Vaccinating Every Adolescent Patient. Adjunct Professor of Family Medicine University of Minnesota at Mankato
|
|
- Scot Taylor
- 8 years ago
- Views:
Transcription
1 Vaccinating Every Adolescent Patient Vince LaPorte LaPorte, MD Adjunct Professor of Family Medicine University of Minnesota at Mankato
2 Funded by the Centers for Disease Control and Prevention via the Prevention and Public Health Fund Cooperative Agreement #3H23IP S1 DISCLAIMER: The findings and conclusions in this presentation are those of the author and do not necessarily represent the official position of the Centers for Disease Control and Prevention. 2
3 Disclosure Information Vaccinating Every Adolescent Patient April 17, 2015 Vince LaPorte, MD Disclosure of Relevant Financial Relationships I have no financial i relationships to disclose. Disclosure of Off-Label and/or Investigative Uses I will not discuss off-label or investigational uses in my presentation except to note that CDC recommends off-label administration of 9- valent HPV vaccine to males 16 and older and off-label administration of Tdap to children 7-9 years of age who were not fully immunized with DTaP before age 7. 3
4 About Dr. LaPorte M.D., University of Michigan Board-certified in Family Medicine U.S. Army Medical Corps, Vietnamese refugee camp, Fort Chaffee, AR, 1975 Practiced 34 years in Marshall, MN Preceptor - University of Minnesota Family Medicine Residency - Mankato 4
5 Learning Objectives List the vaccines adolescents should receive and when they should receive them Confidently recommend vaccines to adolescents per the national consensus immunization schedule Select appropriate p tools for making adolescent immunization an integral part of your clinical routine 5
6 Our Agenda Today Thoughts about vaccination Useful information on adolescent vaccines HPV, meningococcal, Tdap Influenza, childhood catchup Toward higher vaccination rates Strategies to consider 6
7 Vaccination in Your Practice Adds value to visits made for other reasons Expresses physician s s concern for whole patient, engagement with lifetime journey Vaccine-friendly fi office culture can be cultivated 7
8
9 Tdap Vaccination Rates 100% 90% 80% Healthy People 2020 Goal Minnesota vs. US, % 60% 50% 40% 30% 20% 10% 0% MN US MN US MN US MN US MN US MN US
10 Meningococcal Vaccination Rates 100% 90% 80% Healthy People 2020 Goal Minnesota vs. US, % 60% 50% 40% 30% 20% 10% 0% MN US MN US MN US MN US MN US MN US
11 HPV #1 Vaccination Rates 100% 90% 80% Healthy People 2020 Goal Females, Minnesota vs. US, % 60% 50% 40% 30% 20% 10% 0% MN US MN US MN US MN US MN US MN US
12 HPV #3 Vaccination Rates 100% 90% 80% Healthy People 2020 Goal Females, Minnesota vs. US, % 60% 50% 40% 30% 20% 10% 0% MN US MN US MN US MN US MN US MN US
13 Current Minnesota Adolescent Rates 100% 90% 80% Males and females, ages Per MIIC, February % 60% 73% 50% 56% 40% 30% 36% 20% 10% 0% 12% 16% Tdap 1st MCV4 MCV4 Booster 1st HPV 3rd HPV 13
14 Communicating About Vaccines Provider recommendation predicts acceptance of pediatric vaccination generally [1] HPV vaccination specifically [2,3] Recommendation should be unequivocal and encompass full adolescent platform Use C.A.S.E. method [4] 14
15 Corroborate CASE C.A.S.E. Method Understand the question Find common ground About Me What Ive I ve done to understand this issue Science On this issue Explain/Advise How this leads to my recommendation 15
16 Adolescent Vaccination Generally Cost should rarely pose a barrier General vaccination resources: 16 Immunization Adolescent vaccination Pink Book schedule brochure
17
18 HPV: Cancer Burden 22,000 vaccine-type* cancers in the U.S. each year Oropharyngeal cancer** 7,000 annual deaths Penile cancer 300 annual deaths 16/18 HPV 16/18 Anal cancer HPV 16/ annual deaths HPV 16/18 All cases [1] Caused by HPV [1] Caused by HPV 16/18 [ ] Cervical Caused by HPV 16/18 cancer [2] 4,000 annual deaths Vulvar cancer 16/18 HPV 16/18 Vaginal cancer 1,000 annual deaths 800 annual deaths 18 *This graphic only accounts for HPV types 16 and 18. **HPV vaccine is not indicated for the prevention of oropharyngeal cancer.
