Issue Number 479            September 13, 2004

CONTENTS OF THIS ISSUE

  1. CDC's 2004-05 "Flu Gallery" materials are a must for your diverse patient population, as well as for you and your staff
  2. If you vaccinate adults, the "Adults Only Vaccination" kit is a necessity--especially at influenza vaccination time
  3. ECBT/TFAH report presents recommendations for vaccinating the 20% of U.S. preschoolers who remain undervaccinated
  4. Updated: IAC makes minor revisions to its professional-education sheet on dosages for hepatitis A and B vaccines
  5. Current VIS for trivalent inactivated influenza vaccine now available in Armenian
  6. CDC reports on progress made toward polio eradication in Egypt in 2003-04

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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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September 13, 2004
CDC'S 2004-05 "FLU GALLERY" MATERIALS ARE A MUST FOR YOUR DIVERSE PATIENT POPULATION, AS WELL AS FOR YOU AND YOUR STAFF

CDC recently posted the majority of its influenza patient- and professional-education materials on its 2004-05 "Flu Gallery" web section. The range of patient materials has been greatly expanded for the upcoming influenza vaccination season. Materials are now available for the following audiences: parents, particularly those with children ages 6-23 months and with high-risk children; Spanish speakers; people of all ages at risk for influenza complications; pregnant women; and African-Americans and Hispanic-Americans age 50 years and older.

The "Flu Gallery" offers something new for health care professionals, as well: a poster and a logo (for use on print materials) that encourage health professionals to be vaccinated to protect their patients and colleagues.

All materials are free and easy to download. Most are available in English and Spanish and can be printed in color and/or black and white.

MATERIALS FOR PATIENTS
One brochure: "Influenza and Your Child: Information for Parents," prints double sided; one side in English, one side in Spanish.

Six 8-1/2" x 11" flyers; all available in English and Spanish: (1) "Flu Vaccine Facts & Myths," (2) "To Protect Yourself & Those You Love," (3) "Who Should Get a Flu Vaccination?"(4) "Who Is at High Risk of Flu Complications?" (black and white only), (5) Top 3 Reasons to Get Your Flu Vaccine," and (6) "Will You Be Pregnant This Flu Season?" (black and white only).

Eight posters; four available in both English and Spanish: (1) "Community Immunity: 'Dominos'," (2) "Protect Your Kids from Influenza," (3) "Top 3 Reasons to Get Your Flu Vaccine," (4) "Will You Be Pregnant This Flu Season?" (5) African-American Grandfather/Grandbaby (English only), (6) African-American Male Doctor (English only), (7) Hispanic Grandmother/Grandson (Spanish only), and (8) Hispanic Female Doctor (Spanish only).

MATERIALS FOR HEALTH PROFESSIONALS
Two VISs: one for trivalent inactivated influenza vaccine (TIV) and one for live attenuated intranasal influenza vaccine (LAIV); available in English and Spanish [for VISs for TIV in additional languages, go to http://www.immunize.org/vis]

Adult and pediatric dosage charts for TIV and LAIV (English only)

Additional materials include one button (English only), three stickers (two English only), one three-sided stand-up table tent (English only), and three logos for print materials or web sites (one English only). Some of these materials are suitable for anyone who has received influenza vaccine, not just health professionals.

To access "Flu Gallery" materials, go to:
http://www.cdc.gov/nip/flu/gallery.htm

If you need files of "Flu Gallery" materials for professional offset printing, NIP can provide a CD-ROM with QuarkXPress 5.0 and 6.0 files. These files are not intended for general office printing. There is no charge for the CD; the limit is one CD per order. To access an online order form, go to: http://www.cdc.gov/nip/flu/fluorder.htm

For further information, send questions to nipinfo@cdc.gov or consult the Help with Flu Gallery materials web page at http://www.cdc.gov/flu/professionals/flugallery/help.htm
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September 13, 2004
IF YOU VACCINATE ADULTS, THE "ADULTS ONLY VACCINATION" KIT IS A NECESSITY--ESPECIALLY AT INFLUENZA VACCINATION TIME

Have you noticed that more and more adults are being encouraged to get vaccinated? For example, ACIP now recommends that all pregnant women be vaccinated against influenza; the federal government wants to see increased immunization rates among at-risk minority populations; and some states strongly encourage college freshmen to consider meningococcal vaccination.

This means that many adults are now being vaccinated at non-traditional sites, such as family planning clinics, college health services, STD clinics, pharmacies, and prisons. To assist health professionals who are new to delivering vaccination, IAC has produced an indispensable resource--"Adults Only Vaccination: A Step-by-Step Guide" (the AOV kit).

WHAT IS THE AOV KIT? The kit pares down immunization delivery to its essential components and presents each component in manageable, easy-to-master steps. The steps progress in logical order, starting with setting up a vaccine service at your site and ending with billing for the vaccination services you've delivered.

WHO NEEDS THE KIT? Designed to help integrate immunization services into sites new to vaccination, the AOV kit is equally valuable for settings experienced in vaccine delivery. Why? Because it puts ALL the information you need to vaccinate adults right at your fingertips. If you currently find any aspect of adult vaccination confusing, the kit will clarify the issue or give you resources for getting clarification. IF YOU VACCINATE ADULTS, YOU CAN'T AFFORD TO BE WITHOUT THE KIT.

WHAT'S IN THE KIT? The heart of the kit is the guide, which presents 157 pages of comprehensive, authoritative, CDC-reviewed information on EVERY aspect of adult immunization. Organized into seven logically presented steps, the guide is designed to be useful and stay current for years. It has more than 45 patient and provider-education materials that will never go out of date because each is linked to the latest version on IAC's website.

