Issue Number 357            January 6, 2003

CONTENTS OF THIS ISSUE

  1. New! "Recommended Childhood and Adolescent Immunization Schedule--United States, 2003" available on IAC website
  2. Highly recommended: "Vaccines and Your Baby" video answers parents' questions and concerns about vaccines
  3. New! CDC creates a web page for smallpox Q&As
  4. CDC Program "Smallpox Preparedness: Considerations for Response Team Volunteers" to be rebroadcast January 9
  5. New! CD-ROM and video of "CDC Bioterrorism Update: Smallpox Preparedness" now available
  6. CDC publishes article indicating that people with bleeding disorders are unlikely to  contract viral hepatitis from blood products
  7. Register soon: January 17 is "early bird" registration deadline for CDC's National Immunization Conference
  8. Conference on Needle-Free and Auto Injectors to be held February 24-25 in London
  9. Reminder: Symposium on Viral Hepatitis and Liver Disease will take place April 6-10 in Sydney, Australia

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January 6, 2003
NEW! "RECOMMENDED CHILDHOOD AND ADOLESCENT IMMUNIZATION SCHEDULE--UNITED STATES, 2003" AVAILABLE ON IAC WEBSITE

The January issue of "Pediatrics" (vol. 111, no. 1) contains "Recommended Childhood and Adolescent Immunization Schedule--United States, 2003" accompanied by a policy statement by the American Academy of Pediatrics (AAP) Committee on Infectious Diseases. This year, the recommendations include a catch-up schedule for children who fall behind or start their immunizations late.

The schedule, issued annually in January, is approved by AAP, the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention (CDC), and the American Academy of Family Physicians.

According to the policy statement, "no major changes have been made regarding specific vaccines. However, included for reference this year is the recommended catch-up schedule for children who fall behind or start their immunizations late. The 2003 schedule continues to encourage the routine use of hepatitis B vaccine for all infants before hospital discharge to (1) safeguard against maternal hepatitis B testing errors and test reporting failures; (2) protect neonates discharged to households in which hepatitis B chronic carriers other than the mother may reside; and (3) enhance the completion of the  childhood immunization series. The new schedule also begins to focus on the expansion of routine influenza immunization for pediatric populations to reflect the shift toward immunization of all children between 6 and 24 months of age."

More information on the schedule will be available later in January in the CDC publication "Morbidity and Mortality Weekly Report" and on the website of the American Academy of Family Physicians.

To access an HTML version of the article from the AAP website, go to: http://www.aap.org/policy/0212.html

To access a camera-ready (PDF) version of the schedule from the website of the Immunization Action Coalition, go to: http://www.immunize.org/cdc/child-schedule.pdf
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January 6, 2003
HIGHLY RECOMMENDED: "VACCINES AND YOUR BABY" VIDEO ANSWERS PARENTS' QUESTIONS AND CONCERNS ABOUT VACCINES

If your health care setting doesn't have a copy of the newly released video "Vaccines and Your Baby," your patients are missing out on the best immunization video released in the past six months. And there's no excuse, because it's free to health professionals.

The video makes the case for the safety, efficacy, and importance of immunization by adroitly mixing computer animation, used to explain how various vaccines work, with interviews with parents, physicians, and researchers, among them several of the nation's most prominent vaccine experts, including Paul A. Offit, MD, Director, Vaccine Education Center, Children's Hospital of Philadelphia (CHOP).

Produced by the Center, the 29-minute video is available to health professionals as a teaching tool for expectant and new parents. Information on the CHOP website explains that the video "describes the 11 diseases prevented by vaccines, the science of vaccines, the concept of immunity, how vaccines work, and how they are made. . .The video also includes a computer animated look at the science of vaccines and answers to several questions parents have about vaccines." The video also describes the 11 diseases and the consequences they can have on the lives of children who contract them.

A 40-page companion booklet has information from the video, plus the schedule of vaccines, an analysis of the risks and benefits of each vaccine, and answers to parents' common questions about vaccines.

Health professionals can receive two videos and two companion booklets free of charge for each practice site. For quantities beyond two, health professionals are charged $5 for each additional video, plus shipping and handling; each video comes with a companion booklet. The charge for separate booklets is $1 each, plus shipping and handling.

The charge for parents is $5 for each video (includes companion booklet), plus $5 shipping and handling for one or two videos.

Health professionals can order on the Internet by going to http://www.vaccine.chop.edu/order_hc_profs.shtml and clicking on "form."

Parents can order on the Internet by going to http://www.vaccine.chop.edu/order_parents.shtml and clicking on "form."

