IAC Express 2011
Issue number 925: April 18, 2011
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- Reminder: IAC has posted an important correction to its
educational piece for healthcare professionals: "Medical
Management of Vaccine Reactions in Children and Teens"
- CDC publishes report about a case of human rabies in
Michigan in 2009
- Spotlight on immunize.org: IAC's standing orders for
- IAC's popular laminated versions of the 2011 U.S.
immunization schedules are now available. Order a supply
for your workplace today!
- Eleven new healthcare organizations have been added to
IAC's Honor Roll for Patient Safety--bringing the total
to more than 100!
- IAC's Video of the Week features magicians Penn and
Teller making a strong visual case for immunization
- Use CDC's fact sheets to educate parents about the
benefits and risks of vaccination
- National Infant Immunization Week starts on Saturday,
April 23--be sure to add your activities to the CDC
- Handout about safe injection practices is worth reviewing
with your staff
- Scheduled for April 21: State University of New York
webcast on improving teen immunization rates--CE credit
- 91 U.S. children have died from complications of
influenza during the 2010-11 season--so please keep
- Award-winning DVD! "Immunization Techniques: Best
Practices with Infants, Children, and Adults"--from the
California Department of Public Health, Immunization
- ACIP meeting scheduled for June 22-23 in Atlanta;
registration deadlines are in early June
- CDC publishes report on tracking the progress toward
global polio eradication during 2009-10
- New Zealand National Immunisation Conference planned for
August 19-20 in Rotorua; abstracts due May 10
AAFP, American Academy of Family Physicians; AAP,
American Academy of Pediatrics; ACIP, Advisory Committee on Immunization
Practices; AMA, American Medical Association; CDC, Centers for Disease
Control and Prevention; FDA, Food and Drug Administration; IAC, Immunization
Action Coalition; MMWR, Morbidity and Mortality Weekly Report; NCIRD,
National Center for Immunization and Respiratory Diseases; NIVS, National
Influenza Vaccine Summit; VIS, Vaccine Information Statement; VPD,
vaccine-preventable disease; WHO, World Health Organization.
Issue 925: April 18, 2011
Reminder: IAC has posted an important correction to its educational piece for
healthcare professionals: "Medical Management of Vaccine Reactions in
Children and Teens"
On April 12, IAC published a special edition of
to notify readers that IAC's educational piece concerning
medical management of vaccine reactions in children
contained a significant error in epinephrine dosage. The
text of the special edition is reprinted below for those who
The Immunization Action Coalition (IAC) has posted the
following important correction to its educational piece for
healthcare professionals: "Medical Management of Vaccine
Reactions in Children and Teens."
On page 3 of 3, an incorrect epinephrine dose is listed in
the table titled "First-Line Treatment, Epinephrine." In the
row for infants and children age 5-7 years, 40-56 lb, 18-25.5 kg, the incorrect dose read "0.2-25 mL (or mg)" and now
has been corrected to read "0.2-0.25 ml (or mg)."
From April 7 until the afternoon of April 12, the incorrect
version was posted on IAC's website. If you downloaded
"Medical Management of Vaccine Reactions in Children and
Teens" prior to April 13, 2011, be sure to download the
updated and corrected version at
IAC thanks Robin Candace, RN, BSN, Compliance Manager,
LifeLong West Berkeley Family Practice, Berkeley,
California, for notifying us of this significant error.
All errata from IAC are posted at http://www.immunize.org/errata
To access the April 12 special edition, go to:
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CDC publishes report about a case of human rabies in Michigan in 2009
CDC published "Human Rabies--Michigan, 2009" in
the April 15
issue of MMWR. A press summary of the article is reprinted
Rabies is a fatal viral disease that affects the central
nervous system and is usually transmitted through animal
bites. In November 2009, a Michigan man aged 55 years was
hospitalized with labored breathing and muscle weakness that
rapidly progressed to flaccid paralysis, then death. Rabies
was suspected after a family member reported that several
months earlier the patient had come in contact with a bat
while sleeping. A diagnosis of rabies was confirmed by CDC
laboratory testing, with molecular analysis later revealing
that the patient had been infected with a variant commonly
associated with the silver-haired bat. This case underscores
the importance of medical attention following bat exposures
that are conducive to rabies transmission. Such exposures
include being bitten or scratched by a bat or being in close
proximity to a bat while sleeping. The public should be
aware of rabies and the risks associated with bat exposures.
Middle-aged men are an important target for educational
outreach, since a high percentage of rabies cases in the
United States are in this demographic group.
