Issue
Number 458
May 3, 2004
CONTENTS OF THIS ISSUE
- New: CDC publishes "Recommended Childhood and Adolescent
Immunization Schedule--United States, July-December 2004"
- New: CDC issues the latest ACIP influenza
recommendations in an "MMWR Early Release"
- New: IAC's comprehensive guide to adult immunization is
now available for order
- April issue of CDC's "Immunization Works!" electronic
newsletter is now posted on the NIP website
- CDC issues "Summary of Notifiable Diseases--United
States, 2002"
- National Conference on Immunization Coalitions scheduled
for September 20-22 in Norfolk, VA
- IOM workshop on pandemic influenza to be held June 16-17
in Washington, DC
- CDC reports on progress toward polio eradication in
Nigeria
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ABBREVIATIONS: AAFP, American Academy of Family Physicians; AAP, American
Academy of Pediatrics; ACIP, Advisory Committee on Immunization Practices;
CDC, Centers for Disease Control and Prevention; FDA, Food and Drug
Administration; IAC, Immunization Action Coalition; MMWR, Morbidity and
Mortality Weekly Report; NIP, National Immunization Program; VIS, Vaccine
Information Statement; VPD, vaccine-preventable disease; WHO, World Health
Organization.
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May 3, 2004
NEW: CDC PUBLISHES "RECOMMENDED CHILDHOOD AND ADOLESCENT IMMUNIZATION
SCHEDULE--UNITED STATES, JULY-DECEMBER 2004"
CDC published "Recommended Childhood and Adolescent Immunization
Schedule--United States, July-December 2004" in the April 30 issue of "MMWR
Quick Guide." This schedule updates one that was published on January 16,
which pertained to January-June 2004. The preface to the July-December 2004
schedule is reprinted below in its entirety, with the exception of
references.
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CDC's Advisory Committee on Immunization Practices (ACIP) periodically
reviews the recommended childhood and adolescent immunization schedule to
ensure that the schedule is current with changes in manufacturers' vaccine
formulations and reflects revised recommendations for the use of licensed
vaccines, including those newly licensed. Recommendations and format of the
childhood and adolescent immunization schedule for January–June 2004 were
approved by ACIP, the American Academy of Family Physicians (AAFP), and the
American Academy of Pediatrics (AAP) and published in January 2004. This
report updates that schedule with the recommendation that, beginning in fall
2004, children aged 6–23 months, as well as household and out-of-home
caregivers for such children, receive annual influenza vaccine. This change
is reflected in the revised childhood and adolescent immunization schedule
for July–December 2004. A catch-up immunization schedule for children and
adolescents who start late or who are >1 month behind remains unchanged from
that published in January 2004.
Changes in the Schedule for July–December 2004
The childhood and adolescent
immunization schedule for July–December 2004 differs from the previous
schedule in the following ways:
- The range of recommendations bar for
influenza vaccine for children aged 6-23 months has been moved above the
dotted red line, indicating that these children should be vaccinated
annually.
- The influenza vaccine footnote has been
updated to highlight the recommendation that healthy children aged 6-23
months and close contacts of healthy children aged 0-23 months receive
influenza vaccine because children in this age group are at substantially
increased risk for influenza related hospitalizations.
- The influenza vaccine footnote has been
updated to highlight the recommendation that health-care workers and other
persons (including household members) in close contact with persons in
groups at high risk be vaccinated annually.
Vaccine Information Statements
The National Childhood Vaccine Injury Act requires that all health-care
providers provide parents or patients with copies of Vaccine Information
Statements before administering each dose of the vaccines listed in the
schedule. Additional information is available from state health departments
and at
http://www.cdc.gov/nip/publications/vis
Detailed recommendations for using vaccines are available from the
manufacturers' package inserts, ACIP statements on specific vaccines, and
the 2003 Red Book. ACIP statements for each recommended childhood vaccine
can be viewed, downloaded, and printed from CDC's National Immunization
Program website at
http://www.cdc.gov/nip/publications/acip-list.htm Instructions on
the use of Vaccine Information Statements are available at
http://www.cdc.gov/nip/publications/vis/vis-instructions.pdf In
addition, guidance on how to obtain and complete a Vaccine Adverse Event
Reporting System (VAERS) form is available at
http://www.vaers.org or by telephone,
(800) 822-7967.
