Issue Number 361            January 21, 2003

CONTENTS OF THIS ISSUE

  1. IAC reorganizes and expands its Vaccine Safety resources
  2. New translation! MMR Vaccine Information Statement now in Spanish
  3. JCAHO's article on protecting newborns from hepatitis B now on IAC's website
  4. New! "Hepatitis B and Refugees: A Clinical Perspective" PowerPoint presentation now available on CDC website
  5. Kids with hepatitis can go to camp!
  6. CDC publishes update on influenza activity for the current season
  7. Free! IAC's "Roll Up Your Sleeves" pre-teen hepatitis B poster available for the asking
  8. CDC requests information about encephalopathy cases in children with influenza

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January 21, 2003
IAC REORGANIZES AND EXPANDS ITS VACCINE SAFETY RESOURCES

The Immunization Action Coalition (IAC) has added a variety of vaccine safety journal articles and other resources to its website and organized them to make them more accessible and user-friendly for providers and parents.

Grouped into seven topic areas, IAC's Vaccine Safety resources provide sound, scientific information acquired from well-regarded sources. Six topic areas cover issues about which some parents have been misinformed by inaccurate information found on the Internet and picked up by the mainstream media. They are autism, thimerosal, diabetes, asthma, hepatitis B vaccine, and inflammatory bowel disease. The seventh area covers general information on vaccine safety.

To access all of IAC's Vaccine Safety resources, go to:
http://www.immunize.org/safety

To access autism information, go to:
http://www.immunize.org/safety/autism.htm

To access thimerosal information, go to:
http://www.immunize.org/safety/thimerosal.htm

To access diabetes information, go to:
http://www.immunize.org/safety/diabetes.htm

To access asthma information, go to:
http://www.immunize.org/safety/asthma.htm

To access hepatitis B information, go to:
http://www.immunize.org/safety/hepb.htm

To access inflammatory bowel disease information, go to:
http://www.immunize.org/safety/ibd.htm

To access general vaccine safety information, go to:
http://www.immunize.org/safety/general.htm
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January 21, 2003
NEW TRANSLATION! MMR VACCINE INFORMATION STATEMENT NOW IN SPANISH

The Spanish-language MMR (measles, mumps, rubella) Vaccine Information Statement (VIS) is now available on the Immunization Action Coalition (IAC) website. IAC gratefully acknowledges the California Department of Health for providing the Spanish translation.

To obtain a camera-ready (PDF) copy of the MMR VIS in Spanish, go to:
http://www.immunize.org/vis/spmmr.pdf

To obtain a camera-ready (PDF) copy of the MMR VIS in English, go to:
http://www.immunize.org/vis/mmr02int.pdf

For more information about the use of VISs, and for VISs in a total of 28 languages, visit IAC's VIS page at http://www.immunize.org/vis
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January 21, 2003
JCAHO'S ARTICLE ON PROTECTING NEWBORNS FROM HEPATITIS B NOW ON IAC'S WEBSITE

"Weaving a Safety Net to Protect Newborns from HBV," was published in the June 2002 issue of "Joint Commission Benchmark," a publication of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

The two-page article succinctly makes the case for giving the first dose of hepatitis B vaccine to newborns before they leave the hospital. Better yet, it presents practical ways to ensure that no babies get left out. Ideas are offered for increasing participation of all members of the hospital team and increasing communication among mother, doctor, clinic, and hospital staff.

To access a camera-ready (PDF) version of the article on the IAC website, go to: http://www.immunize.org/birthdose/benchmark1.pdf

The publication "Joint Commission Benchmark" is intended to help accredited health care settings achieve performance measurement and improvement goals. To access and subscribe to it on the JCAHO website, go to: http://www.jcrinc.com/subscribers/benchmark.asp?durki=207

For additional subscription information, call (800) 346-0085, extension 558.

For information about the birth dose from a variety of sources, visit the IAC web page "Give Hepatitis B Vaccine at Birth to All Babies" at http://www.immunize.org/birthdose
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January 21, 2003
NEW! "HEPATITIS B AND REFUGEES: A CLINICAL PERSPECTIVE" POWERPOINT PRESENTATION NOW AVAILABLE ON CDC WEBSITE

Intended for use by health professionals who work with refugees, "Hepatitis B and Refugees: A Clinical Perspective," PowerPoint presentation is now available on the website of the Division of Viral Hepatitis (DVH), a division of the Centers for Disease Control and Prevention (CDC).

Developed by Deborah L. Wexler, MD, Executive Director of the Immunization Action Coalition (IAC), the presentation has 52 slides. It covers many aspects of the disease including its geographic distribution, demographics, symptoms, diagnosis, treatment, sequelae, and prevention. You can download the presentation and modify it to suit your needs.

DVH's website has a wealth of information for health professionals and their patients, including additional PowerPoint presentations.

To access the refugee PowerPoint presentation, as well as HTML and camera-ready (PDF) versions, go to: http://www.cdc.gov/ncidod/diseases/hepatitis/slideset/refugee

To access additional educational materials on hepatitis B, including other PowerPoint presentations, go to: http://www.cdc.gov/ncidod/diseases/hepatitis/b/index.htm#materials

To access an array of information on hepatitis A, B, C, D, and E from the DVH website, go to: http://www.cdc.gov/ncidod/diseases/hepatitis
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January 21, 2003
KIDS WITH HEPATITIS CAN GO TO CAMP!

Starting this summer, children with hepatitis B or C will have a chance to attend summer camp at two of the top medical camps in the country, thanks to the national nonprofit organization PKIDs (Parents of Kids with Infectious Diseases) and Paul Newman's Association of Hole In The Wall Gang Camps.

