Issue Number 546            August 22, 2005

CONTENTS OF THIS ISSUE

  1. Comments on proposed CMS nursing home immunization requirement must be submitted by August 30
  2. FDA approves VAQTA hepatitis A vaccine for use in children ages 12 months and older
  3. New: August 2005 issue of Vaccinate Women is on the IAC website
  4. Important: September 15 is the deadline for submitting comments on proposed revisions to Healthy People 2010
  5. Teleconference on working with physicians to improve adult vaccination rates is scheduled for September 13

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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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August 22, 2005
COMMENTS ON PROPOSED CMS NURSING HOME IMMUNIZATION REQUIREMENT MUST BE SUBMITTED BY AUGUST 30

On August 15, the Federal Register published a proposal from the Centers for Medicare & Medicaid Services (CMS), requiring nursing homes serving Medicare and Medicaid patients to provide immunizations against influenza and pneumococcal disease to all residents in order to continue in the programs. Because of the impending influenza season, this proposed rule will have a 15-day comment period, ending 5:00PM, EDT, August 30.

CMS received input from CDC and two of the largest nursing home industry trade groups, the American Association of Homes and Services for the Aging and the American Health Care Association, in developing the proposed rule. The proposal states that each nursing home resident must receive necessary influenza and pneumoccocal immunizations as a condition of participation in the two programs, unless refused by the patient or patient's family, or contraindicated for medical reasons. About two million Americans, most ages 65 and older, live in long-term care facilities.

To read the press announcement about this proposal, go to:
http://www.cms.hhs.gov/media/press/release.asp?Counter=1534

To read the proposal, including information about how to submit comments, go to:
http://a257.g.akamaitech.net/7/257/2422/01jan20051800/
edocket.access.gpo.gov/2005/pdf/05-16160.pdf
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August 22, 2005
FDA APPROVES VAQTA HEPATITIS A VACCINE FOR USE IN CHILDREN AGES 12 MONTHS AND OLDER

On August 11, the Food and Drug Administration (FDA) approved the use of Merck's VAQTA hepatitis A vaccine for children ages 12 months and older. In the original licensure, the age indication was for children ages two years and older.

To view the supplemental license approval information on the FDA website, go to:
http://www.fda.gov/cber/products/havamer081105.htm

To read the package insert, go to:
http://www.merck.com/newsroom/pdf/vaqta_pi_rev9413407.pdf
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August 22, 2005
NEW: AUGUST 2005 ISSUE OF VACCINATE WOMEN IS ON THE IAC WEBSITE

The August 2005 issue of Vaccinate Women is now available on the IAC website. Hard copies were recently mailed to all members of the American College of Obstetricians and Gynecologists (ACOG). This publication was supported by a cooperative grant by the Division of Viral Hepatitis at the Centers for Disease Control and Prevention. It was distributed free of charge by ACOG.

The new issue is filled with reliable, practical information intended to assist obstetricians/gynecologists in providing immunization services in their healthcare settings.

HOW TO READ VACCINATE WOMEN ON THE WEB
You can view selected articles from the table of contents below or download the entire issue from the Web.

To view the table of contents with links to individual articles, go to:
http://www.immunize.org/vw

Please note: The PDF file of the entire issue, linked below, is 297,245 bytes. For tips on downloading and printing PDF files, go to: http://www.immunize.org/nslt.d/tips.htm

To download a ready-to-print (PDF) version of the entire issue, go to: http://www.immunize.org/vw/vw0805.pdf

TO ACCESS INDIVIDUAL ARTICLES
Following are descriptions of and direct links to each of the main Vaccinate Women articles:

"Ask the Experts"
CDC immunization experts William L. Atkinson, MD, MPH, and Andrew T. Kroger, MD, MPH, answer general immunization questions. Hepatitis specialists Eric E. Mast, MD, MPH, and Linda A. Moyer, RN, answer hepatitis questions.