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To access a web-text (HTML) version of the complete article, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5316-Immunizationa1.htm
To access a ready-to-copy (PDF) version of this issue of MMWR, go to:
http://www.cdc.gov/mmwr/PDF/wk/mm5316.pdf
To receive a FREE electronic subscription to MMWR (which includes new ACIP
statements), go to:
http://www.cdc.gov/mmwr/mmwrsubscribe.html
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May 3, 2004
NEW: CDC ISSUES THE LATEST ACIP INFLUENZA RECOMMENDATIONS IN AN "MMWR
EARLY RELEASE"
On April 30, CDC issued "Prevention and Control of Influenza:
Recommendations of the Advisory Committee on Immunization Practices (ACIP)"
as an electronic "MMWR Early Release." A hard copy of the recommendations
will be printed in a future issue of MMWR.
Two sections of the recommendations are reprinted below: (1) the "Summary"
and (2) a portion of the introduction titled "Primary Changes and Updates
in the Recommendations."
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Summary
This report updates the 2003 recommendations by the Advisory Committee on
Immunization Practices (ACIP) on the use of influenza vaccine and
antiviral agents (CDC. Prevention and control of influenza:
recommendations of the Advisory Committee on Immunization Practices [ACIP].
MMWR 2003;52[No. RR-8]:1-34). The 2004 recommendations include new or
updated information regarding (1) influenza vaccine for children aged 6-23
months; (2) vaccination of health care workers with live, attenuated
influenza vaccine (LAIV); (3) personnel who may administer LAIV; (4) the
2004-05 trivalent inactivated vaccine virus strains: A/Fujian/411/2002
(H3N2)-like, A/New Caledonia/20/99 (H1N1)-like, and
B/Shanghai/361/2002-like antigens (for the A/Fujian/411/2002 (H3N2)-like
antigen, manufacturers may use the antigenically equivalent
A/Wyoming/3/2003 [H3N2] virus, and for the B/Shanghai/361/2002-like
antigen, manufacturers may use the antigenically equivalent B/Jilin/20/2003
virus or B/Jiangsu/10/2003 virus); and (5) the assessment of vaccine
supply and timing of influenza vaccination. A link to this report and
other information regarding influenza can be accessed at
http://www.cdc.gov/flu . . . .
[From the Introduction]
Primary Changes and Updates in the Recommendations
The 2004 recommendations include four principal changes or updates:
- ACIP recommends that healthy children
aged 6-23 months, and close contacts of children aged 0-23 months, be
vaccinated against influenza . . .
- Inactivated vaccine is preferred over
live, attenuated influenza vaccine (LAIV) for vaccinating household
members, health care workers, and others who have close contact with
severely immunosuppressed persons during periods when such persons
require care in a protected environment. If a health care worker
receives LAIV, the health care worker should refrain from contact with
severely immunosuppressed patients for 7 days after vaccine receipt. No
preference exists for inactivated vaccine use by health care workers or
other persons who have close contact with persons with lesser degrees of
immunosuppression . . .
- Severely immunosuppressed persons should
not administer LAIV. However, other persons at high risk for influenza
complications may administer LAIV . . .
- The 2004-05 trivalent vaccine virus
strains are A/Fujian/411/2002 (H3N2)-like, A/New Caledonia/20/99
(H1N1)-like, and B/Shanghai/361/2002-like antigens. For the A/Fujian/411/2002
(H3N2)-like antigen, manufacturers may use the antigenically equivalent
A/Wyoming/3/2003 [H3N2] virus, and for the B/Shanghai/361/2002-like
antigen, manufacturers may use the antigenically equivalent B/Jilin/20/2003
virus or B/Jiangsu/10/2003 virus . . .
