May/June 2020

AAP Clinical Guidance: Routine Vaccines during COVID-19

AAP has released a Q&A offering guidance on administering routine vaccines during the COVID-19 pandemic. Examples include:
  • Scheduling well visits in the morning and sick visits in the afternoon.
  • Separating patients spatially, such as by placing patients with sick visits in different areas of the clinic or another location from patients with well visits.
  • Collaborating with providers in the community to identify separate locations for holding well visits for children.
Immunizing the youngest children is top priority in the context of well child care. This guidance is subject to change as new evidence on the SARS-CoV-2 virus emerges. The full Q&A is located here: https://services.aap.org/en/pages/covid-19-clinical-guidance-q-a/

Shared Clinical Decision-Making

The CDC has issued a list of frequently asked questions (FAQs) to provide clarity on the Advisory Committee on Immunization Practices’ (ACIP) shared clinical decision-making recommendations. You can find these FAQs at: https://www.cdc.gov/vaccines/acip/acip-scdm-faqs.html

Vaccine Ordering Guidance

VVFC providers can order vaccine as often as necessary. If your last order and inventory were entered within 14 days, CDC’s ordering system can approve another order without the current inventory. CDC recommends that providers place orders when they have a four-week supply of vaccine available, to ensure there is enough vaccine in stock to allow for any potential delays. Contact your VFC consultant or the order center for assistance.

Primary and Back-up Coordinator Requirement

Each VVFC provider must have a primary and back-up coordinator. To effectively perform their duties, the vaccine coordinator AND back-up coordinator must be fully trained. VVFC providers are required to notify the order center when there is a change in coordinators.

Updated Vaccine Information Statements (VISs)

VISs for DTaP (Diphtheria, Tetanus, and Pertussis), Td (Tetanus and Diphtheria), Tdap (Tetanus, Diphtheria, and Pertussis), Yellow Fever, and the Multi-Vaccines VISs have been updated. You are encouraged to begin using the new VISs immediately, but stocks of the previous editions may be used until exhausted. VISs can be found here: https://www.cdc.gov/vaccines/hcp/vis/current-vis.html?deliveryName=USCDC_11_1-DM24705


Outstanding VVFC Compliance
Centercare Family Practice, King George
Children’s Health, Fredericksburg
Neighborhood Health-Casey, Alexandria
Neighborhood Health-2 East, Alexandria
Pediatric Associates West, Charlottesville
Pedsplus Primary Care, Fredericksburg
South Hill Family Medicine, South Hill

Process Improvement
The Pediatric Group in Chantilly is recognized for storage/handling/inventory management.

Temperature Excursions and Stability Guidance

GSK and Sanofi Pasteur have electronic, self-service tools to determine if data support the stability of vaccine at the temperature and excursion time provided by healthcare professionals. The tools provide letters containing the temperature stability information required by the order center for all temperature excursions.
The GSK website for the stability tool is located here: https://www.gskusmedicalaffairs.com/
The Sanofi U.S. Medical Information website located here: https://www.sanofiusmedicalinformation.com/

HPV Webinars and Registration Links

April 22 at 4pm - How to Strongly Recommend the HPV Vaccine to Promote Uptake.
The speaker is Gregory Zimet, PhD, Indiana University School of Medicine, Co –Director, The Center for HPV Research. CME, CNE, Social Work and Pharmacy CE credits offered.
Register by visiting the VVFC website located here: http://www.vdh.virginia.gov/immunization/vvfc/

April 30 at 8am - HPV Infection and the Association with Head and Neck Cancers.
The presenter is Jessica Yesensky, MD, IU Health Physicians Otolaryngology Head and Neck Surgery. CME, CNE, Social Work, Pharmacy, and Dental CE credits offered.
Register by visiting the VVFC website located here: http://www.vdh.virginia.gov/immunization/vvfc/

Adult Vaccine Update

New Handout: “Talking to Pregnant Women about Vaccines”
Vaccines are an important part of a healthy pregnancy and pregnant women may have questions about them. CDC created the “Talking to Pregnant Women about Vaccines handout” for prenatal care providers to help address commonly asked questions about vaccines during pregnancy. The handout is located here: https://www.cdc.gov/vaccines/pregnancy/hcp-toolkit/downloads/talking-about-vaccines-508.pdf
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VVFC http://www.vdh.virginia.gov/immunization/vvfc/
VVFA http://www.vdh.virginia.gov/immunization/vvfa/
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