Vaccine Update for Healthcare Providers

Vaccine Resources

Alert: Influenza vaccine and this year’s flu season

The Centers for Disease Control and Prevention (CDC) recently announced that so far this year, the predominant strain of influenza causing disease is a drifted strain of the influenza A virus H3N2. As of early December, more than 91 percent of CDC-tested samples were influenza A strains and the balance were influenza B. Here is what you should know:

Resources related to this situation

Resources related to influenza in general

Check these resources for general information related to influenza:

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Latest IAC Needle Tips, CDC travel notice updates, Medscape influenza resource site

Latest IAC Needle Tips

The October 2014 issues of Needle Tips and Vaccinate Adults are now available from the Immunization Action Coalition. Vaccinate Adults contains stories from the Needle Tips issue that relate to immunizations for adults, so that readers who do not administer childhood vaccines can quickly locate the stories of interest to them.

Topics in the latest issues include:

CDC travel notice updates

The CDC recently updated travel notices related to several countries and diseases including:

Read more about these and other travel notices or sign up for emails about travel notice alerts»

Medscape influenza resource site

Medscape has a variety of resources related to influenza for clinicians. For ease of use, they have compiled them in a resource center. Resources include clinical guidance and recommendations, expert videos, news and journal articles.

Visit the influenza resource center»

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Influenza and “Vaccines and the Law" toolkit

Influenza

Although recent media attention has been directed elsewhere, influenza vaccine season is ramping up, so here are some resources that you might find helpful:

“Vaccines and the Law” Toolkit

Voices for Vaccines recently released an advocate’s toolkit titled “Vaccines and the Law.” Compiled by Dr. Dorit Rubenstein Reiss and Amanda Z. Naprawa, the report includes not only background information about vaccine regulation and oversight, but also information related to individual choice and community welfare, parental rights and children’s health, and informed consent as well as informed refusal. The report concludes with an analysis of the role of the law, highlighting a variety of potential legal interventions as well as their relative levels of coercion. Finally, the toolkit provides a nice explanation of the National Vaccine Injury Compensation Program.

Access the toolkit or learn more about Voices for Vaccines by visiting the VFV website.

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Check Out Our Table of Resources

The last few weeks have been busy, so we have become aware of multiple new and revised resources that we wanted to share. For ease of review, we thought we would try something different. Take a look at our table of resources. Be sure to let us know if you like the format.


Topic Source Summary Links to materials or more information 
HPV CDC Summary of HPV-related recommendations  MMWR, August 29,2014
HPV CDC Updates to HPV module in “You Call the Shots”  You Call the Shots online learning modules
HPV NFID Call to action for healthcare providers who treat adolescents

Call to Action

NFID website

HPV ACOG Toolkit for ob/gyns related to HPV immunization View the toolkit

 

ACOG's immunization website
 

Pregnant women  NFID Call to action focused on educating pregnant women and new parents about the benefits of vaccines

Call to Action  

Adults with chronic conditions  CDC Tools including fact sheets, articles and Web buttons to promote the importance of immunizations in this group

CDC’s Adults with Chronic Conditions Immunization Resources

Adolescent immunizations  AAP Earn CMEs when you view this PediaLink module related to office strategies for improving adolescent immunization rates in your practice
(Note: A small fee is charged to complete this course.)

Strategies for improving adolescent immunization rates in your practice

(Note: a small fee is charged to complete this course. Register.)

Value of vaccination PKIDS and other organizations, including the VEC New website to share and promote positive stories about vaccines. Join the conversation!

Check out the new website and add your own story!

Influenza  CDC Updated VISs
 

Print your copies of the revised VIS today

Influenza Texas Children’s Hospital Emotional video about the impact of influenza

Watch the video on YouTube. Warning: You may cry!  

National Immunization Survey U.S. Data in Children for 2013  CDC MMWR report of vaccine coverage rates in children 19-35 months old

Read the report

NIS  CDC Infographic highlighting data from the NIS survey

View the infographic 

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CDC updates “Current Vaccine Shortages & Delays” and “Preteen and Teen Vaccines,” and WHO publishes “Committee on Vaccine Safety” meeting results

CDC vaccine shortages & delays

The Centers for Disease Control and Prevention (CDC) recently updated the shortages & delays Web page to reflect Merck’s announcement that COMVAX® will no longer be produced as well as Sanofi’s removal of restrictions on supplies of Pentacel® and Daptacel®.