19 HPV Vaccine: Basics Catchup for women, immunecompromised men, and MSM; OK Best Catchup permissive for other men Recommended schedule in years of age. Give to males and females Dose intervals: 0, 1-2 months, 6+ months 2/2015 ACIP vote changed 6 months to 6+ months 9-valent product: FDA approved 12/2014, ACIP voted to recommend 2/ Recommendation not official until published Use like quadrivalent product Even though FDA indication is narrower Don t miss opportunities to vaccinate by waiting for 9-valent OK to change products mid-series 9-valent dose(s) for those already fully vaccinated to be discussed in future Possible insurance coverage delay? Consider having patients check with insurers at first
20 HPV Vaccine: Necessity Pap testing does not substitute for HPV vaccination Not universal Only 73% of women tested [1] Cervical cancer persists in spite of Pap testing Only inspects cervix Doesn t protect males Doesn t protect against cancer at other sites Treats precancer, doesn t prevent infection Trauma Potential complications, cervical incompetence HPV vaccination does not substitute for Pap testing Vaccine does not prevent all oncogenic HPV types 20
21 HPV Vaccine: Effectiveness Strong performance in clinical trials [1] Vaccine Efficacy against CIN2 CIN3 Genital warts 9 valent %* 97%* Quadrivalent 100% 97% 96% (women) 90% (men) 96% (women) 90% (men) Bivalent 99% 100% NA Already having impact in the US [2] No evidence of waning immunity i [3,4] Antibody response stronger when given younger [5] *Demonstrated non inferior to quadrivalent product against types 16 and 18; 96.7% effective against CIN 2/3 attributable to additional 5 HPV types. 21
22 HPV Vaccine: Safety 62 million doses distributed to date in US [1] No association with long-term side effects Large studies of HPV vaccine find no link to serious adverse events [2-6] 22
23 HPV Vaccine: Potential Concerns Evidence-Based Syncope Can happen with any adolescent vaccination Observe for 15 minutes after any injection Injection site irritation [1] Rumors Impact on sexual activity Medical record indicators of sexual activity not higher among vaccinated girls [3,4] Media reports of HPV vaccine injuries The most common VAERS reports are fueled reported adverse event in by media coverage [5] clinical trials [2] 23
24 Misperceptions Parents ratings of the importance of vaccinating to prevent certain diseases How health care providers guessed parents would rate them Extremely Important Not Important Meningococcal Hepatitis B Pertussis Influenza HPV 24
25 Talking About HPV Vaccine Reasons parents don t intend to vaccinate their daughters [1] Safety concerns Vaccine not recommended to them Don t know enough about the vaccine Child isn t sexually active Child is too young Effective provider recommendation can address misconceptions and knowledge gaps In CDC message testing, cancer messages were most powerful 25
26 Model HPV Conversation 26 More available at
27 Model HPV Conversation 27 More available at
28 HPV Vaccine: Perspective A conversation about HPV vaccination isn t difficult. A difficult conversation is one I have nearly every week when I have to look a young woman in the eye and tell her she may no longer be able to have children or even worse, that she may die from cervical cancer. That s a difficult conversation. [1] Daron Ferris, MD Professor, Department of OB/GYN Georgia Regents University Cancer Center 28
29
30 MCV4 Vaccine: Basics First Dose Booster Dose Permissive Best Option Next Best Last Resort First dose at 11-12, booster at 16 If first dose at 13-15, booster at If first dose at 16+, no booster Extension for college students Vaccinate patients through age 21 if they will be first- year students living in college dormitories Meningococcal B vaccine Not (yet?) routinely recommended 30
31 Meningococcal Disease: Severity Meningococcal meningitis and sepsis Carriage common, invasive infections unpredictable About 1000 cases/yr in U.S. [1] Meningitis 9-12% fatal Sepsis up to 40% fatal Up to 20% of survivors have serious sequelae 31
32 Meningococcal Disease: Minnesota Mankato outbreak,, 1995[1] 9 cases, 1 death, 30,000 vaccinated 2012: 12 known cases invasive disease[2] 32
33 MCV4 Vaccine: Effectiveness Vaccine effectiveness wanes < 1 year = 95% 1 year = 91% 2-5 years = 58% Dose at is important Adolescent platform presents opportunity Patient may not return for booster Booster dose is important Strengthens protection through highest-risk ages (16-21) 33
34 MCV4 Vaccine: Safety No serious safety concerns Hypothesized link between MCV4 and Guillain-Barré syndrome did not hold up in large study [1] Most common adverse events: Pain/redness at injection site (48%) Fever (3%) Headache/malaise in next 7 days (60%) 34
35 35 Meningococcal Disease Video
36 36 Meningococcal Disease Video
37
38 Tdap Vaccine: Basics Standard recommendation One dose at No minimum interval between Td and Tdap; give adolescent dose of Tdap even if patient received Td recently 38
39 Tdap Diseases: Severity Pertussis: 48,277 reported pertussis cases in U.S. in 2012 [1] Pneumonia, rib fractures, missed school/work Risk of transmitting to infants can be fatal Tetanus: 37 cases in U.S. in 2012 [1] Not possible to eliminate exposures Diphtheria: i 0 cases in U.S. in 2012 [1] Still circulates in Eastern Europe, sporadic cases elsewhere [3] Confirmed and probable pertussis cases in Minnesota: [2] 2012: 4, : : 1,120 39
40 Tdap Vaccine: Effectiveness High initial effectiveness 99% of vaccinees have antibodies against all three diseases after 1 year [1] Pertussis immunity wanes [2] Whole-cell vaccine protection was more durable but produced more reactions [3] Steady erosion of immunity each year after acellular vaccine is given 40
41 Tdap Vaccine: Safety No serious safety concerns Most common adverse events after vaccination Pain/redness (21-66%) Fever (1.4%) Comparable to rates after Td 41
42