- CDC and other agencies will assess the
vaccine supply throughout the manufacturing period and will make
recommendations in the summer preceding the 2004-05 influenza season
regarding the need for tiered timing of vaccination of different risk
groups. . . .
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To access a web-text (HTML) version of the recommendations, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr53e430a1.htm
To access a ready-to-copy (PDF) version, go to:
http://www.cdc.gov/mmwr/pdf/rr/rr53e430.pdf
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May 3, 2004
NEW: IAC'S COMPREHENSIVE GUIDE TO ADULT IMMUNIZATION IS NOW AVAILABLE
FOR ORDER
In production for more than three years, "Adults Only Vaccination: A
Step-by-Step Guide" is ready to take its place on your bookshelf
alongside such indispensable resources as CDC's "Pink Book" and AAP's
"Red Book." Designed to help integrate immunization services into
settings new to adult vaccination, the guide is equally valuable for use
in settings experienced in vaccine delivery to adult and pediatric
patients alike.
Developed by IAC staff, the 157-page spiral-bound guide has been
thoroughly reviewed for technical accuracy by immunization experts from
CDC. In addition, the introductory letter has been signed by heads of
four divisions at CDC, Department of Health and Human Services (Women's
Health), American Medical Association, National Medical Association,
American College of Obstetricians & Gynecologists, American College
Health Association, and Planned Parenthood Federation of America.
CONTENTS OF THE GUIDE AND ACCOMPANYING TOOLS
The guide. Divided into seven chapters, the guide presents practical
information on getting started, setting up vaccination services,
handling and storing vaccines, deciding whom to vaccinate, administering
vaccines, documenting vaccination delivery, and financing vaccine
services. In addition, the guide's two appendices include approximately
50 educational tools for providers and patients; these will never go out
of date because each is actively linked to the most current version on
IAC's website.
Accompanying tools. Packaged as a kit, the guide comes with two videos,
a pack of 25 adult immunization record cards, and other useful clinic
materials. The videos, "How to Protect Your Vaccine Supply" (25 minutes
long, produced by CDC in 2004) and "Immunization Techniques: Safe,
Effective, Caring" (35 minutes long, produced by California Department
of Health Services in 2001), present comprehensive, easy-to-follow
information and make valuable viewing for beginners and seasoned
professionals alike. The adult immunization record cards give patients
helpful information about vaccines commonly given to adults and remind
them of their next vaccination due dates.
ADDITIONAL INFORMATION, PRICE, AND ORDERING METHODS
For additional information about the kit (including access to a
ready-to-copy [PDF] version of the guide), pricing (including discounts
for orders of more than nine kits), and ordering methods, go to:
http://www.immunize.org/guide
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May 3, 2004
APRIL ISSUE OF CDC'S "IMMUNIZATION WORKS!" ELECTRONIC NEWSLETTER IS NOW
POSTED ON THE NIP WEBSITE
The April issue of "Immunization Works!" a monthly email newsletter
published by CDC, is available on NIP's website. The newsletter offers
members of the immunization community non-proprietary information about
current topics. CDC encourages its wide dissemination.
Some of the information in the April issue has already appeared in
previous issues of "IAC EXPRESS." Following is the text of five articles
we have not covered.
