Issue
Number 310
April 29, 2002
CONTENTS OF THIS ISSUE
- New mandates: Three
states, three vaccines
- Immunization
registries are poised to expand
- "Tecnicas de
Vacunacion": Must-have video is now available for Spanish-speaking staff
- Revised
translations! Download parent education brochure
on hepatitis B shots for babies in 12
languages
- Michigan recognizes
hospitals that give the birth dose of hepatitis
B vaccine
- CDC offers smallpox
webcast and videotape
- CDC satellite
broadcast on HIV/STD behavioral interventions
will be held Thursday, May 23
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April 29, 2002
NEW MANDATES: THREE STATES, THREE VACCINES
Connecticut, Hawaii, and Illinois have enacted new
vaccination requirements that take effect this year in
order to prevent disease.
Following an outbreak of meningitis across the state in
the 2000-2001 academic year, Connecticut now
requires that "each student who resides in
on-campus housing" in public and private colleges
and universities "be vaccinated
against meningitis as a condition of such residence." The
law applies to all on-campus students, not
just incoming freshmen, and takes effect this fall
for the 2002-2003 school
year.
Hawaii has added new varicella and hepatitis B prevention
mandates to its list. Effective in July, middle-school
students must be vaccinated against both diseases.
Children entering day care, elementary
school, and middle school must document varicella
vaccination or immunity.
Illinois has passed a varicella vaccination requirement.
Day care attendees and kindergarten students
will now have to be vaccinated against
varicella as well as eight other
vaccine-preventable diseases. As State Public
Health Director Dr. John R. Lumpkin argued,
"Despite the widespread belief that
chickenpox is a mild childhood disease, it
in fact causes an average of five deaths a year in
Illinois and hundreds of hospitalizations." Some
state aid to school districts will be tied to 90 percent
district compliance with the requirement by
October 15 of each year.
Currently, 45 states have a hepatitis B mandate, and 35
have a varicella mandate. Beginning this
summer, IAC will begin tracking all state
meningococcal requirements.
IAC posts state-by-state mandates regarding immunization
on our website at:
http://www.immunize.org/laws/
Please be sure to let us know of any new immunization laws
or regulations in your state. Although we
follow state activities, we also rely on readers
to keep us informed. Send emails with your updates
to
admin@immunize.org
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April 29, 2002
IMMUNIZATION REGISTRIES ARE POISED TO EXPAND
Recently in IAC EXPRESS we announced abstract submission
guidelines for the October 2002
Immunization Registry Conference (see IAC EXPRESS
#303 at
http://www.immunize.org/genr.d/issue303.htm). Soon we
will be covering this third annual conference in more
detail. Meanwhile, in light of a recent report on low-but-improving
immunization registry use nationwide in the
Morbidity and Mortality Weekly Report (MMWR; see IAC
EXPRESS #293 at
http://www.immunize.org/genr.d/issue293.htm), we decided
now would be a good time to promote
registries for those who still are not employing
them--or for anyone who wants to learn more about
them but doesn't know exactly where to
start.
Registries are here to stay and represent our best hope
for increasing and sustaining high immunization
coverage, especially among children. Think
of them as regional, or "population-based,"
interconnecting databases for
vaccination records. They collect information regarding
children's vaccinations within a specified
geographic area (as opposed to a non-geographic
registry, which does not ensure that data
from all of a child's possible providers
are included). Registries can consolidate records from
multiple physicians' offices to help with
vaccination decisions, generate reminder and
recall notices for vaccination appointments,
provide official vaccination forms for school
entry, and link to programs such
as WIC (Women, Infants, and Children).
Children may be entered into a registry at birth,
or they may be entered at the
time of their first immunizations.
Currently, registries are operational or under development
in all 50 states and the District of Columbia;
these include registries covering state,
county, city, or multi-county health jurisdictions. Twenty-five
states have laws or administrative rules
specifically authorizing immunization registries,
and twelve so far require health
care professionals to report immunizations to registries.
However, based on year 2000 data, the
Centers for Disease Control and Prevention (CDC)
estimates that only 24 percent of
children aged 5 years and under are currently
"registered." The goal set by the Healthy People 2010
program is 95 percent for that age group. That's a gap of
approximately 71 percent to close within eight
years!
If you are ready to learn more about registries, the
Centers for Disease Control and Prevention (CDC)
runs an online Immunization Registry
Clearinghouse at:
http://www.cdc.gov/nip/registry/
This CDC web page covers general information, registry
participation information, a list of registry
support team consultants in multi-state
regions, technical guidance and development,
privacy and confidentiality issues, and
more.