43 Other Vaccines for Adolescents Influenza Annually Risk-Based Needs PCV13/PPSV23 Travel vaccines Childhood Catchup Hep B (2-3 doses) 2-dose alternative schedule for ages MMR (2 doses) Varicella (2 doses) Polio (3+ doses) Hep A (2 doses) 43
44
45 45 Materials for Patients
46 Patient Outreach Strategies for Better Rates Patient education materials Keep on hand Existing communication channels Add immunization info to practice s web site, telephone hold recording, newsletter, Facebook page, etc. Reminder/recall notices Send to patients/parents Make sure MIIC is up to date 46 Clinic Operations Standard work flows Immunization screening At every visit Pop-up EHR reminders can help Routinize screening and administration Vaccination protocols can help Rate assessments Track over time MIIC or EHR All staff on board Everyone with patient contact Designate a vaccine champion Finances Reimbursement analysis Vaccines for Children Program Referral options
47
48 Question 1 Should a 10-year-old female be vaccinated against HPV? Choose one: a. Yes, without exception b. This is permissible, but waiting another year is the CDC recommendation c. No, unless she is in a special risk category d. No; vaccine is not licensed for 10-year-olds 48
49 Question 1 Should a 10-year-old female be vaccinated against HPV? Choose one: a. Yes, without exception b. This is permissible, but waiting another year is the CDC recommendation - CORRECT c. No, unless she is in a special risk category d. No; vaccine is not licensed for 10-year-olds 49
50 Question 2 What is the adolescent meningococcal vaccine recommendation? Choose one: a. Two doses, two months apart, when the adolescent turns 18 b. One dose just before college c. One dose at age d. One dose at age and a booster at age 16 50
51 Question 2 What is the adolescent meningococcal vaccine recommendation? Choose one: a. Two doses, two months apart, when the adolescent turns 18 b. One dose just before college c. One dose at age d. One dose at age and a booster at age 16 - CORRECT 51
52 Question 3 Which adolescents should receive influenza vaccine? Choose one: a. All of them b. Those with high-risk conditions such as asthma c. Those who live in households with infants or elderly people 52
53 Question 3 Which adolescents should receive influenza vaccine? Choose one: a. All of them - CORRECT b. Those with high-risk conditions such as asthma c. Those who live in households with infants or elderly people 53
54 Question 4 If an 11-year-old has received Td in the last few years, is Tdap still indicated? Choose one: a. Yes b. Yes, if pertussis incidence is high in the patient s area c. No 54
55 Question 4 If an 11-year-old has received Td in the last few years, is Tdap still indicated? Choose one: a. Yes - CORRECT b. Yes, if pertussis incidence is high in the patient s area c. No 55
56 Question 5 A 20-year-old woman with an abnormal Pap associated with HPV16 asks if she would benefit from HPV vaccine. What is your answer? Choose one: a. No; since she is already infected, it s too late. b. Yes, she should receive the bivalent vaccine as it is more potent. c. No, she is too old. d. Yes; she may benefit from protection ti against oncogenic type HPV18 and wart types HPV6 and
57 Question 5 A 20-year-old woman with an abnormal Pap associated with HPV16 asks if she would benefit from HPV vaccine. What is your answer? Choose one: a. No; since she is already infected, it s too late. b. Yes, she should receive the bivalent vaccine as it is more potent. c. No, she is too old. d. Yes; she may benefit from protection ti against oncogenic type HPV18 and wart types HPV6 and CORRECT 57
58 Question 6 What is the strongest influence on whether an adolescent is vaccinated? Choose one: a. Financial barriers b. Strength of recommendation by health care provider c. Past history of timely vaccination d. Family s use of alternative medicine 58
59 Question 6 What is the strongest influence on whether an adolescent is vaccinated? Choose one: a. Financial barriers b. Strength of recommendation by health care provider - CORRECT c. Past history of timely vaccination d. Family s use of alternative medicine 59
60 Question 6 About what proportion of U.S. females ages have received 3 doses of HPV vaccine? Choose one: a. One quarter b. One third c. One half d. Three quarters 60
61 Question 6 About what proportion of U.S. females ages have received 3 doses of HPV vaccine? Choose one: a. One quarter b. One third - CORRECT c. One half d. Three quarters 61
62 Question 7 A 19-year-old male received HPV dose #1 at age 12. Now what should he do? Choose one: a. Start over with another dose #1 b. Continue with dose #2, then wait 4-6 months for dose #3 c. Forget the whole project d. Continue with dose #2, then wait 1-2 months for dose #3 62
63 Question 7 A 19-year-old male received HPV dose #1 at age 12. Now what should he do? Choose one: a. Start over with another dose #1 b. Continue with dose #2, then wait 4-6 months for dose #3 - CORRECT c. Forget the whole project d. Continue with dose #2, then wait 1-2 months for dose #3 63
64 Question 8 Which one has been substantiated as attributable to HPV vaccine? Choose one: a. Sexual promiscuity b. Irregular menstrual periods c. Infertility d. Syncope 64
65 Question 8 Which one has been substantiated as attributable to HPV vaccine? Choose one: a. Sexual promiscuity b. Irregular menstrual periods c. Infertility d. Syncope - CORRECT 65
66 Question 9 Which of the following produces lifetime immunity against pertussis? Choose one: a. Whole-cell pertussis vaccine b. Acellular pertussis vaccine c. Natural infection with pertussis d. None of the above 66
67 Question 9 Which of the following produces lifetime immunity against pertussis? Choose one: a. Whole-cell pertussis vaccine b. Acellular pertussis vaccine c. Natural infection with pertussis d. None of the above - CORRECT 67
68 Questions and Answers Thank You t t t Minnesota county artwork by Todd Pitman
4/30/2013 HPV VACCINE AND NORTH DAKOTA HPV IMMUNIZATION RATES HUMAN PAPILLOMAVIRUS (HPV) HUMAN PAPILLOMAVIRUS HPV CONTINUED