PKIDs, which supports families touched by viral hepatitis and HIV/AIDS, has acquired a number of slots for children with chronic hepatitis B or C at camps in upstate New York (Double "H" Hole in the Woods Ranch in Lake Luzerne) and Florida (Boggy Creek Gang Camp in Eustis). The camps specialize in providing a fun, traditional summer camp experience for children and teens with medical needs.

Children must be between the ages of 6 and 16 and must be receiving medical treatment of any kind. PKIDs and the camps will pay travel and camp costs for qualified children--the families pay nothing.

"Children with hepatitis B and C don't get a lot of press, and there are not many programs available to help them," said Trish Parnell, director of PKIDs. "We are overjoyed that the Double "H" Hole in the Woods Ranch in New York and the Boggy Creek Gang Camp in Florida have opened their doors to these kids who struggle daily with infections that can severely damage their livers."

Any physician or healthcare worker who has pediatric patients who might be interested in attending one of the camps should contact PKIDs at (877) 557-5437 or email pkids@pkids.org for an application.

PKIDs is also seeking donations to help pay the costs of sending children to the two camps.

To visit the PKIDs website, go to: http://www.pkids.org

For more information, contact PKIDs' communications director, Christine Kukka, at (360) 695-0293 or ckukka@pkids.org

To visit the website of the Double "H" Hole in the Woods Ranch, go to: http://www.doublehranch.org

To visit the website of the Boggy Creek Gang Camp, go to: http://www.boggycreek.org
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January 21, 2003
CDC PUBLISHES UPDATE ON INFLUENZA ACTIVITY FOR THE CURRENT SEASON

The Centers for Disease Control and Prevention (CDC) published "Update: Influenza Activity--United States, 2002-03 Season" in the January 17 issue of the "Morbidity and Mortality Weekly Report" (MMWR). The opening paragraph of the Editorial Note is reprinted below, with the exception of one reference.

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Influenza activity was low from late September to early January, except in a few states. However, testing and reporting might be limited during holiday periods, and estimates of recent activity could change as more data become available. Influenza activity is expected to increase during coming weeks. Although more influenza B viruses have been reported than influenza A viruses during the early part of the season (58% of them from Texas), more states have reported influenza A viruses than influenza B viruses. The virus types that will predominate during the remainder of the season are unpredictable. The influenza viruses that have been characterized antigenically to date have been well matched by the vaccine strains. Because vaccination is the best prevention against influenza, CDC encourages continuing vaccination efforts throughout the season, especially among persons at high risk for serious complications from influenza, health-care workers, and contacts of persons at high risk.

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To obtain the complete text of the article online, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5202a3.htm

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to:
http://www.cdc.gov/mmwr/PDF/wk/mm5202.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 21, 2003
FREE! IAC'S "ROLL UP YOUR SLEEVES" PRE-TEEN HEPATITIS B POSTER AVAILABLE FOR THE ASKING

The Immunization Action Coalition (IAC) is giving away the pre-teen hepatitis B poster "Roll Up Your Sleeves." IAC gratefully acknowledges the State of North Carolina Division of Maternal and Child Health for giving us the artwork to reprint the poster a few years ago.

If you are involved in pre-teen health and immunization, you can use the poster to promote your vaccination clinic or raise awareness about the importance of hepatitis B vaccination. The 11" x 17" glossy color poster is mailed folded in half (8-1/2" x 11").

Supplies are limited (2,800 left), so please make your request as soon as possible in quantities from 1 to 500. Orders for free posters come in quickly and are filled on a first-come, first-served basis. To view an image of the poster online, go to: http://www.immunize.org/images/q2010.jpg

Donations to IAC to cover costs are enthusiastically accepted but not required.

Request the poster online at http://www.immunize.org/poster/

When you order, you will be asked to specify the following:

  1. The number of posters you want (limit is 500); shipped only to U.S. addresses
  2. How you plan to use the posters
  3. Your name and complete contact information

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January 21, 2003
CDC REQUESTS INFORMATION ABOUT ENCEPHALOPATHY CASES IN CHILDREN WITH INFLUENZA

The Centers for Disease Control and Prevention (CDC) published Notice to Readers, "Request for Information About Acute Encephalopathy Cases in Children with Influenza," in the January 17 issue of the "Morbidity and Mortality Weekly Report" (MMWR). It is printed below in its entirety, with the exception of one reference.

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Since the mid-1990s, approximately 150 cases of acute encephalopathy have been reported in Japanese children with influenza virus infection. These cases have been characterized by fever and rapid onset of encephalopathy and resulted in a high frequency of neurologic sequelae and death. Most of the children have had laboratory-confirmed evidence of influenza.

To determine if a similar pattern of influenza-associated encephalopathy cases is occurring in the United States, CDC is requesting information on any case meeting certain criteria. The criteria include a person aged 18 years and under with altered mental status or personality change lasting more than 24 hours and occurring within 5 days of the onset of an acute febrile respiratory illness, laboratory or rapid diagnostic test evidence of acute influenza virus infection associated with the respiratory illness, and diagnosis of the condition in the United States.

Cases that have occurred after December 31, 1997, can be reported to Tim Uyeki (telephone (404) 639-0277 or email tuyeki@cdc.gov) or Jim Sejvar (telephone (404) 639-4657 or email zea3@cdc.gov) at CDC. The information will be used to determine if additional investigation is warranted.

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To obtain the complete text of the notice online, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5202a4.htm

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to:
http://www.cdc.gov/mmwr/PDF/wk/mm5202.pdf

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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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