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CDC FUTURES INITIATIVE UPDATE: CDC continues with its Futures
Initiative, a program to better organize and align CDC's structure and
processes to meet CDC public health goals. Based on input from within
CDC and from outside partners, CDC has determined that we can achieve
many of our priorities by retaining the best elements of the current
structure, while enhancing our ability to address our strategic
imperatives. Agency-wide priorities and goals will drive CDC, and
elements of CDC's organizational structure will be designed to support
the functions needed to achieve agency goals. For example, CDC will
create an organizational unit dedicated to agency-wide strategy and goal
development. Specific goals that related both to preparedness and to
health promotion and prevention throughout the lifespan are being
developed. CDC's partners, current and future, are critical to achieving
our public health goals and to delivering our products. Government
public health--federal, state, and local health agencies--will continue
to be the backbone of the public health system. For more information on
the Futures Initiative, visit
www.cdc.gov/futures
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NATIONAL MINORITY ORGANIZATIONS IMMUNIZATION PROJECTS: CDC has made
available funding to assist national minority organizations with the
promotion and improvement of childhood, adolescent, and adult
immunization coverage levels among racial and ethnic minorities. Letters
of Intent are due May 24, 2004, the application deadline is June 21,
2004, and expected funding will be around August 1, 2004. For a copy of
the announcement, visit
www.cdc.gov/od/pgo/funding/04051.htm
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REQUEST FOR PROPOSAL FOR IMMUNIZATION COALITION TECHNICAL ASSISTANCE AND
TRAINING: The CDC announces the availability of fiscal year 2004 funds
for a cooperative agreement program for technical assistance and
training for immunization coalitions and immunization information
dissemination. The purpose of the program is to provide support for
immunization coalitions and for the dissemination of immunization
information to enhance the effectiveness of disease prevention programs
that reduce the annual burden of vaccine preventable diseases. The
complete program announcement was published in the Federal Register,
March 4, 2004, Volume 69, No. 43, Page 10233. It can also be accessed at
http://www.access.gpo.gov/su_docs/fedreg/frcont04.html Click on
Thursday, March 4, scroll down to CDC, and select TEXT or PDF version.
Application materials can be found on CDC's funding website at
http://www.cdc.gov/od/pgo/funding/grantmain.htm The application
deadline is May 3.
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FREE CMES AVAILABLE RELATED TO THE VACCINE ADVERSE EVENT REPORTING
SYSTEM (VAERS): Health care providers may access the "Vaccine Safety
Post-Marketing Surveillance: The Vaccine Adverse Event Reporting System"
with free CMEs through September 19, 2004. To access the CME article,
visit
http://www.cdc.gov/nip/vacsafe/VAERS/CME-post-mktg-surv.htm
Additional information related to VAERS is available at
www.vaers.org
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2004 HHS GRANT OPPORTUNITIES NOTEBOOK: The U.S. Department of Health and
Human Services Center for Faith-Based and Community Initiatives in
partnership with other HHS agencies has developed a guide to this year's
federal funding opportunities for faith-based and community
organizations across the U.S. Included in the notebook is grant
information in the following areas: At-Risk Children and Youth, Economic
Development, Health, Substance Abuse, and significant Block and Formula
Grants. Also included is information on the Compassion Capital Fund, how
to be a grant reviewer, how to make a Freedom of Information request,
and web resources for organizations interested in federal funding. The
notebook is downloadable in PDF format at
www.hhs.gov/fbci
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To access the complete April issue from the NIP website, go to:
http://www.cdc.gov/nip/news/newsltrs/imwrks/2004/200404.htm
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May 3, 2003
CDC ISSUES "SUMMARY OF NOTIFIABLE DISEASES--UNITED STATES, 2002"
The Centers for Disease Control and Prevention (CDC) published "Summary
of Notifiable Diseases--United States, 2002" in the April 30, "MMWR
Summary of Notifiable Diseases."
The 88-page summary has three primary sections: Part 1: Summaries of
Notifiable Diseases in the United States; Part 2: Graphs and Maps for
Selected Notifiable Diseases in the United States; and Part 3:
Historical Summaries of Notifiable Diseases in the United States,
1971-2002. The opening paragraph of the preface follows:
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The "Summary of Notifiable Diseases, United States, 2002" contains the
official statistics, in tabular and graphic form, for the reported
occurrence of nationally notifiable diseases in the United States for
2002. The data are final totals for 2002 reported as of June 30, 2003,
unless otherwise noted. These statistics are collected and compiled from
reports sent by state health departments to the National Notifiable
Diseases Surveillance System (NNDSS), which is operated by CDC in
collaboration with the Council of State and Territorial Epidemiologists
(CSTE).
