IAC Express 2011

Issue number 952: September 12, 2011
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Contents of this Issue
Select a title to jump to the article.
  1. CDC publishes report on maternal and infant outcomes among severely ill pregnant and postpartum women with 2009 pandemic influenza A (H1N1)
  2. Bulk quantities of the 2011-12 Influenza Vaccine Pocket Guides and PPSV Pocket Guides available--FREE!--from the National Influenza Vaccine Summit
  3. CDC publishes report in MMWR on swine-origin influenza A (H3N2) virus infection in two U.S. children in 2011
  4. IAC updates handout that explains which children need two doses of influenza vaccine during the 2011-12 influenza season
  5. FREE: American College of Physicians' Adult Immunization Guide available in electronic and hard-copy formats
  6. IAC's screening questionnaires for influenza vaccination now available in Spanish
  7. Spotlight on immunize.org: IAC's clinic resources
  8. IAC's Video of the Week discusses how taking a sexual history can protect a teen's health
  9. IAC corrects confusing information it published in an IAC Express article about febrile seizures related to simultaneous administration of PCV13 and TIV vaccines
  10. Every Child By Two schedules September 27 webinar on using the media to communicate vaccine messages and October 14 webinar on speaking with parents about autism
  11. WHO publishes revised recommendations for yellow fever vaccination for international travelers
  12. August issue of CDC's Immunization Works newsletter now available
  13. CDC publishes a report on respiratory syncytial virus activity in the U.S. during July 2007-June 2011
  14. IAC's popular laminated versions of the 2011 U.S. immunization schedules are available. Order a supply for your workplace today!
  15. Award-winning DVD! "Immunization Techniques: Best Practices with Infants, Children, and Adults"--from the California Department of Public Health, Immunization Branch
  16. Scheduled for November 12, World Pneumonia Day seeks to raise awareness of the global effects of pneumonia
  17. ACIP meeting scheduled for October 25-26 in Atlanta; registration deadline is October 10
  18. 2011-12 influenza vaccine VISs now available in Armenian and Farsi
  19. CDC publishes report on U.S. surveillance for foodborne disease outbreaks in 2008
 
Abbreviations
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 952: September 12, 2011
1.  CDC publishes report on maternal and infant outcomes among severely ill pregnant and postpartum women with 2009 pandemic influenza A (H1N1)
CDC published "Maternal and Infant Outcomes Among Severely Ill Pregnant and Postpartum Women with 2009 Pandemic Influenza A (H1N1)--United States, April 2009-August 2010" in the September 9 issue of MMWR. The first paragraph and part of the Editorial Note are reprinted below.


Pregnant women with influenza are at increased risk for hospitalization and death. Since 2004, the Advisory Committee on Immunization Practices (ACIP) has recommended inactivated influenza vaccine for all women who are pregnant during influenza season, regardless of trimester. Nonetheless, after the 2004 recommendation, estimated annual influenza vaccination coverage among pregnant women was approximately 15%, before increasing to nearly 50% during the 2009 influenza A (H1N1) pandemic. Since April 2009, CDC has collaborated with state and local health departments to conduct enhanced surveillance for severe influenza among pregnant and postpartum women. To assess maternal and infant outcomes among severely ill pregnant and postpartum women with 2009 H1N1 during the 2009 H1N1 pandemic, CDC analyzed data for the period April 15, 2009, to August 10, 2010. This report summarizes the results of that analysis, which found that, among 347 severely ill pregnant women, 75 died from 2009 H1N1, and 272 were admitted to an intensive-care unit (ICU) and survived. Women who survived received antiviral treatment sooner after symptom onset than women who died. Pregnant women with severe influenza who delivered during their influenza hospitalization were more likely to deliver preterm and low birth weight infants than those in the general U.S. population; infants born after their mother's influenza hospitalization discharge were more likely to be small for gestational age. These data document the severe effects of 2009 H1N1 on pregnant women and their infants, emphasize the importance of vaccinating pregnant women against influenza, and demonstrate the value of prompt administration of antivirals to pregnant women with suspected or confirmed influenza. . . .

Editorial Note
These data reaffirm recommendations that pregnant and postpartum women receive prompt, empiric treatment with antiviral medications for suspected or confirmed influenza. In addition, the severe impact of 2009 H1N1 influenza among pregnant women and their infants emphasizes the importance of prevention in this group. The cornerstone of influenza prevention among pregnant women remains promotion of influenza vaccination; ACIP recommends vaccination for women regardless of trimester. Despite this recommendation and the recent increase in influenza vaccination among pregnant women, coverage remains lower than optimal and increasing vaccination coverage in this group continues to be a key public health priority.


