IAC Express 2010
Issue number 889: September 20, 2010
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Contents of this Issue
Select a title to jump to the article.
  1. "Dear Colleague" joint letter urges healthcare professionals to vaccinate pregnant women against influenza
  2. CDC publishes prevention strategies for influenza in healthcare settings
  3. Dear Abby to publish letter on Monday, September 27, about the importance of influenza immunization
  4. MMWR reports on vaccination coverage of children ages 19-35 months
  5. New DVD for 2010! "Immunization Techniques: Best Practices with Infants, Children, and Adults"--from the California Department of Public Health, Immunization Branch
  6. IAC updates standing orders for rotavirus and meningococcal vaccination
  7. IAC updates Q&A handouts about influenza, HPV, and rabies
  8. Spotlight on immunize.org: Find current listings of free continuing ed opportunities
  9. IAC's Video of the Week looks back at the 2009-10 H1N1 influenza epidemic
  10. Influenza VISs now available in 10 additional languages
  11. Learn more about vaccine storage and handling and earn free continuing education credits
  12. Virtual Immunization Communication Network launches new website
  13. "All Things Considered" vaccine conference scheduled for November 8-9 in Washington, DC
 
Abbreviations
AAFP, American Academy of Family Physicians; AAP, American Academy of Pediatrics; ACIP, Advisory Committee on Immunization Practices; AMA, American Medical Association; CDC, Centers for Disease Control and Prevention; FDA, Food and Drug Administration; IAC, Immunization Action Coalition; MMWR, Morbidity and Mortality Weekly Report; NCIRD, National Center for Immunization and Respiratory Diseases; NIVS, National Influenza Vaccine Summit; VIS, Vaccine Information Statement; VPD, vaccine-preventable disease; WHO, World Health Organization.
  
Issue 889: September 20, 2010
1.  "Dear Colleague" joint letter urges healthcare professionals to vaccinate pregnant women against influenza On September 15, CDC posted a "Dear Colleague" letter signed by representatives of 10 organizations urging healthcare providers to recommend influenza vaccination to their pregnant and postpartum patients this season. The letter was signed by the American Academy of Family Physicians, American Academy of Pediatrics, American College of Nurse-Midwives, American College of Obstetricians and Gynecologists, American Medical Association, American Nurses Association, American Pharmacists Association, Association of Women's Health, Obstetric and Neonatal Nurses, March of Dimes, and CDC.

To access this "Dear Colleague" letter in PDF format, including signatures, go to: http://www.cdc.gov/flu/pdf/influenza_and_pregnancy_letter.pdf

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2 CDC publishes prevention strategies for influenza in healthcare settings

On September 17, CDC posted "Prevention Strategies for Seasonal Influenza in Healthcare Settings" on its Seasonal Influenza website. This guidance supersedes previous CDC guidance for both seasonal influenza and the Interim Guidance on Infection Control Measures for 2009 H1N1 Influenza in Healthcare Settings, which was written to apply uniquely to the special circumstances of the 2009 H1N1 pandemic as they existed in October 2009.

To access this document, go to: http://www.cdc.gov/flu/pdf/infectioncontrol_seasonalflu_ICU2010.pdf

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3 Dear Abby to publish letter on Monday, September 27, about the importance of influenza immunization

Be sure to turn the pages of your newspaper to Dear Abby's column on Monday, September 27. The column is scheduled to publish a letter from Dr. Deborah Wexler, executive director of the Immunization Action Coalition, urging everyone 6 months and older to get vaccinated against influenza this year.

From IAC's past experience being published in Dear Abby's column, we want to alert immunization providers that they may get a number of phone calls from people seeking appointments for influenza vaccination after the column is published.

If possible, we would appreciate your clipping the September 27 column from your newspaper (including the headline, name, and location of the newspaper) and faxing or mailing it to us. We'd like to see the different headlines various papers generate for the column.

Our fax number is (651) 647-9131; our mailing address is Immunization Action Coalition, 1573 Selby Ave., Ste. 234, St. Paul, MN 55104. Thank you for your help with this.

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4 MMWR reports on vaccination coverage of children ages 19-35 months CDC published "National, State, and Local Area Vaccination Coverage Among Children Aged 19-35 Months--United States, 2009" in the September 17 issue of MMWR. The first paragraph is reprinted below.