To access the full article, go to:
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Spotlight on immunize.org: IAC's standing orders for vaccination
Using pre-approved standing order protocols for
in healthcare settings allows eligible nurses and other
healthcare professionals to administer vaccines to children,
adolescents, and adults. State laws vary regarding who can
administer vaccines under standing orders.
If you're looking for quick access to standing orders
protocols for vaccination, look no further. IAC's Standing
Orders web section provides links to sets of standing orders
for administering all routinely recommended vaccines to
children and adults.
To access links to all IAC's standing orders protocols for
vaccine administration, as well as guidance for newborn-nursery hepatitis B vaccination, visit:
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. To access all of IAC's free
handouts, go to: http://www.immunize.org/handouts
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IAC's popular laminated versions of the 2011 U.S. immunization schedules are
now available. Order a supply for your workplace today!
IAC's laminated versions of the 2011 U.S.
adult immunization schedules are covered with a tough,
washable coating that lets them stand up to a year's worth
of use in every area of your workplace where immunizations
are given. Each has six pages (i.e., three double-sided
pages) and is folded to measure 8.5" by 11".
Laminated schedules are printed in color for easy reading,
come complete with essential tables and footnotes, and
include contraindications and precautions--a feature that
will help you make an on-the-spot determination about the
safety of vaccinating patients of any age.
1-4 copies: $7.50 each
5-19 copies: $5.50 each
20-99 copies: $4.50 each
To view images of the laminated schedules, or to order
online or download an order form, go to:
For quotes on customizing or placing orders in excess of 999
schedules, call (651) 647-9009 or email
To learn about other essential immunization resources
available for purchase from IAC, go to:
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Eleven new healthcare organizations have been added to IAC's Honor Roll for
Patient Safety--bringing the total to more than 100!
IAC encourages 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 strengthening their mandatory
influenza vaccination policies for healthcare workers.
More than 100 organizations are now enrolled.
Since February 14, when IAC Express last reported on
healthcare organizations that have recently been added to
the Honor Roll for Patient Safety, the following eleven
organizations have been enrolled.
Two health departments: Peterborough County-City Health
Unit, Ontario, Canada; and RiverStone Health, Billings, MT
Eight institutions: Geisinger Medical Center, Danville,
PA; Hackettstown Regional Medical Center, Hackettstown, NJ;
Hospital of Saint Raphael, New Haven, CT; Madonna
Rehabilitation Hospital, Lincoln, NE; Tri-City Medical
Center, Oceanside, CA; Tuba City Regional Health Care
Corporation, Tuba City, AZ; Unity Health Center, Shawnee,
OK; and The Women's Hospital, Newburgh, IN
One medical practice: Northeast Pediatrics and Adolescent
Medicine, Ithaca, NY
To be included in the honor roll, an organization's mandate
must require influenza vaccination for employees and must
include serious measures to prevent transmission of
influenza from unvaccinated workers to patients. Such
measures might include a mask requirement, reassignment to
non-patient-care duties, or dismissal of the employee.
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To find specific information on the mandates of the enrolled
organizations or to submit your organization's application
for the honor roll, go to: http://www.immunize.org/honor-roll
IAC's Video of the Week features magicians Penn and Teller making a strong
visual case for immunization
IAC encourages IAC Express readers to watch a
that features magicians Penn and Teller showing how vaccines
have shielded people against diseases over the decades.
The video will be available on the home page of IAC's
website through April 24. To access it, go to:
http://www.immunize.org and click on the image under the
words Video of the Week. After April 24, access the video
directly on YouTube at
Remember to bookmark IAC's home page to view a new video
every Monday. To view an IAC Video of the Week from the
past, go to the video archive at http://www.immunize.org/votw
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Use CDC's fact sheets to educate parents about the benefits and risks of
CDC recently posted 13 fact sheets to its
website. The fact
sheets briefly describe symptoms of each vaccine-preventable
disease (VPD) as well as benefits and risks of vaccination.
Several include true stories about how VPDs have affected
families. Fact sheets are available on the following:
chickenpox (varicella), diphtheria, hepatitis A, hepatitis
B, Hib, influenza, measles, mumps, pertussis, polio,
rotavirus, rubella, and tetanus.
The fact sheets, part of a collection of materials called
Resources for Vaccine Conversations with Parents, were
developed by CDC, the American Academy of Family Physicians,
and the American Academy of Pediatrics.
The fact sheets are available for printing in color and in
black and white. To access them, go to:
Scroll down to the subhead titled "Materials for Parents,"
and find the section titled "SERIES: Diseases & the Vaccines
that Prevent Them."