If you want to register for the 2002
Immunization Registry Conference, go to:
http://www.cdc.gov/nip/registry/irc2002.htm
For more information about the 2002 Immunization Registry
Conference, call the Conference Planning
Team at (404) 639-8539 or contact Gregory Lanman,
Program Analyst, by email at
ghl2@cdc.gov
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April 29, 2002
"TECNICAS DE VACUNACION": MUST-HAVE VIDEO IS NOW AVAILABLE
FOR SPANISH-SPEAKING STAFF
Since its introduction last fall, more than 15,000 copies
of "Immunization Techniques: Safe, Effective,
Caring" in the English language have been
purchased by health care practitioners in all
kinds of settings. The 35-minute
video, developed by the California Department of Health
Services, Immunization Branch, teaches
"best practices" for administering intramuscular
(IM) and subcutaneous (SC) vaccines
to infants, children, and adults. With its
presenter's notes and pre- and post-tests, the video has
proven to be an excellent training tool for
new staff as well as a good refresher course for
experienced immunizers.
Now, the California Distance Learning Health Network
(CDLHN) has produced a Spanish version of the
video, "Tecnicas de Vacunacion: Seguras,
Effectivas, Comprensivas," which is the "featured
course" in CDHLN's
Spring 2002 Program Guide.
Be sure to have this video on hand for your staff whose
first language is Spanish to ensure their
complete understanding of proper immunization
techniques. The cost is $25 per video with
quantity- purchase discounts
available.
To order the video in Spanish, call CDLHN at (619) 594-3348 or visit
http://www.cdlhn.com/
To order the video in English, you may contact CDLHN as
above. The Immunization Action Coalition (IAC)
also distributes the English version of the video
in a plain sleeve and with presenter's notes
printed in black and
white rather than in color. The videotape and presenter's
notes text are identical, but IAC can offer
the lower-budget version for just $15. Go to:
http://www.immunize.org/iztech
You may also call IAC to request a fax order form for the
video in English at (651) 647-9009.
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April 29, 2002
REVISED TRANSLATIONS! DOWNLOAD PARENT EDUCATION BROCHURE
ON HEPATITIS B SHOTS FOR BABIES IN 12
LANGUAGES
IAC's recently revised three-panel brochure for parents,
"Hepatitis B Shots Are Recommended for All
New Babies," is now available in a total of 12
languages.
Information is clearly presented under headings such as
"What Is Hepatitis B?", "How Is Hepatitis B
Spread?", "Why Does My Baby Need Hepatitis B Shots
Now?", and "Is This Vaccine Safe?"
To print the translations you need of "Hepatitis B Shots
Are Recommended For All New Babies" (PDF
format), just click on the link next to each
appropriate language below:
Cambodian: http://www.immunize.org/catg.d/p4110ca.pdf
Chinese: http://www.immunize.org/catg.d/p4110ch.pdf
English: http://www.immunize.org/catg.d/p4110bab.pdf
Farsi: http://www.immunize.org/catg.d/p4110fa.pdf
Hmong: http://www.immunize.org/catg.d/p4110hm.pdf
Korean: http://www.immunize.org/catg.d/p4110ko.pdf
Laotian: http://www.immunize.org/catg.d/p4110la.pdf
Russian: http://www.immunize.org/catg.d/p4110ru.pdf
Somali: http://www.immunize.org/catg.d/p4110so.pdf
Spanish: http://www.immunize.org/catg.d/p4110-01.pdf
Turkish: http://www.immunize.org/catg.d/p4110tu.pdf
Vietnamese: http://www.immunize.org/catg.d/p4110vn.pdf
To view or print an unformatted version of
the brochure in English (if you cannot download
PDF files), go to:
http://www.immunize.org/catg.d/p4110bab.htm
IAC thanks the California Department of Health and Drs.
Mustafa Kozanoglu and Murat Serbest of
Turkey for providing translations.
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April 29, 2002
MICHIGAN RECOGNIZES HOSPITALS THAT GIVE THE BIRTH DOSE OF
HEPATITIS B VACCINE
Are you looking for ways to promote the birth dose of
hepatitis B vaccine in hospitals in your state?
Here is a simple but effective idea from
the State of Michigan: Publicly acknowledge
hospitals that adopt a birth dose
policy. So far, the names of 83 (out of 102) birthing
hospitals are on Michigan's list! Some
lagging hospitals may consider inclusion in the
list an incentive to enter the birth dose era.
