Issue Number 295            February 11, 2002

CONTENTS OF THIS ISSUE

  1. CDC publishes revised General Recommendations on Immunization
  2. New freeware puts current childhood immunization schedule in the palm of your hand
  3. Check out IAC's Top 15 Downloaded Items
  4. Pediatricians now have their own Childhood Immunization Support Program (CISP) and website
  5. World Vaccine Congress Montreal 2002 happens in April
  6. CDC publishes article on tuberculosis morbidity decrease

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February 11, 2002
CDC PUBLISHES REVISED GENERAL RECOMMENDATIONS ON
IMMUNIZATION

On February 8, 2002, the Centers for Disease Control and Prevention (CDC) published the much-anticipated "General Recommendations on Immunization: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the American Academy of Family Physicians (AAFP)" in the Morbidity and Mortality Weekly Report (MMWR) Recommendations and Reports Series (vol. 51, no. RR-2).

The Immunization Action Coalition (IAC) recommends that all health care settings that provide  vaccination services keep a copy of this Report with their other essential immunization reference  materials and that clinic staff be encouraged to read it.

The 35-page Report comes with seven tables that give critical information in a concise format. Table 1 is "Recommended and minimum ages and intervals between vaccine doses"; Table 5 is "Guide to contraindications and precautions to commonly used vaccines."

Instructions on taking an exam on the new recommendations for continuing education credit are also included.

The Summary of the Report reads in part as follows:

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This report is a revision of General Recommendations on Immunization and updates the 1994 statement by the Advisory Committee on Immunization Practices (ACIP) (MMWR 1994;43 [No. RR-]:1-38). The principal changes include expansion of the discussion of vaccination spacing and timing, recommendations for vaccinations administered by an incorrect route, information regarding needle-free injection technology, vaccination of children adopted from countries outside the United States, timing of live-virus vaccination and tuberculosis screening, expansion of the discussion and tables of contraindications and precautions regarding vaccinations, and addition of a directory of immunization resources. These recommendations are not comprehensive for each vaccine. The most recent ACIP recommendations for each specific vaccine should be consulted for additional details. This report, ACIP recommendations for each vaccine, and other information regarding immunization can be accessed at CDC's National Immunization Program website at http://www.cdc.gov/nip

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To obtain the complete text of the Report online, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5102a1.htm

To obtain a camera-ready (PDF format) copy of the Report, go to:
http://www.cdc.gov/mmwr/PDF/rr/rr5102.pdf

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 email.
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February 11, 2002
NEW FREEWARE PUTS CURRENT CHILDHOOD IMMUNIZATION SCHEDULE IN THE PALM OF YOUR HAND

"Shots 2002" is a quick, portable reference guide to the 2002 Childhood Immunization Schedule. Produced by the Group on Immunization Education of the Society of Teachers of Family Medicine (STFM), this freeware for the Palm OS 3.1 provides detailed information on vaccines. All you have to do is click on them by name.

A handy feature of "Shots 2002" is a pick-list in the bottom righthand corner of the screen that includes high-risk indications, adverse reactions, catch-up schedules, and administration instructions for each vaccine.

The program requires Palm OS 3.1 or higher and approximately 170 KB of memory. It runs on both color and non-color handhelds.

To download "Shots 2002," go to:
http://www.immunizationed.org/AnyPage.asp?Page=Palm

For more information, contact STFM by email at admstaff@stfm.org
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February 11, 2002
CHECK OUT IAC'S TOP 15 DOWNLOADED ITEMS

More than 10,000 people found each of the following IAC educational pieces useful enough to download between May 1, 2000 and December 31, 2001 (a 20-month period). The most popular piece  was downloaded a total of 38,033 times during that period! And these numbers are just for the English versions of the pieces--many more people have downloaded translations of them.

We thought we would present our Top 15 items here in IAC EXPRESS. You and your colleagues might find them all useful too if you don't already have copies on your shelves.

Please read them. Share them. Put them on colored paper and post them. Give some away. Use them however they will help you immunize patients and staff to prevent infectious disease.

