (Women, Infants, and Children). Children may be entered into a registry at birth, or they may be entered at the time of their first immunizations.

Currently, registries are operational or under development in all 50 states and the District of Columbia;  these include registries covering state, county, city, or multi-county health jurisdictions. Twenty-five states have laws or administrative rules specifically authorizing immunization registries, and twelve so far require health care professionals to report immunizations to registries. However, based on year  2000 data, the Centers for Disease Control and Prevention (CDC) estimates that only 24 percent of children aged 5 years and under are currently "registered." The goal set by the Healthy People 2010 program is 95 percent for that age group. That's a gap of approximately 71 percent to close within eight years!

If you are ready to learn more about registries, the Centers for Disease Control and Prevention (CDC) runs an online Immunization Registry Clearinghouse at:

This CDC web page covers general information, registry participation information, a list of registry support team consultants in multi-state regions, technical guidance and development, privacy and  confidentiality issues, and more.

If you want to register for the 2002 Immunization Registry Conference, go to:

For more information about the 2002 Immunization Registry Conference, call the Conference Planning Team at (404) 639-8539 or contact Gregory Lanman, Program Analyst, by email at

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April 29, 2002

Since its introduction last fall, more than 15,000 copies of "Immunization Techniques: Safe, Effective, Caring" in the English language have been purchased by health care practitioners in all kinds of settings. The 35-minute video, developed by the California Department of Health Services, Immunization Branch, teaches "best practices" for administering intramuscular (IM) and subcutaneous (SC) vaccines  to infants, children, and adults. With its presenter's notes and pre- and post-tests, the video has proven to be an excellent training tool for new staff as well as a good refresher course for experienced immunizers.

Now, the California Distance Learning Health Network (CDLHN) has produced a Spanish version of the video, "Tecnicas de Vacunacion: Seguras, Effectivas, Comprensivas," which is the "featured course" in  CDHLN's Spring 2002 Program Guide.

Be sure to have this video on hand for your staff whose first language is Spanish to ensure their complete understanding of proper immunization techniques. The cost is $25 per video with quantity- purchase discounts available.

To order the video in Spanish, call CDLHN at (619) 594-3348 or visit

To order the video in English, you may contact CDLHN as above. The Immunization Action Coalition (IAC) also distributes the English version of the video in a plain sleeve and with presenter's notes printed  in black and white rather than in color. The videotape and presenter's notes text are identical, but IAC can offer the lower-budget version for just $15. Go to:

You may also call IAC to request a fax order form for the video in English at (651) 647-9009.

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April 29, 2002

IAC's recently revised three-panel brochure for parents, "Hepatitis B Shots Are Recommended for All New Babies," is now available in a total of 12 languages.

Information is clearly presented under headings such as "What Is Hepatitis B?", "How Is Hepatitis B Spread?", "Why Does My Baby Need Hepatitis B Shots Now?", and "Is This Vaccine Safe?"

To print the translations you need of "Hepatitis B Shots Are Recommended For All New Babies" (PDF format), just click on the link next to each appropriate language below:


To view or print an unformatted version of the brochure in English (if you cannot download PDF files), go to:

IAC thanks the California Department of Health and Drs. Mustafa Kozanoglu and Murat Serbest of Turkey for providing translations.

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April 29, 2002

Are you looking for ways to promote the birth dose of hepatitis B vaccine in hospitals in your state? Here is a simple but effective idea from the State of Michigan: Publicly acknowledge hospitals that adopt  a birth dose policy. So far, the names of 83 (out of 102) birthing hospitals are on Michigan's list! Some lagging hospitals may consider inclusion in the list an incentive to enter the birth dose era.

In the latest issue of its official newsletter "Michigan Immunization Update," the Michigan Department of Community Health (MDCH) adapted and enlarged upon a pro-birth-dose article written by IAC Executive Director Deborah Wexler, M.D. At the end of the adapted article, "Universal birth dose policy saves lives," is a paragraph recognizing hospitals that offer hepatitis B vaccine to newborns prior to hospital  discharge, acknowledging in print "their efforts to help prevent perinatal hepatitis B infection." The hospital list, which takes up almost an entire page, then follows.

To encourage other states and even counties to try this strategy for increasing hospital adoption of the birth dose, IAC has posted the "Michigan Immunization Update" article and hospital list online. With MDCH's permission, please feel free to copy or borrow from their article as you see fit in your own publications.

For a copy of the MDCH newsletter and list of birth-dose providers, go to:

For more information on the birth dose, go to:

To read "ACIP votes on birth dose of hepatitis B vaccine" in IAC EXPRESS #279, go to:

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April 29, 2002

On April 26, 2002, the Centers for Disease Control and Prevention (CDC) published "Notice to Readers:  Smallpox: What Every Clinician Should Know--A Self-Study Course" in the Morbidity and Mortality Weekly Report (MMWR).

The entire Notice reads as follows:


Smallpox disease was eradicated in 1977, but because smallpox virus could be used as an agent of bioterrorism, health-care providers should familiarize themselves with the disease and the vaccine that prevents it. On the program "Smallpox: What Every Clinician Should Know," specialists discuss methods designed to improve health-care providers' ability to recognize, diagnose, and report smallpox disease. The program may be viewed on the Internet or on videotape, and continuing education credits (CEU, CNE, CME, and CHES) are offered until the end of 2003.

Additional information and the archived webcast are available at A videotape of the program is available from the Public Health Foundation, telephone 877-252-1200 (United States) or 301-645-7773 (International) from 9 a.m. to 5 p.m. EST, or e-mail When requesting a videotape by e-mail, indicate "Smallpox: What Every Clinician Should Know" on the subject line.


To obtain the Notice online, go to:

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to:

To obtain a free electronic subscription to the "Morbidity and Mortality Weekly Report" (MMWR), visit CDC's MMWR website at: Select "Free MMWR 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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April 29, 2002

On April 26, 2002, the Centers for Disease Control and Prevention (CDC) published "Notice to Readers: Satellite Broadcast for Effective Behavioral Interventions for HIV/STD Prevention" in the Morbidity and  Mortality Weekly Report (MMWR).

The entire Notice reads as follows:


CDC's National Center for HIV, STD, and TB Prevention, Division of HIV/AIDS Prevention will sponsor a satellite broadcast, "Effective Behavioral Interventions for HIV Prevention," on Thursday, May 23, 2002, from 2-4 p.m. EST. The broadcast will demonstrate the use of four effective behavioral-intervention programs for human immunodeficiency virus (HIV) prevention: Popular Opinion Leader (POL), Mpowerment, VOICES/VOCES, and Community PROMISE. Interviews and tours with staff and clients  implementing these interventions in communities of color will be shown. Researchers will comment on the core elements of each intervention. In addition, viewers will receive information on how they can  register to receive training and technical assistance for the interventions.

This broadcast is designed for organizations and persons who provide HIV prevention services, including federal and state agencies, health departments, HIV prevention community planning groups,  national and regional minority organizations, community-based organizations, community leaders, youth-oriented service providers, and capacity-building assistance providers. Viewers can fax questions and comments to panelists before and during the satellite broadcast.

Additional information about the broadcast is available at and from CDC's Fax Information System, 888-232-3299 (enter document number 130025 and a return fax number). Organizations setting up viewing sites should register online or by fax as early as possible so  that potential viewers can access information about viewing locations when visiting the website or calling the information line.


To obtain the Notice online, go to:

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to:

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 and do not necessarily represent the official views of CDC.

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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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