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Issue Number 537            July 11, 2005


  1. DHHS announces addition of influenza vaccine to the National Vaccine Injury Compensation Program
  2. New: Johns Hopkins report on adolescent and adult pertussis now available online
  3. New: Article reveals that containment of 2004 measles outbreak cost Iowa $142,000
  4. Reminder: Register soon for the two-day course "Epidemiology & Prevention of Vaccine-Preventable Diseases"
  5. Order soon: Price of DVD version of "Immunization Techniques" video will increase to $35 on August 1
  6. Updated: IAC revises its parent-education piece "When Do Children and Teens Need Vaccinations?"
  7. Polio update: CDC reports on India's progress toward polio eradication, WHO reports on Indonesia's new polio cases


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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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July 11, 2005

On July 1, the Department of Health and Human Services (DHHS) issued a press release announcing that influenza vaccine injuries had been added to the National Vaccine Injury Compensation Program, effective July 1. Portions of the press release are reprinted below.


People thought to be injured by influenza vaccines given annually will be eligible for compensation under [the] National Vaccine Injury Compensation Program (VICP), effective July 1, 2005.

The VICP, created by Congress in 1986 as an alternative to traditional civil litigation, provides financial compensation to eligible individuals thought to be injured by covered childhood vaccines. Administered by the U.S. Department of Health and Human Services' Health Resources and Services Administration, the program allows compensation for past and future medical expenses, pain and suffering, and lost wages. In addition, compensation may also be awarded for attorneys' fees and costs. . . .

To access the Federal Register notice announcing coverage of the influenza vaccine under the VICP, to learn how to file a claim, or to obtain more information on the program, visit, or call (800) 338-2382.


To access the complete press release, go to:

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July 11, 2005

Johns Hopkins University School of Medicine recently published a comprehensive report that reviews the nationwide burden of pertussis in adolescents and adults. Titled "The Rise of Adolescent and Adult Pertussis in the United States," the report was published in the May issue of the school of medicine's journal Advanced Studies in Medicine.

The report comprises five articles:

  1. "Trends in Pertussis: Increasing Disease Incidence Across All Ages" by Dennis A. Brooks, MD, MPH, MBA
  2. "Pertussis Epidemiology and Transmission" by Kathryn M. Edwards, MD
  3. "Age-Specific Presentation and Burden of Pertussis" by Sarah S. Long, MD
  4. "Diagnosis, Treatment, and Prophylaxis of Pertussis in Adolescents and Adults" by James D. Cherry, MD, MSc
  5. "Overcoming Barriers to Adolescent and Adult Pertussis Control" by Richard D. Clover, MD

To download a ready-to-print (PDF) version of the report, click here. Click on the links to the Introduction and Full Program Content.

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July 11, 2005

On July 5, the Iowa Department of Public Health issued a press release summarizing the results of an economic analysis of a 2004 measles outbreak in eastern Iowa. The electronic article was published in the July issue of the journal Pediatrics. The press release is reprinted below in its entirety. Links to the Pediatrics article are given at the end of this article.


Measles Outbreak Cost Iowa $142,000
Costs would have soared had outbreak not been stopped

While the cost of treating an illness can be high, the cost of not treating or not preventing an infectious illness will be much higher. That conclusion comes from an economic analysis of a measles outbreak in Eastern Iowa in spring 2004. The study is published in the July issue of Pediatrics.

The outbreak began when an unvaccinated college-aged student was exposed to measles while overseas, became ill while returning to Iowa, then infected two others. The public health response totaled over 25-hundred hours of staff time at a cost of $142,452. Based on that review, the report concluded the direct cost of protecting a community from one case of an infectious disease is expensive and time-consuming. The report also praised efforts by the public health community to stop the outbreak, saying it had the potential of infecting nearly 1,000 people with measles at a potential cost of over $700,000.

"This report shows not only the benefits of a strong public health system, but the collaborative efforts that need to be part of that system," said Dr. Patricia Quinlisk, Iowa state epidemiologist. "Protecting the public from infectious disease has not only a personal health benefit, but an economic benefit to the community as well," she added.

The report authors also admit this analysis took a very conservative view of the economic cost of a disease outbreak. It did not include costs incurred by the private sector (i.e., expenses of private doctors and clinics), nor costs occurred in other states that also rapidly vaccinated airline passengers.


To access the press release, click here.

To access a ready-to-print (PDF) reprint of the Pediatrics article, go to:

To access a web-text (HTML) version of it, go to:

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July 11, 2005

NIP's popular two-day course "Epidemiology & Prevention of Vaccine-Preventable Diseases" is scheduled for three sites in 2005. On August 17-18, the course will be given in Charleston, SC; on November 14-15, in Sacramento, CA; and on November 17-18, in Torrance, CA.