To access the article, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6035a2.htm
 
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2.  Bulk quantities of the 2011-12 Influenza Vaccine Pocket Guides and PPSV Pocket Guides available--FREE!--from the National Influenza Vaccine Summit

To aid in efforts to vaccinate against influenza and pneumococcal disease, readers are invited to place orders now for bulk quantities of the National Influenza Vaccine Summit's 2011-12 Influenza Vaccine Pocket Information Guide and Pneumococcal Polysaccharide Vaccination (PPSV) Pocket Guide. Both are free--you can order them in the hundreds or thousands!

These laminated, 3.75 x 6.75-inch, 2-color cards serve as a convenient reference for front-line healthcare professionals who vaccinate patients. Place a bulk order now, and your organization will be ready to educate healthcare professionals at upcoming immunization training sessions and conferences. Each staff person who administers influenza or PPSV vaccine needs these handy resources.

THE 2011-12 INFLUENZA POCKET GUIDE PROVIDES THE FOLLOWING
INFORMATION:
  • Important points for healthcare providers
     
  • Indications, contraindications, and precautions for the injectable, intradermal, and intranasal influenza vaccines
     
  • Clear direction regarding which children ages 6 months through 8 years need 2 doses of influenza vaccine this year
     
  • Dosage, route of administration, and indicated age group for all the various influenza vaccine products
     
  • Talking points for discussing influenza vaccination with patients

See an image of the influenza vaccine pocket guide at http://www.immunize.org/pocketguides/pocketguide_flu.pdf

The influenza pocket guide also serves as a reminder to keep giving influenza vaccine throughout influenza season (through the spring months).

THE PPSV POCKET GUIDE PROVIDES THE FOLLOWING INFORMATION:

  • Indications for vaccination with PPSV, contraindications, and precautions
     
  • Indications for vaccination with 2 doses of PPSV and intervals between doses
     
  • Dosage and routes of administration

See an image of the PPSV pocket guide at http://www.immunize.org/pocketguides/pocketguide_ppsv.pdf

The 2011-12 influenza pocket guide and PPSV pocket guide are intended to be used by healthcare professionals only; THEY ARE NOT PATIENT HANDOUTS.

HOW TO ORDER
Place your order at http://www.preventinfluenza.org/pocketguides There is no cost for the pocket guides, shipping, or handling within the U.S. They're going fast, so to avoid disappointment, place your order ASAP!

If you have questions, email admininfo@immunize.org

BACKGROUND
For background information on the pocket guides, see http://www.immunize.org/express/issue949.asp#n3

Thanks for your dedication to immunization, and don't forget to keep vaccinating against influenza through the spring months!

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3.  CDC publishes report in MMWR on swine-origin influenza A (H3N2) virus infection in two U.S. children in 2011

CDC published "Swine-Origin Influenza A (H3N2) Virus Infection in Two Children--Indiana and Pennsylvania, July-August 2011" in the September 9 issue of MMWR. This report was previously published as an MMWR Early Release on September 2, and was previously covered in IAC Express on September 6.

To access the full article in web-text (HTML) format, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6035a6.htm

To access the complete ready-to-print (PDF) version of the article, go to pages 1213-1215 of this document: http://www.cdc.gov/mmwr/pdf/wk/mm6035.pdf
 
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4.  IAC updates handout that explains which children need two doses of influenza vaccine during the 2011-12 influenza season

IAC recently revised its professional-education handout "Guides for determining the number of doses of influenza vaccine to give to children ages 6 months through 8 years during the 2011-12 influenza season." Go to: http://www.immunize.org/catg.d/p3093.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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5.  FREE: American College of Physicians' Adult Immunization Guide available in electronic and hard-copy formats

Produced by faculty of the American College of Physicians' (ACP) Quality Improvement Programs and members of the ACP Adult Immunization Advisory Board, the ACP "Guide to Adult Immunization (4th Edition: A Team-Based Manual)" is intended to help internists develop systematic processes for incorporating immunization in their day-to-day practice.

The complete guide is available electronically at no charge in high- and low-resolution PDF formats. It can also be downloaded in individual sections. To find out more about the guide, and to download it, go to: http://immunization.acponline.org

Print copies (free) can be pre-ordered and will be shipped at no charge. Supply may be limited. For information on pre-ordering, click here.
 
