Volume 18 – Number 3 October 2014 (Content current VACCINATE ADULTS! as of October 21) from the Immunization Action Coalition — www.immunize.org New ACIP Recommendations Include Important Changes What’s In This Issue for the Use of Influenza and Pneumococcal Vaccines ACIP Recommendations: An Update ...... ......... 1 Ask The Experts: CDC Answers Questions ....... 1 Influenza Vaccination New! Visit “Adult Vaccination” on Immunize.org... 2 The Centers for Disease Control and Prevention tions of ACIP” in MMWR available at www.cdc. Vaccine Highlights ............................................ 4 (CDC) published its updated influenza recommen- gov/mmwr/pdf/wk/mm6337.pdf, pages 822–825. dations titled “Prevention and Control of Seasonal It is now recommended that all adults age 65 Checklist for Vaccine Contraindications ............ 5 Influenza with Vaccines: Recommendations of years and older receive both pneumococcal con- New! Standing Orders: How to Use Them…. .... 6 ACIP—U.S., 2014–15 Influenza Season” in the jugate vaccine (PCV13, Prevnar 13, Pfizer) and Medical Management of Vaccine Reactions ...... 7 August 15 issue of MMWR available at www.cdc. pneumococcal polysaccharide vaccine (PPSV23, New! Foodborne Hepatitis A Outbreaks . .......... 8 gov/mmwr/pdf/wk/mm6332.pdf, pages 691–697. Pneumovax, Merck). Both PCV13 and PPSV23 New! Patient Handouts on Hepatitis A Vaccine ... 9 All people age 6 months and older who do not have should be administered routinely in series to all CDC Fact Sheet: Adult Pneumococcal Vaccines ... 10 contraindications should receive influenza vacci- adults age 65 years and older. For specific details about timing and spacing of these doses, refer to 2014–15 Influenza VISs in Many Languages ... 11 nation annually—this has been a core ACIP recom- mendation since the 2010–11 influenza season. For the published recommendations as well as IAC’s Mandatory Influenza Vaccination Policies .....12-13 IAC’s up-to-date screening checklists for precau- “Ask the Experts” on page 23. Also, see page 10 for Screening Checklists for Contraindications tions and contraindications to influenza vaccina- a two-page CDC fact sheet for patients and provid- to Influenza Vaccines.....................................14-15 tion for adults, see pages 14 and 15 of this issue. ers titled “Pneumococcal Vaccines (PCV13) and Standing Orders for Influenza Vaccines......... ... 16 For complete details about influenza vaccine (PPSV23): Addressing Common Questions about Influenza Vaccination and Egg Allergy .............. 17 use in 2014–15, including contraindications and Pneumococcal Vaccination for Adults.” Influenza Materials for Healthcare Professionals ... 18 precautions, consult the ACIP recommendations. Influenza Handouts for Patients ........................ 19 Influenza Vaccine Products for 2014–2015 ....... 20 Pneumococcal Vaccination Immunization questions? On September 19, CDC published “Use of How to Give IM, ID, and IN Flu Vaccines .......... 21 13-Valent Pneumococcal Conjugate Vaccine and • Email [email protected] Seek Emergency Medical Care for Your Family ... 22 23-Valent Pneumococcal Polysaccharide Vaccine • Call your state health dept. (phone numbers IAC’s Immunization Resources Order Form ...... 24 Among Adults Aged ≥65 Years: Recommenda- at www.immunize.org/coordinators) severe allergy to eggs with symptoms sugges- older. Can we give both vaccines at the same Ask the tive of anaphylaxis, then the provider can use a visit? recombinant influenza vaccine (RIV3, Flublok, According to the ACIP recommendations pub- Protein Sciences) that is egg-free. Unlike current lished in September 2014, both pneumococcal Experts production methods for other available seasonal conjugate vaccine (PCV13, Prevnar 13, Pfizer) and influenza vaccines, production of RIV3 does not pneumococcal polysaccharide vaccine (PPSV23, use the whole influenza virus or chicken eggs in Pneumovax, Merck) should be administered its manufacturing process. If RIV3 is not available routinely in a series to all adults age 65 years and or the person is not age-eligible, then inactivated ▲ Ask the Experts . continued on page 23 influenza vaccine should be administered by a physician with experience in the recognition and management of severe allergic conditions. FEDERAL and A study has now been published (N Engl J MILITARY Med 2014; 371:635–45) that found that the injectable vaccine Fluzone High-Dose (Sanofi) EMPLOYEES protects people 65 years and older better than Donna L. Weaver, RN, MN Andrew T. Kroger, MD, MPH standard-dose Fluzone. Does ACIP preferen- Make the tially recommend use of Fluzone High-Dose The Immunization Action Coalition thanks medi- for all people age 65 years and older? Immunization Action Coalition cal officer Andrew T. Kroger, MD, MPH, and