Immunization Works March 2013
Vaccines For Young Children Do Not Increase Risk of Autism—Press Release in The Journal of Pediatrics: Although scientific evidence suggests that vaccines do not cause autism, approximately one-third of parents continue to express concern that they do. Nearly one in 10 parents refuse or delay vaccinations because they believe it is safer than following the CDC childhood immunization schedule. A primary concern is the number of vaccines administered, both on a single day and cumulatively over the first two years of life. In a new study just released for publication, researchers concluded that there is no association between receiving “too many vaccines too soon” and autism. Please visit The Journal of Pediatrics web page for the full publication, “Increasing Exposure to Antibody-Stimulating Proteins and Polysaccharides in Vaccines Is Not Associated With Risk of Autism[7 pages]” and also the editorial.
Prevention and Control of Meningococcal Disease—ACIP: The March 22 MMWR compiles and summarizes all recommendations from CDC’s Advisory Committee on Immunization Practices (ACIP) regarding prevention and control of meningococcal disease in the United States, specifically the changes in the recommendations published since 2005, and describes the process undertaken and the rationale used in support of these recommendations. This report is a comprehensive summary of previously published recommendations and does not contain any new recommendations. It is intended for use by clinicians as resource guidelines for antimicrobial chemoprophylaxis and evaluation and management of suspected outbreaks of meningococcal disease.
Meningococcal disease describes the spectrum of infections caused by Neisseria meningitidis, including meningitis, bacteremia, and bacteremic pneumonia. Meningococcal disease develops rapidly, typically among previously healthy children and adolescents, and results in high morbidity and mortality. For unknown reasons, incidence has declined since the peak of disease in the late 1990s, and approximately 800-1,200 cases are reported annually in the United States. This decline began before implementation of routine use of meningococcal vaccines in adolescents and has occurred in all serogroups. Four vaccines are licensed in the United States and provide protection against four (A, C, W, and Y) and two (C and Y) serogroups. Vaccines that protect against serogroup B meningococcal disease are not available in the United States.
Meningococcal vaccination is recommended for groups at increased risk for disease. These groups include adolescents, persons with certain medical conditions, and persons with increased risk for exposure. Among these risk groups, the number of vaccine doses (i.e., two- or four-dose primary series or a single dose with or without a booster dose) and vaccine product are determined by the indication for vaccination and age. In certain situations such as special dosing regimens (i.e., booster dose[s] or serial vaccination and two-dose primary series for persons older than two years of age), off-label use of meningococcal vaccine has been recommended. Special dosing regimens have been recommended on the basis of data from studies of immunologic response to vaccination, postlicensure observational data, and the need for long-term protection in certain risk groups.
ACIP recommendations for meningococcal vaccination have been summarized. Details regarding dosing (two- or four-dose primary series or a single dose with or without a booster dose), contraindications, precautions, and special circumstances (e.g., adolescents infected with human immunodeficiency virus [HIV] and asplenic children) are described in this report.
NIIW 2013: National Infant Immunization Week (NIIW) is set for April 20-27, 2013. NIIW is an annual observance to promote the benefits of immunizations and to improve the health of children younger than two years old. Since 1994, local and state health departments, national immunization partners, health care professionals, community leaders from across the United States, and CDC have worked together through NIIW to highlight the positive impact of vaccination on the lives of infants and children, and to call attention to immunization achievements. NIIW will be celebrated as part of World Immunization Week (WIW), an initiative of the World Health Organization (WHO) scheduled for April 24-30, 2013. During WIW, all six WHO regions, including more than 180 Member States, territories, and areas, will simultaneously promote immunization, advance equity in the use of vaccines and universal access to vaccination services, and enable cooperation on cross-border immunization activities. Please visit the NIIW website for additional information.
With NIIW right around the corner, you can access CDC’s newest materials to help you promote infant immunizations in your communities. While these pieces are designed to be “evergreen” so that you can use them throughout the year, consider utilizing them during NIIW by asking your local newspapers to publish the print ads and drop-in articles, or your partners to use the materials in their newsletters. You can view and download the new video PSAs, print ads, web buttons, and more from the NIIW website.
Also, see what others are planning for NIIW, and share your activities through the NIIW activity registry.
