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To provide guidelines for a thorough and consistent management of immunizations to our Clients throughout the Waimanalo Health Center.

Over the last three years, we have touched on many topics that we hoped would help you as you work to improve immunization rates in your clinic. For the final edition, we return to the important issue of patient-carried immunization records.

First, we offer an article that provides a convincing yes to the title question: “Are Patient-Held Vaccination Records Associated with Improved Vaccination Coverage Rates?” The authors of the article, James T. McElligott and Paul M. Darden.

As a compliment to the article, and by way of a final thank-you for your participation, MCN, along with CHEC (Community Health Education Concepts), has developed patient-friendly, low literacy, bi-lingual immunization cards for you to use with your clients.  The cards are 5x7, and can be printed from your clinic computers.  There are two versions, a Lifetime Card for adults, and a Child and Teen Card, both in Spanish/English.  We designed the card to be as simple as possible, and to include only the most important information.  If the information is meaningful and understandable to the clients, they are more likely to understand the importance of keeping their shots up to date.

Special Bulletin: Outbreak of pertussis (whooping cough) in California
For Immediate Attention:
There is a critical outbreak of pertussis (whooping cough) in California: it is classified now as an epidemic. Five infants, all Latino, have died. This is due to unrecognized pertussis in older children and adults which then infects babies before they’ve had a chance to get their shots. PLEASE spread the word through every mechanism you have that it is critical to get Tdap in adolescents and adults and to get children immunized properly. This months ImmuNews includes a number of resources on Pertussis (Whopping Cough).

An article that provides a convincing yes to the title question: “Are Patient-Held Vaccination Records Associated with Improved Vaccination Coverage Rates?” The authors of the article, James T. McElligott and Paul M. Darden, conclude that the “Use of patient-held vaccination records is an easily implemented strategy that is associated with increased immunization rates. A greater effect was seen in groups at risk for underimmunization. Methods to incorporate and to ensure effective use of these records should be implemented” The article was published in Pediatrics in February of 2010. The full citation is as follows: Pediatrics 2010;125;e467-e472; originally published online Feb 15, 2010; DOI: 10.1542/peds.2009-0835. The online version of this article, along with updated information and services also available.

A Shot of Quality Improvement!

Welcome to Immu-News, the Immunization Initiatives listserv, a monthly resource for the community of participants in this project.

All health care delivery organizations are required to have quality assurance and quality improvement programs, but it is often difficult to make these efforts really meaningful in the everyday practice of serving patients. This month’s Immu-News suggests a number of immunization quality measurements that you can adapt to your local setting. We are finding from our site visits that many of you really struggle with understanding who is getting immunized, who is missed, and what the root causes are for the gap between your goal of full immunization and the present reality at your center. Additionally, immunization data gathering is often very time consuming, often duplicated several times over for various outside agencies, and often not in step with the ways changes are made in other parts of your organization. Here are a few ideas from us, and we welcome responses back from you that will continually improve immunization practices.

Addressing the Big Four: On-Time Immunizations, Knowing Your Baseline, Making Improvement, and Accurate Records

Our four quality topics will cover:

  • Immunization reminder systems
  • Baseline immunization rate audits
  • Measuring success
  • Patient self-management in record retrieval

Resources

This resource from the California Department of Public Health provides facts, information for health professionals,  data and surveillance, vaccine, and prevention.

Este recurso del CDC ofrece una visión general de la tos ferina , también conocida como Whooping Cough. Los temas incluyen síntomas , propagación, la tos ferina en los EE.UU. y las medidas de prevención.

This resources provides an overview of Pertussis, also known as the Whooping Cough. Topics include symptoms, how its spread, Pertussis in the US and prevention measures.

This resource from the CDC provides an overview of Pertussis, also known as the Whooping Cough. Topics include symptoms, how its spread, Pertussis in the US and prevention measures.

