Oklahoma immunization update, 03/2014

              Oklahoma Immunization Update
March 2014
PREVENTION and PREPAREDNESS SERVICES
IMMUNIZATION SERVICE
PLEASE POST & DISTRIBUTE TO ALL NURSING AND MEDICAL STAFF
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Stop Using Multi-Vaccine Vaccine Information
Statement (VIS)
The Multi-Vaccine Vaccine Information Statement, “Your
Baby's First Vaccines” has been temporarily removed
from circulation while it is being updated. This VIS has
been an alternative when two or more routine childhood
vaccines (i.e., DTaP, HepB, Hib, PCV13, polio, or
rotavirus) are administered at the same visit rather than
using separate VISs for each vaccine. In the meantime,
please use the individual VISs when vaccinating children
with these vaccines. The Centers for Disease Control
and Prevention (CDC) hopes to have an updated edition
available by mid-2014.
New Vaccine Information Statements
The Hib and Td Vaccine Information Statements (VISs)
have recently been updated and are now available.
Both VISs have an edition date of 2/4/2014. Neither VIS
has changed substantively from previous versions, other
than to include an addition ("Problems that could happen
after any vaccine") to the adverse events section of
each. However, because of this change, providers
should begin using these new editions immediately.
The new Td VIS replaces the Tdap/Td VIS, dated
1/24/12, which has been used for Td vaccine up until
now. Any remaining copies of the Tdap/Td VIS should
be discarded. Current VISs are available on the CDC
website at:
http://www.cdc.gov/vaccines/hcp/vis/index.html and in
multiple languages at the Immunization Action Coalition
(IAC) website at: http://www.immunize.org/vis/.
Alternatives to Paper Copies of the Vaccine
Information Statement (VIS)
In the past, healthcare providers and public health
entities interpreted federal law as requiring that a paper
copy of each VIS had to be handed to the recipient prior
to vaccination, and that the recipient must take this copy
away with him or her following the vaccination so they
will have information on side effects and how to report
them.
This is based on federal law which requires all health
care providers in the United States who administer, to
any child or adult, any of the following vaccines – DTaP,
Td, Tdap, MMR, polio, HepA, HepB, Hib, influenza,
PCV, meningococcal, rotavirus, HPV, or chickenpox – to
provide, prior to administration of each dose of the
vaccine, a copy to keep of the relevant current edition
vaccine information materials that have been produced
by CDC.
The evolution of electronic media has resulted in
broadening of this interpretation. CDC now states:
· A practice may produce permanent, laminated,
office copies of each VIS, which may be read by
recipients prior to vaccination.
· VISs may be reviewed on a computer monitor (or
any video display).
· VISs may be downloaded by the recipient to a
smartphone or other electronic device to read at his
or her convenience. (VISs have been formatted for
this purpose and are available at the CDC website
on the page for each VIS as an RTF (text) file which
can be imported into an electronic system.)
· VISs may be made available to be read before the
immunization visit (e.g., by giving the patient or
parent a copy to take home during a prior visit, or
telling them how to download or view a copy from
the Internet). These patients must still be offered a
copy in one of the formats described previously to
read during the immunization visit, as a reminder.
· Providers must still offer a copy (which can be an
electronic copy) of each appropriate VIS to take
away following the vaccination. However, the
recipient may decline.
Adapted from: http://www.cdc.gov/vaccines/hcp/vis/about/facts-vis.html
and http://www.cdc.gov/vaccines/hcp/vis/about/required-use-instructions.
html.
Most Current Versions of VISs for Childhood and
Adolescent Vaccines
Chickenpox 3/13/08
DTaP 5/17/07
Hib 2/4/14
Hepatitis A 10/25/11
Hepatitis B 2/2/12
HPV-Cervarix 5/3/11
HPV-Gardasil 5/17/13
Influenza 7/26/13
MMR 4/20/12
MMRV 5/21/10
Meningococcal 10/14/11
Multi-vaccine
Not
Available
PCV13 2/27/13
Polio 11/8/11
Rotavirus 8/26/13
Td 2/4/14
Tdap 5/9/13
For an online version of this Update, visit the Immunization Service web page at:
http://www.ok.gov/health/Disease,_Prevention,_Preparedness/Immunizations/Vaccines_for_Children_Program/index.html