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The Children's Hospital of Philadelphia

Vaccine Update for Healthcare Providers

June 2013

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: Vaccine safety booklet update, win a copy of Dr. Offit’s newest book and check out his new website

Vaccine safety booklet update
Thank you to an astute nurse in New York City who questioned a statement in the new booklet, Vaccine Safety and Your Child, leading us to realize an error in the information about gelatin (page 22). The booklet incorrectly stated that gelatin has been removed from the MMR vaccine. However, the MMR vaccine does contain 14 milligrams of gelatin per dose.

The statement will be revised in future printings; however, we wanted to make sure that all providers were aware of the error. We apologize for any inconvenience or confusion this may have caused.

Download a copy (English, Spanish) or order booklets from our website.

Win a copy of Dr. Offit’s newest book
Dr. Offit’s latest book, Do You Believe in Magic? The Sense and Nonsense of Alternative Medicine, is now available in bookstores! Learn more about the book in the “ On the bookshelf” section. Readers who complete a brief survey about the Vaccine Update newsletter can choose to be entered for a chance to win an autographed copy.

Check out Dr. Offit’s new website
Did you hear? Dr. Offit has a website! Go to www.paul-offit.com and check it out. On the site you can find information about his publications, view editorials and Medscape videos, and contact him directly through email.

News and Views: Updates on vaccine shortages

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

The Centers for Disease Control and Prevention (CDC) recently released guidance related to current vaccine shortages.


Here's what you should know»

In the Journals: Pregnancy dose Tdap and postpartum cocooning to prevent infant pertussis

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

On May 27, 2013, Andrew Terranella and colleagues from the Centers for Disease Control and Prevention (CDC) studied the efficacy and cost effectiveness of two different strategies to prevent pertussis in infants: 1) immunizing pregnant women with Tdap between 27 and 36 weeks’ gestation, and 2) “cocooning,” which means immunizing mothers and family contacts after the baby has been delivered. This study is important because virtually all deaths from pertussis occur in infants less than 3 months of age. Therefore, pertussis deaths are occurring in those too young to be protected by active vaccination.

Read more about the study and its findings»

Technically Speaking: Needle Tips and Vaccinate Adults newsletters now available

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

The regular “Technically Speaking” column by Dr. Wexler will return in the July 2013 issue. In the meantime, please take a few moments to check out the latest issues of Needle Tips and Vaccinate Adults as both always contain a lot of helpful information and resources.

The Immunization Action Coalition (IAC) has recently released its May 2013 issue of Needle Tips , for healthcare professionals who administer vaccines. Also available is Vaccinate Adults , a shortened version of Needle Tips, modified for those who work only with adult patients. Both are now available for downloading, printing and reading.

Find out what types of information these publications contain»

From the Media â€” Pediatric influenza mortality 2012-2013

By the week of May 12-18, 2013, influenza-related deaths reported to the Centers for Disease Control and Prevention (CDC) included 146 children. That is, 146 families for which the influenza season would be remembered as devastating. When we hear reports that the vaccine might not be as effective as we had previously thought or that the season may be typical, it is easy to become complacent about the annual influenza vaccine recommendations. However, these children are the reason we must continue to explain that some protection is better than no protection. The U.S. map showing the number of pediatric deaths by state may help when you are explaining the importance of the vaccine to families.

Check out the map»

On the Calendar

The Association of Family Practice Physician Assistants Conference, upcoming Viral Hepatitis Summits, and 2014 AAP Courses have been added to the calendar.

Check the calendar»

On the Bookshelf: Do You Believe in Magic? The Sense and Nonsense of Alternative Medicine by Paul A. Offit

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

Do You Believe in Magic? The Sense and Nonsense of Alternative Medicine, is now available. In his newest book, Dr. Offit writes about the unregulated industry that often includes  â€œ alternative therapies,” such as vitamins, dietary supplements, acupuncture, and chiropractic manipulation. He discusses the placebo effect and whether descriptors, such as alternative, complementary, holistic or integrative medicine should exist, positing instead that “ There’s only medicine that works and medicine that doesn’t.” (p.6)

Parts of the book address the historical nature of some popular phenomena, the effects of celebrity in popularizing certain products and the importance of being a responsible and educated consumer.

Find the book on Amazon.com or Barnesandnoble.com.

Resources: Videos, CDC updates and AAP vaccine storage and handling resources

Videos
You might be interested in the following video clips:

  • How Vaccines Work – featuring Adam Finn and available on the TEDMED Live Bristol channel of YouTube, this approximately seven-minute video discusses how vaccines work.
  • The Vaccine Schedule – produced by Parents magazine and available on their website, this approximately three-minute video features Dr. Ari Brown discussing why it is important to follow the recommended vaccine schedule.
     

CDC updates
The Centers for Disease Control and Prevention (CDC) shared the following information over the past few weeks:

  • The Tdap and HPV-Gardasil vaccine information statements (VIS) have been updated.
  • Free Spanish language posters related to childhood immunizations are available. The materials were developed specifically for Spanish-speaking parents of children less than 2 years of age and are based on research and testing for lingual and cultural appropriateness:
  • The adolescent immunization campaign was recently featured on the CDC’s main home page. To see the available campaign materials, check out the campaign page. Materials are available in several languages.
     

AAP vaccine storage and handling resources
The American Academy of Pediatrics (AAP) recently announced the availability of new resources related to safe vaccine storage and handling, including:

  • Information for using and purchasing equipment
  • Storage and handling checklist
  • Tips for safe vaccine transport
  • Information to assist with emergency storage and handling plans
     

To view these resources and additional related information, visit the dedicated page on their web site.

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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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