Earlier in January, IAC updated its two popular summaries of immunization recommendations, "Summary of Recommendations for Adult Immunization" and "Summary of Recommendations for Childhood and Adolescent Immunization." Details follow.

In the Adult Summary, the following sections were revised: influenza, Td and Tdap, and varicella. To access the revised Adult Summary, go to: http://www.immunize.org/catg.d/p2011.pdf

In the Childhood and Adolescent Summary, the following sections were revised: Td and Tdap, HPV, varicella, MMR, influenza, and Hib. To access the revised Childhood and Adolescent Summary, go to: http://www.immunize.org/catg.d/p2010.pdf

IAC recently updated four of its standing orders protocols for administering vaccine to adults and six of its standing orders protocols for administering vaccine to children and teens. Details follow.

ADULT STANDING ORDERS PROTOCOLS
(1) Meningococcal vaccine: The information on precautions for administering meningococcal vaccines to people with a history of Guillain Barre syndrome was revised; additionally, minor changes were made.

To access the revised standing orders protocol for administering meningococcal vaccine to adults, go to:
http://www.immunize.org/catg.d/p3081.pdf

(2) MMR vaccine: The information on contraindications was revised regarding administering MMR to patients with HIV infection; additionally, minor changes were made.

To access the revised standing orders protocol for administering MMR vaccine to adults, go to:
http://www.immunize.org/catg.d/p3079.pdf

(3) Pneumococcal vaccine: Only minor changes were made to this standing orders protocol.

To access the revised standing orders protocol for administering pneumococcal vaccine to adults, go to:
http://www.immunize.org/catg.d/p3075.pdf

(4) Td and Tdap vaccines: The section on precautions was revised regarding administering Td and Tdap vaccines to people with a history of Arthus reaction following vaccination; additionally, minor revisions were made.

To access the revised standing orders protocol for administering Td and Tdap vaccines to adults, go to:
http://www.immunize.org/catg.d/p3078.pdf


CHILD AND TEEN STANDING ORDERS PROTOCOLS
(1) Inactivated poliovirus vaccine (IPV): The section on needle length was revised; additionally, minor revisions were made.

To access the revised standing orders protocol for administering IPV to children and teens, go to:
http://www.immunize.org/catg.d/p3071.pdf

(2) Meningococcal vaccine: The section on precautions was revised to include information about patients with a history of Guillain Barre syndrome, and the section on needle length and gauge was revised. Additionally, minor revisions were made.

To access the revised standing orders protocol for administering meningococcal vaccine to children and teens, go to:
http://www.immunize.org/catg.d/p3081a.pdf

(3) MMR vaccine: The information on contraindications was revised regarding administering MMR to patients with HIV infection; additionally, minor changes were made.

To access the revised standing orders protocol for administering MMR vaccine to children and teens, go to:
http://www.immunize.org/catg.d/p3079a.pdf

(4) Pneumococcal polysaccharide vaccine (PPV): Only minor changes were made to this standing orders protocol.

To access the revised standing orders protocol for administering PPV vaccine to children and teens, go to:
http://www.immunize.org/catg.d/p3075a.pdf

(5) DTaP vaccine for children younger than age 7 years: The information on precautions was revised regarding administering DTaP to children this age who have had a hypotensive-hyporesponsive episode after previous vaccination. The section on needle length was also revised; additionally, minor changes were made.

To access the revised standing orders protocol for administering DTaP vaccine to children younger than age 7 years, go to:
http://www.immunize.org/catg.d/p3073.pdf

(6) Td/Tdap vaccine for children age 7 years and older: Only minor changes were made to this standing orders protocol.

To access the revised standing orders protocol for administering Td/Tdap vaccine to children age 7 years and older, go to:
http://www.immunize.org/catg.d/p3078a.pdf

To access a table with links to all IAC's standing orders protocols for vaccine administration and medical management of vaccine reactions, as well as standing orders for newborn-nursery hepatitis B vaccination, go to: http://www.immunize.org/standingorders

[The following is cross posted from the CDC Clinician Communication Updates (1/22/08).]

