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Immunization Works March 2014

Immunization Works March 2014 Newsletter


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NCIRD Announces New Twitter Account for Immunization Providers: NCIRD recently announced the introduction of a new Twitter account, @CDCizlearn. NCIRD will use this account to regularly post information on immunization-related education, training, and practice resources for health care providers, academics, public health professionals, and others interested in the administration and delivery of vaccines.

@CDCizlearn will highlight the following:

  1. CDC’s immunization education programs
    • Webinars
    • Netconferences
    • EpiVac
    • On-site training
    • Podcasts
    • Immunization courses
    • Medscape seminars
  2. Practice information for health care professionals
    • Immunization schedules and releases
    • ACIP meetings and recommendations
    • MMWR releases
    • Immunization reports and coverage data, including the National Immunization Survey
    • Vaccine shortages
    • Hot topic information (for example, flu vaccine administration during an outbreak)
    • Special events such as National Infant Immunization Week and Adult Immunization Week
    • Vaccine storage and handling

CDC encourages you to follow @CDCizlearn and retweet the information to your Twitter followers. If you have any questions about this new CDC Twitter account, please direct them to

New, Dynamic Look for Vaccines Website: CDC’s Vaccines website has a new look. The digital update is the first in a series of upgrades that incorporate new, dynamic technology that focuses on the individual user’s needs. The design is part of CDC’s commitment to providing current health science in plain language, accessible on mobile devices (smart phones, tablets, and laptops) as well as desktops.

Some of our pages have sported the new look for a while; now the entire site has been converted into the new format. Please note that while the look has changed, most of the content has not yet been modified. Check the bottom of the page for the “page last updated” and “page last reviewed” dates. New, updated content will come online as it is improved.

National Adult and Influenza Immunization Summit: The National Adult and Influenza Immunization Summit (NAIIS) is led by IAC, CDC, and the National Vaccine Program Office, and includes more than 400 partners. For information about the NAIIS annual meeting and NAIIS workgroups, as well as links to many resources related to adult vaccination, see the recently launched NAIIS website.

If you are an adult vaccine advocate who would like to become part of NAIIS, please e-mail Dr. Litjen Tan, chief strategy officer at IAC and co-chair of NAIIS, for more information.

Update on Vaccine-Derived Polioviruses—Worldwide, July 2012–December 2013: In 1988, the World Health Assembly resolved to eradicate poliomyelitis worldwide. One of the main tools used in polio eradication efforts has been live, attenuated oral poliovirus vaccine (OPV), an inexpensive vaccine easily administered by trained volunteers. OPV might require several doses to induce immunity, but then it provides long-term protection against paralytic disease through durable humoral immunity. Rare cases of vaccine-associated paralytic poliomyelitis can occur among immunologically normal OPV recipients, their contacts, and persons who are immunodeficient. In addition, vaccine-derived polioviruses (VDPVs) can emerge in areas with low OPV coverage to cause polio outbreaks and can replicate for years in persons who have primary, B-cell immunodeficiencies. The March 21 MMWR updates previous surveillance summaries and describes VDPVs detected worldwide during July 2012–December 2013.

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Influenza Information

Prevalence of Influenza-Like Illness and Seasonal and Pandemic H1N1 Influenza Vaccination Coverage Among Workers in the United States During the 2009–10 Influenza Season: During an influenza pandemic, information about the industry and occupation (I&O) of persons likely to be infected with influenza virus is important to guide key policy decisions regarding vaccine prioritization and exposure-control measures. Health care personnel (HCP) might have increased opportunity for exposure to influenza infection, and they have been prioritized for influenza vaccination because of their own risk and the risk that infected HCP pose to patients. To identify other groups of workers that might be at increased risk for pandemic influenza infection, influenza-like illness (ILI) and vaccination coverage data from the 2009 National H1N1 Flu Survey (NHFS), which was conducted from October 2009 through June 2010, were analyzed. In a representative sample of 28,710 employed adults, 5.5% reported ILI symptoms in the month before the interview, and 23.7% received the 2009 pandemic H1N1 (pH1N1) influenza vaccine. Among employed adults, the highest prevalence of ILI was reported by those employed in the industry groups “Real estate and rental and leasing” (10.5%) and “Accommodation and food services” (10.2%), and in the occupation groups “Food preparation and serving related” (11.0%) and “Community and social services” (8.3%). Both seasonal influenza and pH1N1 vaccination coverage were relatively low in all of these groups of workers. Adults not in the labor force (i.e., homemakers, students, retired persons, and persons unable to work) had ILI prevalence and pH1N1 vaccination coverage similar to those found in all employed adults combined; in contrast, ILI prevalence was higher and pH1N1 vaccination coverage was lower among unemployed adults (i.e., those looking for work). These results suggest that adults employed in certain industries and occupations might have increased risk for influenza infection, and that the majority of these workers did not receive seasonal or pH1N1 influenza vaccine. Unemployed adults might also be considered a high-risk group for influenza. Please visit the March 14 MMWR for the full report.