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To obtain a web-text (HTML) version of the summary online, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5153a1.htm
Because the summary is a large file (2.30 MB), printing problems may
occur because of printer memory size. One solution is to print a few
pages at a time. To access more tips on downloading and printing large
PDF files, go to:
http://www.immunize.org/nslt.d/tips.htm
To obtain a ready-to-copy (PDF) version, go to:
http://www.cdc.gov/mmwr/PDF/wk/mm5153.pdf
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May 3, 2004
NATIONAL CONFERENCE ON IMMUNIZATION COALITIONS SCHEDULED FOR SEPTEMBER
20-22 IN NORFOLK, VA
Hosted by the Center for Pediatric Research, a program of Children's
Hospital of the King's Daughters, and Eastern Virginia Medical School,
the National Conference on Immunization Coalitions will be held
September 20-22 in Norfolk, VA.
Intended to provide training in creating, leading, and sustaining
effective local and state coalitions that address childhood, adolescent,
and adult immunization, the conference will bring together more than 400
attendees from immunization coalitions across the nation. This year's
program will focus on coalitions as agents of social change, elements of
a successful coalition, and social and ethnic diversity in coalitions.
For information, go to:
http://www.cme.hsc.usf.edu/coph/immcoal
Contact Annemarie Beardsworth with questions about content by email at
annemarieb@doh.state.ri.us or by phone at (401) 222-5658.
Contact Tracey Ryan with questions about logistics by email at
tryan@hsc.usf.edu or by phone
at (813) 974-6682.
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May 3, 2004
IOM WORKSHOP ON PANDEMIC INFLUENZA TO BE HELD JUNE 16-17 IN WASHINGTON,
DC
The Institute of Medicine (IOM) will hold the workshop "Pandemic
Influenza: Steps toward Prevention and Response" on June 16-17 in
Washington, DC. An agenda will be available on the IOM website in the
near future.
To register, go to:
http://www.iom.edu/event.asp?id=19995
For additional information, contact Laura Sivitz by email at
Lsivitz@nas.edu or by phone at
(202) 334-3826.
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May 3, 2004
CDC REPORTS ON PROGRESS TOWARD POLIO ERADICATION IN NIGERIA
CDC published "Progress Toward Poliomyelitis Eradication--Nigeria,
January 2003-March 2004" in the April 30 issue of MMWR. A summary made
available to the press is reprinted below in its entirety.
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The suspension of polio immunization campaigns in key northern states in
Nigeria has resulted in previously polio-free states in Nigeria and nine
previously polio-free countries in Africa to be re-infected with the
disease. If the goal of polio eradication is to be achieved, it is
essential that Kano State, along with all other states in Nigeria,
participate fully in polio immunization campaigns and vaccinate all
target-aged children against polio.
After gains toward polio eradication during 1996-2002, Nigeria suffered
a resurgence of wild polio virus transmission due to the suspension of
vaccination campaigns in several northern states, particularly Kano, in
fall 2003. This resurgence resulted in the reintroduction of wild polio
virus into previously polio-free Nigerian states and the exportation of
the virus to nine polio-free countries in Africa (Benin, Botswana,
Burkina Faso, Cameroon, the Central African Republic, Chad, Ghana, Ivory
Coast, and Togo). To address this outbreak, Nigeria and its polio
partner agencies have endorsed a strategic plan that proposes conducting
six supplementary polio immunization campaigns in all states with
endemic disease by December 2004.
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To access a web-text (HTML) version of the complete article, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5316a3.htm
To access a ready-to-copy (PDF) version of this issue of MMWR, go to:
http://www.cdc.gov/mmwr/PDF/wk/mm5316.pdf |
