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The Children's Hospital of Philadelphia

Vaccine Update for Healthcare Providers

November 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: New Meningococcus Video, AAP Book Winners and 2013 Webinar Dates

New meningococcus video
We are pleased to share a new two-minute video aimed at educating college students about the importance of getting a meningococcal vaccine. The video was written, directed and produced by Cary Chester, a college student from Swarthmore who interned with the Vaccine Education Center this summer. The video offers the perspective of a college student aiming to educate his peers. We hope you enjoy the video as much as we did and find it useful with patients recommended to get a meningococcal vaccine.

Links to the video can be found on the multimedia page of our website.

AAP book winners
Congratulations to the winners of autographed copies of the book, “Deadly Choices,” by Dr. Offit. People who visited our booth in the exhibit hall at the AAP meeting and took our survey were eligible for the contest:

  • A. Modi, Marvin, NC
  • L. Sigal-Spitzer, Foxborough, MA
  • S. Young, Glen Carbon, IL
  • M. Campbell, Gulfport, MS
  • N. Wilson-Carr, Fairmont, WV
     

2013 webinar dates
The Vaccine Education Center and the PA Chapter of the American Academy of Pediatrics will hold the following “Current Issues in Vaccines” webinars during 2013:

  • March 13
  • September 11
  • November 13


Information and registration will be available closer to each event on the webinar page of our website, http://vaccine.chop.edu/webinars.

Mark your calendar or print this flyer as a reminder. Continuing education credits will be offered. Topics will be announced a few weeks prior to each event and will be based on ACIP’s meeting agendas or vaccine-related topics of current interest in the media or to the public.

News and Views: Global Routine Vaccination Coverage, 2011

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

The November 2, 2012 issue of Morbidity and Mortality Weekly (MMWR) provided annual rates of global immunization coverage during 2011. While global vaccine coverage is not something we might often consider as we try to get children in the United States immunized, it is important to realize how small the globe can be with the ease of international travel. Many countries do not struggle with a complex immunization schedule, but the healthcare providers in those countries might wish they did have such an issue because the truth of the matter is, if they are not struggling with the vaccinations, they are likely struggling with the diseases. 

Review the data from other immunization programs in other parts of the world» 

In the Journals: Egg-Allergic Patients Can Be Safely Vaccinated Against Influenza

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

Egg allergy is the second most common food allergy, affecting 1 percent to 2 percent of all children. In the United States, this corresponds to between 150,000 to 250,000 influenza-vaccine-eligible preschoolers. Anne Des Roches and coworkers at the Institutes of Health Research in Canada recently examined whether egg proteins contained in the influenza vaccine posed a real or only theoretical risk to patients with severe egg allergy (Des Roches A, et al., “Egg Allergic Patients Can Be Safely Vaccinated Against Influenza,” J Allergy Clin Immunol. 2012 Nov;130(5):1213-1216.

To answer this question, the authors conducted a prospective cohort study recruiting and vaccinating patients with egg allergy, including severe egg allergy (i.e., those with anaphylaxis or cardiorespiratory symptoms following egg ingestion).

Read more about the findings»

Technically Speaking: CDC Publishes FAQs about New Vaccine Storage and Handling Guidelines

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

In early October, the Centers for Disease Control and Prevention (CDC) released Interim Guidelines for Vaccine Storage and Handling, Frequently Asked Questions. Written by CDC experts, these 19 questions and answers (FAQs) give practical information often asked by people who provide immunization services and handle vaccines.

See the FAQs and their topics»

From the Media â€” Mumps Outbreak Analysis and Influenza Media Coverage

Mumps outbreak analysis
Read more about the analysis of how the mumps vaccine worked during the 2009-2010 mumps outbreak centered in New York and a series of updates related to influenza, including:

  • Vaccine effectiveness
  • Heart health
  • Pregnancy and autism
  • School attendance
     

Read more»

On the Calendar

New this month, find:

  • 2013 Vaccine Education webinar dates
  • 2013 AAP Practical Pediatrics and Prep® Course dates and locations
  • 2013 CDC webinar series dates
  • National Infant Immunization Week and World Immunization Week dates
     

Check the calendar»

On the Bookshelf: Vaccines, Sixth Edition

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

“Vaccines,” the premier text about vaccines edited by Stanley A. Plotkin, Walter A. Orenstein and Paul A. Offit, is now available in the sixth edition. Published by Elsevier Saunders, this new edition has 78 chapters, 1,550 pages and references for more than 20,000 scientific papers. One of the updated features includes access to a searchable online version using a unique activation code provided inside each copy of the book. In addition, each chapter shows only 10-12 of the most pertinent references and directs users to the online version for the complete list; thereby saving incredible numbers of pages and keeping the hard copy version full of facts on each page of this already thick text.

Read more about the book»

Resources: Pertussis Resources and Influenza-Related Resources

Pertussis resources

A series of videos featuring families affected by pertussis have been posted on the “What to Expect” website. Although the video clips are interspersed with sponsor clips from the “Sounds of Pertussis” campaign, the following three- to four-minute videos are worth sharing with families who might be wondering about the severity of pertussis:

  • Moving Forward After Pertussis
  • The Fight for Their Baby’s Life
  • A Mother’s Loss
     

Watch the videos» 

Group Health Cooperative also recently posted a four-minute video, “Surviving Whooping Cough: Michelle’s Story” which features a family whose infant daughter was affected by pertussis. Watch the video» 

Nurses Who Vaccinate blog posted a slide related to sources of pertussis transmission that can be shared via Facebook.

Influenza-related resources
Evaluation of diagnostic tests and training for sample collection: The November 2, 2012 MMWR published an evaluation of influenza diagnostic tests. The evaluation found that all tests could detect viral levels at the highest concentration, but sensitivity decreased with dilution indicating the importance of using good collection techniques and collecting samples at the peak of viral concentration (24-72 hours after onset of symptoms). The Joint Commission offers web-based coursework and videos to train personnel in appropriate testing and sample collection techniques.

Don’t forget to bookmark the CDC’s weekly influenza surveillance reports page, so as the season gets underway, you can quickly get a handle on where influenza activity is widespread and monitor weekly reports. You can also sign up to get weekly emails with the information:

National Influenza Immunization Week (NIIW) is December 2-8, 2012. Do you have an event planned in your area? If so, don’t forget to add it to the NIIW calendar. If not, consider using the momentum of the media attention to hold your own event.

The National Influenza Vaccine Summit’s website has many additional resources; check it out at http://www.preventinfluenza.org/.

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Founded in 1855, The Children’s Hospital of Philadelphia is the birthplace of pediatric medicine in America. Throughout its history, a passionate spirit of innovation has driven this renowned institution to pursue scientific discovery, establish the highest standards of patient care, train future leaders in pediatrics, and advocate for children’s health. A haven of hope for children and families worldwide, CHOP is a nonprofit charitable organization that relies on the generous support of its donors to continue to set the global standard for pediatric care. For more information, visit http://www.chop.edu.

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