Issue Number 407            August 25, 2003

CONTENTS OF THIS ISSUE

  1. CDC notifies readers about recommendations for the timing of influenza vaccination in the 2003-04 influenza season
  2. New: IAC expands its web content on immunization mandates
  3. Get ready for influenza vaccination season with the help of IAC's Adult Immunization Record Cards
  4. IAC helps health professionals give their non-English speaking patients current VIS information
  5. CDC reports on vaccination coverage of children entering U.S. schools
  6. New: 2003-04 edition of CDC's "Health Information for International Travel" (The Yellow Book) now available

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August 25, 2003
CDC NOTIFIES READERS ABOUT RECOMMENDATIONS FOR THE TIMING OF INFLUENZA VACCINATION IN THE 2003-04 INFLUENZA SEASON

The Centers for Disease Control and Prevention (CDC) published "Notice to Readers: Supplemental  Recommendations About the Timing of Influenza Vaccination, 2003-04 Season" in the August 22 issue of "Morbidity and Mortality Weekly Report." The notice is reprinted below with the exception of references.

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In response to delays in production and distribution of influenza vaccine during 2000, the Advisory Committee on Immunization Practices (ACIP) recommended that first-available supplies of vaccine be  administered to persons at increased risk for complications from influenza and to health-care workers. The committee also recommended that mass vaccination campaigns for the 2000-01 season be  delayed until the availability of supply was assured. ACIP issued similar recommendations for the 2001-02 influenza season and has incorporated this prioritization into its annual influenza recommendations.

To assist vaccinators in determining if administration of influenza vaccine should be prioritized because of anticipated delays or shortages, ACIP requested that CDC develop a process to assess the projected vaccine supply in advance of the influenza vaccination season. Each year, this process will be conducted collaboratively by CDC, the Food and Drug Administration, and the manufacturers who  produce influenza vaccine.

On August 11, 2003, CDC determined that vaccine production for the 2003-04 influenza season is proceeding satisfactorily and that projected production and distribution schedules will allow for sufficient supply of influenza vaccine during October and November. Therefore, influenza vaccination can proceed for all high-risk and healthy persons, individually and through mass campaigns, as soon as vaccine is available.

Additional information about influenza and influenza vaccination is available from CDC at http://www.cdc.gov/nip/flu/default.htm

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To obtain the complete text of the article online, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5233a6.htm

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to:
http://www.cdc.gov/mmwr/PDF/wk/mm5233.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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August 25, 2003
NEW: IAC EXPANDS ITS WEB CONTENT ON IMMUNIZATION MANDATES

The Immunization Action Coalition (IAC) recently expanded its web content on State Mandates on Immunization and Vaccine-Preventable Diseases. IAC now has information on hepatitis B prevention mandates for colleges and universities and on influenza and pneumococcal mandates for residents in long-term care facilities.

HEPATITIS B MANDATES
Twelve states require colleges and universities to make sure students are educated about hepatitis B or are vaccinated against it. IAC recently created a table summarizing this information and a map depicting it visually.

To access the table of states with hepatitis B vaccination mandates for college and university students, go to:
http://www.immunize.org/laws/hepbcollege.htm

To view the map, go to:
http://www.immunize.org/laws/hepbcolmap.pdf

IAC has long had a page showing hepatitis B vaccination mandates for day care and schools. We recently added a map.

To view the map, go to:
http://www.immunize.org/laws/hepbdcmap.pdf


INFLUENZA AND PNEUMOCOCCAL MANDATES
Twenty-two states require residents in long-term care facilities to be vaccinated against influenza and pneumococcal disease or require facilities to offer to vaccinate residents. IAC recently created a table summarizing this information and a map depicting it visually.

To access the table of states with influenza and pneumococcal vaccination mandates for residents in long-term care facilities, go to:
http://www.immunize.org/laws/ltc.htm

To view the map, go to:
http://www.immunize.org/laws/ltcmap.pdf


ADDITIONAL MAPS
IAC also enhanced its vaccine mandate web pages with additional maps. The varicella, hepatitis A, and meningococcal mandate pages now have maps showing which states require education about or immunization against these diseases. We've also developed a map indicating which states authorize pharmacists to vaccinate.

To access the varicella map, go to:
http://www.immunize.org/laws/varimap.pdf

To access the hepatitis A map, go to:
http://www.immunize.org/laws/hepamap.pdf

To access the meningococcal map, go to:
http://www.immunize.org/laws/meninmap.pdf

To access the pharmacist vaccination map, go to:
http://www.immunize.org/laws/pharmmap.pdf

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 by email at admin@immunize.org when any changes occur in your state.
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August 25, 2003
GET READY FOR INFLUENZA VACCINATION SEASON WITH THE HELP OF IAC'S ADULT IMMUNIZATION RECORD CARDS

With influenza vaccination season right around the corner, busy health professionals need an easy way to educate their adult patients about adult immunization. The Adult Immunization Record Card is an inexpensive educational tool and a foolproof way to help patients keep track of their vaccination status.

