Review of Recommended Schedule Presentation to: Presented by: Date:
Transcript
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Review of Recommended Schedule Presentation to: Presented by:
Date:
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Disclosure Statements Neither the planners of this session nor
I have any financial relationship with pharmaceutical companies,
biomedical device manufacturers, or corporations whose products and
services are related to the vaccines we discuss. There is no
commercial support being received for this event. The mention of
specific brands of vaccines in this presentation is for the purpose
of providing education and does not constitute endorsement. The GA
Immunization Program utilizes ACIP recommendations as the basis for
this presentation and for our guidelines, policies, and
recommendations. For certain vaccines this may represent a slight
departure from or off- label use of the vaccine package insert
guidelines.
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Disclosure Statement To obtain nursing contact hours for this
training, you must be present for the entire training and complete
an evaluation Contact hours are available for this training from
02/17/2015 until 08/31/2015
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Objectives At the end of this presentation, you will be able
to: Explain the difference between a vaccine indication,
recommendation and requirement Discuss the ACIP General
Recommendations for the use and administration of vaccines Define
herd immunity Identify the vaccine antigens used for infants,
children, adolescents and adults to prevent Vaccine Preventable
Diseases Discuss the role of a vaccine champion List at least 2
reliable sources for immunization information
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The Impact of Vaccines N/A = Data not available * MMWR
48(12);243-248 April 2, 1999 ** MMWR 63(32);702-715 August 15,
2014
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Herd Immunity Immunized individuals block infection from
reaching those who are unimmunized INFECTED UNIMMUNIZED INFECTED =
immunized
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Advisory Committee on Immunization Practices (ACIP) 15 voting
members with expertise in one or more of the following: Vaccinology
Immunology Infectious diseases Pediatrics Internal Medicine
Preventive medicine Public health Consumer perspectives and/or
social and community aspects of immunization programs ACIP develops
recommendations and schedules for the use of licensed vaccines
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Indications Recommendations Requirements Indication -
Information about the appropriate use of the vaccine Recommendation
- ACIP statement that broadens and further delineates the
Indication found in the package insert -Basis for standards for
best practice Requirement - Mandate by a state that a particular
vaccine must be administered and documented before entrance to
child care and/or school
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Immunization Schedules All staff must use the same immunization
schedule Four Schedules: Children & Adolescents 0 through 18
years Catch-up schedule for ages 4 months -18 years Adult 19 years
and older Adult based on medical and other indications READ THE
FOOTNOTES
http://www.cdc.gov/vaccines/schedules/hcp/child-adolescent.html
http://www.cdc.gov/vaccines/schedules/hcp/adult.html
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ITs The Law!
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Observe the Guidelines Route of administration Number of doses
required 4-day grace period Minimal age for immunization Minimal
interval between doses
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General Recommendations Simultaneous Administration
Non-Simultaneous Administration Two live-vaccines Violation of
minimal time interval for live vaccines Minimum time and age
intervals Violation of minimum time and age intervals/grace period
Administration of vaccines later than recommended schedule Vaccine
Administration principles Administering combination vaccines
Contraindications and Precautions
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Diphtheria Pertussis Tetanus Required for school and child care
attendance
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Cocooning Strategy Siblings Child Care Provider Healthcare
Worker Grandparents Parents
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Hepatitis B
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Hepatitis A Required for school or child care attendance for
children born on or after 1-1-06
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Haemophilus influenzae Type b (Hib) Required only for child
care and pre-K attendance
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Polio Ref. MMWR 2009; 58 (30);829-830 (August 7, 2009) Source:
World Health Organization Required for school and childcare
attendance
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Measles (M) Mumps (M) Rubella (R) Congenital Rubella (R)
Measles, Mumps, Rubella Source: Creative Commons Source: American
Academy of Pediatrics Red Book On Line Visual Library
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Varicella (Chickenpox) Copyright American Academy of
Pediatrics
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Spacing of Live Virus Vaccines and Other Products PPD and live
virus vaccine Apply PPD at same visit as MMR If MMR given first,
delay PPD 4 weeks or longer Apply PPD first, then give MMR when
skin test read Spacing with antibody-containing products such as
immune globulin (IG)