HPV VACCINE AND NORTH DAKOTA HPV IMMUNIZATION RATES HUMAN PAPILLOMAVIRUS (HPV) HUMAN PAPILLOMAVIRUS What is human papillomavirus (HPV)? HPV is the most common sexually transmitted infection. There are
More informationImmunization Information for Blinn College Students
1 Immunization Information for Blinn College Students *Important Information Regarding the Bacterial Meningitis Vaccine* The State passed Senate Bill 1107 in 2011 and recently Senate Bill 62 in 2013, which
More informationPreventive Health Guidelines
Preventive Health Guidelines As of April 2010 What is your plan for better health? Make this year your best year for overall wellness. Your health benefits plan may cover early detection screenings and
More informationTake advantage of preventive care to help manage your health
Take advantage of preventive care to help manage your health Preventing disease and detecting health issues at an early stage, if they occur, are important to living a healthy life. Following these recommended
More informationImmunization Program: Planning and Forecasting
Immunization Program: Planning and Forecasting Anne Schuchat, MD Director, NCIRD and RADM, US Public Health Service Centers for Disease Control and Prevention National Vaccine Advisory Committee June 10,
More informationPreventive Health Services
understanding Preventive Health Services For the most current version of this document, visit www.wellwithbluemt.com or www.bcbsmt.com. Preventive health services include evidence-based screenings, immunizations,
More informationPrevention of Pertussis Among Pregnant & Post Partum Women and Their Infants. Marilyn Michels RN MSN CIC Kathleen Curtis MS RN
Prevention of Pertussis Among Pregnant & Post Partum Women and Their Infants Marilyn Michels RN MSN CIC Kathleen Curtis MS RN Pertussis and Adults Pertussis (whooping cough) a poorly controlled vaccine-preventable
More informationMedia Contacts: Annick Robinson Investor Contacts: Justin Holko (438) 837-2550 (908) 740-1879 annick.robinson@merck.com
News Release FOR IMMEDIATE RELEASE Media Contacts: Annick Robinson Investor Contacts: Justin Holko (438) 837-2550 (908) 740-1879 annick.robinson@merck.com Merck's HPV Vaccine, GARDASIL 9, now available
More informationImmunisation schedule of the Spanish Association of Paediatrics: 2014 recommendations
VACCINE Table 1. Spanish Association of Paediatrics Immunisation Schedule. Recommendations of the Advisory Committee on Vaccines Age in months Age in years 0 2 4 6 12-15 15-18 2-3 4-6 11-12 Hepatitis B
More informationImmunization Safety Office. Updates
Immunization Safety Office Updates Centers for Disease Control and Prevention Tom Shimabukuro, MD, MPH, MBA Immunization Safety Office Division of Healthcare Quality Promotion National Center for Emerging
More informationNurse Practitioner Healthcare Foundation
Nurse Practitioner Healthcare Foundation Improving Health Status and Quality of Care through Nurse Practitioner Innovations 2647 134th Avenue NE, Bellevue, WA 98005-1813 425-861-0911 Fax 425-861-0907 www.nphealthcarefoundation.org
More informationPreventive health guidelines As of May 2014
To learn more about your plan, please see anthem.com/ca. To learn more about vaccines, please see the Centers for Disease Control and Prevention (CDC) website: cdc.gov. Preventive health guidelines As
More informationRoutine Immunization Schedules. Section 2. Newfoundland and Labrador Immunization Manual. Routine Immunization Schedules
Newfoundland and Labrador Immunization Manual Section 2 Routine Immunization Schedules Routine Immunization Schedules... 2.1-1 Policy on Routine Immunization Schedules... 2.1-2 Routine and Delayed Immunization
More informationUpdated Recommendations for Use of Tdap in Pregnant Women
From the Texas Department of State Health Services Immunization Branch The goal of the Vaccine Advisory is to disseminate, in a timely manner, practical information related to vaccines, vaccine-preventable
More informationWhy Pertussis matters..
Why Pertussis matters.. Pertussis (Whooping cough) outbreaks continue to impact children & adults, both locally and across the US. Cases have been on the rise since the 1980 s. However, recent data on
More informationHealth Check Billing Guide for Providers
Health Check Billing Guide for Providers All preventive or well-child services except normal newborn care in the hospital must be billed under the Health Check program following the policies and procedures
More informationGLOBAL CONCERNS ABOUT HPV VACCINES FACT SHEET
GLOBAL CONCERNS ABOUT HPV VACCINES FACT SHEET When detected, HPV infection is easily managed and rarely proceeds to cancer Very few women with HPV develop cervical cancer HPV infections are only one of
More informationFREQUENTLY ASKED QUESTIONS ABOUT PERTUSSIS (WHOOPING COUGH)
FREQUENTLY ASKED QUESTIONS ABOUT PERTUSSIS (WHOOPING COUGH) What is pertussis? General Questions About Pertussis Pertussis, or whooping cough, is a contagious illness that is spread when an infected person
More informationProvider Billing Communication Health Check Services (EPSDT)
Provider Billing Communication Health Check Services (SDT) All preventive or well-child services, except normal newborn care in the hospital, must be billed under the Health Check program following the
More informationThis article is a CME/CE certified activity. To earn credit for this activity visit: http://www.medscape.org/viewarticle/750546
1 of 6 10/10/2011 7:17 PM This article is a CME/CE certified activity. To earn credit for this activity visit: http://www.medscape.org/viewarticle/750546 CME/CE Information CME/CE Released: 09/28/2011;
More informationHPV Vaccines. What is HPV? Can a vaccine help prevent HPV?
What is HPV? HPV Vaccines HPV stands for human papilloma virus. HPVs are a group of more than 150 related viruses. Each HPV virus in the group is given a number, and is called an HPV type (for instance,
More informationhttp://www.ilga.gov/commission/jcar/admincode/077/077006650b0240...