In the latest issue of its official newsletter "Michigan
Immunization Update," the Michigan Department of
Community Health (MDCH) adapted and
enlarged upon a pro-birth-dose article written by
IAC Executive Director Deborah Wexler,
M.D. At the end of the adapted article, "Universal birth
dose policy saves lives," is a paragraph
recognizing hospitals that offer hepatitis B
vaccine to newborns prior to hospital
discharge, acknowledging in print "their
efforts to help prevent perinatal hepatitis B infection."
The hospital list, which takes up almost an
entire page, then follows.
To encourage other states and even counties to try this
strategy for increasing hospital adoption of the
birth dose, IAC has posted the "Michigan
Immunization Update" article and hospital list
online. With MDCH's permission,
please feel free to copy or borrow from their article as
you see fit in your own publications.
For a copy of the MDCH newsletter and list of birth-dose
providers, go to:
http://www.immunize.org/birthdose/mibirth1.pdf
For more information on the birth dose, go to:
http://www.immunize.org/birthdose/
To read "ACIP votes on birth dose of hepatitis B vaccine"
in IAC EXPRESS #279, go to:
http://www.immunize.org/genr.d/issue279.htm#n1
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April 29, 2002
CDC OFFERS SMALLPOX WEBCAST AND VIDEOTAPE
On April 26, 2002, the Centers for Disease Control and
Prevention (CDC) published "Notice to Readers:
Smallpox: What Every Clinician Should
Know--A Self-Study Course" in the Morbidity and
Mortality Weekly Report (MMWR).
The entire Notice reads as follows:
******************************
Smallpox disease was eradicated in 1977, but because
smallpox virus could be used as an agent of
bioterrorism, health-care providers should
familiarize themselves with the disease and the
vaccine that prevents it. On the
program "Smallpox: What Every Clinician Should Know,"
specialists discuss methods designed to
improve health-care providers' ability to recognize, diagnose, and report
smallpox disease. The program may be viewed
on the Internet or on videotape, and continuing
education credits (CEU,
CNE, CME, and CHES) are offered until the end of
2003.
Additional information and the archived webcast are
available at
http://www.phppo.cdc.gov/phtn/1213smallpox.asp. A
videotape of the program is available from the
Public Health Foundation, telephone 877-252-1200 (United States)
or 301-645-7773 (International) from 9 a.m.
to 5 p.m. EST, or e-mail
info@phf.org. When requesting a
videotape by e-mail, indicate "Smallpox: What
Every Clinician Should Know" on the subject line.
******************************
To obtain the Notice online, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5116a5.htm
To obtain a camera-ready (PDF format) copy of this issue
of MMWR, go to:
http://www.cdc.gov/mmwr/PDF/wk/mm5116.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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April 29, 2002
CDC SATELLITE BROADCAST ON HIV/STD BEHAVIORAL
INTERVENTIONS WILL BE HELD THURSDAY, MAY 23
On April 26, 2002, the Centers for Disease Control and
Prevention (CDC) published "Notice to Readers:
Satellite Broadcast for Effective
Behavioral Interventions for HIV/STD Prevention"
in the Morbidity and Mortality Weekly
Report (MMWR).
The entire Notice reads as follows:
******************************
CDC's National Center for HIV, STD, and TB Prevention,
Division of HIV/AIDS Prevention will sponsor a
satellite broadcast, "Effective Behavioral
Interventions for HIV Prevention," on Thursday,
May 23, 2002, from 2-4 p.m.
EST. The broadcast will demonstrate the use of four
effective behavioral-intervention programs
for human immunodeficiency virus (HIV) prevention:
Popular Opinion Leader (POL),
Mpowerment, VOICES/VOCES, and Community
PROMISE. Interviews and tours with staff and clients
implementing these interventions in communities of color
will be shown. Researchers will comment on
the core elements of each intervention. In
addition, viewers will receive information on how
they can register to receive
training and technical assistance for the interventions.
This broadcast is designed for organizations and persons
who provide HIV prevention services,
including federal and state agencies, health
departments, HIV prevention community planning
groups, national and regional minority
organizations, community-based organizations, community
leaders, youth-oriented service providers,
and capacity-building assistance providers. Viewers can fax questions
and comments to panelists before and during the satellite
broadcast.
Additional information about the broadcast is available at
http://www.effectiveinterventions.org and from
CDC's Fax Information System, 888-232-3299
(enter document number 130025 and a return fax
number). Organizations setting up viewing
sites should register online or by fax as early as
possible so that potential viewers can
access information about viewing locations when
visiting the website or calling
the information line.
******************************
To obtain the Notice online, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5116a7.htm
To obtain a camera-ready (PDF format) copy of this issue
of MMWR, go to:
http://www.cdc.gov/mmwr/PDF/wk/mm5116.pdf
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