Drum rolllll:

1. "Summary of Rules for Childhood Immunization" Downloads: 38,033
HTML: http://www.immunize.org/nslt.d/n17/rules1.htm
PDF: http://www.immunize.org/catg.d/rules1.pdf

2. "Summary of Recommendations for Adult Immunization" Downloads: 28,604
HTML: http://www.immunize.org/catg.d/p2011b.htm
PDF: http://www.immunize.org/catg.d/p2011b.pdf

3. "Screening Questionnaire for Adult Immunization" Downloads: 19,071
HTML: http://www.immunize.org/catg.d/p4065scr.htm
PDF: http://www.immunize.org/catg.d/p4065scr.pdf

4. "Immunizations for Babies" Downloads: 18,668
HTML: http://www.immunize.org/catg.d/p4010.htm
PDF: http://www.immunize.org/catg.d/p4010imm.pdf

5. "It's Federal Law!" (about VISs) By N. A. Halsey, M.D. Downloads: 17,972
HTML: http://www.immunize.org/catg.d/2027law.htm
PDF: http://www.immunize.org/catg.d/2027law.pdf

6. NEEDLE TIPS Downloads: 16,760
HTML: http://www.immunize.org/nslt.d/n25/index.htm
PDF: http://www.immunize.org/nslt.d/n25/n25.pdf

7. Script for IAC's Vaccine-Preventable Disease Slide Set Downloads: 16,437
PDF only: http://www.immunize.org/catg.d/3010slid.pdf

8. Directory of National Immunization Resources Downloads: 14,718
HTML: http://www.immunize.org/resources/contents.htm
PDF: http://www.immunize.org/resources/resource.pdf

9. "Vaccinations for Adults: You're Never Too Old to Get Shots" Downloads: 12,495
HTML: http://www.immunize.org/nslt.d/n18/p4030new.htm
PDF: http://www.immunize.org/catg.d/p4030a.pdf

10. "Screening Questionnaire for Child and Teen Immunization" Downloads: 11,761
HTML: http://www.immunize.org/catg.d/p4060scr.htm
PDF: http://www.immunize.org/catg.d/p4060scr.pdf

11. "Vaccine Myths" By Paul Offit, M.D. and Louis Bell, M.D. Downloads: 11,446
HTML: http://www.immunize.org/catg.d/4038myth.htm
PDF: http://www.immunize.org/catg.d/4038myth.pdf

12. "When Do Children and Teens Need Vaccinations?" Downloads: 11,398
HTML: http://www.immunize.org/nslt.d/n17/when1.htm
PDF: http://www.immunize.org/catg.d/when1.pdf

13. "After the Shots: What to Do If Your Child Has Discomfort" Downloads: 10,914
HTML: http://www.immunize.org/nslt.d/n17/p4015.htm
PDF: http://www.immunize.org/catg.d/p4015.pdf

14. "Questions Frequently Asked About Hepatitis B" Downloads: 10,697
HTML: http://www.immunize.org/catg.d/p4090.htm
PDF: http://www.immunize.org/catg.d/p4090.pdf

15. "Vaccine Administration Record for Children and Teens" Downloads: 10,580
HTML: http://www.immunize.org/catg.d/p2022b.htm
PDF: http://www.immunize.org/catg.d/p2022b.pdf

Remember, these are just our Top 15 pieces out of 75. To see our entire list of free print materials, go to: http://www.immunize.org/free

If you do not have Web access, please contact IAC by phone at (651) 647-9009, fax at (651) 647-647-9131, or email at admin@immunize.org to request our catalog.
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February 11, 2002
PEDIATRICIANS NOW HAVE THEIR OWN CHILDHOOD IMMUNIZATION SUPPORT PROGRAM (CISP) AND WEBSITE

The American Academy of Pediatrics (AAP), in partnership with the Centers for Disease Control and Prevention (CDC), started a program two years ago "to improve the immunization delivery system for children across the nation." The main aim of the Childhood Immunization Support Program (CISP) is to  develop an infrastructure to support AAP members and to provide education and resources on immunization and related issues. Recently CISP launched a brand-new website that connects people and disseminates CISP news.