Since 1994, the National Immunization Survey (NIS) has been collecting data to monitor childhood immunization coverage. This report describes the 2009 NIS coverage estimates for children born during January 2006-July 2008 and focuses on the more recently recommended vaccines (i.e., hepatitis B [HepB] vaccine birth dose, hepatitis A vaccine [HepA], pneumococcal conjugate vaccine [PCV], and rotavirus vaccine) for children aged 19-35 months. The most recent NIS data indicate that vaccination coverage increased in 2009 compared with 2008 for HepB birth dose (from 55.3% to 60.8%) and HepA (from 40.4% to 46.6%), but coverage for PCV (>=4 doses) remained stable (80.4%). Full coverage for rotavirus vaccine was 43.9% among children born within 2 years of licensure. Coverage for poliovirus (92.8%), measles, mumps, and rubella (MMR) (90.0%), hepatitis B (HepB) (92.4%), and varicella (VAR) (89.6%) vaccines continued to be at or near the national health objective of 90%, although coverage for MMR and HepB vaccines decreased slightly in 2009. The percentage of children who have not received any vaccines remained low (<1%). Parents and primary-care providers continued to ensure that children were vaccinated, in spite of interim recommendations to suspend the booster dose of Haemophilus influenzae type b vaccine (Hib) because of a national shortage, and heightened public awareness of controversies in vaccine safety.

To access the full article in web-text (HTML) format, go to: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5936a2.htm

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5 New DVD for 2010! "Immunization Techniques: Best Practices with Infants, Children, and Adults"--from the California Department of Public Health, Immunization Branch

The California Department of Public Health (CDPH), Immunization Branch, recently updated its award-winning training video, "Immunization Techniques: Best Practices with Infants, Children, and Adults." The 25-minute program can be used to train new employees and to refresh the skills of experienced staff. The video demonstrates the skills and techniques needed to administer vaccines to patients of all ages. It includes instruction on the following:

  • Selecting, preparing, and administering injectable, oral, and nasal vaccines
     
  • Documenting immunizations
     
  • Making patients comfortable and educating them
     
  • Facilitating staff and patient communication

Prices start at $17 each for 1-9 copies and are greatly reduced for large orders, dropping to $4.25 each for 1,000-1,500 copies.

To learn more about the DVD, and find out how to order it, go to: http://www.immunize.org/shop/toolkit_iztechdvd.asp

For quotes on larger quantities, call (651) 647-9009 or email admininfo@immunize.org

The Immunization Action Coalition is the only nationwide vendor of this new DVD.

Note for healthcare settings located in California: Contact your local health department immunization program for a free copy

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6 IAC updates standing orders for rotavirus and meningococcal vaccination

IAC recently revised the following three standing orders handouts for healthcare professionals and their patients.

(1) IAC updated "Standing Orders for Administering Rotavirus Vaccine to Children" to add severe combined immunodeficiency (SCID) as a contraindication. Go to: http://www.immunize.org/catg.d/p3087.pdf

(2) IAC updated "Standing Orders for Administering Meningococcal Vaccine to Children & Teens" to take into account the licensing of Menveo, and to change the abbreviation of MCV4 to the preferred MenACWY. Go to: http://www.immunize.org/catg.d/p3081a.pdf

(3) IAC updated "Standing Orders for Administering Meningococcal Vaccine to Adults" to take into account the licensing of Menveo, and to change the abbreviation of MCV4 to the preferred MenACWY. Go to: http://www.immunize.org/catg.d/p3081.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 guidance for newborn-nursery hepatitis B vaccination, go to: http://www.immunize.org/standing-orders

IAC's Handouts for Patients and Staff web section offers healthcare professionals and the public approximately 250 FREE English-language handouts (many also available in translation), which we encourage website users to print out, copy, and distribute widely. To access all of IAC's free handouts, go to: http://www.immunize.org/handouts

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7 IAC updates Q&A handouts about influenza, HPV, and rabies IAC recently revised "Seasonal Influenza: Questions and Answers," "Human Papillomavirus (HPV): Questions and Answers," and "Rabies: Questions and Answers." These resources are appropriate for both healthcare professionals and their patients.

"Seasonal Influenza: Questions and Answers" was revised to be pertinent for the 2010-11 influenza season by changing dates and removing information about monovalent H1N1 influenza vaccine. Go to: http://www.immunize.org/catg.d/p4208.pdf

"Human Papillomavirus (HPV): Questions and Answers" was updated to include more information about both Gardasil (Merck) and Cervarix (GlaxoSmithKline). Go to: http://www.immunize.org/catg.d/p4207.pdf

"Rabies: Questions and Answers" was updated to reflect the change in recommendations for post-exposure prophylaxis vaccination as well as some current statistics. Go to: http://www.immunize.org/catg.d/p4216.pdf

To access a table with links to IAC's Q&A handouts for each vaccine, go to: http://www.immunize.org/handouts/vaccine-questions.asp

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8 Spotlight on immunize.org: Find current listings of free continuing ed opportunities

Did you know that you can earn continuing education credits (e.g., CMEs, CNEs, CEUs) by reading almost any recent ACIP statement and completing a short quiz? The Continuing Education Opportunities section on immunize.org includes lists for 15 sources of continuing education activities about immunization for nurses, physicians, pharmacists, and allied health professionals. Most activities are offered free of charge.