The 2012-2013 Influenza Season: The influenza season has peaked and is winding down. CDC routinely recommends vaccination as long as influenza viruses are circulating, but since it takes two weeks for vaccine to become protective and flu activity is winding down, the window for vaccination this season is closing. Because of the ongoing influenza activity, however, CDC continues to urge people at high risk from flu complications, including people 65 and older, to seek treatment quickly if they develop flu symptoms, including cough, fever, sore throat, and body aches. Antiviral treatment can prevent serious outcomes and should begin as quickly as possible in high-risk persons, including people 65 and older, young children, pregnant women, and people with certain chronic conditions such as asthma, heart disease, diabetes, and neurological disorders. A total of 134.9 million doses of seasonal influenza vaccine were distributed for the 2012-2013 season. The final flu distribution chart is available on the seasonal influenza web page.
Flu vaccine ordering for 2013-2014 has begun! As the 2012-2013 flu season has shown, it is important to pre-book vaccine as soon as it is available. According to manufacturers, some quadrivalent (four component) vaccine will be available during the 2013-2014 season, though supplies will be limited. Most of the flu vaccine offered next season will still be trivalent (three component). On February 27, 2013, FDA’s Vaccines and Related Biological Products Advisory Committee (VRBPAC) announced its recommendations for the vaccine viruses to be included in the 2013-2014 influenza vaccines. The meeting materials are available on the FDA website.
Learning about flu can be fun!The National Foundation for Infectious Diseases and the National Association of School Nurses have teamed up to produce a coloring book for children[14.5 MB, 14 pages] that teaches about the importance of being a “flu fighter.” Please spread the word with this new tool.
Don’t forget to check out the flu partner website, where partners can enter activities into the calendar of events for the 2012-2013 flu season or submit partner success stories. A calendar of events for the 2013-2014 season will be made available soon. As always, please email firstname.lastname@example.org for any flu-related questions or comments.
Meetings and Conferences
ACIP Meeting: The most recent ACIP meeting was held on February 20-21, 2013, in Atlanta, Georgia. Please visit the ACIP meeting web page for presentation slides, meeting minutes, and additional information. The next ACIP meeting will be held on June 19-20, 2013.
Annual Conference on Vaccine Research: The 16th Annual Conference on Vaccine Research will be held April 22-24, 2013, in Baltimore, Maryland. The conference provides high-quality and current reports of scientific progress featured in both invited presentations and submitted oral abstracts and posters. By drawing upon an international audience of scientists and researchers, health care professionals and trainees, veterinarians, vaccine manufacturers, and public health officials, the conference organizers aim to encourage the exchange of ideas across a broad range of disciplines.
Save the Date: April 24, 2013, is World Meningitis Day, which seeks to encourage individuals, families, and communities to learn the signs and symptoms of meningitis, the importance of urgent treatment of the disease, and that prevention is available through vaccination against some forms of meningitis. World Meningitis Day is organized by the Confederation of Meningitis Organizations (CoMO), which was formed in 2004 and whose members include organizations and individuals in 25 countries across the Americas, Asia Pacific, and Europe/Africa. In addition to encouraging participation in local events, CoMO invites all to log on to their CoMO website to join hands against meningitis in a global virtual community. You can also join the cause on CoMO’s Facebook.
Resources and Information
Current Issues in Immunization Netconference: The most recent netconference was held on March 21, 2013. The moderator was Andrew Kroger. Carolyn Bridges presented “Update on Adult Immunizations,” Jennifer Liang presented “Updated Tdap Vaccine Recommendations for Pregnant Women,” and Iyabode (Yabo) Beysolow presented “2013 Childhood and Adolescent Immunization Schedules.”
A re-cast will be available soon on the netconference web page. The next netconference is scheduled for July 25, 2013.
You Call the Shots Modules: The Hepatitis A module was just added to the NCIRD web-based training course You Call the Shots, and the Vaccine Storage and Handling and Vaccines for Children (VFC) modules were added in February. Please visit the You Call the Shots web page for additional information. Continuing Education (CE) credit is also available.
Pertussis (Whooping Cough) Infographic: Pregnant women now need a Tdap shot during every pregnancy to protect them from pertussis and pass some protection to their newborns. Learn the three best ways to protect babies from whooping cough in this new CDC pertussis infographic.
Pertussis Educational Posters: With rising rates of pertussis in many states across the country, efforts are underway to raise awareness about vaccine recommendations. See new downloadable posters at the pertussis print material web page.
Adult Immunization Materials: Prescription pads are now available for order from the Public Health Foundation. Health care providers may find the new prescription pads very helpful. The pad is actually a checklist health care providers can use to counsel patients about which vaccines are right for them. Each sheet lists 17 possible vaccinations and serves as a convenient resource for patients and providers. Help us strengthen that all-important provider recommendation to any group of adult patients.
Also visit the CDC Vaccines for Adult Patients resource web page, which has various materials available for download to educate and encourage adult patients to get vaccinated. The resources are part of a new vaccine for adults website providing general information on adult vaccination. Targeted groups include young adults (19-26 years), pregnant women, adults with chronic health conditions, and older adults (60+ years and older).