CDC adolescent vaccine information update

Are you aware of the CDC’s dedicated Web area for information related to teens and preteens? If not, check it out today. The site offers a variety of resources including print materials, podcasts, videos and radio PSAs. In addition, the CDC recently updated the site to reflect the latest NIS-Teen survey data.

WHO vaccine safety committee meeting results

The Global Advisory Committee on Vaccine Safety of the World Health Organization (WHO) recently met in Geneva and discussed four issues related to vaccine safety:

To read more about any of these issues, consult the Weekly Epidemiological Record published July 18, 2014.

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IAC and AAP newsletters, novel tool for checking immunization rates in CA schools, and interim travel recommendations related to polio

New Issues - Needle Tips and Vaccinate Adults from IAC

The July 2014 issues of the Immunization Action Coalition (IAC) newsletters, Needle Tips and Vaccinate Adults, are now available online. Needle Tips is designed for healthcare professionals who administer vaccines, and Vaccinate Adults is a shortened version containing articles relevant to providers who only administer vaccines to adults.

Highlights of the July issue include:

AAP Immunization Initiatives newsletter

Do you get the quarterly newsletter, Immunization Initiatives, produced by the AAP? If not, you may want to sign up or check out archived issues.

The July 2014 issue includes articles about timely immunization, information about the CDC’s “Think Measles” initiative and reminder/recall systems.

Check immunization rates in CA schools

If you live in California, you now have another tool related to immunizations, and if you don’t, you will want it in your state too! Shots for School has a new tool that allows users to look up a specific school or schools in a particular zip code to see the percent of children in the school who are fully immunized.

Users can search childcare, kindergarten or 7th grade coverage rates. Percent coverage is shown on a map and color coded in groups of less than 80 percent, 80-94 percent, 95-100 percent or did not report.

Interim travel recommendations from the CDC

The Centers for Disease Control and Prevention (CDC) recently updated several travel guidelines. Enhanced precautions (alert level 2) are recommended for travelers going to Syria, Equatorial Guinea, Iraq, Ethiopia, Cameroon and Somalia related to polio, and for those going to Liberia, Guinea and Sierra Leone related to Ebola virus. Schistosomiasis concern is elevated for travelers to Corsica in France, and travel guidelines were also posted in June for those planning to attend the Hajj and Umrah events.

Find out more»

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CME for pertussis education, learning from Princeton and UCSB meningococcal serogroup B experiences, and revised VIS for adenovirus

CME for pertussis education

The National Foundation for Infectious Diseases (NFID) is offering continuing education credits for review of a series about pertussis. The journal articles resulted from presentations at a working group meeting about pertussis that occurred in March 2013, and include information related to the changing epidemiology of the disease, clinical evaluation of existing vaccines and disease pathogenesis, as well as other topics.

Learn more about NFID programs offering continuing education credits.

Learning from Princeton and UCSB meningococcal serogroup B experiences

NFID recently published a report, “Addressing the Challenges of Serogroup B Meningococcal Disease Outbreaks on Campuses,” to share information related to the recent outbreaks at Princeton and the University of California, Santa Barbara (UCSB). In addition to providing situational summaries, the report describes challenges related to costs and lack of an approved vaccine as well as provides a series of recommendations related to these and other challenges identified during the experiences.

Editor’s Note: The serogroup B meningococcal vaccine used to control the Princeton and UCSB outbreaks, known as Bexero® and manufactured by Novartis, was submitted for licensure to the Food and Drug Administration in June 2014. Similarly, Pfizer’s serogroup B meningococcal vaccine has also been submitted for licensure.

Revised VIS for adenovirus

The U.S. Centers for Disease Control and Prevention (CDC) recently announced the release of an updated version of the Vaccine Information Statement (VIS) for adenovirus. The date on the current version is June 11, 2014.

Make sure your office is distributing the most current VIS for all vaccines by visiting the CDC’s web page.

Finally, did you know that you can view VIS and supporting provider information on your mobile phone? Bookmark the mobile version of the VIS page at http://m.cdc.gov/VIS.

