Issue Number 580            February 6, 2006

CONTENTS OF THIS ISSUE

  1. The staff of IAC honor the memory of Mark Wexler
  2. Involved with immunizing children and/or teens? Be sure to sign up for this practical teleconference
  3. Federal government launches official pandemic influenza website
  4. CDC posts hepatitis conference presentations online
  5. CDC adds to and updates its Influenza web section
  6. CDC reports on U.S. childhood influenza vaccination coverage during the 2003-04 season
  7. Free: Free bulk copies of the latest issue of Needle Tips (October 2005) are just a click away
  8. CDC reports on U.S. influenza activity during January 15–21
  9. Updated: IAC revises a vaccine-storage-and-handling piece for health professionals
  10. National Conference on Immunization Coalitions extends abstract submission deadline to February 28
  11. CDC releases report on a case of imported vaccine-associated paralytic polio
  12. Sign up for February continuing education conference calls
  13. New: February 3 issue of IAC'S Hep Express electronic newsletter now available online
  14. CDC issues guidelines for surveillance of adverse reactions to smallpox vaccine

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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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February 6, 2006
THE STAFF OF IAC HONOR THE MEMORY OF MARK WEXLER

Mark Wexler, father of IAC Executive Director Deborah Wexler, MD, passed away February 2. Mark's encouragement, business sense, and editorial judgment have been invaluable to IAC. In addition, Mark and his wife, Muriel, have supported IAC generously through the Mark and Muriel Wexler Foundation.

In 1960, Mark began Medical Arts Press, a publisher and distributor of practice management resources for health professionals. Through the years, he and Muriel have contributed their time and resources to numerous philanthropic causes.

Mark touched many lives and will be missed. We extend our condolences to the Wexler family.
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February 6, 2006
INVOLVED WITH IMMUNIZING CHILDREN AND/OR TEENS? BE SURE TO SIGN UP FOR THIS PRACTICAL TELECONFERENCE

Childhood Immunization: Today's Successes, Tomorrow's Challenges is a one-hour web-enhanced teleconference sponsored by Boston University School of Medicine. The program, which will include a 15-minute live Q&A session, will be offered at various times on six dates in February:

February 7 at 1PM ET
February 9 at 2PM ET
February 14 at 3PM ET
February 16 at 8PM ET
February 21 at 12 noon ET
February 23 at 1PM ET

Intended for office-based pediatricians, family physicians, and pediatric nurse practitioners, the teleconference will help clinicians develop practical and effective strategies for improving immunization rates and decreasing vaccine-preventable disease. Specifically, the program will address the optimal timing of immunizations, appropriate management of injection pain, current status of vaccine safety, strategies for responding to parental concerns, and emerging issues in adolescent immunization.

For a comprehensive overview of the program, including information on faculty, registering, accessing the webcast, downloading slides, and earning CME credit, go to: http://128.121.249.49/immunization/index.html
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February 6, 2006
FEDERAL GOVERNMENT LAUNCHES OFFICIAL PANDEMIC INFLUENZA WEBSITE

The U.S. Department of Health and Human Services has launched a website to provide comprehensive government-wide information on pandemic influenza and avian influenza. In the event of a pandemic, this will be the authoritative site for U.S. government information on the pandemic.

The website is intended for the general public, health and emergency preparedness professionals, policy makers, government and business leaders, school systems, and local communities. It includes information on planning and response, monitoring outbreaks, vaccines and medications, travel, research activities, national and state activities, and much more.

To access this new resource, go to: http://www.pandemicflu.gov
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February 6, 2006
CDC POSTS HEPATITIS CONFERENCE PRESENTATIONS ONLINE

[The following is cross posted from IAC's Hep Express electronic newsletter, 2/3/06.]

CDC's Division of Viral Hepatitis (DVH) has posted presentations from December's National Viral Hepatitis Prevention Conference on their website. Go to http://www.cdc.gov/ncidod/diseases/hepatitis/partners/nvhpc_monday.htm to access Monday's presentations. Links to the Tuesday, Wednesday, Thursday, and Friday presentations are available at the top of the page. Each day's web page includes descriptions of the plenary and workshop sessions and links to related PowerPoint presentations.
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February 6, 2006
CDC ADDS TO AND UPDATES ITS INFLUENZA WEB SECTION

CDC recently added a new report to its Influenza web section. In addition, CDC posted to the web section two revised pieces regarding avian influenza.

NEW
1. "Avian Influenza: Update Iraq" (posted 2/3/06)

To access this resource, go to: http://www.cdc.gov/flu/whatsnew.htm#new and click on the pertinent link.

UPDATED:
2. "Key Facts About Avian Influenza (Bird Flu) and Avian Influenza A (H5N1) Virus" (posted 2/2/06)

3. "Avian Influenza: Current Situation" (posted 2/2/06)

To access these resources, go to: http://www.cdc.gov/flu/whatsnew.htm#updated and click on the pertinent link(s).

