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Oklahoma Immunization Update December 2012 PREVENTION and PREPAREDNESS SERVICES IMMUNIZATION SERVICE PLEASE POST & DISTRIBUTE TO ALL NURSING AND MEDICAL STAFF Pregnant Women Face Increased Risk from Influenza Evidence that influenza can be more severe in pregnant women and infants is available from observations and studies during previous pandemics, including 2009 H1N1, and from previous studies among pregnant women who had seasonal influenza. At the 2012 National Foundation for Infectious Disease (NFID) Influenza/Pneumococcal News Conference held on Sept. 27, 2012, (http://www.adultvaccination.org/newsroom/Events/2012-news-conference) Laura Riley, M.D., Director of Obstetrics and Gynecology Infectious Disease, Massachusetts General Hospital representing ACOG stated, “Influenza is five times more likely to cause severe illness in pregnant women than women who are not pregnant. The flu vaccine is safe and offers protection for the mother. Research shows it can decrease the baby’s risk of getting the flu for up to six months after birth.” Influenza Vaccination Levels Increasing among Pregnant Women, Physician Recommendation plus Provision of Vaccine Increases Rates During the 2011-12 influenza season, a Centers for Disease Control and Prevention (CDC) survey reports that 47.0% of pregnant women received flu vaccine. The survey also reports that when doctors both recommended a flu shot and offered to give one, 74% of pregnant women received the shot. The survey results were reported in the Sept. 27 issue of the Morbidity and Mortality Weekly Report (http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6138a1.htm). "It is critical for physicians to protect themselves from the flu and to also encourage their patients to get vaccinated,” said Litjen Tan, MS, PhD, Director of Medicine and Public Health at the American Medical Association. “For example, pregnant women whose physician recommended the flu vaccine were five times more likely to get vaccinated, so we want to get the message out to all physicians that they can encourage patients to get vaccinated," said Tan, at the 2012 NFID Influenza/Pneumococcal News Conference. However, the safety of flu vaccine in pregnancy is often questioned because of the presence of the preservative thimerosal in multi-dose vials of flu vaccine. While there is still no scientific evidence that thimerosal is linked to autism, the idea that mercury and/or thimerosal causes autism is still widely disseminated. The supply of flu vaccine without thimerosal or any other preservative is increasing every year. The following brands and presentations of flu vaccine contain no thimerosal (or mercury) and may be used for pregnant women: Fluzone, 0.5 mL single-dose pre-filled syringe and Afluria, 0.5 mL single-dose pre-filled syringe. Safety of Flu Vaccine in Pregnancy CDC, in collaboration with the Food and Drug Administration, recently conducted a search of reports submitted to the Vaccine Adverse Event Reporting System (VAERS) of pregnant women who received seasonal influenza vaccines from 1990 to 2009 to assess potential vaccine safety concerns. The results of this study were published in the American Journal of Obstetrics and Gynecology in February 2011. Overall, the study concluded that no unusual patterns of pregnancy complications or adverse fetal outcomes were observed among pregnant women after being given the flu shot or nasal spray flu vaccine. While the live attenuated intranasal vaccine is not recommended for pregnant women, scientists were reassured to find that the inadvertent administration of this vaccine to pregnant women did not result in reported unexpected reactions. Data from CDC’s 19-year review of VAERS add to an existing body of evidence supporting the safety of seasonal flu vaccination of pregnant women. Vaccines for Children (VFC) Flu Vaccine Still Available Influenza vaccine for the VFC Program is still available for ordering from the Immunization Service. Flu vaccine may be ordered from your Immunization Field Consultant or your Regional Immunization Coordinator. Contact numbers for field staff are available at: http://www.ok.gov/health/documents/IFC%20List%20by%20County%20Nov%202011.pdf. Pentacel® Vaccine Supply Still Limited The supply of Pentacel (DTaP-IPV/Hib) remains limited. It is anticipated that this will continue through March of 2013. Vaccine providers may need to use single antigen or other combination vaccines in place of Pentacel. Sample schedules using single component and combination vaccines are available in Guidance for Vaccinating Children during the 2012 Pentacel® and Daptacel® Shortage on the CDC web site at: http://www.cdc.gov/vaccines/vac-gen/shortages/downloads/pentacel-guidance.pdf. If you need assistance adjusting your ordering levels for any Hib, DTaP, or polio vaccine, please contact your Immunization Field Consultant or Regional Immunization Coordinator. 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 firstname.lastname@example.org.
|Okla State Agency||
Health, Oklahoma State Department of
|Okla Agency Code||
|Title||Oklahoma immunization update, 12/2012|
Oklahoma. Immunization Service.
|Purpose||Pregnant Women Face Increased Risk from Influenza; Influenza Vaccination Levels Increasing among Pregnant Women, Physician Recommendation plus Provision of Vaccine Increases Rates; Safety of Flu Vaccine in Pregnancy; Vaccines for Children (VFC) Flu Vaccine Still Available; Pentacel Vaccine Supply Still Limited|
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|Digital Format||PDF, Adobe Reader required|
|ODL electronic copy||Downloaded from agency website: http://www.ok.gov/health2/documents/IMM_Update_2012_December.pdf|
|Rights and Permissions||This Oklahoma state government publication is provided for educational purposes under U.S. copyright law. Other usage requires permission of copyright holders.|