1 of 5 7/30/2014 9:47 AM TITLE 77: PUBLIC HEALTH CHAPTER I: DEPARTMENT OF PUBLIC HEALTH SUBCHAPTER i: MATERNAL AND CHILD HEALTH PART 665 CHILD HEALTH EXAMINATION CODE SECTION 665.240 BASIC IMMUNIZATION
More informationNew Jersey Immunization Requirements
New Jersey Immunization Requirements Jenish Sudhakaran, MPH Jennifer Smith, MPH, CHES Vaccine Preventable Disease Program NJ Department of Health & Senior Services March 2012 Purpose of N.J.A.C. 8:57-4
More informationPreventive health guidelines As of May 2015
Preventive health guidelines As of May 2015 What is your plan for better health? Make this year your best year for wellness. Your health plan may help pay for tests to find disease early and routine wellness
More informationPreventive health guidelines
Preventive health guidelines As of May 2015 What is your plan for better health? Make this year your best year for wellness. Your health plan may help pay for tests to find disease early and routine wellness
More informationPrevents future health problems. You receive these services without having any specific symptoms.
Preventive Care To help you live the healthiest life possible, we offer free preventive services for most Network Health members. Please refer to your member materials, which you received when you enrolled
More informationGuidelines for Vaccinating Pregnant Women
Guidelines for Vaccinating Pregnant Women U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Disease Control & Prevention Guidelines for Vaccinating Pregnant Women from Recommendations of the Advisory
More informationCurrent Trends in Immunization
Current Trends in Immunization Christian Lease Director, Immunization Policy, Novartis Vaccines 2011 NCSL Meeting Objectives Review the benefits of immunization Discuss where the immunization enterprise
More informationMEMO. Prevention Partnership Providers and Local Public Health Units. Vaccines for Children Coordinator. New Hib Vaccine Available
MEMO TO: FROM: RE: Prevention Partnership Providers and Local Public Health Units Tatia Hardy Vaccines for Children Coordinator New Hib Vaccine Available DATE: October 12, 2009 The Food and Drug Administration
More information2 P age. Babies from Birth to Age 2
Contents Babies from Birth to Age 2... 2 Vaccines give parents the power... 2 Vaccines are recommended throughout our lives... 3 Talk to your doctor... 3 Vaccines are very safe... 3 Whooping Cough (Pertussis)...
More informationSafety of HPV vaccination: A FIGO STATEMENT
Safety of HPV vaccination: A FIGO STATEMENT July, 2013 Human papillomavirus vaccines are used in many countries; globally, more than 175 million doses have been distributed. Extensive pre- and post-licensure
More informationImmunization Laws. Laws help improve immunization rates. Overview of this section: Who to Call
Immunization Laws Laws help improve immunization rates This section covers federal and state laws designed to ensure that people are protected against vaccine-preventable diseases. Overview of this section:
More informationThe Immunization Office, located in the Student Health Center, is open year round to administer needed immunizations at a nominal fee.
Student Health Services 2815 Cates Avenue Raleigh, NC 27695-7304 919-515-2563 healthcenter.ncsu.edu The Immunization Record Form is designed to collect information about your current immunization status.
More informationRecommended Adult Immunization Schedule
Recommended Adult Immunization Schedule UNITED STATES 2011 Note: These recommendations must be read with the footnotes that follow containing number of doses, intervals between doses, and other important
More informationInformation on Measles and Whooping Cough: Vaccination and Disease
Information on Measles and Whooping Cough: Vaccination and Disease Vaccine s Mechanism of Action Vaccines expose the recipient to a small amount of an weakened organism. Through this exposure, the body
More informationHow To Get Immunizations At Clemson
Immunization Forms Welcome to Clemson University! We are glad you have chosen us to meet your higher education goals. The University requires a complete immunization record to be on file at for all students.
More informationSummary of Key Points WHO Position Paper on Vaccines against Human Papillomavirus (HPV) October 2014
Summary of Key Points WHO Position Paper on Vaccines against Human Papillomavirus (HPV) October 2014 1 Background l Selected types of HPV cause cervical cancer, anogenital warts, and other anogenital and
More informationVACCINES FOR CHILDREN PROGRAM PROVIDER AGREEMENT
VACCINES FOR CHILDREN PROGRAM PROVIDER AGREEMENT FACILITY INFORMATION Facility Name: Facility Address: VFC Pin#: City: County: State: Zip: Telephone: Fax: Shipping Address (if different than facility address):
More informationBob Swanson, MPH Michigan Department of Community Health Adult Immunization Program and Initiatives
Bob Swanson, MPH Michigan Department of Community Health Adult Immunization Program and Initiatives Michigan Primary Care Consortium s Adult Immunization Second Plenary Session March 29, 2012 MDCH Adult
More information99381, 99382: Initial preventive medicine evaluation 99391, 99392: Periodic preventive medicine re-evaluation
Age Birth - 24 months 2-11 s M/ M/ Preventive medicine, re-, or office visit/ 8 visits within the first 24 months of life (As part of preventive medicine or re-, Hemoglobin, hematocrit, or CBC for those
More informationHow To Get An Hp Vaccine
What is HPV? HPV Vaccines HPV is short for human papilloma virus. HPVs are a group of more than 150 related viruses. Each HPV virus in the group is given a number, which is called an HPV type. HPVs are
More informationWhat is whooping cough. (pertussis)? Information and Prevention. Ocument dn
What is whooping cough Ocument dn (pertussis)? Information and Prevention IMPORTANT Pertussis (or whooping cough) is a highly contagious infection that can cause uncontrollable, violent coughing. If you
More informationVaccination against pertussis (whooping cough) - the replacement of Repevax with Boostrix -IPV an update for registered healthcare practitioners
Vaccination against pertussis (whooping cough) - the replacement of Repevax with Boostrix -IPV an update for registered healthcare practitioners Questions and Answers May 2014 Health Protection Scotland
More informationcancer cervical What women should know about and the human papilloma virus
What women should know about cervical cancer and the human papilloma virus American Cancer Society Guidelines for the Early Detection of Cervical Cancer I take care of myself so I can take care of my family.