To access a broad range of continually updated information on seasonal influenza, avian influenza, and pandemic influenza, go to: http://www.cdc.gov/flu
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February 6, 2006
CDC REPORTS ON U.S. CHILDHOOD INFLUENZA VACCINE COVERAGE DURING THE 2003–04 SEASON

CDC published "Childhood Influenza Vaccination Coverage--United States, 2003-04 Influenza Season" in the February 3 MMWR. Portions of a summary made available to the press are reprinted below.

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The second CDC report of national estimates of influenza vaccination coverage among children aged 6-23 months showed that coverage remained low during the second year of the Advisory Committee on Immunization Practices (ACIP) encouragement to vaccinate 6-23 month olds against influenza. . . . Results from CDC's National Immunization Survey, a nationally representative random-digit-dialing telephone survey with provider verified vaccination data, revealed that for the 2003-04 influenza season, 17.5 percent of children 6-23 months had received at least one influenza vaccination and only 8.4 percent were fully vaccinated against influenza (i.e., 1 dose if vaccinated the previous season or 2 doses if not previously vaccinated). There was large variability between states and urban areas for influenza vaccination coverage among children aged 6-23 months, ranging from 5.7 percent to 47.6 percent for receipt of at least one dose of influenza vaccination. Although coverage may have increased in subsequent seasons with the ACIP encouragement replaced with a recommendation, these findings underscore the need to increase coverage with the required number of influenza vaccine doses to reduce the number of influenza-related hospitalizations among young children.

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To access a web-text (HTML) version of the complete MMWR article, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5504a3.htm

To access a ready-to-print (PDF) version of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5504.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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February 6, 2006
FREE: BULK COPIES OF THE LATEST ISSUE OF NEEDLE TIPS (OCTOBER 2005) ARE JUST A CLICK AWAY

IAC is giving away bulk copies (up to 100 per request) of the October 2005 issue of Needle Tips.

If you have an immunization conference or an educational program coming up for physicians, residents, or nurses who specialize in pediatrics or family practice, this 24-page publication is an excellent item to distribute. The October 2005 issue includes a patient-education sheet that helps adults determine which vaccinations they need, IAC's Summary of Recommendations for Adult Immunization, IAC's Summary of Recommendations for Childhood and Adolescent Immunization, standing orders protocols for administering influenza vaccine to adults and children, screening questionnaires for intranasal influenza vaccination and injectable influenza vaccination, two pieces related to viral hepatitis, and a summary of healthcare worker vaccination recommendations.

Because supplies of the October 2005 issue are limited, it's best to make your request right away. Free copies go quickly. Sorry, we can mail orders only to addresses within the United States.

To request copies, fill out the online form on IAC's website:
http://www.immunize.org/freeoffer

You will be asked to supply the following information:

  • The number of copies you want (maximum 100)
  • A description of how you plan to use the copies
  • Your name and complete contact information, including mailing address, telephone number, and email address

For further information, email admin@immunize.org
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February 6, 2006
CDC REPORTS ON U.S. INFLUENZA ACTIVITY DURING JANUARY 15–21

CDC published "Update: Influenza Activity--United States, January 15-21, 2006" in the February 3 MMWR. A portion of the article is reprinted below.

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During January 15-21, 2006, the number of states reporting widespread influenza activity decreased to five. Twenty-three states reported regional activity, nine reported local activity, and 13 reported sporadic activity.

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To access a web-text (HTML) version of the complete MMWR article, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5504a4.htm

To access a ready-to-print (PDF) version of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5504.pdf
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February 6, 2006
UPDATED: IAC REVISES A VACCINE-STORAGE-AND-HANDLING PIECE FOR HEALTH PROFESSIONALS

IAC recently updated its print piece "Vaccine Handling Tips" to include the storage specifications for these vaccines: MMRV (measles-mumps-rubella-varicella), MPSV4 (meningococcal polysaccharide), and MCV4 (meningococcal conjugate).

To access a ready-to-print (PDF) version of it, go to:
http://www.immunize.org/catg.d/p3048.pdf

No web-text (HTML) version is available.
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February 6, 2006
NATIONAL CONFERENCE ON IMMUNIZATION COALITIONS EXTENDS ABSTRACT SUBMISSION DEADLINE TO FEBRUARY 28

The National Conference on Immunization Coalitions has extended the deadline for abstract submissions to February 28. The previous deadline was January 27.

The conference will be held August 9–11 in Denver, Colorado. For more information on it, go to:
http://www.seeuthere.com/event/m2c666-455170415278

To submit an abstract online, go to:
http://www.seeuthere.com/survey/m2c666-163085121572
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February 6, 2006
CDC RELEASES REPORT ON A CASE OF IMPORTED VACCINE-ASSOCIATED PARALYTIC POLIO

CDC published "Imported Vaccine-Associated Paralytic Poliomyelitis--United States, 2005" in the February 3 issue of MMWR. An edited version of a summary made available to the press is reprinted below.

