Issue Number 318            June 10, 2002


  1. Announcing IAC's new "IZ Coalitions" website!
  2. Raise your immunization delivery standards with TIDE
  3. IAC's Hepatitis Programs website continues to grow
  4. CDC reports on progress toward polio eradication in Nigeria
  5. IOM will host one-day public meetings each on smallpox and polio in June and July
  6. CDC publishes article about rabies in a Florida beaver


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June 10, 2002

The Immunization Action Coalition (IAC) is excited to announce the creation of its new "super-website" for immunization coalitions at all levels--local, state, regional, national, and international--and all types--whether focused on childhood, adult, senior, or specific vaccines. This online "izcoalitions" database will allow health professionals, parents, immunization advocates, and others to contact various coalitions for resources, idea-sharing, strategic partnering, or even volunteer opportunities.

For the first time, immunization coalitions--that is, organizations that work to increase immunization rates in their communities or regions--can use the power of the Internet to connect with each other.  Searches can be done by name or by geographic area.

The goal for the Immunization Coalitions website is to include EVERY coalition, so please log on and sign up at your earliest convenience if your coalition has not done so already. IAC will periodically  remind registered coalitions to update their data, so the Immunization Coalitions website information will be current and accurate.

To search or add your coalition to the Immunization Coalitions website, go to:

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June 10, 2002

"TIDE (Teaching Immunization Delivery and Evaluation): An Online Interactive Educational Program" is now offered by the Centers for Disease Control and Prevention (CDC) and the Medical University of South Carolina (MUSC). Designed to "improve knowledge, attitudes, and skills" in clinical settings to lead to increased immunization rates for children, the program consists of four self-contained modules:  Childhood Immunization, Assessing Immunization Rates, Improving Immunization Rates in Your Practice, and Adolescent Immunizations. Learners consider sample pediatric cases, walk through a  chart audit, and use adolescent patient information to make correct immunization decisions.

TIDE is currently available at no charge. Three of TIDE's four modules are certified for 1 hour each of CME/CEU credit. The first module is certified for 1 CNE contact hour. Complete certification for the  program is expected following remaining pilot testing and evaluation.

To learn more about TIDE, go to:

To register online to use the TIDE modules, go to:

If you have questions about TIDE, contact Patti Holsclaw, TIDE coordinator, by phone at (843) 876-1217 or email at

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June 10, 2002

The Immunization Action Coalition's Hepatitis Prevention Programs website now features 70 programs! Each of these programs is successfully preventing one or more types of hepatitis in adults and adolescents at risk for infection.

The following five programs are brand-new to the website:

Denver Public Health Department

Louisiana Office of Public Health, Infectious Disease Epidemiology

Visiting Nurse Association of Central Jersey

Wenatchee Valley Medical Center

Wisconsin Department of Corrections, Division of Juvenile Corrections

The following three programs have updated their information:

Jefferson County Health Department

Seattle and King County Viral Hepatitis Integration Project

Texas Department of Criminal Justice

Please visit the Hepatitis Prevention Programs website at to read about these programs or to explore dozens of hepatitis resources, including organization websites, provider  guides, and patient education materials.

We are always looking for new programs to add to the site. If you have information you would like to share with your colleagues, go directly to the "Tell us about your program" page at

You can also email us at

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June 10, 2002

On June 7, 2002, the Centers for Disease Control and Prevention (CDC) published "Progress Toward Polio Eradication--Nigeria, January 2000-March 2002" in the Morbidity and Mortality Weekly Report (MMWR).

The article and editorial note read in part as follows, excluding footnotes:


Since 1988, when the World Health Assembly of the World Health Organization (WHO) resolved to eradicate poliomyelitis globally, the annual estimated incidence of polio has declined 99%. Nigeria is the  most populous country in Africa (estimated 2000 population: 127 million) and a major poliovirus reservoir. . . .

In parts of southern Nigeria, no wild polioviruses have been isolated since July 2001. Transmission continues in the northwestern states (type 1) and the northern central and northeastern states (type 3).  Key achievements over the past 2 years include creation of an expanded AFP [acute flaccid paralysis]  surveillance medical officer infrastructure covering all parts of the country, implementation of an intensified house-to-house vaccination strategy during NIDs and SNIDs [National Immunization Days and sub-National Immunization Days], and supplementation of hundreds of thousands of children with vitamin A during polio vaccination campaigns.


To obtain the complete text of the article 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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June 10, 2002

The Institute of Medicine (IOM) has announced two open meetings this summer as follows:

The IOM Board on Health Promotion and Disease Prevention will hold a forum titled "Smallpox: The Scientific Basis for Vaccination Policy Options" on Saturday, June 15, at the National Academy of  Sciences Building in Washington, D.C. Participants will discuss the scientific evidence that provides the  foundation for smallpox vaccination policy options.

The agenda for the forum will be posted online in early June at:

To register for the forum online, go to:

You may also register for the forum by contacting Judy Estep by phone at (202) 334-2013 or email at

The IOM Immunization Safety Review Committee will hold its sixth public meeting on Thursday, July 11, 2002, at the National Academies Building in Washington, D.C., from 8:30 a.m. to 5:00 p.m. The topic of  this meeting will be a possible association between simian virus-40 contamination of polio vaccine and cancer.

A draft agenda will be posted by June 25 on the IOM website at:

To register online, go to:

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June 10, 2002

On June 7, 2002, the Centers for Disease Control and Prevention (CDC) published "Rabies in a Beaver--Florida, 2001" in the Morbidity and Mortality Weekly Report (MMWR). The article describes a beaver that in November 2001 "exhibited aggressive behavior by charging canoes and kayaks on the  Ichetucknee River in Alachua County, Florida." No bites by the animal were reported.

The editorial note reads in part as follows, excluding footnotes:


This report describes the first finding of rabies in a beaver in Florida. Although rodents are not a wildlife reservoir for rabies virus and no rabies transmission from rodents to humans has been documented, reported cases of rabies in rodents have been increasing in the United States, from 97 cases during  1971-1984 to an average of 52 cases per year during 1995-2000. This trend is attributed to an increase  in cases among large rodents (e.g., woodchucks [Marmota monax] and beavers [Castor canadensis]), with most cases occurring in the eastern states, where a raccoon rabies epizootic has been documented.


To obtain the complete text of the article 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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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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