NACCHO is dedicated to strengthening the immunization infrastructure of local health departments (LHDs). NACCHO addresses critical issues faced by LHDs, such as vaccine safety, supply, and financing, as well as vaccine-preventable diseases. More »
In the Spotlight
A new NACCHO webpage gathers many videos addressing vaccination into one convenient place. Watch short videos covering immunization issues (including influenza, pertussis, and adolescent immunization) and personal stories about vaccine-preventable diseases. Videos range from humorous to serious and target a variety of ages. More »
NACCHO’s Billing For Clinical Services Toolkit
NACCHO was funded by the Centers for Disease Control and Prevention (CDC) to create a toolkit with resources, templates, and tools for local health departments to use and develop capacity to bill third party payers for immunization, STD, TB and HIV services. More than 200 resources have currently been collected from state billing guides, the Centers for Medicare and Medicaid Services, state health departments, local health departments, insurance companies, and vendors of products such as electronic medical records and billing clearinghouses.
The Billing for Clinical Services Toolkit provides information to local health departments that are interested in starting the process to bill public and private sector payers for immunization and other clinical services. This toolkit also provides information:
- Information to local health departments that are interested in starting the process to bill public and private sector payers for clinical; and
- Details on how to get started, such as the steps of the credentialing and contracting processes, and how to submit claims.
Seasonal Influenza News
2012-2013 Influenza Season Coverage Rates
Final state-specific influenza vaccination coverage estimates for the 2012–13 season are now available online at FluVaxView. The online information includes estimates of the percentage of persons vaccinated during July 2012–May 2013, for each state, for each U.S. Department of Health and Human Services region, and for the United States overall. In addition read more on specific coverage rates for health-care workers and pregnant women.
2013-2014 Influenza Vaccines
The World Health Organization and the U.S. Food and Drug Administration's Vaccines and Related Biological Products Advisory Committee (VRBPAC) have announced their recommendations for the vaccine viruses to be included in the 2013-2014 influenza vaccines. The recommendations again include a fourth vaccine virus component as an option for manufacturers that choose to produce a quadrivalent vaccine.The recommended vaccine virus for the influenza A H1N1 component remains the same. The recommended A(H3N2) and B components have been updated. These are:
- An A/California/7/2009 (H1N1) pdm09-like virus (this is unchanged; manufacturers can use the same vaccine candidate viruses to produce vaccine for the upcoming season),
- An A(H3N2) virus antigenically similar to thecell-propagated or cell-grown A/Victoria/361/2011 (H3N2)-like virus (this is an update from last season's vaccine; manufacturers will need to change the vaccine virus candidate)
- A B/Massachusetts/2/2012-like virus (Yamagata lineage; this is a different virus, however it is related to and antigenically similar to the 2012-2013 influenza B component; manufacturers will need to change the vaccine virus candidate).
Visit www.cdc.gov/flu/professionals/vaccination/virusqa.htm for information about the process used to select the vaccine viruses for the seasonal flu vaccine.
Live Tracking Influenza Vaccination Map from HHS
This mapping tool is a resource for researchers, providers, LHDs, and healthcare workers to track influenza vaccination claims rates of Medicare beneficiaries in real-time. It includes information for every county and Zip code in the United States. This tool was developed by the HHS's National Vaccine Program Office.
What's New in Immunizations
VaxiTrends Social and Attitudinal Barometers Presentation
An interesting study from Sanofi Pasteur and live map on Health Map to show social activity and trends around immunization.
The Silver Book: Infectious Diseases and Prevention Through Vaccination
On December 4, 2013, the Alliance for Aging Research hosted a briefing for The Silver Book: Infectious Diseases and Prevention through Vaccination. The speakers’ slides are available online at the Alliance for Aging Research website. The Silver Book volume and accompanying fact sheet can be found on the Silver Book website.
CDC Launches New Vaccine Resources
The CDC recently launched new English-language materials to educate parents of children younger than two about vaccine-preventable diseases and childhood vaccines. These resources include videos and PSAs. Health departments, coalitions, healthcare providers and other organizations are encouraged to link to these materials from their websites and promote them to constituents and parents. The animated PSAs can also be offered to local media outlets.
2013 Immunization Schedules are Available
The 2013 recommended immunization schedules for children and adolescents (birth through 18 years) and adults (19 years old and older) are now available online in the January 28 CDC''s Morbidity and Mortality Weekly Report (MMWR) Supplement.