PLEASE NOTE: July 17 is the deadline for receiving the "early-bird" hotel rate for the South Carolina course. For more information or to register, contact Susan A. Smith, MN, RN, by phone at (803) 898-0869 or by email at

For more information or to register for the California courses, contact Myan Nguyen at (510) 540-2065 or by email at

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July 11, 2005

On August 1, the price of the DVD version of the popular video "Immunization Techniques: Safe, Effective, Caring" will increase from $30 to $35. The VHS videotape version will remain $30. Following is information about the video's content, the differences between the DVD and VHS versions, and ordering. BE SURE TO PLACE YOUR ORDERS FOR THE DVD VERSION BEFORE AUGUST 1!

CONTENT OF THE IMMUNIZATION TECHNIQUES VIDEO. Every healthcare site in the United States that delivers vaccination services should have a copy of this 35-minute video. Developed by the California Department of Health Services Immunization Branch in collaboration with a team of national experts, the video teaches best practices for administering intramuscular (IM) and subcutaneous (SC) vaccines to infants, children, and adults. It is designed for use as a "hands-on" instructional program for new staff, as well as a refresher course for experienced health professionals. Available since 2001 as a VHS videotape, the video now comes in DVD format as well.

VHS VIDEOTAPE INFORMATION. The VHS is available from IAC in English only and comes with the following English-language print materials: (1) presenter's notes that include instructional objectives, pre- and post-tests, and photos showing vaccination sites appropriate for infants and toddlers and (2) a skills checklist to help you document that your staff is well trained.

DVD INFORMATION. The DVD contains both an English version of the video and a version dubbed in Spanish. You can watch the DVD on a television with a DVD player or on a computer with a DVD drive.

The DVD includes English- and Spanish-language versions of the following print materials: (1) the presenter's notes described above, (2) "Comforting Restraint," a poster that clearly shows parents how to hold a child during vaccination, and (3) "Be there for your child," a poster that presents ideas parents can use before, during, and after vaccination to make the experience easier for their child. The DVD also includes the following print materials in English only: (1) the skills checklist described above, (2) "Immunization Record and History," a chart that allows health professionals to document vaccine administration information for each of the recommended childhood vaccines, and (3) a resource list that directs parents to sources of reliable immunization information. PLEASE NOTE: You must have Adobe Acrobat Reader 5.0 or above to view and print the materials included on the DVD.

ORDERING INFORMATION. The cost for each VHS videotape or DVD is $30. On August 1, the cost of the DVD will increase to $35. Discounts are available for orders of 20 or more by calling (651) 647-9009.

To order online (U.S. addresses only), go to:

To order by mail or fax, go to:

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July 11, 2005

IAC recently updated its one-page parent-education piece "When Do Children and Teens Need Vaccinations?" The piece was revised to add information about the new meningococcal conjugate vaccine (MCV4) and to include additional footnotes.
To access a ready-to-print (PDF) version of the updated piece, go to:

To access a web-text (HTML) version, go to:

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July 11, 2005

CDC and WHO recently reported on the status of polio in India and Indonesia. Information from both reports follows.

INDIA. CDC published "Progress Toward Poliomyelitis Eradication--India, January 2004-May 2005" in the July 8 issue of MMWR. The opening paragraph of the article is reprinted below.


Since 1988, the global incidence of polio has decreased by more than 99%, and three World Health Organization (WHO) regions (Americas, Western Pacific, and European) have been certified as polio-free. India, the largest of the six countries where polio remains endemic, experienced a large polio outbreak (1,600 cases) in 2002. Since then, the Government of India (GOI) has accelerated its polio eradication activities by increasing the number and quality of supplementary immunization activities (SIAs), which reduced the number of reported cases to 225 in 2003, 134 in 2004, and 18 in 2005 (as of June 18). During 2004 and early 2005, taking advantage of the geographic restriction of wild poliovirus (WPV) circulation, GOI and its partners launched several immunization and surveillance strategies to maximize the probability of eliminating poliovirus transmission in India. With continued high-quality interventions, interruption of WPV transmission in India by the end of 2005 appears feasible. This report summarizes progress toward polio elimination during January 2004-May 2005 toward that end. . . .


To access a web-text (HTML) version of the complete article, go to:

To access a ready-to-print (PDF) version of this issue of MMWR, go to:

To receive a FREE electronic subscription to MMWR (which includes new ACIP statements), go to:

INDONESIA. WHO published "Poliomyelitis, Indonesia--Update" in the July 8 issue of the Weekly Epidemiological Record (WER). It is reprinted below in its entirety.


On 5 July 2005, 21 new polio cases were confirmed in Indonesia, bringing the total number of cases to 100. Twenty of the new cases are from the province of Banten, and 1 of the cases is from Lampung province, Sumatra.

The recently confirmed cases in Sumatra and Central Java occurred outside the area where an emergency "mop-up" campaign was held from 31 May to 2 June, and again on 29 June. Sumatra and Central Java will be included in the next phase of the large-scale immunization campaigns, which will start [in] August. A large outbreak-response immunization [campaign] targeting 78,000 children aged less than 5 years was held [beginning] 25 June around the case in Central Java.

Prior to this outbreak, [which followed] an importation, Indonesia had not had a wild poliovirus case since 1995.

Further information can be found by clicking here and


To access a ready-to-print (PDF) version of this issue of WER, go to:

To access a web-text (HTML) version, 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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