Impact of Requiring Influenza Vaccination for Children in Licensed Child Care or Preschool Programs in Connecticut During the 2012–13 Influenza Season: Preschool-aged children are at increased risk for severe influenza-related illness and complications. Congregate child care settings facilitate influenza transmission among susceptible children. To protect against influenza transmission in these settings, in September 2010, Connecticut became the second state (after New Jersey) to implement regulations requiring that all children aged 6–59 months receive at least one dose of influenza vaccine each year to attend a licensed child care program. To evaluate the impact of this regulation on vaccination levels and influenza-associated hospitalizations during the 2012–13 influenza season, vaccination data from U.S. and Connecticut surveys and the Emerging Infections Program (EIP) were analyzed. After the regulation took effect, vaccination rates among Connecticut children aged 6–59 months increased from 67.8% during the 2009–10 influenza season to 84.1% during the 2012–13 season. During the 2012–13 influenza season, among all 11 EIP surveillance sites, Connecticut had the greatest percentage decrease (12%) in the influenza-associated hospitalization rate from 2007–08 among children aged four years and younger. Additionally, the ratio of the influenza-associated hospitalization rates among children under four years of age to the overall population rate (0.53) was lower than for any other EIP site. Requiring vaccination for child care admission might have helped to increase vaccination rates in Connecticut and reduced serious morbidity from influenza. Please visit the March 7 MMWR for the full report.

Flu Season Resources: Are you promoting flu vaccination this season? CDC provides a variety of free materials for all audiences, including print, audio/video, social media tools, and web tools. This season CDC has added new flu promotional materials for grassroots outreach to health-disparate populations. Order these resources and more at the free flu resources web page; it’s one-stop shopping for up-to-date flu information!

Also, check out our flu partner website, where partners enter activities into the calendar of events for the 2013–14 flu season. Submit your flu prevention activities/events and see what others are planning now.

You can also visit CDC’s main flu website to access relevant Q&As; learn more about the most recent ACIP recommendations; keep up with national and international flu activity, surveillance, and vaccine coverage data; or view information tailored specifically for health care professionals.

Health Map Vaccine Finder: Need help finding flu vaccine? The Health Map Vaccine Finder helps consumers find flu vaccine within their communities.

Health care providers can register their locations on this site, which now shows availability for more than 38,000 locations. Spread the word to immunization providers about how they can register.

Flu-related questions and information requests (including web content syndication or how to receive updates via subscription) should be directed to CDC at

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Resources and Information

Current Issues in Immunization Netconference: Immunization netconferences are live, one-hour presentations combining an online visual presentation with simultaneous audio via telephone conference call and a live question and answer session. Internet access and a separate phone line are needed to participate. The most recent netconference was March 12, 2014, and that recast will be posted within the next few weeks. The next netconference is scheduled for April 2, 2014. Please visit the netconference web page for additional information and archived webcasts of past presentations.

You Call the Shots Modules: You Call the Shots is a web-based training course developed through the Project to Enhance Immunization Content in Nursing Education and Training. The Influenza, Vaccine Storage and Handling, and Vaccines for Children (VFC) modules have recently been updated and are now available. Please visit You Call the Shots for additional information and other modules. Continuing Education (CE) credit is available for viewing a module and completing an evaluation.

ACIP Meeting: The next ACIP meeting will be held June 25–26, 2014. Please visit the ACIP meeting web page for the agenda, presentation slides, meeting minutes, archived video broadcasts, and additional information.

Adult Immunization Materials: Adult resource materials are available for order from the Public Health Foundation, including a new prescription pad with a checklist health care providers can use to counsel patients about which vaccines are right for them. Each sheet on the pad lists 17 possible vaccinations and serves as a convenient resource for patients and providers.

Also visit CDC’s Adult Vaccination Information for Health Care and Public Health Professionals, which has various materials available for download to educate and encourage adult patients to get vaccinated. The resources, along with the new Vaccines for Adults website, provide general information on adult vaccination. Targeted groups include young adults (19–26 years), pregnant women, adults with special health conditions, and older adults (60 years and older).

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 providers. 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. You may need to sign up and log in as a member to view the videos. Registration is free.

Immunization Resources: NCIRD publications are available for ordering at CDC-INFO on Demand. You can search for immunization publications by using the “Programs” drop down menu (Immunization and Vaccines) or you can search by “Title.” Numerous items, including the Parents Guide to Childhood Immunizations and flu campaign materials, are available for ordering. The 2014 printed and laminated 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.

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Calendar of Events

National Infant Immunization Week (NIIW), April 26–May 3, 2014, nationwide

17th Annual Conference on Vaccine Research, April 28–30, 2014, Bethesda, MD

2014 National Adult and Influenza Immunization Summit, May 12–15, 2014, Atlanta, GA

Pennsylvania Immunization Conference, June 19, 2014, Wyomissing, PA


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