Issue Number 392            June 16, 2003

CONTENTS OF THIS ISSUE

  1. Four states enact immunization legislation for college attendance
  2. CDC reports on current multistate outbreak of monkeypox
  3. New: IAC adds "Evaluating Health Information on the Internet" to two of its websites
  4. IAC's Adult Immunization Record Cards make your patients partners in staying current on immunizations
  5. Attention pharmacists: sign up now for free credit for the "Adult Immunization Update 2003" Web and satellite broadcast
  6. Registration opens June 17 for "AIDS Vaccine 2003" conference

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June 16, 2003
FOUR STATES ENACT IMMUNIZATION LEGISLATION FOR COLLEGE ATTENDANCE

Four states--Georgia, Nebraska, Tennessee, and Washington--have enacted legislation concerning meningococcal immunization for students starting post-secondary education. In addition, Tennessee has enacted similar legislation for hepatitis B immunization.

MENINGOCOCCAL IMMUNIZATION
Georgia. The Georgia General Assembly passed legislation requiring public and nonpublic post-secondary educational institutions give students residing on campus information about meningococcal disease and vaccine and to require students to document they have received immunization against the disease or declined it. The governor signed the legislation on May 28; it goes into effect January 1, 2004.

Nebraska. The Nebraska Legislature passed legislation requiring every postsecondary educational institution to give newly enrolled students residing on campus information about meningococcal disease  and vaccine, recommend meningococcal vaccination, and request confirmation of receipt of such information. The governor signed the legislation May 28; it goes into effect in the 2003-2004 school year.

Tennessee. The Tennessee General Assembly passed legislation requiring incoming students at public and private institutions of higher learning who live in on-campus housing to return a waiver indicating  they have received information about the meningococcal disease and vaccine and have either received the vaccine or declined it. The governor signed the legislation May 12; it goes into effect July 1, 2003.

Washington. The Washington State Legislature passed legislation requiring public and private post-secondary educational institutions (except community and technical colleges) that offer on-campus or group housing to give all students information about meningococcal disease and vaccine. Community and technical colleges must provide the information only to those students offered on-campus or group housing. The governor signed the legislation May 20; it goes into effect July 1, 2004.

HEPATITIS B IMMUNIZATION
Tennessee. The Tennessee General Assembly passed legislation requiring incoming students at public and private institutions of higher learning to return a waiver indicating they have received information about the hepatitis B virus and vaccine and have either received the vaccine or declined it. The governor signed the legislation May 19; it goes into effect July 1, 2003.

The Immunization Action Coalition (IAC) has compiled information about all states that have meningococcal prevention mandates for colleges and universities. To access the information, go to: http://www.immunize.org/laws/menin.htm

IAC is developing a new web page of information about states that have hepatitis B prevention mandates for colleges and universities. For this information (and for comprehensive information on state laws for a variety of immunizations), please check our state laws web page soon by going to http://www.immunize.org/laws

We depend on our readers to help us stay informed and to ensure our website contains the most current and accurate information available. Please let us know when any changes occur in your state.
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June 16, 2003
CDC REPORTS ON CURRENT MULTISTATE OUTBREAK OF MONKEYPOX

The Centers for Disease Control and Prevention (CDC) published "Multistate Outbreak of Monkeypox--Illinois, Indiana, and Wisconsin, 2003" in the June 13 issue of the "Morbidity and Mortality Weekly Report" (MMWR).

According to the article, as of June 10, a total of 53 cases of monkeypox had been investigated in Illinois, Indiana, and Wisconsin. The article summarizes initial descriptive epidemiologic, clinical, and laboratory data, interim infection-control guidance, and new animal import regulations.