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National Infant Immunization Week starts on Saturday, April 23--be sure to add
your activities to the CDC website
National Infant Immunization Week
(NIIW) is an annual
observance to highlight the importance of protecting infants
from vaccine-preventable diseases. It is being held April
23-30 and begins on Saturday.
Any health department or immunization coalition interested
in promoting infant immunization within their community will
find abundant useful information on the CDC's NIIW website.
Resources include tools for planning events and promoting
them through the media; listings of NIIW activities and
events planned across the nation; and educational materials
for providers and parents.
To access these NIIW resources, go to:
CDC encourages all organizations that are planning an NIIW
activity to fill out a form to share information about its
plans with others. To access the form, go to:
To read about other organizations' activities, go to:
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Handout about safe injection practices is worth reviewing with your staff
A handout titled "Protecting Patients from Unsafe
Injections: What healthcare providers need to know" provides
concise information about the dangers posed by unsafe
injection practices, gives real-life examples of unsafe
practices, encourages healthcare providers to carefully
review infection control practices with staff, and outlines
steps providers can take to ensure injection safety.
Developed by the Health Industry Distributors Association,
the handout is available on the website of the One & Only
Led by CDC and the Safe Injection Practices Coalition, the
One & Only Campaign aims to raise awareness among patients
and healthcare providers about safe injection practices and
to eradicate outbreaks resulting from unsafe injection
For more information, go to: http://www.oneandonlycampaign.org
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Scheduled for April 21: State University of New York webcast on improving
teen immunization rates--CE credit available
A webcast titled "Teens, Tweens,
Parents & Vaccines:
Applying Research to Enhance Professional/Family Dialogue"
is scheduled for April 21 from noon to 1:00 p.m. ET. The
speaker is Cynthia Rand, MD, MPH, University of Rochester
Medical Center. The event is sponsored by the School of
Public Health, State University of New York at Albany.
Continuing education (CE) is available. For details, go to:
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91 U.S. children have died from complications of influenza during the 2010-11
season--so please keep vaccinating
CDC reported one influenza-associated pediatric
the week ending April 9, for a total of 91 confirmed
influenza-associated pediatric deaths so far this season.
Remember, influenza vaccination is recommended for everyone
age 6 months and older, so please keep vaccinating your
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Award-winning DVD! "Immunization Techniques: Best Practices with Infants,
Children, and Adults"--from the California Department of Public Health,
The California Department of Public Health (CDPH),
Immunization Branch, has updated its award-winning training
video, "Immunization Techniques: Best Practices with
Infants, Children, and Adults." The 25-minute program can be
used to train new employees and to refresh the skills of
experienced staff. The video demonstrates the skills and
techniques needed to administer vaccines to patients of all
ages. It includes instruction on the following:
Selecting, preparing, and administering injectable, oral,
and nasal vaccines
Making patients comfortable and educating them
Facilitating staff and patient communication
Prices start at $17 each for 1-9 copies and are greatly
reduced for large orders, dropping to $3 each for 1,000-1,499 copies.
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To learn more about the DVD, and find out how to order it,
go to: http://www.immunize.org/shop/toolkit_iztechdvd.asp
For quotes on larger quantities, call (651) 647-9009 or
The Immunization Action Coalition is the only nationwide
vendor of this new DVD.
Note for healthcare settings located in California: Contact
your local health department immunization program for a free
ACIP meeting scheduled for June 22-23 in Atlanta; registration deadlines are
in early June
The Advisory Committee on Immunization Practices
hold its next meeting on June 22-23 at CDC's Clifton Road
campus in Atlanta. To attend the ACIP meeting onsite, ACIP
attendees (participants and visitors) must register online.
The online registration deadline for non-U.S. citizens is
June 3. The deadline for U.S. citizens is June 10. To access
the online registration form, go to:
To access detailed information about the meeting, go to:
There you will find links to the meeting agenda, driving
directions, and other useful material.
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CDC publishes report on tracking the progress toward global polio eradication
CDC published "Tracking Progress Toward Global
Eradication--Worldwide, 2009-2010" in the April 15 issue of
MMWR. To access the article, go to:
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Zealand National Immunisation Conference planned for August 19-20 in Rotorua;
abstracts due May 10
The New Zealand National Immunisation Conference
held in Rotorua on August 19-20, with a preconference
workshop scheduled for August 18. The deadline for abstract
submissions is May 10.
For complete conference details, go to: http://www.imac2011.co.nz
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