IAC Express 2011 |
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Issue number 909: January 18, 2011 |
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as well as other FREE IAC periodicals. |
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Contents
of this Issue
Select a title to jump to the article. |
- New:
January 2011 issue of Vaccinate Adults is now online
- Reminder: January 2011 issue of Needle Tips available
online
- MMWR publishes ACIP's updated recommendations for the use
of Tdap vaccine
- Check it out: IAC develops a timely new web page--"The
Fraud Behind the MMR Scare"
- Wall Street Journal publishes Dr. Paul A. Offit's
editorial on Andrew Wakefield's failed 1998 study
- Spotlight on immunize.org: More on Vaccinate Adults,
including back issues and magazine viewer option
- IAC's Video of the Week explores the future of
immunization
- IAC updates two of its most popular handouts, "Healthcare
Personnel Vaccination Recommendations" and "Vaccinations for Adults: You're NEVER too old to get immunized!"
- IAC website posts an updated version of All Star
Pediatrics' "Sample Vaccine Policy Statement"
- IAC updates two of its standing orders for administering
vaccines to adults
- CDC's February 3 Net Conference to cover the recommended
2011 U.S. immunization schedules for children and adults
- Influenza vaccination is recommended for almost everyone,
so please keep vaccinating!
- MMWR reports on the costs a county health department
incurred in responding to a school-based pertussis
outbreak in Omaha in 2008
- Award-winning DVD! "Immunization Techniques: Best
Practices with Infants, Children, and Adults"--from the
California Department of Public Health, Immunization
Branch
- CDC's 2011 report on U.S. health disparities and
inequalities includes a section on influenza vaccination
coverage during 2000-2010
- CDC website posts interim guidance on the use of
influenza antiviral agents during the 2010-11 influenza
season
- MMWR reports on progress made in immunization information
systems in the U.S. during 2009
- MMWR publishes errata to CDC's "Sexually Transmitted
Diseases Treatment Guidelines, 2010"
- Operation Immunization conference scheduled for April 12
in Greensburg, PA
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| Abbreviations |
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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. |
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Issue 909: January 18, 2011 |
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1. |
New: January 2011 issue of Vaccinate Adults is now online
The January 2011 issue of Vaccinate Adults is now
online for
downloading at http://www.immunize.org/va/va30.pdf
The issue features information on ACIP's vote at its October
2010 meeting for expanded use of Tdap. Note: Vaccinate
Adults is an abbreviated version of the January 2011 issue
of Needle Tips with the pediatric content removed.
The January issue also includes these features:
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Ask the Experts column from CDC experts William L.
Atkinson, MD, MPH, and Andrew T. Kroger, MD, MPH, which
contains information on the new Tdap recommendations
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The newly updated "Summary of Recommendations
for Adult Immunization," one of IAC's most popular
educational handouts for healthcare professionals
To access the Vaccinate Adults table of contents where you
can view and print individual sections, go to:
http://www.immunize.org/va Back issues are accessible from
this page as well.
To download a PDF of the entire 12-page issue, go to:
http://www.immunize.org/va/va30.pdf
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2. |
Reminder: January 2011 issue of Needle Tips available
online
The January 2011 issue of Needle Tips is
available online
for viewing, downloading, and printing.
To download the entire issue right now, go to:
http://www.immunize.org/nslt.d/n47/n47.pdf
Complete information about this issue of Needle Tips is
available at http://www.immunize.org/nt There you will find
a link for displaying and printing the entire 18-page PDF of
the issue, along with a table of contents for viewing and
printing individual sections of Needle Tips.
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3. |
MMWR publishes ACIP's updated recommendations for the use of Tdap vaccine
CDC published "Updated
Recommendations for Use of Tetanus Toxoid, Reduced Diphtheria Toxoid and
Acellular Pertussis (Tdap) Vaccine from the Advisory Committee on
Immunization Practices, 2010" in the January 14 issue of MMWR. The first two
paragraphs of the article and a Box titled "Summary of updated
recommendations for use of tetanus toxoid, reduced diphtheria toxoid and
acellular pertussis (Tdap) vaccine--Advisory Committee on Immunization
Practices, 2010" are reprinted below.