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Pneumococcal Disease Required for child care and pre-K
attendance
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Influenza Vaccine Not required for school or child care
attendance
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Flucelvax (Novartis) Approved for persons 18 years and older
Vaccine viruses are not propagated in eggs; however, initial
reference strains have been passaged in eggs Cannot be considered
egg-free, though expected to contain less egg protein than other
IIVs Abbreviated ccIIV FluBlok (Protein Sciences) Approved for
persons 18 years and older Vaccine contains recombinant influenza
virus hemagglutinin Protein is produced in insect cell line No eggs
or influenza viruses used in production Egg-free Abbreviated (RIV)
Influenza Vaccines Produced via Non-Egg-Based Technologies
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Influenza Vaccine and Egg Allergy Recommendations regarding
influenza vaccination of persons who report allergy to eggs ACIP
201415 influenza season
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Meningococcal Disease New 7 th Grade School Requirement
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Types of Human Papilloma Virus (HPV) Mucosal/Genital ~40 types
Cutaneous ~60 types Cervical cancer Anogenital cancer Oropharyngeal
Cancer Cancer precursors Low grade cervical disease Genital Warts
Laryngeal Papillomas Low grade cervical disease Skin warts Hands
and Feet High risk types 16, 18, 31, 33, 45, 52, 58 (and others)
Low risk types 6, 11 and others Ref: 1.Epidemiology and Prevention
of Vaccine Preventable Diseases 12 th Edition, May 2012 2. Red Book
AAP 2012 Report of the Committee on Infectious Diseases
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Herpes Zoster Shingles
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Frequently Asked Shingles Questions? Shingles cannot be passed
from one person to another. However, a person with shingles can
spread the virus to a person who has never had chickenpox. If the
person who has never had chickenpox becomes infected with the
virus, he or she will develop chickenpox, not shingles.
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Just as a reminder Regardless of: the availability of vaccine
the funding of the vaccine (VFC, state- supplied, or private stock)
whether the vaccine is required for school or child care or not.
FOLLOW ACIP Recommendations !!!
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Critical Elements for Immunization Services
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Every Office and Clinic Needs A Vaccine Champion! Lead your
immunization team. Educate all staff about new vaccines and
recommendations. Teach new staff about vaccine storage, handling,
& administration. Initiate processes to improve immunization
rates in your practice/facility. Assure immunizations of all staff
are up-to-date.
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Standards for Child, Adolescent, and Adult Immunization
Practices Availability of vaccines Assessment of clients
vaccination status Effective communication with client or parent
Proper storage and handling of vaccines Accurate documentation of
vaccinations Implementation of strategies to improve rates
Developing partnerships and community-based approaches to vaccine
delivery
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VAERS
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Vaccine Injury Compensation Program (VICP) National Vaccine
Injury Compensation Program provides compensation to individuals
found to be injured by or have died from certain childhood
vaccines. Established in 1988 by NCVIA Federal no fault system to
compensate those injured Claim must be filed by individual, parent
or guardian Must show that injury is on Vaccine Injury Table
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IT STARTS WITH YOU!
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Healthcare Personnel (HCP) Need These Immunizations: Annual
influenza vaccine Tdap or Td Hepatitis B (exposure risk) Check
immunity Validate immune status of: Varicella Measles, Mumps &
Rubella(MMR) Are YOU up to date?
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Resources for Factual & Responsible Vaccine Information
www.immunize.org
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Stay Current! Sign up for listserv sites which provide timely
information pertinent to your practice
www.immunize.org/resources/emailnews.asp
www.immunize.org/resources/emailnews.asp AAP Newsletter CDC
immunization websites (32 in all) CHOP Parents Pack Newsletter IAC
Express Websites specific to particular vaccines
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Internet Resources Georgia Department of Public Health
http://dph.georgia.gov/immunization-section CDC Immunization
information http://www.cdc.gov/vaccines/ CDC Flu information
http://www.cdc.gov/flu/ Immunization Action Coalition
www.immunize.org
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Resources Local health department District Immunization
Coordinator GA Immunization Program Office On call Help line:
404-657-3158 GRITS Help Line:1-866-483-2958 VFC Help
Line:1-800-848-3868 Website
http://dph.georgia.gov/immunization-section Your local Immunization
Program Consultant (IPC) Epidemiology: 1-866-782-4584 GA Chapter of
the AAP GA Academy of Family Physicians
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http://dph.georgia.gov/immunization-section
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Its a Team Effort! High Immunization rates begin with a team
designed plan! What can your team do to improve rates?