Developed by the Immunization Action Coalition (IAC), the card lists seven vaccines that all adults or adults with certain medical conditions should receive. Health professionals can use the card during patient visits to discuss a patient's vaccination status with them. At the end of the visit, give the card to the patient and encourage them to refer to it to find out when they're due for their next Td booster, a pneumococcal vaccine dose, or other vaccination.

Since introducing Adult Immunization Record Cards in May 2002, 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.

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

If you have questions about IAC's Adult Immunization Record Card, call us at (651) 647-9009, or email us at admin@immunize.org
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August 25, 2003
IAC HELPS HEALTH PROFESSIONALS GIVE THEIR NON-ENGLISH SPEAKING PATIENTS CURRENT VIS INFORMATION

The Immunization Action Coalition (IAC) recently augmented the Vaccine Information Statement (VIS) section of its website with information that will interest health professionals who vaccinate non-English speaking patients and/or their children.

As many immunization providers know, when the Centers for Disease Control and Prevention (CDC) revises a VIS, it revises only the English-language version. Subsequently, VISs are translated by some state health departments and other individuals on a voluntary basis. IAC posts these translations on its website as soon as they're available.

Because translations are done voluntarily, some revised English-language VISs are not translated. IAC retains the outdated translation on the VIS section of its website and notes that the translation is "not current." This alerts health professionals that the translation does not reflect CDC's most recent revision.

To make it possible for immunization providers to give non-English speaking patients/parents the most current information, IAC has now written text titled "Changes to Previously Published VISs." It informs health professionals of exactly how certain current VISs differ from their predecessors.

Organized by vaccine, the new text details the most recent changes made to VISs for which IAC does not have current translations. Following are the VISs that fit this description: anthrax, diphtheria-tetanus-acellular pertussis, hepatitis B, influenza, measles-mumps-rubella, meningococcal, and pneumococcal conjugate.

(Note: All translated VISs are current on IAC's VIS web page for the following vaccines: chickenpox, Haemophilus influenzae type b, hepatitis A, inactivated polio, pneumococcal polysaccharide, smallpox, and tetanus-diphtheria. The yellow fever VIS is available in English only.)

To access "Changes to Previously Published VISs," go to:
http://www.immunize.org/vis/index.htm#changes

For more information about the use of VISs, and for VISs in a total of 28 languages, visit IAC's VIS web page at http://www.immunize.org/vis
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August 25, 2003
CDC REPORTS ON VACCINATION COVERAGE OF CHILDREN ENTERING U.S. SCHOOLS

The Centers for Disease Control and Prevention (CDC) published "Vaccination Coverage Among Children Entering School--United States, 2002-03 School Year" in the August 22 issue of "Morbidity and Mortality Weekly Report." A summary made available to the press is reprinted below in its entirety.

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In the United States, immunization coverage of children entering school remains high and is approaching or exceeding 2010 objectives of greater than 95% in most states.

Immunization programs in the United States monitor the vaccination status of children entering school each year. When unvaccinated children are identified, the programs and schools work with parents to help them get their children up-to-date on the vaccines required by law. As a result of this process, states are making significant progress toward meeting Healthy People 2010 objectives related to immunization. Currently, coverage for all vaccines except Hepatitis B (Hep B) was reported to be 95% or greater in 29 states and 90% or greater in 45 states. Only thirty-nine states require Hep B vaccines before school entry. Among those states reporting on Hep B, the average coverage was 96%.

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To obtain the complete text of the article online, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5233a3.htm

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to:
http://www.cdc.gov/mmwr/PDF/wk/mm5233.pdf
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August 25, 2003
NEW: 2003-04 EDITION OF CDC'S "HEALTH INFORMATION FOR INTERNATIONAL TRAVEL" (THE YELLOW BOOK) NOW AVAILABLE

The Centers for Disease Control and Prevention (CDC) published "Notice to Readers: Release of CDC's Yellow Book" in the August 22 issue of "Morbidity and Mortality Weekly Report." The notice is reprinted below in its entirety.

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CDC has released the 2003-2004 edition of Health Information for International Travel (The Yellow Book). The edition contains a new chapter focusing on recommendations for children; new recommendations for malaria chemoprophylaxis; expanded text on injury during travel, motion sickness, altitude sickness, and travelers with disabilities; changes in vaccine recommendations; changes in recommendations for insect repellent use; new text on scuba diving safety and high-risk travelers; and improved and colorized maps and expanded indexing.

The Yellow Book will be available on CD-ROM later this year. The book can be obtained by telephone, (877) 252-1200, or at http://bookstore.phf.org

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To obtain the complete text of the article online, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5233a9.htm

To obtain a camera-ready (PDF format) copy of this issue of MMWR, go to:
http://www.cdc.gov/mmwr/PDF/wk/mm5233.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
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    Laurel H. Wood, MPA
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    Kayla Ohlde

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