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6.  IAC's screening questionnaires for influenza vaccination now available in Spanish

Updated in August, IAC's "Screening Questionnaire for Inactivated Injectable Influenza Vaccination" and "Screening Questionnaire for Live Attenuated Intranasal Influenza Vaccination" are now available in Spanish.

To access the Spanish version of "Screening Questionnaire for Inactivated Injectable Influenza Vaccination," go to: http://www.immunize.org/catg.d/p4066-01.pdf

For English: http://www.immunize.org/catg.d/p4066.pdf

To access the Spanish version of "Screening Questionnaire for Live Attenuated Intranasal Influenza Vaccination," go to: http://www.immunize.org/catg.d/p4067-01.pdf

For English: http://www.immunize.org/catg.d/p4067.pdf
 
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7.  Spotlight on immunize.org: IAC's clinic resources

Looking for "how-to" information about providing vaccinations in a clinic or non-traditional setting? Look no further. IAC's Clinic Resources web section provides a treasure trove of materials for vaccinators.

The Clinic Resources web section covers the following topic areas: Vaccine Administration, Coding and Billing, Documenting Vaccination, Handling and Storage, Scheduling Vaccines, Screening for Contraindications, and Vaccine Recommendations.

To access the Clinic Resources main page, visit: http://www.immunize.org/clinic
 
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8.  IAC's Video of the Week discusses how taking a sexual history can protect a teen's health

IAC encourages IAC Express readers to watch a 6-minute Expert Commentary video from Medscape titled "Taking an Adolescent's Sexual History." In the video, Gail Bolan, MD, discusses how to prevent and control sexually transmitted diseases and provides guidance for taking a teen's sexual history. Dr. Bolan is director, Division of Sexually Transmitted Disease Prevention, CDC.

The video will be available on the home page of IAC's website through September 18. To access it, go to: http://www.immunize.org and click on the image under the words Video of the Week. Registration is required to access this video on Medscape. There is no charge to register.

Remember to bookmark IAC's home page to view a new video every Monday.

To access the archives of IAC's Videos of the Week, go to: http://www.immunize.org/votw
 
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9.  IAC corrects confusing information it published in an IAC Express article about febrile seizures related to simultaneous administration of PCV13 and TIV vaccines

On September 6, IAC published an IAC Express article titled "CDC gives providers information for patients about febrile seizures related to simultaneous administration of PCV13 and TIV vaccines." In the article's first paragraph, we incorrectly stated that an increased risk of febrile seizures exists when TIV and pneumococcal POLYSACCHARIDE vaccine are given simultaneously. We should have stated that the increased risk exists when TIV and pneumococcal CONJUGATE vaccine are given simultaneously.

We have now corrected in inaccurate text in the online version of the article: http://www.immunize.org/express/issue951.asp#n11

We are grateful to the alert IAC Express readers who made us aware of the error and regret confusion the error may have caused IAC Express readers.
 
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10.  Every Child By Two schedules September 27 webinar on using the media to communicate vaccine messages and October 14 webinar on speaking with parents about autism

Every Child By Two (ECBT) has scheduled webinar titled "How to Use the Media to Communicate Vaccine Messages: A Training Workshop for Vaccine Advocates" for September 27 at 2:00 PM Eastern Time. For comprehensive information and to register, go to: https://cc.readytalk.com/r/au2sn14ca79x

A webinar titled "Autism 101 for Immunization Advocates" will take place on October 14 at 2:00 PM Eastern Time. For comprehensive information and to register, go to: https://cc.readytalk.com/r/grnrshog3l58

To learn about ECBT, visit http://www.ecbt.org
 
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11.  WHO publishes revised recommendations for yellow fever vaccination for international travelers

On September 9, the WHO publication Weekly Epidemiological Record (WER) published "Revised recommendations for yellow fever vaccination for international travellers, 2011." To access the revised recommendations, go to: http://www.who.int/wer/2011/wer8637.pdf
 
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12.  August issue of CDC's Immunization Works newsletter now available

CDC recently released the August issue of its monthly newsletter Immunization Works and posted it on the website of the National Center for Immunization and Respiratory Diseases (NCIRD). The newsletter offers the immunization community information about current topics. The information is in the public domain and can be reproduced and circulated widely.