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This report describes the first known occurrence of vaccine-associated paralytic polio (VAPP) in an unvaccinated U.S. adult who traveled abroad. An Arizona woman, aged 22 years, contracted paralytic polio during a study-abroad program in Central America, where she likely was exposed to the infant grandson of her host family; he was vaccinated with live, attenuated oral polio vaccine (OPV) shortly after her arrival. This case highlights the previously unrecognized risk of paralytic polio for unvaccinated persons exposed to OPV during travel abroad . . . .

Polio among travelers is preventable. Travelers to countries where polio is endemic or where outbreaks are occurring should be made aware of the risk for acquiring paralytic polio in those countries and be vaccinated in accordance with current recommendations. Healthcare providers should be aware of the risk that OPV might pose to unvaccinated travelers and should consider offering them polio vaccination. Paralytic poliomyelitis is rare in the United States because of the success of universal childhood immunization and the global program eradication initiative. The primary risk for paralytic polio for U.S. residents is through travel to countries where polio remains endemic or where polio outbreaks are occurring.

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To access a web-text (HTML) version of the complete article, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5504a2.htm

To access a ready-to-print (PDF) version of this issue of MMWR, go to: http://www.cdc.gov/mmwr/PDF/wk/mm5504.pdf
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February 6, 2006
SIGN UP FOR FEBRUARY CONTINUING EDUCATION CONFERENCE CALLS

[The following is cross posted from IAC's Hep Express electronic newsletter, 2/3/06.]

The New York University Post-Graduate Medical School and Lenox Hill Hospital are jointly sponsoring a continuing education program for physicians and other healthcare professionals involved in the care of HBV-infected patients. The program consists of five one-hour conference calls, led by Danny Chu, MD, Albert Einstein College of Medicine; Son Do, MD, past chairman, National Task Force on Hepatitis B, Focus on APIA; and Steven Han, MD, David Geffen School of Medicine at UCLA.

Participants can sign up for one or more calls. Dates include February 7, 8, 13, and 15. For more information, call Jessica at (646) 674-4885.
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February 6, 2006
NEW: FEBRUARY 3 ISSUE OF IAC'S HEP EXPRESS ELECTRONIC NEWSLETTER NOW AVAILABLE ONLINE

The February 3 issue of Hep Express, an electronic newsletter published by IAC, is now available online. It is intended for health and social service professionals involved in the prevention and treatment of viral hepatitis. IAC Express has already covered some of the information presented in the February 3 Hep Express; titles of articles we have not yet covered follow.

  • APAMSA's National Hepatitis B Week scheduled for March 20–26
  • Hepatitis B vaccination to be included in India's national immunization program

To access the February 3 issue, go to:
http://www.hepprograms.org/hepexpress/issue40.asp

To sign up for a free subscription to Hep Express, go to:
http://www.hepprograms.org/hepexpress/signup.asp

To access previous issues of Hep Express, go to:
http://www.hepprograms.org/hepexpress
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February 6, 2006
CDC ISSUES GUIDELINES FOR SURVEILLANCE OF ADVERSE REACTIONS TO SMALLPOX VACCINE

On February 3, CDC published "Surveillance Guidelines for Smallpox Vaccine (vaccinia) Adverse Reactions " in the MMWR Recommendations and Reports. A portion of the document's introduction is reprinted below.

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Adverse reactions caused by smallpox vaccination range from mild and self-limited to severe and life-threatening. During the recent smallpox vaccination programs, CDC, DoD [Department of Defense], and the joint Advisory Committee on Immunization Practices (ACIP)-Armed Forces Epidemiological Board (AFEB) Smallpox Vaccine Safety Working Group (SVS WG) relied on surveillance data from the smallpox pre-eradication era to estimate frequencies of adverse reactions expected during these vaccination programs. These estimates might be limited because the targeted population during the 1960s was mostly children who had never been previously vaccinated; the recent program targeted healthy adults, some of whom had received smallpox vaccines. Furthermore, adverse reactions during the 1960s were classified and reported by providers on the basis of subjective clinical diagnosis, and standard collection or analytical tools were not applied to the clinical data. Without explicit criteria for identifying cases for public health surveillance, state health departments and individual practitioners often apply different criteria for reporting similar cases. Surveillance data for adverse reactions after smallpox vaccination must be aggressively pursued and standardized to assess accurately the frequency of adverse events after smallpox vaccination.

This report describes the case definitions used to classify reported adverse events during the DHHS [Department of Health and Human Services] smallpox vaccination program.

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To access a web-text (HTML) version of the guidelines, go to:
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5501a1.htm

To access a ready-to-print (PDF) version of them, go to:
http://www.cdc.gov/mmwr/PDF/rr/rr5501.pdf

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
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    Jermaine Royes
  • Contributing Writer
    Laurel H. Wood, MPA
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    Kayla Ohlde

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