Adult Vaccine Finder Now Available: If you are interested in letting the public know about vaccines offered at your practice or clinic, please visit the HealthMap Vaccine Finder. The site already includes more than 54,000 locations that provide flu shots, and has provided this information to 500,000 users from the general public. On January 28, 2013, the site expanded to include 10 additional adult vaccines. You can also register your location on this website.
Resources From the Vaccines for Preteens and Teens Campaign: In this 30-second Spanish language television PSA, a busy Hispanic mother receives a call from her doctor reminding her to get her adolescent son and daughter caught up on their shots. Please visit the Preteen and Teen Campaign web page to view this PSA and the accompanying English PSA.
New plain-language fact sheets provide detailed information about each of the vaccines routinely recommended for adolescents, including Tdap, meningococcal vaccine, the HPV vaccine, and the seasonal influenza vaccine. There is also a new fact sheet summarizing all of the vaccine recommendations for adolescents. Spanish versions will be coming soon, so please check back with the website. Health care providers will find this new teen fact sheet[4 pages] full of useful information about adolescent vaccine recommendations, side effects, and contraindications. The fact sheet also includes tips for ensuring that their adolescent patients are fully vaccinated. CDC has also created a new reminder/recall e-card that providers can send to parents of adolescents.
An updated HPV matte article explains the latest HPV vaccine recommendations for girls and boys. It is approximately 450 words, and can be placed directly into your newsletter or posted on your website.
CDC and Medscape Videos: This special series of commentaries is part of a collaboration between CDC and Medscape and is designed to deliver CDC’s authoritative guidance directly to Medscape’s physicians, nurses, pharmacists, and other health care professionals. In this series, experts from CDC offer video commentaries on the current topics important to practicing clinicians. NCIRD has contributed to a variety of commentaries, including a recently released commentary titled “Protecting Patients From Deadly Pertussis: Updated Vaccine Guidelines,” featuring Tami Skoff. You will need to sign up as a member to view the video.
Vaccines for Preteens and Teens: The 2011 NIS-teen coverage data showed that for the third year in a row, the increase in coverage for human papillomavirus (HPV) vaccine was half of the increases seen for Tdap and MCV4 vaccine coverage. CDC is urging parents, health care professionals, and immunization partners to make HPV vaccination a priority by educating their communities on the importance of getting HPV vaccine for girls and boys at the recommended ages of 11 or 12 years to prevent HPV-related cancer and disease. Help us spread the word that HPV vaccine is cancer prevention.
CDC data show that Hispanic women have the highest rates of cervical cancer in the United States and black women are more likely to die of this disease than women of other races or ethnicities. April is National Minority Health Month and we are calling on our partners to help achieve health equity by spreading the word about the importance of HPV vaccination for racial and ethnic minority populations. The following resources, tailored specifically to minority populations, will help you promote this message: 1) Add our newest HPV minority health matte articles to your newsletter, website or blog; and/or 2) Share HPV vaccine fact sheets with teens, parents, caregivers, and health care professionals.
CDC’s Division of STD Prevention released updated HPV statistics. Please be sure your materials and messages are up to date. Approximately 79 million Americans are currently infected with HPV, and about 14 million people become newly infected each year. HPV is so common that nearly all sexually active men and women get it at some point in their lives. A presentation containing HPV statistics and HPV vaccine information, along with tips for helping vaccinators strengthen their recommendation of the HPV vaccine will be available online this spring.
Immunization Publications: Please visit the NCIRD publications ordering form for the latest immunization publications. Copies of the 2012 Immunization Works DVD, Surveillance of Vaccine-Preventable Diseases DVD, the Parents Guide to Childhood Immunizations, and various campaign materials are available for ordering. Copies of the 2013 immunization schedules will be available in early April.
CDC Job Openings: CDC is committed to recruiting and hiring qualified candidates for a wide range of immunization and other positions. Researchers, Medical Officers, Epidemiologists, and other specialists are often needed to fill positions within CDC. For a current listing, including international opportunities, please visit CDC’s employment web page.
Images and logos on this website which are trademarked/copyrighted or used with permission of the trademark/copyright or logo holder are not in the public domain. These images and logos have been licensed for or used with permission in the materials provided on this website. The materials in the form presented on this website may be used without seeking further permission. Any other use of trademarked/copyrighted images or logos requires permission from the trademark/copyright holder...more
This graphic notice means that you are leaving an HHS Web site. For more information, please see the Exit Notification and Disclaimer policy.