More informationFOR IMMEDIATE RELEASE Release #2014-04
FOR IMMEDIATE RELEASE Release #2014-04 CONTACT for this Release: Krista Dommer Office Phone: (209) 468-3571 Email: kdommer@sjcphs.org Alvaro Garza, MD, MPH. Public Health Officer MEASLES OUTBREAKS PROMPT
More informationImmunization Healthcare Branch. Human Papillomavirus Vaccination Program Questions and Answers. Prepared by
Immunization Healthcare Branch Human Papillomavirus Vaccination Program Questions and Answers Prepared by Immunization Healthcare Branch (IHB), Defense Health Agency Last Updated: 02 Jan 14 www.vaccines.mil
More informationIMMU-NEWS. Winter 2014 MESSAGE FROM THE SECTION ADMINISTRATOR. In this Issue: CHARLES H. ALEXANDER. Immunizing Florida. Protecting Health.
Immunizing Florida. Protecting Health. Editorial Staff: Janet Compton, Cristina Dusek, Claudette Hummel, Deborah Kahn, Jennifer Ouzts, Laura Rutledge, Valerie Shipley MESSAGE FROM THE SECTION ADMINISTRATOR
More informationAETNA BETTER HEALTH OF MISSOURI
Aetna Better Health of Missouri 10 South Broadway, Suite 1200 St. Louis, MO 63102 800-566-6444 AETNA BETTER HEALTH OF MISSOURI HEDIS Quick Reference Billing Guide 2014 Diagnosis and/or procedure codes
More informationVaccination: It s what your child would choose. Your guide to childhood vaccinations.
Vaccination: It s what your child would choose No-one likes an injection, but your child would never choose to suffer from serious conditions like measles, mumps or whooping cough. Your guide to childhood
More informationHow Many Tdap Vaccines Are Given to San Diego County People?
Immunizations and Pregnancy Mark H. Sawyer, MD San Diego Immunization Partnership San Diego County Immunization Branch Objectives List vaccines that should be given either during pregnancy or immediately
More information2013-2017. [Immunization Program Strategic Plan 2013 2017] Immunization Program
2013-2017 Immunization Program [Immunization Program Strategic Plan 2013 2017] Maintaining and Improving Immunization Rates in North Dakota (updated October 2013) 1 Contents Introduction:... 3 Vaccine
More informationOREGON HEALTH AUTHORITY IMMUNIZATION PROTOCOL FOR PHARMACISTS Human Papilloma Virus Vaccines (HPV)
OREGON HEALTH AUTHORITY IMMUNIZATION PROTOCOL FOR PHARMACISTS Human Papilloma Virus Vaccines (HPV) Revisions as of 01-01-2016 Vaccination age changed to clients 7 years of age Removal of adolescent well
More informationVaccination Requirements for U.S. Immigration: Technical Instructions for Panel Physicians. December 14, 2009
Vaccination Requirements for U.S. Immigration: Technical Instructions for Panel Physicians December 14, 2009 Table of Contents Preface... iii Significant Changes in the Vaccination Requirements... 1 Procedure
More informationMilitary Physicians: Area Field Consultants. Kelly Duke (Warner Robins) Kelly.Duke@dph.ga.us (404) 277-9414
Military Physicians: All licensed military physicians can sign the Georgia Immunization form 3231. If the physician is on a military base, but not licensed in Georgia that person is also authorized under
More informationINDIVIDUAL VACCINE REQUIREMENTS SUMMARY. DIPHTHERIA, TETANUS, PERTUSSIS (DTaP, DT, Td, Tdap)
DIPHTHERIA, TETANUS, PERTUSSIS (DTaP, DT, Td, Tdap) All students entering child care/preschool and kindergarten through 12 th grades must get vaccinated against diphtheria, tetanus, and pertussis. Routine
More informationExplanation of Immunization Requirements
Explanation of Immunization Requirements CONTENTS Hepatitis A... 2 Hepatitis B... 3 Influenza... 4 Measles (Rubella), Mumps, and Rubella (MMR)... 5 Pertussis (Tdap)... 6 Tuberculosis (TB) Test... 7 Varicella/Chicken
More informationCervical cancer is the second most common cancer among South African women
Cervical cancer is the second most common cancer among South African women *SA Statistics as per National Cancer Registry (NCR) 2007 What is cervical cancer? Cervical cancer is a type of cancer that occurs
More informationPlan early - get your vaccinations in time for full protection. To prepare for your trip, schedule an appointment: (910) 347-2154, option #2.
The Onslow County Health Department Travel Clinic offers a complete line of immunizations and prescriptions to protect you while traveling abroad. The most appropriate immunizations and travel medications
More informationFrequently Asked Questions PROPOSED REVISIONS TO SCHOOL IMMUNIZATION REGULATIONS IN PENNSYLVANIA
Frequently Asked Questions PROPOSED REVISIONS TO SCHOOL IMMUNIZATION REGULATIONS IN PENNSYLVANIA What is the current school vaccination rate in Pennsylvania? Given the way in which data is collected, we
More informationWellCare Clinical Practice Guidance - A Review
Copyright 2008 by the American Academy of Pediatrics. Please see the following link for additional information concerning the AAP recommendations. http://brightfutures.aap.org/ Reference: American Academy
More informationWhat is HPV? Low-risk HPV types. High-risk HPV types
HPV and Cancer What is HPV? HPV is short for human papilloma (PAP-uh-LO-muh) virus. HPVs are a large group of related viruses. Each HPV virus in the group is given a number, which is called an HPV type.
More informationIs your family at risk for pertussis?