Health professionals and parents can also order in other ways:

(1) Email your request to vaccines@email.chop.edu
(2) Fax the order form to (215) 590-2025
(3) Call (215) 590-9990

Health professionals should include the following information for each practice site: name, name of practice, street address, city, state, zip code, telephone number, email address, and quantities of each item ordered.

Parents should include the following information: name, street address, city, state, zip code, telephone number, email address, and quantities of each item ordered. Payment options include checks and money orders made payable to The Vaccine Education Center.
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January 6, 2003
NEW! CDC CREATES A WEB PAGE FOR SMALLPOX Q&AS

In mid-December, the Centers for Disease Control and Prevention (CDC) created a web page, "Smallpox Questions & Answers: The Disease and the Vaccine," which answers the public's commonly asked smallpox questions.

Divided into five topics (general information, smallpox disease, smallpox vaccine, vaccinia, and smallpox vaccine safety), the page gives straightforward information and refers users to more basic information, as well as to information of interest to health professionals.

To access the smallpox Q&A page, go to:
http://www.bt.cdc.gov/agent/smallpox/overview/faq.asp

To access a camera-ready (PDF) format of the page, go to:
http://www.bt.cdc.gov/agent/smallpox/overview/pdf/faq.pdf

For an array of information on smallpox disease and vaccine, go to CDC's smallpox web page at: http://www.cdc.gov/smallpox

To speak with someone at CDC's Public Response Bioterrorism Hotline, call (888) 246-2675 (English), (888) 246-2857 (Spanish), or (866) 874-2646 (TTY).
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January 6, 2003
CDC PROGRAM "SMALLPOX PREPAREDNESS: CONSIDERATIONS FOR RESPONSE TEAM VOLUNTEERS" TO BE REBROADCAST JANUARY 9

Originally broadcast December 20, 2002, "Smallpox Preparedness: Considerations for Response Team Volunteers" will be rebroadcast 1 pm to 2 pm ET on January 9. The presenter is Julie Gerberding, MD, MPH, Director, Centers for Disease Control and Prevention (CDC).

Developed to prepare potential smallpox response team volunteers to make an informed decision about vaccination, the program is intended for health care workers, hospital-based personnel, and public health personnel considering participation on smallpox response teams.

The program will be a live webcast. To view the webcast, your browser must be Internet Explorer 5.0 or later, or Netscape 4.7 or later. To access the webcast, go to: http://www.phppo.cdc.gov/PHTN/webcast/smallpox0109/default.asp

There are no live on-air question-and-answer periods during the broadcast. During the day of the broadcast, participants can submit questions by phone at (800) 793-8598, by fax at (800) 553-6323, and by email at phtn@cdc.gov. Following the broadcast, the fax line and email address will remain open for questions. Answers will be posted on CDC's smallpox website at http://www.cdc.gov/smallpox

For technical support for the webcast, go to: http://www.phppo.cdc.gov/PHTN/webcast/techsupport.asp

Viewing options for the program will be available on January 9, starting at 12:30 pm ET. For options, go to: http://www.phppo.cdc.gov/PHTN/webcast/smallpox0109/default.asp

For additional information, contact the CDC at (800) 418-7246.
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January 6, 2003
NEW! CD-ROM AND VIDEO OF "CDC BIOTERRORISM UPDATE: SMALLPOX PREPAREDNESS" NOW AVAILABLE

Originally broadcast December 5 and 6, the program "CDC Bioterrorism Update: Smallpox Preparedness," is now available in CD-ROM and VHS videotape formats. The program provides basic information required to implement a smallpox vaccination preparedness program. Presented in a series of modules, it is directed at state and local health department and clinical personnel.

For registration and certification information, call (800) 418-7246 or email ce@cdc.gov and write "CDC Bioterrorism Update: Smallpox Preparedness" in the subject line.

Single copies of the CD-ROM and videotape are available free of charge from the Public Health Foundation online bookstore at http://bookstore.phf.org/prod250.htm (CD-ROM) or http://bookstore.phf.org/prod249.htm (VHS videotape). The CD-ROM and video also contain information from another program, "Smallpox Preparedness: Considerations for Response Team Volunteers," which was broadcast December 20.