Despite sustained high coverage for childhood pertussis vaccination,
pertussis remains poorly controlled in the United States. A total of 16,858
pertussis cases and 12 infant deaths were reported in 2009 (CDC, unpublished
data, 2009). Although 2005 recommendations by the Advisory Committee on
Immunization Practices (ACIP) called for vaccination with tetanus toxoid,
reduced diphtheria toxoid and acellular pertussis (Tdap) for adolescents and
adults to improve immunity against pertussis, Tdap coverage is 56% among
adolescents and <6% among adults. In October 2010, ACIP recommended expanded
use of Tdap. This report provides the updated recommendations, summarizes the
safety and effectiveness data considered by ACIP, and provides guidance for
implementing the recommendations.
ACIP recommends a single Tdap dose for persons aged 11 through 18 years who
have completed the recommended childhood diphtheria and tetanus toxoids and
pertussis/ diphtheria and tetanus toxoids and acellular pertussis (DTP/DTaP)
vaccination series and for adults aged 19 through 64 years. Two Tdap vaccines
are available in the United States. Boostrix (GlaxoSmithKline Biologicals,
Rixensart, Belgium) is licensed for use in persons aged 10 through 64 years,
and Adacel (sanofi pasteur, Toronto, Canada) is licensed for use in persons
aged 11 through 64 years. Both Tdap products are licensed for use at an
interval of at least 5 years between the tetanus and diphtheria toxoids (Td)
and Tdap dose. On October 27, 2010, ACIP approved the following additional
recommendations: (1) use of Tdap regardless of interval since the last
tetanus- or diphtheria-toxoid containing vaccine, (2) use of Tdap in certain
adults aged 65 years and older, and (3) use of Tdap in undervaccinated
children aged 7 through 10 years. . . .
BOX. Summary of updated recommendations for use of tetanus toxoid, reduced
diphtheria toxoid and acellular pertussis (Tdap) vaccine--Advisory Committee
on Immunization Practices, 2010
General Recommendations
For routine use, adolescents aged 11 through 18 years who have completed the
recommended childhood diphtheriaand tetanus toxoids and pertussis/diphtheria
and tetanus toxoids and acellular pertussis (DTP/DTaP) vaccination series and
adults aged 19 through 64 years should receive a single dose of Tdap.
Adolescents should preferably receive Tdap at the 11 to 12 year-old
preventive healthcare visit.
Timing of Tdap
- Can be administered regardless of interval since the last tetanus- or
diphtheria-toxoid containing vaccine.
Adults Aged 65 years and Older
- Those who have or anticipate having close contact with an infant aged
less than 12 months should receive a single dose of Tdap.
- Other adults ages 65 years and older may be given a single dose of
Tdap.
Children Aged 7 Through 10 Years
- Those not fully vaccinated against pertussis** and for whom no
contraindication to pertussis vaccine exists should receive a single dose
of Tdap.
- Those never vaccinated against tetanus, diphtheria, or pertussis or who
have unknown vaccination status should receive a series of three
vaccinations containing tetanus and diphtheria toxoids. The first of these
three doses should be Tdap.
** Fully vaccinated is defined as 5 doses of DTaP or 4 doses of DTaP if the
fourth dose was administered on or after the fourth birthday
To access the updated recommendations in ready-to-print (PDF) format, go to:
http://www.cdc.gov/mmwr/pdf/wk/mm6001.pdf and see pages 13-15.
To access the updated recommendations in web-text (HTML) format, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6001a4.htm
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4. |
Check it out: IAC develops a timely new web page--"The
Fraud Behind the MMR Scare"
IAC recently developed a web page
that links website users
to media coverage of issues raised by the British Medical
Journal's (BMJ) special three-part series about Dr. Andrew
Wakefield's 1998 paper that linked MMR vaccine and the
development of autism. Written by investigative journalist
Brian Deer, the series clearly documents how Wakefield's
study was actually an elaborate fraud.