To access a ready-to-print (PDF) version, go to:
http://www.immunize.org/vw/expert5.pdf

Note: No HTML version is available.

"Medical errors put infants at risk for chronic hepatitis B virus infection--five case reports"
A state hepatitis B coordinator reports on five cases illustrating a variety of medical errors that led to high-risk infants not receiving the recommended hepatitis B prophylaxis within 12 hours of birth.

To access a ready-to-print (PDF) version, go to:
http://www.immunize.org/vw/errors5.pdf

Note: No HTML version is available.

"Labor & Delivery and Nursery Unit Guidelines to Prevent Hepatitis B Virus Transmission"
A one-page summary of all the steps needed to ensure that every baby is protected against hepatitis B. The piece includes detailed information for infants born to HBsAg-negative mothers, infants born to HBsAg-positive mothers, and infants born to mothers with unknown HBsAg status.

To access a ready-to-print (PDF) version, go to:
http://www.immunize.org/catg.d/p2130per.pdf

To access a web-text (HTML) version, go to:
http://www.immunize.org/catg.d/p2130.htm

"Immunizations for Babies. . . "
This guide for parents is an easily understandable chart of the shot schedule.

To access a ready-to-print (PDF) version, go to:
http://www.immunize.org/catg.d/p4010imm.pdf

To access a web-text (HTML) version, go to:
http://www.immunize.org/catg.d/p4010.htm
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August 22, 2005
IMPORTANT: SEPTEMBER 15 IS THE DEADLINE FOR SUBMITTING COMMENTS ON PROPOSED REVISIONS TO HEALTHY PEOPLE 2010

The U.S. Department of Health and Human Services (HHS) has led a nationwide process to formulate and monitor national disease prevention and health promotion objectives since 1979. In January 2000, HHS issued "Healthy People 2010," the third generation of ten-year objectives for the nation. "Healthy People 2010" is now scheduled for a midcourse review process, and the Office of Disease Prevention and Health Promotion, on behalf of HHS, is soliciting comments for proposed changes to the document.

The public is invited to comment electronically by going to http://healthypeople.gov/data/midcourse Interested parties can also view proposed changes via a link on that page.

Written comments must be submitted to the website by the close of business day, EST, September 15, 2005. Lead agencies for the objectives will review and consider comments received. For further information, write hp2010@osophs.dhhs.gov
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August 22, 2005
TELECONFERENCE ON WORKING WITH PHYSICIANS TO IMPROVE ADULT VACCINATION RATES IS SCHEDULED FOR SEPTEMBER 13

The National Immunization Coalition TA [technical assistance] Network has scheduled a teleconference that will focus on strategies to engage private providers in immunization promotion and ways to bridge the public health/medical care divide. It will be held at 1:00PM, EDT, September 13.

NOTE: CDC will give updates on the current influenza vaccine supply at the beginning of this teleconference and at the beginning of future teleconferences throughout the influenza season.

The September 13 presenter is Nancy Bennett, MD, deputy director, Monroe County Department of Public Health, Rochester, NY, and director, Center for Rochester's Health. Dr. Bennett has led the department's efforts to improve rates of adult immunization in Rochester and Monroe County for the last decade. The Center for Rochester's Health was the recipient of the 2005 Excellence in Immunization Award for Addressing Disparities, which is presented each year during National Immunization Awareness Month.

Teleconference participants will learn how to (1) identify the barriers to implementing clinical practice guidelines related to adult vaccination, (2) identify several strategies to engage practices in efforts to improve vaccination rates, (3) identify specific practice-based strategies to reduce vaccination rate racial disparities, and (4) discuss community approaches to working with medical care providers.

To register for the teleconference, send an email to IZTA@aed.org Include this message: "Sign me up for the working with physicians teleconference."

For additional information, or to access earlier programs, go to: http://www.izcoalitionsta.org/confcall.cfm

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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