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The Children's Hospital of Philadelphia

Vaccine Update for Healthcare Providers

June 2012

This newsletter is meant to keep you up to date on issues related to vaccines quickly and easily. We hope it will serve as a resource while provoking thoughts and stimulating conversations. We welcome your comments and questions; please email us at vacinfo@email.chop.edu.

VEC Announcements: Vaccine Course

Online Vaccine Course with Dr. Offit
Coursera offers free online courses led by professors at universities, including University of Pennsylvania (Penn), Princeton University, Stanford University and the University of Michigan. As part of Penn’s course offerings, Dr. Offit was invited to present a four- to five-week course related to vaccines.

The course will run for four to five weeks during June and July. You can participate by going to https://www.coursera.org/course/vaccines.

News and Views: Vaccine Storage Temperatures

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

When the Office of the Inspector General (OIG) reported that inspections of 45 doctors’ offices revealed inconsistent temperatures and expired vaccines, news outlets across the country carried stories. Here are related materials»

In the Journals: Alternative Immunization Schedules

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

On June 18, 2012, researchers from the Oregon Immunization Program and the Centers for Disease Control and Prevention (CDC) published a paper titled “ Frequency of Alternative Immunization Schedule Use in a Metropolitan Area” (Robison SG, Groom H, and Young C. Pediatrics 2012;130:32-38). The purpose of the study was to evaluate the percentage of parents who chose to delay or withhold vaccines. What they found was troubling. Between 2006 and 2009, the percentage of parents in Oregon choosing an “alternative” vaccine schedule increased from 2.5 percent to 9.5 percent. Children whose parents chose this schedule received fewer shots per visit but visited the physician more frequently for their immunizations. Read more about their findings»

Technically Speaking: Responding to Requests for Personal Belief Exemptions – Some Helpful Resources

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

All states have immunization requirements for entry into schools, which have led to our nation’s great success in reaching high immunization levels. School entry laws and mandates vary from state to state, but they typically are in place for entry into childcare, kindergarten, middle school, high school and (less frequently) post-secondary institutions. The specific vaccines that are required vary from state to state as well. Read more»

From the Media - Vaccines in Court

Connecticut: Legislation Requiring Doctors to Get Vaccines from the Government
Several news outlets reported on the current issue in Connecticut in which doctors may be mandated to get childhood vaccines from the state rather than place orders privately. Government officials are citing an increase in the number of vaccines offered and reduced costs associated with the vaccines, while providers are expressing concerns over potential vaccine shortages and the proposed short-implementation timeline.

Read some media-related coverage of the story:

Pro-Vaccine Parent Wins in Court
In Canada, where a divorced couple disagreed over the safety of immunizations, the Vancouver Supreme Court judge ruled in favor of the pro-immunization parent. The ruling gave the father the authority to make all immunization-related decisions despite the fact that the parents share equal authority in all other aspects of the child’s health and welfare. Read more»

On the Calendar

Do you need continuing education credits? Do you want to attend a meeting in your area or register for a webinar? Do you know which health observances are coming up? Check the calendar»

On the Bookshelf: "If I Could Tell You" by Hannah Brown

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

Although fictional, If I Could Tell You provides life-like characters with all of their imperfections dealing with real life issues related to living with autism. The stories show the breadth of responses to the diagnosis as well as to the approaches to treatment.  Read a review and find out where the book is available»

Resources: VIS Updates, Pertussis Vaccination Outreach Letter, New Issues of Needle Tips and Vaccinate Adults, and New Spanish-Language Resource

Vaccine Information Statements (VIS) Updates
In an effort to make Vaccine Information Statements (VIS) more available for integration into electronic systems, the Centers for Disease Control and Prevention is in the process of making all VIS available in rich text format (.rtf). From this format, they will be able to be changed into other file formats using Microsoft Word. As of June 7, 2012, MMR, hepatitis A, hepatitis B and polio VIS have been completed. All will be available on the VIS page of the CDC website.

Two-dimensional barcodes have now been added to several VIS, including MMR (previously announced), hepatitis A, hepatitis B, HPV, polio, Japanese encephalitis, meningococcal, Td and Tdap, and typhoid.

PDFs of VIS can be downloaded to mobile phones as well

Pertussis Vaccination Outreach Letter
The American Academy of Pediatrics, along with several partner groups, released a letter to healthcare providers related to pertussis vaccination. The second page of the letter includes a pertussis vaccine dosing guide. Check it out online or post a copy where your staff can easily refer to it.

New Issues of Needle Tips and Vaccinate Adults
The Immunization Action Coalition (IAC) released the May 2012 issue of Needle Tips and Vaccinate Adults. Needle Tips is for healthcare professionals who administer vaccines. Vaccinate Adults only includes the content from Needle Tips that relates to adult patients.

New Spanish-Language Resource
The History of Vaccines has announced Spanish translations of several of their materials as well as a Spanish language Twitter account: @historiavacunas. The Spanish resources can be found on the History of Vaccines website.

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ABOUT THE CHILDREN'S HOSPITAL OF PHILADELPHIA®
The Children's Hospital of Philadelphia was founded in 1855 as the nation's first pediatric hospital. Through its long-standing commitment to providing exceptional patient care, training new generations of pediatric healthcare professionals and pioneering major research initiatives, Children's Hospital has fostered many discoveries that have benefited children worldwide. Its pediatric research program is among the largest in the country, ranking second in National Institutes of Health funding. In addition, its unique family-centered care and public service programs have brought the 441-bed hospital recognition as a leading advocate for children and adolescents. For more information, visit http://www.chop.edu  
 

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