Is your family at risk for pertussis? Help protect your family against a serious disease and talk to your health-care professional about adult and adolescent immunization with Adacel vaccine. Please click
More informationCervical cancer screening with the HPV test and the Pap test in women ages 30 and older
Cervical cancer screening with the HPV test and the Pap test in women ages 30 and older When to get tested and how to make sense of your test results If you are 30 years or older and your Pap test is normal
More informationDr. Valerie Jaeger Acting President Providing Leadership in Public Health Management
2 Carlton Street, Suite 1306 Toronto, Ontario M5B 1J3 Tel: (416) 595-0006 Fax: (416) 595-0030 E-mail: info@alphaweb.org alpha s members are the public health units in Ontario. alpha Sections: Boards of
More informationAppendix 7.5: Immunization for Children Expecting Solid Organ Transplant after 18 Months of Age (Catch-up and Ongoing Schedule)
Appendix 7.5: Immunization for Children Expecting Solid Organ Transplant after 18 Months of Age (Catch-up and Ongoing Schedule) Revision Date: September 5, 2014 Note: These guidelines are intended as a
More informationOverall Goal and Objectives
Overall Goal and Objectives The University of North Texas Health Sciences (UNTHSC) Center Office of Professional and Continuing Education strives to transform medicine and health locally and globally through
More informationAddition of vaccination against hepatitis B infection and change of the HPV vaccination programme
Change to DENMARK S CHILDHOOD VACCINATION PROGRAMME 2014 Addition of vaccination against hepatitis B infection and change of the HPV vaccination programme 2014 Addition to the Danish Health and Medicines
More informationVaccines in Pregnancy MARK H. SAWYER, MD UCSD SCHOOL OF MEDICINE RADY CHILDREN S HOSPITAL SAN DIEGO
Vaccines in Pregnancy MARK H. SAWYER, MD UCSD SCHOOL OF MEDICINE RADY CHILDREN S HOSPITAL SAN DIEGO 1 Objectives List vaccines that should be given either during pregnancy or immediately post-partum in
More informationCoding for Vaccines and Immunization Administration in 2011: Major and Welcome Changes to the CPT 2011 Immunization Administration Codes
Page 1 of 9 Print Close Window Coding for Vaccines and Immunization Administration in 2011: Major and Welcome Changes to the CPT 2011 Immunization Administration Codes November 2010 Pediatricians and pediatric
More informationImmunization FAQs Required Vaccines for 2014-15 School Year
Immunization Schedules and Documentation Immunization FAQs Required Vaccines for 2014-15 School Year 1. Question: What is the difference between the recommended immunization schedule and the Colorado School
More informationColorado School Immunizations: Working Together to Protect Students Health
Colorado School Immunizations: Working Together to Protect Students Health Colorado Immunization Section Colorado Department of Public Health & Environment Jamie D Amico, RN, MSN, CNS Schools and Community
More informationGeneral Colorado Immunization Guidelines... 3. Varicella (Chickenpox) Disease and Varicella Vaccine... 4. DTaP/Tdap/Td Vaccines...
General Colorado Immunization Guidelines... 3 What is the difference between Colorado school required immunizations and immunizations that are recommended?... 3 What is the 4 day grace period for vaccines
More informationFive Key Steps to Improve HPV Vaccination Rates in Your Practice. Tuesday, December 9, 2014 11:00 AM ET
Five Key Steps to Improve HPV Vaccination Rates in Your Practice Tuesday, December 9, 2014 11:00 AM ET Agenda Welcome & Program Goals Accelerating HPV Vaccine Uptake: A Public Health Priority Joseph A.
More informationTop Strategies for Increasing Immunization Coverage Rates
Top Strategies for Increasing Immunization Coverage Rates Implement one or more of the evidence-based strategies below to improve immunization coverage rates in your practice. These recommendations are
More informationTdap and MenC booster vaccines. Information for parents of children in First Year of second level school
Tdap and MenC booster vaccines Information for parents of children in First Year of second level school Tdap and MenC booster vaccines Information for parents of children in First Year of second level
More informationAdult Vaccination Frequently Asked Questions: The Basics
The Basics Why should I get vaccinated? Vaccination is the best way to protect against infections that can make you sick and be passed on to those around you. 1 What kinds of side effects will I get from
More informationTEXAS ADMINISTRATIVE CODE
TEXAS ADMINISTRATIVE CODE TITLE 25 PART 1 CHAPTER 97 SUBCHAPTER B HEALTH SERVICES DEPARTMENT OF STATE HEALTH SERVICES COMMUNICABLE DISEASES IMMUNIZATION REQUIREMENTS IN TEXAS ELEMENTARY AND SECONDARY SCHOOLS
More informationsafest place for your baby is in your arms...