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Vaccine exemptions, autism rates and new teen campaign

Vaccine exemptions

The Association of Immunization Managers (AIM) recently released a position statement related to personal belief exemptions (PBE) encouraging states and territories that do not allow PBE to maintain this position and those who do allow them to consider strengthening their position. The AIM position paper was in response to the increased risk of disease in communities that allow PBE.

The Immunization Action Coalition (IAC) has a handout titled “Decision to Not Vaccinate My Child” which includes excerpts from position statements from various national organizations. The form can be signed by the parent and kept on file to indicate the vaccines they refused. Read or print the sheet.

Autism rates

Medscape recently published an interview with Susan L. Hyman, MD, chair of the American Academy of Pediatrics (AAP) Autism subcommittee and a professor of pediatrics at the University of Rochester, discussing “The Reasons behind the Rise in Autism.” Read the interview.

If you do not have a free Medscape account, you will need to register before being able to access the article.

New teen campaign

Parents of Kids with Infectious Diseases (PKIDS) recently launched a new campaign aimed at teens and young adults. Called “Your Choice!” The campaign reminds teens to “take control of your health.”

Materials on the site can be branded by your organization and submitted to local news organizations. FAQ sheets are also available for both teens and parents.

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Laminated immunization schedules and CDC recommendations for use of antivirals for influenza

Laminated immunization schedules

The Immunization Action Coalition (IAC) now has available for order useful laminated versions of the 2014 immunization schedules. The full-color schedules include a recommendations table, footnotes, contraindications and precautions. Two versions are available:

Costs vary by quantity ordered. Four or fewer copies are $7.50 each with prices decreasing incrementally to $3.50 per schedule for quantities of 500 to 999. Larger quantities are also available by contacting IAC.

CDC recommendations for use of antivirals for influenza

Following the recent release of the Cochrane report about the benefits of antiviral drugs in treating influenza, the Centers for Disease Control and Prevention (CDC) re-emphasized their recommendations related to the use of antivirals for treating influenza. Specifically,

The CDC has a useful document that includes a summary table outlining recommendations related to this subject. Several additional resources are compiled on the CDC’s related Web page.

CDC news and vaccine-related Tedx Talk

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CDC news

The Centers for Disease Control and Prevention (CDC) announced the introduction of a new Twitter account, @CDCizlearn. They plan to post information about immunization-related education, training and practice resources for healthcare providers and others interested in administration and delivery of vaccines. Questions about the Twitter account can be emailed to izlearn@cdc.gov.

The CDC has also announced removal of the multi-vaccine VIS (11/16/12), so that it can be updated. In the interim, rather than using that sheet, provide parents with the individual VISs. This information is posted on the CDC’s VIS announcements page.

Vaccine-related Tedx Talk

The Immunization Partnership in Texas recently launched a new website, immunizeUSA.org. In addition to education and advocacy sections, the site includes a wonderful Tedx Talk video by Anna Dragsbaek, President and CEO of The Immunization Partnership. The Tedx Talk video, titled “The Scream That Should Be Heard Around the World,” is also available on YouTube.

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CDC VIS and training modules updates

VIS Updates

The Centers for Disease Control and Prevention (CDC) recently made updates to the following Vaccine Information Statements (VIS):

Be sure you are using the most up-to-date VIS by checking the CDC’s summary page.

Get other languages from the IAC’s library of VIS.

Make sure your office is using VIS correctly.

CDC training modules updates

The CDC recently updated two modules in the “You Call the Shots” training course:

The “You Call the Shots” modules are free, Web-based training modules intended for nurses, medical assistants, pharmacists and other health professionals who administer immunizations. The modules are also useful for students in fields of study that will eventually administer vaccines. Continuing education credits are also available.

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Cervivor interview series; HPV vaccine recall

Cervivor interview series

Cervivor is a new series launched by Tamika & Friends, a group of cervical cancer survivors. In this online series Tamika interviews other cervical cancer survivors as they share their stories of hope and survival. The group is having a three-day survivor retreat during January 2014.

HPV vaccine recall

Merck voluntarily recalled one lot of Gardasil® because a small number of vials might have been contaminated with glass introduced by breakage during the production process:

For more information, consult the CDC’s related media statement.

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