Titled "The Fraud Behind the MMR Scare," IAC's web page
currently has links to the first two parts of the BMJ
series, accompanying BMJ editorials, related print news
coverage and commentary, and videos of broadcast media
coverage.
Links to additional media coverage, including the final part
of the BMJ series, will be added as they become available.
Visit the web page often to stay informed of developments.
Go to: http://www.immunize.org/bmj-deer-mmr-wakefield
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5. |
Wall Street Journal publishes Dr. Paul A. Offit's
editorial on Andrew Wakefield's failed 1998 study
On January 11, the Wall Street
Journal (WSJ) published an
editorial by Dr. Paul A. Offit titled "Junk Science Isn't a
Victimless Crime." The editorial stresses that though Andrew
Wakefield's 1998 study failed to prove a connection between
receipt of MMR vaccine and development of autism, it was
published in the well-respected medical journal The Lancet,
was publicized widely in the media, and met with
insufficient explanations from public health scientists as
to why Wakefield's hypothesis didn't make sense.
Dr. Offit is the chief of Infectious Diseases and the
director of the Vaccine Education Center at the Children's
Hospital of Philadelphia, as well as the Maurice R. Hilleman
Professor of Vaccinology and professor of pediatrics at the
University of Pennsylvania School of Medicine.
In an unusual move, WSJ has made the editorial available
online to non-subscribers. To read Dr. Offit's commentary on
the WSJ website, go to:
http://online.wsj.com/article/SB10001424052748703779704576073744290909186.html?KEYWORDS=dr+Paul+offit
To access the commentary from IAC's new "The Fraud Behind
the MMR Scare" web page, go to:
http://www.immunize.org/bmj-deer-mmr-wakefield and click on
the pertinent link.
For information on IAC's new web page, see article #4 in
this issue of IAC Express.
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6. |
Spotlight on immunize.org: More on Vaccinate Adults,
including back issues and magazine viewer option
Looking for more information
about Vaccinate Adults, IAC's
one-of-a-kind periodical for adult medical specialists who
provide vaccination services? Look no further. In addition
to the current issue, IAC's Vaccinate Adults web section
provides links to previous issues of the periodical, which
date back to 1997. The direct link to the Vaccinate Adults
web section is http://www.immunize.org/va
To access the Vaccinate Adults archive directly, visit
http://www.immunize.org/va/back-issues.asp
In addition, you can access Vaccinate Adults using a
magazine-style viewer: It allows readers to flip pages,
search content, rotate the page into horizontal or vertical
modes, and zoom out to see the entire issue at a glance.
To access Vaccinate Adults using our magazine viewer, visit
http://www.immunize.org/va/magazine-viewer.asp
To access all these features, as well as a link to a web
page with praise from Vaccinate Adults readers, visit the
Vaccinate Adults home page at http://www.immunize.org/va
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7. |
IAC's Video of the Week explores the future of
immunization
IAC encourages IAC Express
readers to watch a 12-minute
video on the future of immunization. Stanley Plotkin, MD,
developer of the rubella vaccine and others, discusses the
impact of molecular biology on vaccine development and muses
on future directions for vaccinology. This footage is
provided courtesy of The Vaccine Makers project and is
housed on the History of Vaccines website.
The video will be available on the home page of IAC's
website through January 23. To access it, go to:
http://www.immunize.org and click on the image under the
words Video of the Week.
To access the History of Vaccines website, go to:
http://www.historyofvaccines.org
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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8. |
IAC updates two of its most popular handouts, "Healthcare
Personnel Vaccination Recommendations" and "Vaccinations
for Adults: You're NEVER too old to get immunized!"
IAC recently revised the
following two handouts for
healthcare professionals and their patients.