IOM Report, Childhood Vaccination Schedule Found To Be Safe
The Institute of Medicine (IOM) report entitled "The Childhood Immunization Schedule and Safety: Stakeholder Concerns, Scientific Evidence, and Future Studies," was published on January 16, 2013. This report determined that the childhood vaccination schedule is safe and it is not linked to developmental disorders. The report brief and full report can be found online here.
Study on State Law, Influenza Vaccination & Healthcare Personnel: Update
A presentation from Alexandra Stewart, from The George Washington University, on how state laws address mandatory influenza vaccinations for HCPs, recommendations and model language, and what legal environment is needed to encourage flu vaccinations for all HCPs.
Joint Commission and Healthcare Worker Vaccination Against Influenza
Joint Commission Adds Additional Weight to Importance of Healthcare Worker Vaccination Against Influenza is an article on the Infection Control Today website that discusses the Joint Commission''s recent progress in the area of healthcare worker vaccination against influenza. The Joint Commission now requires healthcare organizations to establish an annual influenza vaccination program for staff.
Provider Resources for Vaccine Conversations with Parents
Provider Resources for Vaccine Conversations with Parents are updated regularly to reflect the most current information available about vaccines, vaccine safety, and vaccine-preventable diseases. CDC recently reviewed and updated (when necessary) the Understanding Vaccines and Vaccine Safety series of fact sheets.
Adult Hepatitis B Immunization Toolkit Now Available
Local Public Health Applications for Implementing Adult Hepatitis B Virus Vaccination Initiatives contains: 1) case studies and key lessons learned from local health departments (LHDs) and their partners, 2) tools that LHDS and partners can download and modify for their own use, and 3) general resources to assist LHDs and their partners administer hepatitis B vaccine to high-risk adults through new services or through program/service integration.
Here are relevant and timely journal articles on immunization:
- Pushing for Immunization Law in Ohio, The Daily Record, March 2014
- Contra Costa County Maps Schools by Vaccination Rates: Find Yours, The California Report's State of Health, March 2014
- State issues new immunization requirements for students, Newton Citizen, March 2014
- Effectiveness of hospital-based postpartum procedures on pertussis vaccination among postpartum women, American Journal of Obstetrics & Gynecology, March 2014
- Agency says flu vaccine for uninsured adults gone, Associated Press, March 5, 2014
- Impact of Requiring Influenza Vaccination for Children in Licensed Child Care or Preschool Programs — Connecticut, 2012–13 Influenza Season, CDC's MMWR, March 2014
- Intussusception Risk after Rotavirus Vaccination in U.S. Infants, NEJM, January 2014
- Risk of Intussusception after Monovalent Rotavirus Vaccination, NEJM, January 2014
- CDC Pregnancy Flu Line: Monitoring Severe Illness Among Pregnant Women with Influenza, Maternal and Child Health Journal, December 2013
- Vaccine for Prevention of Mild and Moderate-to-Severe Influenza in Children, NEJM, December 2013
- Elimination of Endemic Measles, Rubella, and Congenital Rubella Syndrome from the Western Hemisphere, JAMA Pediatrics, December 2013
- Effect of Age on the Risk of Fever and Seizures Following Immunization With Measles-Containing Vaccines in Children, JAMA, December 2013
- Managing the Human Toll Caused by Seasonal Influenza New York State's Mandate to Vaccinate or Mask, JAMA, November 2013
- The Architecture of Provider-Parent Vaccine Discussions at Health Supervision Visits, Pediatrics, November 2013
- Association Between Influenza Vaccination and Cardiovascular Outcomes in High-Risk Patients, A Meta-analysis, JAMA, October 2013
- Guillain-Barré Syndrome Surveillance during National Influenza Vaccination Campaign, New York, USA, 2009, Emerging Infectious Diseases, December 2013
- A Population-Level Assessment of Factors Associated With Uptake of Adolescent-Targeted Vaccines in Michigan, Journal of Adolescent Health, October 2013
- Vaccinations Administered During Off-Clinic Hours at a National Community Pharmacy: Implications for Increasing Patient Access and Convenience, Annals of Family Medicine, October 2013
- Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices - United States, 2013-2014, MMWR, September 2013
- Influenza Vaccination Practices of Physicians and Caregivers of Children with Neurologic and Neurodevelopmental Conditions - United States 2011-12, MMWR, September 2013
- National and State Vaccination Coverage Among Adolescents Aged 13–17 Years — United States, 2012, MMWR, August 2013
- Summary Recommendations: Prevention and Control of Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices (ACIP), United States, 2013-14, CDC
- Reduction in Human Papillomavirus (HPV) Prevalence Among Young Women Following HPV Vaccine Introduction in the United States, National Health and Nutrition Examination Surveys, 2003–2010, Journal of Infectious Disease