The article's concluding paragraph instructs health care professionals about reporting suspected monkeypox in humans and animals: "Health-care providers, veterinarians, and public health officials who suspect monkeypox in animals or humans should report such cases to their state and local health departments. CDC requests that reports of suspect cases from state health departments be directed to the CDC Emergency Operations Center, telephone (770) 488-7100. Additional information about monkeypox, including an interim case definition, is available at http://www.cdc.gov/ncidod/monkeypox and http://www.cdc.gov/ncidod/monkeypox/casedefinition.htm respectively."

To obtain the complete text of the article online, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5223a1.htm

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5223.pdf

To access the complete text of the interim guidance on using smallpox vaccine, cidofovir, and vaccinia immune globulin in preventing and treating monkeypox infections, go to the CDC's Health Alert Network web page at http://www.phppo.cdc.gov/han/Documents/AlertDocs/146.asp

To access a press release about CDC's recommendation that persons exposed to monkeypox be given smallpox vaccination, go to the CDC website at http://www.cdc.gov/od/oc/media/pressrel/r030611.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 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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June 16, 2003
NEW: IAC ADDS "EVALUATING HEALTH INFORMATION ON THE INTERNET" TO TWO OF ITS WEBSITES

The Immunization Action Coalition (IAC) has added a new web page, "Evaluating Health Information on the Internet," to both its main website (www.immunize.org) and its public website (www.vaccineinformation.org). The new web page is intended to give health professionals an easy way to direct patients to sound health information on the Web and to help patients evaluate the information they find.

According to a Harris Poll conducted in March 2002, 110 million U.S. adults are online; of those 80 percent use the Internet to access health information. When they use IAC's new web page, health  consumers will find links to resources from various organizations that will teach them how to evaluate the trustworthiness of health information on the Internet and how to access good health information from MEDLINE, PubMed, and other reliable websites.

To access the new web page from IAC's main website, go to: http://www.immunize.org Scroll down the index on the right to "Topics of Interest," click on "Responding to Concerns About Vaccines, and then click on "Evaluating Health Information on the Internet."

To access the new web page from IAC's public website, go to http://www.vaccineinformation.org Scroll down the index on the left, click on "Special Topics," and then click on "Evaluating Health Information on the Internet."

To access the new web page directly, go to:
http://www.vaccineinformation.org/topics/internetinfo.asp
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June 16, 2003
IAC'S ADULT IMMUNIZATION RECORD CARDS MAKE YOUR PATIENTS PARTNERS IN STAYING CURRENT ON IMMUNIZATIONS

Just one look at the Adult Immunization Record Cards will convince you that they're a great tool for reminding adults that vaccines aren't just for kids. The card lists seven vaccines that all adults, adults with certain medical conditions, or adults with an unreliable vaccination history should receive.

Use the card during patient visits to discuss a patient's vaccination status with them. Then give it to them and encourage them to refer to it to find out when they're due for their next Td booster, pneumococcal vaccine dose, or other immunization.

Since introducing Adult Immunization Record Cards in May 2002, the Immunization Action Coalition (IAC) has shipped more than a million cards to health care providers across the United States. Health professionals nationwide have found the card invaluable for educating patients that immunization is a lifelong process and for giving patients the means to keep a lifetime record of their immunization status.

In addition, IAC has developed a separate adult record card with space for listing smallpox vaccine in addition to the seven vaccines mentioned above. For information, see the section below, "ADULT IMMUNIZATION RECORD CARD INCLUDING SMALLPOX VACCINE."

ADULT IMMUNIZATION RECORD CARD (NOT INCLUDING SMALLPOX VACCINE)
Printed on smudge-proof, rip-proof, waterproof paper, the card comes pre-folded to fit in a wallet. Its  bright, canary-yellow color makes it easy to spot among credit cards and other items.

The cost for one 250-count box is $25; two boxes (500 cards), $45; three boxes (750 cards), $60; four boxes (1,000 cards), $70. Additional pricing for larger quantities can be found on the online order form (see link below).

