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The Children's Hospital of Philadelphia

Vaccine Update for Healthcare Providers

December 2012

This newsletter is meant to keep you up to date on issues related to vaccines quickly and easily. We welcome your comments and questions; please email us at vacinfo@email.chop.edu.

VEC Announcements: CDC Posts Vaccine Storage and Handlign Kit; Get Your CME Credits; Dr. Offit on Medscape

CDC posts vaccine storage and handling toolkit
As a follow-up to last month’s “Technically Speaking” column by Dr. Wexler, we wanted to provide the link to the CDC’s “ Vaccine Storage and Handling Toolkit.” The toolkit contains many useful resources including equipment considerations, strategies for maintaining the cold chain, routine and emergency storage and handling practices, and guidance related to inventory management.

Review Dr. Wexler’s column»

Get your CME credits
Just a reminder that if you need to catch up on CME credits, the VEC can help:

  • Archived webinars presented by Dr. Offit – Three webinars presented during 2012 are available for continuing education credits.
  • Other vaccine-related courses that offer CME are on the calendar, including on-demand Web-based offerings that can be completed at your convenience.
     

Dr. Offit on Medscape
A new Medscape video featuring Dr. Offit discussing HPV vaccine and boys is now available for viewing. If you do not already have an account with Medscape, you can sign up free-of-charge.

News and Views: Influenza Update

Charlotte A. Moser, Assistant Director, and Paul A. Offit, Director, Vaccine Education Center at The Children’s Hospital of Philadelphia 

National Influenza Immunization Week (NIIW) was the week of December 2. One activity scheduled by the Centers for Disease Control and Prevention (CDC) was an influenza update for members of the press.

Review the key messages from the CDC’s update and find out about patient resources related to influenza»

In the Journals: California Pertussis Epidemic, 2010

Paul A. Offit, MD, Director, Vaccine Education Center at The Children’s Hospital of Philadelphia

In December 2012, Kathleen Winter and coworkers from the California Department of Public Health in Sacramento reported the details of a pertussis outbreak in 2010 (Winter K, et al. California Pertussis Epidemic, 2010, J Pediatr. 2012 Dec;161(6):1091-6. Investigators made several observations of interest.

Read more about their findings»

Technically Speaking: A New Program for Reporting Vaccine Errors

Deborah L. Wexler, MD, Executive Director, Immunization Action Coalition

Over the years, the Immunization Action Coalition has received hundreds of questions about vaccination procedural errors and what to do about them or where to report them. Some common errors include administering the wrong vaccine or the wrong dose; giving a vaccine before the minimum age or interval; administering the vaccine by the wrong route or at the wrong anatomic site; reconstituting a vaccine improperly; using expired or improperly handled vaccine; or even vaccinating the wrong patient. The Institute for Safe Medication Practices (ISMP) recently launched an online website to report vaccine errors.

Read more about the ISMP and their reporting program»

From the Media â€” Vaccine-Preventable Disease Reports

While people were being encouraged to get pertussis and influenza vaccines in multiple states,— and those cleaning up from Hurricane Sandy, the tetanus vaccine—we continued to see reports of vaccine-preventable diseases.

Read more»

On the Calendar – Immunization Conferences in NH and CA

Organizers in New Hampshire and California have announced 2013 conference dates and locations. Check the calendar for more information including links to conference information.

Check the calendar»

On the Bookshelf: How the Immune System Works by Lauren Sompayrac

Charlotte A. Moser, Assistant Director, Vaccine Education Center at The Children’s Hospital of Philadelphia

In recent months, this column has contained reviews of books dedicated to bacteria and viruses. To complement these selections, we now review a book dedicated to explaining how our immune system deals with encounters by these and other aggressors. Published earlier this year in its fourth edition, “How the Immune System Works” by Lauren Sompayrac provides readers with a detailed look at the immune system, both what is known and what is not yet known, in an easy to understand and concise style.

Read more about the book»

Resources: Updated VIS and Interesting Medscape Video With Parallels to Vaccine Exemptions

Updated vaccine information statements
The CDC recently announced updates to the following Vaccine Information Statements (VIS):

  • Multiple Vaccines (DTaP, IPV, Hib, PCV, Hepatitis B, and Rotavirus) – main change was to add intussusception as a rare adverse event for rotavirus
  • Pneumococcal (PCV13) – updated to include revised adult recommendations
  • Tdap and Td – updated to include recommendation for pregnant women
     

The end of each year is a good time to make sure you are using the most recent VIS. This table shows the dates on the most current versions. If you need to access revised versions, go to the CDC’s dedicated VIS page where you can download and print the most current version of any sheet or download RTF files for use in electronic systems.

Interesting Medscape video with parallels to vaccine exemptions
In “You MUST let my bedsores kill me! You MUST!” Dr. Art Caplan, one of the country’s prominent bioethicists, tells an interesting story about a patient who upon hearing he would need to live the remainder of his days in a nursing home, refused to be turned and consequently succumbed to infections caused by bedsores. Dr. Caplan discusses how this patient’s decision affected the hospital staff and morale concluding that while individuals have rights to request withholding medical care, in certain scenarios these requests may impinge upon the rights of others, and, therefore, may not be appropriate to honor. His concluding statement, “. . .that’s your right to do, but that’s not something we can accept at this facility” rings of current discussions related to whether or not it is appropriate to turn away patients who refuse immunizations.

Watch the video»

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