Plus, the guide is tabbed for easy reference, spiral bound to lie flat, and plastic coated for durability. And, it has wide margins for jotting down your perceptions of what works in your setting and what doesn't, ideas for improving certain aspects of vaccine delivery, and practical information such as useful contact names, telephone numbers, and web and email addresses. This allows you to customize your guide to suit your clinic or practice's unique needs.

In addition to the guide, the kit contains the following:

  • Two "how-to" instructional videos--"Immunization Techniques: Safe, Effective, Caring" and "How to Protect Your Vaccine Supply"
     
  • Standing orders protocols for administering eight vaccines commonly given to adults; these are indispensable for increasing your clinic or practice's adult immunization rates
     
  • Vital information for responding to vaccine-related medical emergencies, such as anaphylaxis, or to power outages
     
  • A pack of 25 adult immunization record cards

WHO SUPPORTS THE KIT? Immunization experts from NIP/CDC reviewed the kit. In addition, the following government agencies signed the guide's introductory letter: US Department of Health and Human Services (Women's Health); several divisions within CDC: the Division of HIV/AIDS Prevention, Division of Sexually Transmitted Diseases Prevention, and Division of Viral Hepatitis. The following professional organizations also signed the letter: the American College Health Association, American College of Obstetricians and Gynecologists, American Medical Association, National Medical Association, and Planned Parenthood Federation of America.

WHAT'S THE PRICE? The kit costs $75. Special discount pricing is available for orders of 10 or more (see the link below).

CAN I GET MORE INFORMATION ABOUT THE KIT? You can get complete information--including a look at the guide's many worksheets, checklists, protocols, and educational materials--by visiting IAC's website at http://www.immunize.org/guide

HOW CAN I ORDER THE KIT? You can order online or by fax or mail, using a credit card, purchase order, or check. To order, go to: http://www.immunize.org/guide Click on the appropriate link.
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September 13, 2004
ECBT/TFAH REPORT PRESENTS RECOMMENDATIONS FOR VACCINATING THE 20% OF U.S. PRESCHOOLERS WHO REMAIN UNDERVACCINATED

In August, two organizations, Every Child by Two (ECBT) and the Trust for America's Health (TFAH), issued a 28-page report, "Closing the Vaccination Gap: A Shot in the Arm for Childhood Immunization Programs." The report's executive summary cites the statistic that an estimated 20% of preschool children in the United States do not receive all routine vaccinations and states that "leaving a single child unprotected is one too many."

Divided into four broad sections, the report discusses the following: (1) the importance of childhood immunizations, (2) immunization rates, (3) factors contributing to the gap in preschool vaccination rates, and (4) recommended improvements to U.S. vaccination policy.

To access the 8-page executive summary, go to:
http://www.ecbt.org/execsum.pdf

To access the complete 28-page report, go to:
http://www.ecbt.org/TFAH%20ImmunizationRpt.pdf
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September 13, 2004
UPDATED: IAC MAKES MINOR REVISIONS TO ITS PROFESSIONAL-EDUCATION SHEET ON DOSAGES FOR HEPATITIS A AND B VACCINES

IAC recently revised its professional-education sheet "Hepatitis A & B: Be sure your patient gets the correct dose!" The sheet lists various brands of hepatitis A vaccine, hepatitis B vaccine, and combination vaccines that contain either vaccine or both. It outlines the recommended dosages and dosing schedules for children, adolescents, and adults. The primary change was to extend the range of the second adult dose of Merck & Co.'s Vaqta hepatitis A vaccine from 6-12 months to 6-18 months.

To access a ready-to-copy (PDF) version of the revised sheet, go to: http://www.immunize.org/catg.d/2081ab.pdf

To access a web-text (HTML) version of it, go to:
http://www.immunize.org/catg.d/2081ab.htm
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September 13, 2004
CURRENT VIS FOR TRIVALENT INACTIVATED INFLUENZA VACCINE NOW AVAILABLE IN ARMENIAN

Dated 5/24/04, the current version of the trivalent inactivated influenza vaccine (TIV) VIS is now available on the IAC website in Armenian. IAC gratefully acknowledges the Los Angeles County Health Department for the translation.

To obtain a ready-to-copy (PDF) version of the TIV VIS in Armenian, go to: http://www.immunize.org/vis/ar_flu04.pdf

To obtain it in English, go to:
http://www.immunize.org/vis/2flu.pdf

For information about the use of VISs, and for VISs in a total of 31 languages, visit IAC's VIS web section at http://www.immunize.org/vis
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September 13, 2004
CDC REPORTS ON PROGRESS MADE TOWARD POLIO ERADICATION IN EGYPT IN 2003-04

CDC published "Progress Toward Poliomyelitis Eradication, Egypt, 2003-2004" in the September 10 issue of MMWR. A portion of a summary made available to the press is reprinted below.

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Polio remains endemic in only six countries globally, of which Egypt is one. Egypt has made substantial progress towards polio eradication; only one of three types of wild poliovirus, type 1, has been detected in Egypt since December 2000. Ongoing improvements in the quality and increased frequency of supplemental immunization activities have reduced transmission of wild poliovirus type 1 during 2003 and 2004, with cases decreasing from 7 in 2002 to one in 2003, and one in 2004 (data as of June 2004). Data suggest that Egypt is closer than ever to interrupting transmission of wild poliovirus. However, very high OPV [oral polio vaccine] coverage must be sustained and the strong commitment and support of the Egyptian government and its partners maintained to definitively achieve the eradication goal.

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To access a web-text (HTML) version of the complete article, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5335a5.htm

To access a ready-to-copy (PDF) version of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5335.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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