(1) IAC updated "Healthcare Personnel Vaccination
Recommendations" to reflect changes in ACIP recommendations
for Tdap vaccination. Go to: http://www.immunize.org/catg.d/p2017.pdf
(2) IAC updated "Vaccinations for Adults: You're NEVER too
old to get immunized!" to reflect changes in ACIP
recommendations for influenza, pneumococcal, Tdap,
meningococcal, and hepatitis B vaccination. Go to:
http://www.immunize.org/catg.d/p4030.pdf
IAC's Handouts for Patients and Staff web section offers
healthcare professionals and the public approximately 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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9. |
IAC website posts an updated version of All Star
Pediatrics' "Sample Vaccine Policy Statement"
IAC has posted an updated version of "Sample
Vaccine Policy
Statement" from Brad Dyer, MD, All Star Pediatrics
(Lionville, PA) on its website. The policy statement gives
healthcare professionals a template they can modify to
create their own vaccine policy statement to communicate
their practice's strong support for childhood vaccination to
the parents of their patients. It was updated with 2010
pertussis statistics and other additions. To access it, go
to: http://www.immunize.org/catg.d/p2067.pdf
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10. |
IAC updates two of its standing orders for administering
vaccines to adults
IAC recently revised the following two standing
orders for
administering vaccines go adults.
(1) IAC updated "Standing Orders for Administering Hepatitis
A Vaccine to Adults" to clarify a note about giving the
vaccine to adults older than age 40. Go to:
http://www.immunize.org/catg.d/p3077.pdf
(2) IAC updated "Standing Orders for Administering
Pneumococcal Vaccine to Adults" to clarify which adults are
in need of a second dose. Go to:
http://www.immunize.org/catg.d/p3075.pdf
To access a table with links to all IAC's standing orders
protocols for vaccine administration and medical management
of vaccine reactions, as well as guidance for newborn-nursery hepatitis B vaccination, go to:
http://www.immunize.org/standing-orders
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11. |
CDC's February 3 Net Conference to cover the recommended
2011 U.S. immunization schedules for children and adults
The next "Current Issues in Immunization" net
conference
will be held on February 3 from noon to 1 p.m. Eastern time.
William Atkinson, MD, MPH, will speak on the recommended
2011 U.S. immunization schedules for people ages 0 through
18 years; Abigail Shefer, MD, will speak on the recommended
2011 U.S. immunization schedule for adults. The program
moderator is Andrew Kroger, MD, MPH.
Registration is limited and will close on February 2 or when
the course is full. To register, go to:
http://www2.cdc.gov/vaccines/ed/ciinc
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12. |
Influenza vaccination is recommended for almost everyone,
so please keep vaccinating!
Influenza vaccination is recommended for everyone
age 6
months and older, so please keep vaccinating your patients.
If you don't have influenza vaccine, you can direct patients
to the Google Flu Vaccine Finder. It helps the public find
nearby locations where influenza vaccine is available. It's
as simple as entering a zip code. Visit the Google Flu
Vaccine Finder: http://www.google.com/flushot
Following is a list of resources related to influenza
disease and vaccination for healthcare professionals and the
public.
To access IAC's handouts related to influenza, including
screening questionnaires, patient education pieces, and
sample standing orders, go to:
http://www.immunize.org/handouts/influenza-vaccines.asp
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13. |
MMWR reports on the costs a county health department
incurred in responding to a school-based pertussis
outbreak in Omaha in 2008
CDC published "Local Health Department Costs
Associated with
Response to a School-Based Pertussis Outbreak--Omaha,
Nebraska, September-November 2008" in the January 14 issue
of MMWR. A summary made available to the press is reprinted
below in its entirety.
The elevated incidence of pertussis and the burden of
response placed on health departments warrants exploring the
impact of alternative response and chemoprophylaxis
strategies.
The cost of pertussis outbreak containment can strain local
public health resources. This report measures the cost, from
a local health department perspective, to contain a
pertussis outbreak in a private school with approximately
600 students. The cost for 24 cases of pertussis was
estimated at $52,131 (or approximately $2,172 per case).
Investigations and developing recommendations were the most
resource-intensive aspects of the outbreak.