Most articles in the August Immunization Works newsletter have been covered in this or previous issues of IAC Express.

To access the August issue, go to: http://www.cdc.gov/vaccines/news/newsltrs/imwrks/2011/201108.htm
 
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13.  CDC publishes a report on respiratory syncytial virus activity in the U.S. during July 2007-June 2011

CDC published "Respiratory Syncytial Virus--United States, July 2007-June 2011" in the September 9 issue of MMWR. A press summary of the article is reprinted below.


Respiratory syncytial virus (RSV) is the leading cause of pneumonia and bronchiolitis among infants. In the United States, the season generally begins during the fall and continues through the winter and spring months; however, the exact timing of RSV circulation can vary by location and year. The National Respiratory and Enteric Virus Surveillance System (NREVSS) is a network of laboratories that track RSV trends by calculating the percentage of RSV antigen tests performed each week that are positive. The most recent RSV season began in November 2010 and ended in April 2011; in several regions, the onset and offset was slightly later during the past four seasons (2007-2011). Understanding long-term seasonal trends in RSV activity is helpful for guiding diagnostic testing during respiratory disease outbreaks and timing the use of RSV immunoprophylaxis for reducing RSV-related hospitalizations of children at high risk for serious disease.


To access the article, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6035a4.htm
 
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14.  IAC's popular laminated versions of the 2011 U.S. immunization schedules are available. Order a supply for your workplace today!

IAC's laminated versions of the 2011 U.S. child/teen and 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.

PRICING
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: http://www.immunize.org/shop/laminated-schedules.asp

For quotes on customizing or placing orders in excess of 999 schedules, call (651) 647-9009 or email admininfo@immunize.org

To learn about other essential immunization resources available for purchase from IAC, go to: http://www.immunize.org/shop
 
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15.  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, 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.

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.

To learn more about the DVD, and find out how to order it, go to: http://www.immunize.org/dvd

For quotes on larger quantities, call (651) 647-9009 or email admininfo@immunize.org

The Immunization Action Coalition is the only nationwide vendor of the DVD.

Note for healthcare settings located in California: Contact your local health department immunization program for a free copy.
 
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16.  Scheduled for November 12, World Pneumonia Day seeks to raise awareness of the global effects of pneumonia

To commemorate World Pneumonia Day on November 12, organizations from around the world will mobilize efforts to raise awareness about pneumonia, a neglected disease that each year kills more than two million children younger than age 5 years worldwide. More than 120 organizations came together to commemorate the second annual World Pneumonia Day in 2010.

To find out how you and your organization can participate in World Pneumonia Day, go to: http://worldpneumoniaday.org
 
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17.  ACIP meeting scheduled for October 25-26 in Atlanta; registration deadline is October 10

The Advisory Committee on Immunization Practices (ACIP) will hold its next meeting on October 25-26 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 U.S. citizens and non-U.S. citizens is October 10. To access the online registration form, go to: http://www2a.cdc.gov/nip/ACIP/OctoberRegistration.asp

To access detailed information about the meeting, go to: http://www.cdc.gov/vaccines/recs/acip/meetings.htm#register There you will find links to the meeting agenda, driving directions, and other useful material.
 
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18.  2011-12 influenza vaccine VISs now available in Armenian and Farsi

The 2011-12 VIS for inactivated influenza (TIV) vaccine and the 2011-12 VIS for live, intranasal influenza (LAIV) vaccine are now available in Armenian and Farsi (spoken in Bahrain, Iran, and United Arab Emirates). IAC gratefully acknowledges the California Department of Public Health, Immunization Branch, for the translations.

To access the new translations of the VIS for TIV, as well as the English version, go to: http://www.immunize.org/vis/vis_flu_inactive.asp

To access the new translations of the VIS for LAIV, as well as the English version, go to: http://www.immunize.org/vis/vis_flu_live.asp

For information about the use of VISs, and for VISs in more than 35 languages, visit IAC's VIS web section at http://www.immunize.org/vis
 
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19.  CDC publishes report on U.S. surveillance for foodborne disease outbreaks in 2008

CDC published "Surveillance for Foodborne Disease Outbreaks--United States, 2008" in the September 9 issue of MMWR. Table 1 and Table 2 of the article each make brief reference to outbreaks and outbreak-associated illnesses related to hepatitis A.

To access the full article, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6035a3.htm
 
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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 Immunize.org and do not necessarily represent the official views of CDC.

IZ Express Disclaimer
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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