To view a color image of IAC's Adult Immunization Record Card, go to:
http://www.immunize.org/adultizcards/pictures.htm

To order IAC's Adult Immunization Record Cards online (including online with a purchase order), go to:
https://www.immunize.org/adultizcards

To print an order form to send with payment information by fax or mail, go to:
https://www.immunize.org/adultizcards/izorder.pdf


ADULT IMMUNIZATION RECORD CARD INCLUDING SMALLPOX VACCINE
Since introducing this card in early 2003, IAC has sold close to 75,000. Modeled on the popular Adult Immunization Record Card, the Adult Immunization Record Card Including Smallpox Vaccine is also printed on smudge-proof, rip-proof, waterproof paper and comes pre-folded to fit in a wallet. Its parrot green color and space for recording smallpox vaccination distinguishes it from the Adult Immunization Record Card.

The cost for one 250-count box is $40; two boxes (500 cards), $75; three boxes (750 cards), $105; four boxes (1,000 cards), $130. Additional pricing for larger quantities can be found on the online order form (see link below).

To view a color image of IAC's Adult Immunization Record Card Including Smallpox, go to:
http://www.immunize.org/smallpoxizcards/smallpoxcard.pdf

To order IAC's Adult Immunization Record Cards Including Smallpox online (including online with a purchase order), go to:
https://www.immunize.org/smallpoxizcards

To print an order form to send with payment information by fax or mail, go to:
http://www.immunize.org/smallpoxizcards/sm_orderform.pdf

If you have questions about IAC's Adult Immunization Record Card or Adult Immunization Record Card Including Smallpox, call us at (651) 647-9009, or email us at admin@immunize.org
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June 16, 2003
ATTENTION PHARMACISTS: SIGN UP NOW FOR FREE CREDIT FOR THE "ADULT IMMUNIZATION UPDATE 2003" WEB AND SATELLITE BROADCAST

The Centers for Disease Control and Prevention (CDC) and the American Pharmacists Association (APhA) are collaborating to offer pharmacists 2.5 hours of free continuing education credit for taking the "Adult Immunization Update 2003" course.

Scheduled for broadcast June 26 from noon to 2:30 pm ET, the course is intended to bring health care providers up to date on current adult immunization practices and on improving adult immunization coverage levels. Sponsored by CDC, the course will feature a Q&A session in which participants nationwide can interact with the course instructors via toll-free telephone lines.

The course instructors are William L. Atkinson, MD, MPH, medical epidemiologist, and Donna L. Weaver, RN, MN, nurse educator. Both are with the CDC's National Immunization Program. For information about program content, email nipinfo@cdc.gov

Only online registration is available. To register on the Public Health Training Network website, go to:
http://www.phppo.cdc.gov/phtnonline

For additional registration information, call (800) 418-7246 or email ce@cdc.gov

To access information about pharmacy credit and for comprehensive information about all aspects of viewing the web cast and attending the broadcast, go to the APhA website at http://www.pharmacist.com/livece
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June 16, 2003
REGISTRATION OPENS JUNE 17 FOR "AIDS VACCINE 2003" CONFERENCE

"AIDS Vaccine 2003" is scheduled for September 18-21 at the Hilton New York in Manhattan. Early conference registration ($500) begins June 17 and ends July 11; it saves conference participants $75 off the regular registration fee and $150 off the on-site registration fee.

Sponsored by the Foundation for AIDS Vaccine Research and Development, the conference is a forum for convening more than 1,000 researchers, clinicians, epidemiologists, public health officials, policy makers, and representatives from the pharmaceutical and biotechnology industry from around the world.

Held annually, the conference provides a setting for presenting the latest basic, clinical, and public health data relevant to AIDS vaccine development. Its goal is to facilitate international and interdisciplinary collaborations in the field of AIDS vaccinology.

For comprehensive conference information, including registration, housing, and the preliminary program, go to: http://www.aidsvaccine2003.org/2003

For additional information, call (703) 535-6863 or email info@aidsvaccine2003.org

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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