Issue Number 214            December 8, 2000

CONTENTS OF THIS ISSUE

  1. CDC publishes notice on outbreak of polio in the Dominican Republic and Haiti
  2. CDC publishes article on U.S. influenza activity during the 2000-01 season
  3. Online continuing medical education opportunity from ATPM
  4. Dr. Martin Myers named director of the National Vaccine Program Office

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(1)
December 8, 2000
CDC PUBLISHES NOTICE ON OUTBREAK OF POLIO IN THE DOMINICAN REPUBLIC AND HAITI

The Centers for Disease Control and Prevention (CDC) published a Public Health Dispatch titled "Outbreak of Poliomyelitis--Dominican Republic and Haiti, 2000" in the December 8, 2000, issue of MORBIDITY AND MORTALITY WEEKLY (MMWR). According to the article, between July 12 and November 18, 2000, 19 people with acute flaccid paralysis (AFP) were identified in the Dominican Republic; 14 of the patients were unvaccinated and 5 were inadequately vaccinated. In Haiti, one case of poliovirus type 1 was confirmed in an inadequately vaccinated child aged 2. The report states, "The outbreak virus is unusual because it is derived from oral poliovirus vaccine (OPV) and has 97% genetic similarity to the parental OPV strain (normally vaccine-derived isolates are greater than 99.5% similar to the parent strain) and appears to have recovered the neurovirulence and transmissibility characteristics of wild poliovirus type 1. In comparison, wild polioviruses normally have less than 82% genetic similarity to OPV."

The article notes that high vaccination coverage is the key factor in controlling OPV-derived viruses and wild polioviruses: "Since 1991, no cases of polio attributed to wild poliovirus have been detected in the Western Hemisphere. The current outbreak underscores the need for polio-free areas to maintain high coverage with polio vaccine until global polio eradication has been achieved. OPV is safe and effective and recommended for the eradication of polio."

It concludes, "Travelers to the Dominican Republic and Haiti who are not vaccinated adequately should be considered at risk for polio. All travelers should be vaccinated fully against polio according to national vaccination policies."

To view the complete text of this article online, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4948a4.htm

For information on how to obtain a free electronic subscription to the MMWR, see the information following story two below.
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(2)
December 8, 2000
CDC PUBLISHES ARTICLE ON U.S. INFLUENZA ACTIVITY DURING THE 2000-01 SEASON

CDC published an article in the December 8, 2000, issue of MMWR titled "Influenza Activity--United States, 2000-01 Season." It states, "Influenza activity was low during this period, and influenza virus isolates were reported from 11 states. The viruses most frequently isolated were influenza A (H1N1) and were well matched by the 2000-01 influenza vaccine strains."

For the complete text of this article, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm4948a1.htm

For information from CDC on the 2000-01 influenza vaccine supply, go to: http://www.cdc.gov/nip/flu-vac-supply

CDC's National Immunization Program (NIP) has produced three health education flyers on the influenza vaccine:

IAC has developed a one-page checklist titled "Give These People Influenza Vaccine" to help you decide who to vaccinate. To view it, go to: http://www.immunize.org/catg.d/2013flu.htm

HOW TO OBTAIN A FREE ELECTRONIC SUBSCRIPTION TO THE MMWR:
To obtain a free electronic subscription to the "Morbidity and Mortality Weekly Report" (MMWR), visit CDC's MMWR website at: http://www.cdc.gov/mmwr Select "Free MMWR Subscription" from the menu at the left of the screen. Once you have submitted the required information, weekly issues of the MMWR and all new ACIP statements (published as MMWR's "Recommendations and Reports") will arrive automatically by e-mail.
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(3)
December 8, 2000
ONLINE CONTINUING MEDICAL EDUCATION OPPORTUNITY FROM ATPM

The Association of Teachers of Preventive Medicine (ATPM) has posted a special immunization supplement to the online Journal of Family Practice. "Vaccines Across the Life Span" highlights the recommendations of the Teaching Immunization for Medical Education (TIME) Project for immunizing children and adults. The online supplement contains three continuing medical education (CME) modules: Child Vaccination, Adult Vaccination, and Haemophilus Influenzae Type B Disease. It also includes two other informative modules: Vaccines Across the Life Span and Prevention of Influenza. Each module has been reviewed and each of the CME modules are acceptable for up to 2 credit hours by the American Academy of Family Physicians. Follow the instructions at the end of each of the three CME modules to obtain credit.

To view this special immunization supplement, go to:
http://jfponline.com/spec_feat.asp?year=4&month=9&supplement=9 (link discontinued)
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(4)
December 8, 2000
DR. MARTIN MYERS NAMED DIRECTOR OF THE NATIONAL VACCINE PROGRAM OFFICE

Dr. Martin Myers has been named Director of the National Vaccine Program Office (NVPO), Assistant Secretary for Health and Surgeon General David Satcher announced. Dr. Myers, a highly respected herpesvirologist and teacher, served as NVPO's acting director from February 2000 to October 2000, and as deputy director from March 1999 to February 2000. As Director, he will report to the Office of Public Health and Science at the U.S. Department of Health and Human Services.

The NVPO is charged with coordinating, facilitating, and providing leadership for the overall National Vaccine Program. This includes minimizing gaps that occur in federal planning of vaccine and immunization activities.

To visit NVPO online, go to: http://cdc.gov/od/nvpo/

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Editorial Information

  • Editor-in-Chief
    Kelly L. Moore, MD, MPH
  • Managing Editor
    John D. Grabenstein, RPh, PhD
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    Courtnay Londo, MA
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