Along with a link to CDC's MMWR continuing education program, IAC's listing of educational opportunities for health professionals includes links to the agency's vaccine education and training website and Public Health Training Network. Also, find free courses from California Distance Learning Health Network, National Association of Pediatric Nurse Associates and Practitioners (NAPNAP), Vaccine Quarterly, and many more.

Browse IAC's selection of continuing education offerings on immunization for health professionals and explore ongoing and new opportunities to earn free CE credits: http://www.immunize.org/resources/contedu.asp

If you have additional continuing education opportunities to recommend for inclusion on immunize.org, please send your suggestion(s) by email to maryq@immunize.org

In addition to the Continuing Education Opportunities listing, IAC's online compendium of immunization resources includes descriptions and links for the following sections: Books and Periodicals, CDC Materials, Email News Services, Government Agencies, Hotlines, Partner Organizations, International Organizations, Vaccine Manufacturers and Package Inserts. To access these sections, go to http://www.immunize.org/resources

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9 IAC's Video of the Week looks back at the 2009-10 H1N1 influenza epidemic

IAC encourages IAC Express readers to watch a 7-minute video on the H1N1 influenza epidemic. Titled "H1N1 Influenza in Review: The HHS Response," this video reviews the U.S. government's coordinated response that helped save lives and limit the impact of the outbreak.

The video will be available on the home page of IAC's website through September 26. To access it, go to: http://www.immunize.org and click on the image under the words Video of the Week.

Remember to bookmark IAC's home page to view a new video every Monday. To view an IAC Video of the Week from the past, go to the video archive at http://www.immunize.org/votw

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10.  Influenza VISs now available in 10 additional languages

The 2010-11 VISs for trivalent inactivated influenza vaccine (TIV; injectable) and live attenuated intranasal influenza vaccine (LAIV; nasal spray) are now available in Bengali, Chinese, French, Korean, Romanian, Russian, Somali, Urdu, and Vietnamese. IAC gratefully acknowledges the Oregon Immunization Program for the Chinese, Korean, Romanian, Russian, Somali, and Vietnamese translations and the New York City Department of Health and Mental Hygiene for the Bengali, French, and Urdu versions.

The TIV VIS is also available in Thai, thanks to Asian Pacific Health Care Venture, Inc., Los Angeles, CA.

To access the new translations of the VIS for injectable influenza vaccine, as well as the injectable influenza vaccine VIS in English and other translations, go to: http://www.immunize.org/vis/vis_flu_inactive.asp

To access the new translation of the VIS for nasal-spray influenza vaccine, as well as the nasal-spray influenza vaccine VIS in English and other translations, go to: http://www.immunize.org/vis/vis_flu_live.asp

For information about the use of VISs, and for VISs in more than 35 languages, visit IAC's VIS web section at http://www.immunize.org/vis

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11.  Learn more about vaccine storage and handling and earn free continuing education credits

On August 26, the School of Public Health, University at Albany, State University of New York, co-sponsored a webcast on proper vaccine storage and handling titled "Protecting your Vaccine: Protecting your Patients." The course content is now available online, including handouts.

After taking the course participants will be able to:

  • Identify the financial and practical costs of vaccine mishandling
     
  • Explain the roles and responsibilities of nurses in protecting vaccines from storage errors and mishandling
     
  • Identify critical components of a vaccine storage and handling emergency plan

There is no charge to access the archived version of the course. Continuing education credit is available.

To access "Protecting your Vaccine: Protecting your Patients" online, go to: http://www.albany.edu/sph/coned/phl/protect.htm

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12.  Virtual Immunization Communication Network launches new website

The Virtual Immunization Communication Network (VICNetwork) is a partnership between the National Public Health Information Coalition and the California Immunization Coalition. The VICNetwork strives to educate local and national health organizations, coalitions, and public health departments about effective immunization communication strategies, the importance of utilizing new media technologies to convey consistent immunization messages, and current immunization issues.

The VICNetwork recently launched a new website that includes information about upcoming events, archived webinars, and other resources. To visit, go to: http://vicnetwork.org

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13.  "All Things Considered" vaccine conference scheduled for November 8-9 in Washington, DC

GTCbio will present its 8th annual "Vaccines: All Things Considered" conference in Washington, DC, on November 8-9. The conference presents updates on vaccine development, including research, manufacturing, regulations, investment, and policy.

For more information, go to: http://gtcbio.com/conferenceDetails.aspx?id=166

To access information on upcoming conferences that concern vaccines, visit IAC's Calendar of Events at http://www.immunize.org/calendar

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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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