Despite published evidence of better protection your charity of choice for the nurse educator Donna L. Weaver, RN, MN, both from Fluzone High-Dose when compared to Combined Federal Campaign. from the National Center for Immunization and standard-dose Fluzone, ACIP has not stated a Respiratory Diseases at the Centers for Disease Use agency code Control and Prevention. preference for this vaccine for people age 65 years and older. #10612 Influenza vaccine The Immunization Action Coalition Pneumococcal vaccine is a 501(c)(3) charitable organization I’ve heard there is a newer influenza vaccine and your contribution is tax-deductible Please describe the new ACIP recommenda- that can be given to people with severe egg to the fullest extent of the law. allergy. Is that true? tions for the use of PCV13 vaccine along with Yes. If someone age 18 through 49 years has a PPSV23 vaccine in people age 65 years and Vaccinate Adults! online at www.immunize.org/va Immunization Action Coalition New! Visit “Adult Vaccination” 2550 University Ave. W., Suite 415 North Saint Paul, MN 55114 Phone: (651) 647-9009 on immunize.org Email: [email protected] To provide one-stop access to practical and clinically Websites: www.immunize.org www.vaccineinformation.org relevant information about vaccinating adults, www.immunizationcoalitions.org the Immunization Action Coalition (IAC) has Vaccinate Adults is a publication of the developed a new section on immunize.org titled Immunization Action Coalition (IAC) writ- “Adult Vaccination.” Visit www.immunize.org/adult- ten for health professionals. Content is re- vaccination often! viewed by the Centers for Disease Control and Prevention (CDC) for technical accuracy. The new web page brings together resources from This publication is supported by CDC Grant No. U38IP000589. The content is solely the multiple sources, including CDC, the National Vaccine responsibility of IAC and does not neces- Advisory Committee (NVAC), state health depart- sarily represent the official views of CDC. ments, professional societies, medical journals, and ISSN 1526-1824. IAC. You’ll find helpful vaccination-related resources, Publication Staff Executive Editor: Deborah L. Wexler, MD such as Advisory Committee on Immunization Prac- Editor: Mary Quirk tices (ACIP) recommendations, educational materials Associate Editor: Diane C. Peterson for healthcare providers, videos, selected journal Consulting Editors: Teresa Anderson, DDS, articles, patient handouts, PowerPoint presentations, MPH; Marian Deegan, JD; Linda Moyer, RN and much more. Editorial Assistant: Janelle T. Anderson, MA Layout: Kathy Cohen Adult Vaccination Resources Library Website Design: Sarah Joy IAC’s online library gives healthcare providers and www.immunize.org/adult-vaccination IAC Staff the general public quick access to reliable, science- Chief Strategy Officer: L.J (Litjen) Tan, MS, PhD based information about adult immunization. Recently updated, the IAC library now includes approximately Assoc. Director for Immunization Education: that their adult patients are fully immunized and have William L. Atkinson, MD, MPH 250 adult immunization resources from a variety of maximum protection from serious diseases. CDC has Associate Director for Research: sources. Materials are available in many media formats, created new materials to assist healthcare professionals Sharon G. Humiston, MD, MPH including print, video, online, web-on-demand, and in implementing NVAC's new standards, including a Coordinator for Public Health: interactive. Access the library at www.immunize.org/ Laurel Wood, MPA series of fact sheets encouraging improvement of vac- adult-vaccination/resources.asp. Coordinator for Hepatitis B Projects: cine assessment, recommendation, administration, and Lynn Pollock, RN, MSN referral. Access information on the NVAC standards at Adult Handouts for Patients and Staff Sr. Admin. for Grants and Leadership: www.immunize.org/adult-vaccination. Julie Murphy, MA IAC’s new Adult Vaccination Handouts section, www. Operations Manager: Robin VanOss immunize.org/handouts/adult-vaccination.asp, features Journal Articles Associate Operations Manager: Casey Pauly more than 50 educational pieces for healthcare profes- Be sure to check out IAC’s newest resource listing of IAC publishes a free email news service (IAC sionals and their patients. From screening checklists more than 100 key medical journal articles about adult Express) and two free periodicals (Needle to patient information materials, this collection helps Tips and Vaccinate Adults). To subscribe, go vaccination at www.immunize.org/journalarticles/ you carry out your vaccination activities. Several pa- to www.immunize.org/subscribe. peop_adults.asp. IAC, a 501(c)(3) charitable organization,