On January 8, 2008, the Brazilian Ministry of Health (MOH) announced a yellow fever disease alert for tourists and diplomats residing in Brazil, due to a number of suspected and confirmed human yellow fever cases during December 2007 and January 2008. As of January 16, 2008, 10 confirmed cases of Yellow Fever have been reported, including seven deaths. The Brazilian MOH alert states that travelers to "areas of risk" for yellow fever should be vaccinated 10 days before going to such areas. In addition to areas previously identified in CDC's guidance to travelers, the Brazilian MOH has identified two additional states with yellow fever risk: the northern part of Espiritu Santo and the western part of Santa Catarina.

To access a related CDC Travelers' Health outbreak notice, go to: http://wwwn.cdc.gov/travel/contentYellowFeverBrazil.aspx

On January 18, NCIRD updated its Current Vaccine Shortages & Delays web section with the following announcement: "CDC has been informed of a temporary shortage of single-dose vials of YF-VAX, the only yellow fever vaccine marketed in the United States. The 5-dose vials of YF-VAX continue to be available in sufficient supply."

In a related move, CDC's Travelers' Health web section posted an announcement with additional details. The announcement is being continually updated.

To access the Travelers' Health announcement, go to:
http://wwwn.cdc.gov/travel/contentYellowFeverVaccineShortage.aspx

To access information about all current vaccine shortages and delays in the United States, go to NCIRD's Current Vaccine Shortages & Delays web section at http://www.cdc.gov/vaccines/vac-gen/shortages

Influenza vaccination should continue from now into the early months of 2008. Visit the following websites often to find the information you need to keep vaccinating. Both are continually updated with the latest resources.

The National Influenza Vaccine Summit website at
http://www.preventinfluenza.org

CDC's Seasonal Flu web section at http://www.cdc.gov/flu

The January 15 issue of "Influenza Activity Spotlights," the newsletter of the National Influenza Vaccine Summit (NIVS) is now available online.

To access the January 15 issue, go to:
http://www.preventinfluenza.org/summit_news_11508.pdf

For continually updated influenza information, visit the NIVS homepage often at http://www.preventinfluenza.org

CDC recently augmented its Seasonal Flu web section with a summary of information for clinicians and a compendium of basic information for the public.

(1) "Influenza Vaccination: A Summary for Clinicians" (1/18/08)

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

(2) "Seasonal Flu Basics" (1/9/08)

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

To access a broad range of continually updated information on seasonal influenza, avian influenza, pandemic influenza, and swine influenza, go to: http://www.cdc.gov/flu

Families Fighting Flu (FFF) has recently launched a new electronic newsletter, "Fighting Influenza." FFF is a non-profit corporation comprising families and healthcare professionals who have experienced the death or serious illness of a child as a result of influenza.

To access the new newsletter, go to:
http://www.familiesfightingflu.org/docs/FFFnewsletter_Jan08.pdf

To access the FFF homepage, go to:
http://www.familiesfightingflu.org

CDC's Travelers' Health web section has posted information intended to help those traveling to Asia for Lunar New Year avoid infection with bird flu and other contagious illnesses. The information, which is being continually updated, is found under the heading "In the News: Keeping Yourself Safe from Bird Flu: An Important Message for People Traveling to Asia to Celebrate the Lunar New Year (February 7, 2008)."

To access the information, go to:
http://wwwn.cdc.gov/travel/contentAvianFluLunarNewYear08.aspx

IAC recently revised the following two quizzes for healthcare professionals. To test your knowledge of immunization and vaccine administration, just click on the links below:

To access a ready-to-print (PDF) version of "Quiz #1: Immunization," go to: http://www.immunize.org/catg.d/p7001.pdf

To access a ready-to-print (PDF) version of "Quiz #2: Vaccine Administration," go to: http://www.immunize.org/catg.d/p7002.pdf

The January 16 issue of Hep Express, an electronic newsletter published by IAC, is now available online. It is intended for health professionals, program planners, and advocates involved in prevention, screening, and treatment of viral hepatitis.

IAC Express has already covered some of the information presented in the January 16 Hep Express; titles of articles we have not yet covered follow.

• Hepatitis Foundation International wins regional Emmy award for video aimed at youth
• VHPB [Viral Hepatitis Prevention Board] updates its website with new resources
• Journal articles you may have missed

To access the January 16 issue, go to:
http://www.hepprograms.org/hepexpress/issue66.asp

To sign up for a free subscription to Hep Express, go to:
http://www.immunize.org/subscribe

To access previous issues of Hep Express, go to:
http://www.hepprograms.org/hepexpress