Help protect your baby by helping to protect yourself. Photo: John Bentham Imagine a cough barreling through your infant s body at up to 100 mph. Help protect yourself and your family by getting an adult
More informationInfluenza virus Vaccine, Split Virus, When administered to individuals 3 years or older, for intramuscular use (Agriflu)
Adult Immunization Codes State and School Employees Life and Health Insurance Plan Not Subject to Calendar Year Deductible 100% of allowable for covered procedures Payable only for Network Providers (In-State
More informationSECTION 8 HEALTHY CHILDREN AND YOUTH PROGRAM
SECTION 8 HEALTHY CHILDREN AND YOUTH PROGRAM The Healthy Children and Youth (HCY) Program in Missouri is a comprehensive, primary and preventive health care program for MO HealthNet eligible children and
More informationIncreasing HPV Vaccination Rates Among Adolescents: Challenges and Opportunities
EVIDENCE TO ACTION WINTER 2016 Increasing HPV Vaccination Rates Among Adolescents: Challenges and Opportunities Jennifer Gable, Jennifer Eder, Kathleen Noonan, Kristen Feemster EXECUTIVE SUMMARY Most people
More informationCare Gap Care Reminder Description Reference 900-2035-1210. Cardiovascular Persistence of Beta- Blocker Treatment After a Heart Attack (PBH)
Below is a list of the current Care Reminders shown in the Patient Care Summary Clinical Messaging section of the Availity web portal. These Florida Blue clinical alerts are based on claim data and are
More information7. Laws IN THIS SECTION INTRODUCTION
7. Laws IN THIS SECTION Missouri Immunization Statutes and Rules Missouri s School Immunization Statute and Rule (RSMo 167.181) Missouri s Child Care Immunization Statute and Rule (RSMo 210.003) Blood
More informationWhooping Cough Vaccine for Pregnant Women
Whooping Cough Vaccine for Pregnant Women What is whooping cough (pertussis)? Whooping cough (also known as pertussis) is a highly contagious illness that can be life threatening. The disease is most serious
More informationPhysical Exam Checklist
1021 West 14 th Street P. O. Box 968 Hastings, Nebraska 68902-0968 Appointments (402) 463-2423 Business (402) 462-8456 Fax (402) 463-9698 Physical Exam Checklist This information is being sent to you for
More informationImmunization Infrastructure: The Role of Section 317
Immunization Infrastructure: The Role of Section 317 Immunization plays a vital role in the control and prevention of infectious disease. Current immunization recommendations target 17 vaccine-preventable
More informationAmerican Academy of Family Physicians
American Academy of Family Physicians Barbara E. Stanford MD Grand Rapids Family Medicine Residency Wege Family Medicine HPV is transient in most women HPV-75% Normal ASCUS LSIL HSIL Cancer 80-90% 75%???
More informationTen Good Reasons to Be Concerned about the Human Papillomavirus (HPV) Vaccination Campaign
Ten Good Reasons to Be Concerned about the Human Papillomavirus (HPV) Vaccination Campaign This document is a translation and adaption of an information brochure prepared by the Federation du Québec pour
More informationAssessment, Feedback, Incentives, exchange (AFIX) 2014 Provider Site Visit Questionnaire. Answer Guide
Assessment, Feedback, Incentives, exchange (AFIX) 2014 Provider Site Visit Questionnaire Answer Guide 1 Strategies to improve the quality of immunization services 1. Do you have a reminder/recall process
More informationprotect your child IMMUNIZE ON TIME, EVERY TIME. Haemophilus Influenzae Type B (Hib) Human Papillomavirus (HPV) Influenza (Flu) Disease Disease
protect your child IMMUNIZE ON TIME, EVERY TIME. Diphtheria Haemophilus Influenzae Type B (Hib) Hepatitis A Hepatitis B Human Papillomavirus Influenza (Flu) Measles Meningococcal Disease Mumps Pertussis
More informationWilliam Atkinson, MD, MPH Hepatitis B Vaccine Issues June 16, 2016
William Atkinson, MD, MPH Hepatitis B Vaccine Issues June 16, 2016 Advisory Committee on Immunization Practices (ACIP) The recommendations to be discussed are primarily those of the ACIP composed of 15
More informationAnnually for adults ages 55 80 years with 30 pack/year smoking history and currently smoke or quit within the past 15 years Hepatitis B screening
Preventive Care Schedule Effective January 1, 2016 Highmark Blue Cross Blue Shield Express Scripts The plan pays for preventive care only when given by a network provider. Certain vaccines are available
More informationCommunity Health Administration
Community Health Administration 300 North San Antonio Road Santa Barbara, CA 93110-1332 805/681-5439 FAX 805/681-5200 Takashi M. Wada, MD, MPH Director/Health Officer Anne M. Fearon Deputy Director Suzanne
More informationI am reaching out to you with some preventative information that you might be interested in sharing with your school community.
Reported cases of pertussis (whooping cough) are on the rise in Colorado and El Paso County. As of October 23, more than 1,000 cases of pertussis have been reported across the state. El Paso County cases
More informationStep 6: Documenting and Related Issues
Step 6: Documenting and Related Issues Early in the previous chapter, Step 5: Administering Vaccines, you learned that you need to provide your patient with a Vaccine Information Statement (VIS) before
More informationenvironics research group
environics research group FINAL REPORT Canadian Adult National Immunization Coverage (Adult NICS) Survey 2006 Prepared for: Public Health Agency of Canada (PHAC) November 2006 HC POR # POR-05-75 336 MacLaren
More informationUnderstanding preventive care
Understanding preventive care We want you to be your healthiest. That s why the preventive services listed here are free for most members. What services are recommended? Know before you go. Preventive
More informationReviewed at the Consensus group meeting at Hotel Tunga,August,2014 President FOGSI:DrSuchitraPandit
Vaccination in Women Reviewed at the Consensus group meeting at Hotel Tunga,August,2014 President FOGSI:DrSuchitraPandit Guideline development Group : Meeting August 30,2014 Drafted by DrGirijaWagh and
More informationFacts About Chickenpox and Shingles for Adults
Facts About Chickenpox and Shingles for Adults What is chickenpox? Chickenpox, also known as varicella, is a very contagious disease caused by the varicella-zoster virus. It is spread easily through the
More informationRemove this cover sheet before redistributing and replace it with your own. Please ensure that DPHHS is included on your HAN distribution list.
State of Montana Health Alert Network DPHHS HAN ADVISORY Cover Sheet DATE: May 15, 2012 SUBJECT: Pertussis INSTRUCTIONS: DISTRIBUTE to your local HAN contacts. This HAN is intended for general sharing
More information