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Oklahoma Immunization Update August 2012 PREVENTION and PREPAREDNESS SERVICES IMMUNIZATION SERVICE PLEASE POST & DISTRIBUTE TO ALL NURSING AND MEDICAL STAFF Pertussis Activity in the U.S. • As of July 19, 2012, 17,900 cases of pertussis have been reported nationwide. This is more than twice as many cases as the same time last year and more cases than were reported in each of the past five years. • So far this year, nine babies have died from whooping cough in the U.S. • As of July 5, 2012, 37 states have reported increases in pertussis compared with the same time period in 2011. • Oklahoma’s surveillance system is not detecting increased activity of pertussis; 41 total cases have been identified to date. • The high rates of pertussis among adolescents 13–14 years of age in Washington State and nationally provide observational data suggesting waning Tdap immunity in adolescents who were fully vaccinated with acellular (DTaP) vaccines during childhood. Advisory Committee on Immunization Practices (ACIP) Recommendations for Tdap Vaccination Children (7-10 years): • Give to incompletely vaccinated children for whom no pertussis contraindication exists. • Give one Tdap as part of a three-dose primary series to those who have never been vaccinated against diphtheria, tetanus, and pertussis, or whose vaccination status is unknown. Adolescents (11-18 years): • Give routinely at the 11-12 year old visit in place of a Td booster. • Give to adolescents 13-18 years of age who have not received Tdap vaccine. • Tdap should be administered regardless of the interval since the last tetanus and diphtheria toxoid-containing vaccine. Adults (19 years and older): • ACIP recommends that all adults aged 19 years and older who have not yet received a dose of Tdap receive a single dose. • Tdap should be administered regardless of the interval since the patient’s last tetanus or diphtheria toxoid-containing vaccine. Pregnant Women: • Pregnant women who have not previously received a dose of Tdap should be vaccinated in the late second or third trimester (after 20 weeks gestation). The complete ACIP Recommendations for Tdap vaccine are available at: http://www.cdc.gov/vaccines/pubs/ACIP-list.htm#tdap Messages for Parents • Unvaccinated children have at least an eightfold greater risk for acquiring pertussis than children fully vaccinated against pertussis. • Although vaccinated children can develop pertussis, they are less infectious, have milder symptoms and shorter illness duration, and are at reduced risk for severe outcomes, including hospitalization. Safety & Timing of Tdap Following Td Two studies were conducted with 387 persons aged 18 through 76 years who received a Tdap or combined Tdap-inactivated polio vaccine (Tdap-IPV) either within 21 days, or <2 years following a previous Td-containing vaccine. Tdap-IPV vaccine is not licensed in the United States. In both studies, immediate or short-term adverse events (i.e., 30 minutes to 2 weeks) after receipt of Tdap or Tdap-IPV were examined. The majority of these events were limited to local reactions, including pain (68%--83%), erythema (20%--25%), and swelling (19%--38%). Serious adverse events related to the receipt of Tdap or Tdap-IPV shortly after Td or Td-IPV vaccinations did not occur. However, the number of subjects in these studies was small and does not exclude the potential for rare, but serious, adverse events. Source: MMWR January 14, 2011 / 60(01);13. Save the Date: CDC’s Annual Immunization Update is scheduled for August 16, 2012. This webcast is CDC’s annual update on the most recent and significant developments in the rapidly changing field of immunizations. Anticipated topics include: • Influenza • Pertussis Outbreaks • Tdap, Immunization of Healthcare Personnel (HCP) • PCV for Immunocompromised Adults • Storage and Handling of Vaccines • VIS/Barcodes The 2.5-hour webcast will occur from 8:00 to 10:30 am CDT and there will also be a re-broadcast that day from 11:00 am to 2:30 pm CDT. Both webcasts will feature a question and answer session in which participants nationwide can interact with the course instructors via email and fax. For an online version of this Update, visit the Immunization Service web page at: http://www.ok.gov/health/Disease,_Prevention,_Preparedness/Immunizations/Information_for_Health_Professionals/index.html. If you have any questions about this material, contact the Immunization Service by telephone at 405.271.4073 or by e-mail at email@example.com.
|Okla State Agency||
Health, Oklahoma State Department of
|Okla Agency Code||
|Title||Oklahoma immunization update, 08/2012|
Oklahoma. State Department of Health.
|Purpose||Pertussis Activity in the U.S.; Advisory Committee on Immunization Practices (ACIP) Recommendations for Tdap Vaccination; Safety & Timing of Tdap Following Td|
|For all issues click||H845.6 I33u|
|Digital Format||PDF Adobe Reader required|
|ODL electronic copy||Downloaded from agency website: http://www.ok.gov/health/documents/August2012ImmUpdate.pdf|
|Rights and Permissions||This Oklahoma State Government publication is provided for educational purposes under US copyright law. Other usage requires permission of copyright holders.|