Single-copy orders may also be faxed to (301) 843-0159 or emailed to info@phf.org. Provide your complete name and mailing address and specify CD-ROM or VHS videotape format.
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January 6, 2003
CDC PUBLISHES ARTICLE INDICATING THAT PEOPLE WITH BLEEDING DISORDERS ARE UNLIKELY TO CONTRACT VIRAL HEPATITIS FROM BLOOD PRODUCTS

The Centers for Disease Control and Prevention (CDC) published "Blood Safety Monitoring Among Persons with Bleeding Disorders--United States, May 1998-June 2002" in the January 3 issue of "Morbidity and Mortality Weekly Report" (MMWR). An investigation of 1,149 seroconversions for hepatitis viruses among approximately 140 hemophilia treatment centers showed that none of the seroconversions was attributable to blood products.

Following are the article's opening paragraph and two paragraphs from the Editorial Note.

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Since 1998, CDC has collaborated with approximately 140 federally funded hemophilia treatment centers (HTCs) in the United States and its territories through the Universal Data Collection (UDC) surveillance project to monitor blood product safety and detect new viral hepatitis and human immunodeficiency virus (HIV) infections. This report presents findings of investigations conducted during May 1998-June 2002 of 1,149 seroconversions for hepatitis viruses identified among persons with bleeding disorders who were enrolled voluntarily in UDC; 99% of hepatitis A virus (HAV) seroconversions and 90% of hepatitis B virus (HBV) seroconversions were attributed to vaccination programs against HAV or HBV. None of these cases was attributable to blood products received during this time, which indicates that the virally inactivated blood factor concentrates used to treat bleeding disorders are unlikely to transmit viral hepatitis. Regular monitoring of patients ensures the continued safety of blood and blood products. . . .

HTCs provide care to 70% of persons in the United States with bleeding disorders. UDC is the largest data collection system monitoring persons receiving plasma derivatives, and infections transmitted by blood and blood products often are identified first in this sentinel population. A high risk for bloodborne viral infections (including HBV and HCV) among persons with bleeding disorders was associated with the use of clotting factor concentrates prepared from large pools of human plasma manufactured during the 1970s and early 1980s before the development of viral inactivation procedures. In the early 1990s, several outbreaks of HAV associated with the receipt of clotting factors were reported in Europe and the United States.

Investigations of seroconversions during May 1998-July 2002 did not document new cases of viral hepatitis infections that were attributed to blood products received during the time interval between laboratory tests. The majority of seroconversions for HAV and HBV were associated with vaccination (99% and 90%, respectively). The other seroconversions probably were caused either by community-acquired infection (for the six HAV infections) or by fluctuations in antibody levels that occur among HIV-infected patients (for the 25 persons with HBV seroconversions who also were infected with HIV).

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To obtain the complete text of the article online, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5151a2.htm

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to:
http://www.cdc.gov/mmwr/PDF/wk/mm5151.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 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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January 6, 2003
REGISTER SOON: JANUARY 17 IS "EARLY BIRD" REGISTRATION DEADLINE FOR CDC'S NATIONAL IMMUNIZATION CONFERENCE

The Centers for Disease Control and Prevention's National Immunization Conference, "Immunization: A Strong Foundation for Today's Challenges," will be an opportunity for health professionals, consumers, and policy makers to explore science, policy, education, and planning issues related to immunization and vaccine-preventable diseases. It will be held in Chicago March 17-20.

The deadline for the special "early bird" registration rate is January 17. To register online, go to:
http://conferences.taskforce.org/NIC2/Registration-Form.asp

For registration information, call (800) 765-7173.

For information on the conference program and objectives, meeting agenda, and accommodations, go to http://www.cdc.gov/nip/nic
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January 6, 2003
CONFERENCE ON NEEDLE-FREE AND AUTO INJECTORS TO BE HELD FEBRUARY 24-25 IN LONDON

The 8th International Conference on Needle-Free and Auto Injectors: An Update on Technology and Application, will be held in London February 24-25.

For a camera-ready (PDF) version of the conference brochure, go to:
http://www.management-forum.co.uk/pdfs/2-8003_LW.pdf

You can register in three ways: By fax at +44 (0) 1483-536424; by email at registrations@management-forum.co.uk; and online at
http://www.management-forum.co.uk/forms/registerform.htm

For further information, go to: http://www.management-forum.co.uk or call +44 (0) 1483-570099.
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January 6, 2003
REMINDER: SYMPOSIUM ON VIRAL HEPATITIS AND LIVER DISEASE WILL TAKE PLACE APRIL 6-10 IN SYDNEY, AUSTRALIA

The 11th Annual Symposium on Viral Hepatitis and Liver Disease will be held in Sydney, Australia, on April 6-10.

For information on the symposium, program, and trade exhibit, go to: http://www.tourhosts.com.au/isvhld  

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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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