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The Children's Hospital of Philadelphia

Vaccine Update for Healthcare Providers

September 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: Clarification on influenza sheet, exhibit and book signing at AAP meeting, and release of mobile app
 

Clarification on influenza sheet

Influenza: What you should know (Volume 10, Fall 2013) describes the various influenza vaccine options available this season; however, at the time of writing, the Sanofi Pasteur quadrivalent product for infants 6 to 35 months of age was not approved. Therefore, the original text read “This vaccine is given as a shot and can be used for people 3 years and older. In the future, it is likely to be an option for younger children and infants as well.”

To offer the most up-to-date information, the online PDF has been changed to read, “This vaccine is given as a shot and can be used for people 6 months and older.” Although the print version being distributed still contains the old text, providers offering the Sanofi product should follow the age-related prescribing information on the package insert and, if providing the VEC sheet, either print the revised Q&A sheet from the VEC website or clarify the text on the print version with parents of children between 6 and 35 months of age. The Spanish version has also been updated.

We apologize for any inconvenience this may cause and refer providers to the table of products in the CDC’s current influenza recommendations for additional information.

Exhibit and book signing at AAP meeting

Are you going to Orlando for the AAP’s national meeting October 26-29, 2013? The Vaccine Education Center (VEC) is! The VEC will have a booth in the exhibit hall (#1155 located by product theater number 2 and a couple of aisles over from the AAP resource center), so we can meet you and provide you with our most current information.

Highlights of the exhibit will include:

  • Book signing on Saturday, October 26 between 1 and 3 p.m. – Dr. Offit will be in the booth signing copies of his book, Deadly Choices: How the Anti-Vaccine Movement Threatens Us All. Be sure to stop by and get your free copy while supplies last!
  • Announcement of 2014 webinar dates – be sure to pick up your calendar of dates for next year’s “Current Issues in Vaccines” webinars.
  • Demonstrations of the new mobile app, Vaccines on the Go: What You Should Know – Stop by to see what the app has to offer or pick up posters, magnets or hand sanitizer packets with information about the app.
     

As always, we will also have copies of our Q&A sheets, booklets, clings, prescription for information pads, DVDs, and other goodies available. Be sure to stop by and say hello!

Add our booth as a stop on your Expo Plan»

Release of mobile app

Have you had a chance to check out our new mobile app? If not, learn more about it or get to the Apple app store from this page of our website: http://vaccine.chop.edu/mobileapp. We just wanted to alert you to the following:

  • Due to the number of requests, we are proceeding with development of an Android version. A link will be provided from the mobile app Web page above once it becomes available.
  • Some astute users have already started to think about ways to use the app as a vaccine reminder system. The “notes for the doctor” section allows patients to record what the doctor says and also allows for linking the notes to their calendar. So, if your patients download the app, they can put the next vaccine visit (or the appropriate time to call to schedule) in the notes section and link it to their calendar.
  • The app can also be used on iPads, so links to the sections of the Vaccines and Your Baby and Separating Fact from Fear videos allow you to show the videos in their entirety or in short portions related to specific questions.
     

Have you found parts of the app to be particularly useful in your practice? Do you have suggestions about ways to improve the app? Be sure to let us know – vacinfo@email.chop.edu or email us directly from the app.

News and Views: Compensating the victims of failure to vaccinate: What are the options?

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

Dorit Rubenstein Reiss recently published a paper in the Cornell Journal of Law and Public Policy (Vol. 23, No. 3, 2014; UC Hastings Research Paper No. 61) titled, “Compensating the victims of failure to vaccinate: What are the options?” The central premise of this piece is that parents who choose not to vaccinate may be liable through a tort system when their choice compromises the health of others in the community.

Read more»

Editor’s Note: We’d love to hear your thoughts on this concept. Do you agree or disagree with the approach? Do you think it would strengthen or weaken the vaccine program? Do you think it would make your job of giving vaccines easier or more difficult?

Please email us (vacinfo@email.chop.edu) after you’ve considered the approach suggested by the author. Feedback may be shared with the author, but identifying information will be removed unless otherwise indicated by the author of the email.

In the Journals: Pneumococcal meningitis in children

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

In September 2013, Chris Stockmann and coworkers at the University of Utah Health Sciences Center in Salt Lake City reported the incidence and clinical characteristics of children admitted with pneumococcal meningitis (Stockmann C, Ampofo K, Byington CL, et al. Pneumococcal Meningitis in Children: Epidemiology, Serotypes, and Outcomes from 1997-2010 in Utah. Pediatrics. 2013 Sep;132(3):421-8).

Read more about their findings»

Technically Speaking: Vaccinations and pregnancy

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

Twenty-five years ago, vaccines generally were not recommended for pregnant women. My, how things have changed! Although certain vaccines should not be given during pregnancy, two vaccines are specifically recommended during this time, and a few additional vaccines are recommended for pregnant women when indicated because of certain risk conditions. So how do you keep these variations straight? This column provides an overview of the immunization recommendations for pregnant women and gives links to helpful resources, including a new handout, “ Vaccinations for Pregnant Women,” created collaboratively by the American College of Obstetricians and Gynecologists (ACOG) and the Immunization Action Coalition (IAC). This great handout was designed to share with pregnant women to remind them about the vaccines they need.

Read more»

From the Media â€” Five disease outbreaks linked to vaccine-shy parents

On August 29, 2013, Discovery News published an article in its health column that might be useful to share with parents concerned about the need for vaccines. Written by Sheila M. Eldred, " 5 Disease Outbreaks Linked to Vaccine-Shy Parents" mentions recent outbreaks of measles, mumps and pertussis that have been in the news as well as information related to Haemophilus influenzae type b meningitis and influenza. The article is presented in six brief sections, each containing a related photo.

Although not part of this article, the recent measles outbreak at a faith-healing megachurch in Texas offers another opportunity to discuss the importance of continued vaccination.

Read more about the measles outbreak in Texas »

On the Calendar

Check out the “Webinars - On Demand” section for a new feature listing topics currently available in the series archives, such as a presentation from the CA Immunization Coalition discussing the CDC’s communications plan for the upcoming influenza season and a presentation about this season’s influenza recommendations in the CDC’s NetConferences archive.

New meetings in the live meeting section include NFID’s spring vaccinology course in Seattle, WA and the 26th Annual Infectious Diseases in Children symposium in New York, NY.

Find a meeting near you»

On the Bookshelf: Magnetic: The Art and Science of Engagement

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

Magnetic: The Art and Science of Engagement, written by Anne Bergeron and Beth Tuttle, is a book about museums that have enjoyed great success when compared to some of their colleagues’ institutions. The authors studied museums through a quantitative analysis of museum data, qualitative interviews with leadership and on-site case studies. Each chapter describes a central tenet that successful institutions shared and ends with a case study of a museum exemplifying the tenet.

Many of the ideas in the book can be applied to businesses, coalitions and non-profit organizations. Read more about the applicable ideas»

Resources: Updates and reports from the CDC

The Centers for Disease Control and Prevention (CDC) provided a variety of information and updates over the last few weeks, including:

  • 2012 NIS Data
  • Measles outbreaks and influenza vaccination of children with neurologic and neurodevelopmental conditions
  • 2012 NIS-Teen Data
  • 2013-14 Influenza Vaccine Recommendations
  • Rotavirus vaccine VIS updated
  • Shortages & Delays
  • Updated travel announcements
  • CDC report on antibiotic resistance
  • HPV vaccine and cancer animated video
     

Find links and brief descriptions»

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