To access the full article in web-text (HTML) format, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6001a2.htm
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14. |
Award-winning DVD! "Immunization Techniques: Best
Practices with Infants, Children, and Adults"--from the
California Department of Public Health, Immunization
Branch
The California Department of Public Health (CDPH),
Immunization Branch, recently 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:
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Selecting, preparing, and administering injectable, oral,
and nasal vaccines
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Documenting immunizations
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Making patients comfortable and educating them
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Facilitating staff and patient communication
Prices start at $17 each for 1-9 copies and are greatly
reduced for large orders, dropping to $4.25 each for 1,000-1,500 copies.
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
email admininfo@immunize.org
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
copy.
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15. |
CDC's 2011 report on U.S. health disparities and
inequalities includes a section on influenza vaccination
coverage during 2000-2010
On January 14, CDC published "CDC Health
Disparities and
Inequalities Report--United States, 2011" as an MMWR
Supplement. The report includes a section titled "Influenza
Vaccination Coverage--United States, 2000-2010."
To access the influenza section of the report, go to
http://www.cdc.gov/mmwr/pdf/other/su6001.pdf and see pages
38-41.
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16. |
CDC website posts interim guidance on the use of
influenza antiviral agents during the 2010-11 influenza
season
On December 21, 2010, CDC posted "Interim
Guidance on the
Use of Influenza Antiviral Agents During the 2010-2011
Influenza Season." The guidance updates previous
recommendations made by CDC's Advisory Committee on
Immunization Practices (ACIP) regarding the use of antiviral
agents for the prevention and treatment of influenza.
The guidance has been submitted to MMWR and will appear in
that publication at a later date. In the interests of making
the guidance available to healthcare providers as quickly as
possible, it is being published online in the interim.
To access it, go to:
http://www.cdc.gov/flu/professionals/antivirals/guidance
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17. |
MMWR reports on progress made in immunization information
systems in the U.S. during 2009
CDC published "Progress in Immunization
Information
Systems--United States, 2009" in the January 14 issue of
MMWR. A portion of a summary made available to the press is
reprinted below.
In 2009, 77 percent of all U.S. children aged <6 years (18.4
million children) participated in an Immunization
Information System (IIS). Also, 59 percent of IIS grantees
reported being able to send and receive Health Level Seven
(HL7) messages, and another 8 percent of grantees with IIS
were partially able to meet HL7 capability by either sending
or receiving messages. Enhancing the interoperability of IIS
and electronic health record systems will help provide
greater consistency in data exchange and likely reduce
interface costs over time. Increased IIS data accuracy,
timeliness, and completeness can improve the quality of IIS-based coverage assessments, better support clinical
decisions at the healthcare provider level, and increase
availability of the data for other public health functions.
To access the full article in web-text (HTML) format, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6001a3.htm
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18. |
MMWR publishes errata to CDC's "Sexually Transmitted
Diseases Treatment Guidelines, 2010"
CDC published " Errata: Vol. 59, No. RR-12" in
the January
14 issue of MMWR. It concerns corrections made to the
section on gonococcal infections in CDC's recommendations
titled "Sexually Transmitted Diseases Treatment Guidelines,
2010," which were published on December 17, 2010. The errata
are reprinted below in their entirety.
In the Recommendations and Reports, "Sexually Transmitted
Diseases Treatment Guidelines, 2010," three errors occurred.
In the "Recommended Regimens" boxes on pages 50 and 51, the
recommendation for doxycycline should read "100 mg orally
twice a day for 7 days." In the "Alternative Regimens" box
on page 57, the first recommendation for tinidazole should
read "2 g orally once daily for 2 days."
To access the errata in web-text (HTML) format, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6001a8.htm
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19. |
Operation Immunization conference scheduled for April 12
in Greensburg, PA
The Southwest Immunization Coalition in
collaboration with
Penn State College of Medicine is sponsoring the ninth
annual Operation Immunization conference. It will be held
April 12 in Greensburg, PA. The conference brings together
immunization partners to share information, discuss current
issues, and recommend strategies to improve immunization
rates in Pennsylvania.
For comprehensive information, including the conference
agenda, speakers, registration, and accommodations, go to:
http://www.pennstatehershey.org/web/ce/home/programs/southwest-immunization
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