July/ August 2019

CDC Vaccine Schedules App

Use CDC’s Vaccine Schedules App to access recommended immunization schedules and footnotes. Download here:https://www.cdc.gov/vaccines/schedules/hcp/schedule-app.html

Options for Giving VISs

Vaccine Information Statements (VISs) are information sheets produced by the CDC that explain both the benefits and risks to vaccine recipients. Learn more about ways to give a VIS: https://www.cdc.gov/vaccines/hcp/vis/about/facts-vis.html

Back-up Coordinator Requirement

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

CDC Webinar Series on "The Pink Book"

CDC is presenting a 15-part webinar series to provide a chapter-by-chapter overview of the 13th edition of Epidemiology and Prevention of Vaccine-Preventable Diseases. This is a live series of weekly 1-hour webinars that runs through September 26. All sessions begin at 12:00 p.m. (ET). Continuing education will be available for each event. The schedule is located here: https://www2.cdc.gov/vaccines/ed/pinkbook/

Temperature Excursions and Stability Guidance

When responding to a temperature excursion, DO NOT send package inserts. GSK and Sanofi Pasteur have electronic tools for obtaining stability data. These tools offer self-service temperature stability calculators 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/

Tdap (Do Not Administer at 10 Years of Age)

Centers for Disease Control and Prevention (CDC) routinely recommends Tdap as a single dose for those 11 through 18 years of age with preferred administration at 11 through 12 years of age. Those who receive a dose of Tdap or diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP) at age 7-10 years inadvertently or as part of the catch-up series should still receive the routine dose of Tdap at age 11-12 years. To align with ACIP, the Virginia General Assembly passed legislation effective July 1, 2019 affecting school immunization requirements for Virginia. The legislation changes §32.1-46 of the Virginia Code which relates to immunizations, by requiring the booster dose for acellular pertussis vaccine prior to seventh grade rather than 6th grade.


Outstanding VVFC Compliance
Fall Hill Pediatrics, Fredericksburg
General Booth Pediatrics, Virginia Beach
Madison Family Medicine, Vienna
New River Valley Pediatrics, Blacksburg
Pediatric Partners of Va., Richmond
Practice of Dr. Lee, Annandale

Process Improvement

Health & Wellness Center of Louisa has implemented a vaccine management system by Accuvax to facilitate meeting VFC requirements. The system stores and dispenses vaccine and separates stock by VVFC, VVFA and Private and generates inventory reports. The temperature logging system is built into the unit. Temps can be read on touch screen or when logged-in via computer.

Healthcare for the Homeless - Nominee for National Adult and Influenza Immunization Summit (NAIIS) Immunization Excellence Award

Once a week, a community of healthcare providers in a largely rural area comes together in a homeless shelter to provide a whole spectrum of preventative healthcare. This is a strategic effort between Central Shenandoah Health District (CSHD) and community partners. The program, Healthcare for the Homeless, was launched in October 2018 as a community effort to begin addressing the comprehensive needs of an underserved population in Augusta County, Virginia, and neighboring independent cities of Staunton and Waynesboro.

Adult Vaccine Update

Hepatitis A
CDC reports that hepatitis A cases have increased almost 300% from 2016–18, mostly related to widespread nationwide outbreaks among people reporting drug use or homelessness: https://www.cdc.gov/hepatitis/outbreaks/2017March-HepatitisA.htm Adult providers are encouraged to vaccinate at-risk clients through innovative strategies.
Vaccinating Adults Guide
IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download:http://www.immunize.org/guide/