It Takes the Whole Team: Staff Roles in ImmunizationWelcome to Immu-News, the Immunization Initiatives listserv, a monthly resource for the community of participants in this project.Our topic for the month is It Takes the Whole Team:  Staff Roles in Immunization.  As you know, we’ve been calling each of the Project clinics over the last months and wanted to share with you some interesting ideas about who plays what part in immunization at our clinics.Of course, we all think immediately about the providers and nurses, the people most likely to administer the vaccines.  But who orders the vaccines, who checks the supplies, who keeps the logs, who books the appointments, who enters the data, who tracks it, and who encourages the clients to come in to the clinic to get the shot?It could be at some clinics that one or two people do most or all of these jobs, while at other clinics, they may be divided up among three or four or more people.  What works at your clinic and why?  Does the hand that gives the shot know what the other hands are doing?  How is recording and tracking immunization data a team effort? How can the receptionist, the billing clerk, and the outreach worker all be a crucial part of the picture?Read on for information about the following:

  1. Experience: A checklist of all the different tasks necessary to arrive at your clinic’s immunization goals, gathered from our recent phone calls to you.
  2. Research: the collaborative approach--how successful are systems that incorporate the receptionist or the outreach worker into the immunization goals of the clinic?

A complete list of questions and answers on HPV Vaccine from the Centers for Disease Control and Prevention.

This table for healthcare providers and planners provides information related to spacing between the two doses of 2009 H1N1 vaccine for children 6 months through 9 years of age and for administration of 2009 H1N1 vaccine with seasonal influenza and other vaccines.

This table for healthcare providers and planners provides information related to spacing between the two doses of 2009 H1N1 Vaccine for children 6 months through 9 years of age.

This table for healthcare providers and planners provides information related to administration of 2009 H1N1 vaccine with seasonal influenza and other vaccines.

First do no harm : Protect patients by making sure all staff receive yearly influenza vaccine!

To provide easily accessible immunizations, reduce patient waiting time, and assure quality of service in provision of immunizations.

Appendix C: Identification/Management of HBsAg--Positive Persons

Appendix B: Postexposure Prophylaxis to Prevent HBV Infection

Appendix B: Immunization Management

Appendix A: Case Management

Appendix C: Postexposure Prophylaxis

MMWR 2006,55(No. RR-16) Please note: Be sure to include the 3 appendices to get the complete document.

Children with asthma should get flu shots to protect them, but only 3 in 10 do, U.S. health officials said.

Merck & Co., Inc. announced the launch of a national print, television and online advertising campaign for the world's first cervical cancer vaccine, GARDASIL® [Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine]. Adding to Merck's ongoing cervical cancer and HPV education efforts, the new campaign, called One Less, encourages females who are eligible for the vaccine to begin their vaccination series and to also continue to see their doctor for regular healthcare and screening.

Following the recent Food and Drug Administration (FDA) approval of a vaccine targeting cervical cancer, Women in Government, a national, bi-partisan, non-profit organization representing women state legislators, today recommended that all girls entering middle school be vaccinated against the human papillomavirus (HPV), the cause of cervical cancer. The recommendation is part of the group's new policy recommendations for the HPV vaccine's implementation in the states. The group also supports parental exemptions to the HPV vaccine, based on existing state immunization exemptions. The new HPV vaccine policy recommendations are part of Women in Government's "Challenge to Eliminate Cervical Cancer Campaign," which mobilizes state legislators to help eradicate cervical cancer through education and policy initiatives. Since 2004, 45 states have introduced legislation or resolutions tackling this issue.

Preventionof Tetanus,Dhiphteria and Pertussis among pregnant women. ACIP voted on June 30, 2006.

In June 2005 and June 2006, the ACIP made policy changes for use of live, attenuated varicella containing vaccines for prevention of varicella.

CDC released a revised interim Vaccine Information Statement (VIS) for Tdap vaccine. It is identical to the previous interim version except for minor changes in Section 3 that reflect ACIP's evolving recommendations regarding use of Tdap during pregnancy.