The CISP website features videos of immunizations, a special call for proposals for Community Access to Child Health (CATCH) grants, and pages devoted to research, Q&As for families, provider resources, and more.

To see the new CISP website, go to: http://www.cispimmunize.org/

To read more about CISP, go to: http://www.cispimmunize.org/resour/rsc_main.html

For more information about CISP or to be added to the CISP key contact network, contact Adriana Alvarez, M.P.H., Program Manager, American Academy of Pediatrics, Department of Community  Pediatrics, by phone at (800) 433-9016 (ext. 7106) or email at aalvarez@aap.org
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February 11, 2002
WORLD VACCINE CONGRESS MONTREAL 2002 HAPPENS IN APRIL

The World Vaccine Congress 2002 will be held at the Hotel Wyndham in Montreal on April 15-17. The three-day business-centered event covers such topics as "the big picture for vaccines," "the public health context," "economics and commercialization," and "regulation and the market."

Speakers include Mr. Kevin Reilly, President, Wyeth Lederle Vaccines; Dr. Julie Milstien, Coordinator, Access to Technologies, World Health Organization; and Dr. Robert Chen, Chief, Vaccine Safety and Development Activity, National Immunization Program, Centers for Disease Control and Prevention (CDC).

To see the World Vaccine Congress schedule online, go to:
http://www.pharma-rd.net/WVC_Mont2002/confprog.asp

To request a printed Congress brochure online, go to:
http://www.terrapinn.com/FORMS/BrochureForm.asp?EID=1044

To register for the Congress online, go to:
http://www.terrapinn.com/FORMS/registerform.asp?EID=1044

For more information about the Congress, contact either Heather Ward, Marketing Manager, by phone at +011-44-20-7827-5977, fax at +011-44-20-7242-1508, or email at Heather.Ward@Terrapinn.com or Sarah Butt, Terrapinn Pharmaceutical Events, by phone at +011-44-20-7827-5962, fax (same fax), or email at Sarah.Butt@Terrapinn.com
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February 11, 2002
CDC PUBLISHES ARTICLE ON TUBERCULOSIS MORBIDITY DECREASE

On February 8, 2002, the Centers for Disease Control and Prevention (CDC) published "Tuberculosis Morbidity Among U.S.-Born and Foreign-Born Populations--United States, 2000" in the Morbidity and Mortality Weekly Report (MMWR).

There is no recommendation for routine BCG (Bacille Calmette-Guerin) vaccination among the United States general population.

The Editorial Note reads in part as follows:

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During 1992-2000, TB case rates in the United States decreased for U.S.-born and foreign-born persons; however, the decrease among foreign-born persons was less substantial. . . . Despite the decrease in case rate among foreign-born persons, approximately half of TB cases in the United  States in 2000 occurred in this population, and the case rate was seven times greater in this population than among U.S.-born persons. To address the high rate, CDC is collaborating with other national and international public health organizations 1) to improve overseas screening of immigrants and refugees by developing systematic tools for monitoring and evaluating the screening process; 2) to improve the current notification system that alerts local health departments about the arrival of immigrants or refugees with suspected TB to assist patients in obtaining a medical evaluation and, if necessary, in completing a course of recommended drugs; 3) to improve coordination of and communication about TB control activities between the United States and Mexico to ensure completion of treatment among TB patients who cross the border; and 4) to test recent arrivals from high-incidence countries for latent TB infection and ensure completion of treatment. In addition, CDC continues to strengthen collaborations with international partners, including the World Health Organization, to improve TB control in high-incidence countries.

Accelerating national TB elimination activities will require broader prevention efforts to evaluate and address the needs of other high-risk groups such as persons with HIV and those with limited access to medical care and adequate housing and nutrition. Low-incidence areas need to maintain the capacity and expertise to respond to persons with TB. CDC is updating its plan to ensure that prevention activities are undertaken with optimal coordination among national and international public health partners.

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To obtain the complete text of the article online, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5105a3.htm

To obtain a camera-ready (PDF format) copy of the entire MMWR issue, go to:
http://www.cdc.gov/mmwr/PDF/wk/mm5105.pdf

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.

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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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