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Immunization Healthcare

Visit our 2018-19 Seasonal Influenza Resource Center

The Defense Health Agency Immunization Healthcare Branch (DHA-IHB) supports all Department of Defense (DoD) immunization programs and provides clinical consultative services, educational support, and training resources for the entire DoD family. To learn more, visit our:

What's New

The following documents have been updated within the past 30 days:

Document What's changed Date Posted 
Vaccine Bin Label examples Examples of bin labels for vaccine storage, updated with the 2018-19 influenza vaccines. September 18, 2018
Vaccine Inventory Issue/Return Receipts for Off-site Immunization Clinics
Forms for tracking vaccine inventory when taken off-site, updated with the 2018-19 influenza vaccines. September 18, 2018

2018-2019 COAST GUARD OIX ANNUAL INFLUENZA (FLU) IMMUNIZATION PROGRAM

Coast Guard medical guidance for the 2018-19 influenza season and its influenza immunization program.

September 17, 2018
Counting Doses in Combined Regimens of Monovalent and Bivalent Hepatitis A and Hepatitis B vaccines An updated information paper detailing the regimens needed for full immunity to hepatitis A and B using combinations of several different vaccines. September 17, 2018

Progress Toward Poliovirus Containment Implementation — Worldwide, 2017–2018

Twenty-nine countries have designated 81 facilities for the retention of needed poliovirus type 2 materials to perform critical national or international functions under certified conditions, including vaccine production, diagnosis, and research. Wild poliovirus type 2 was certified eradicated in 2015.

September 17, 2018

Operational Infectious Diseases Weekly Update

The latest update from the Naval Health Research Center (NHRC), with 2018 infectious disease surveillance data through September 13, 2018.

September 17, 2018

Operational Infectious Diseases Weekly Update

The latest update from the Naval Health Research Center (NHRC), with 2018 infectious disease surveillance data through September 6, 2018.

September 17, 2018

Operational Infectious Diseases Weekly Update

The latest update from the Naval Health Research Center (NHRC), with 2018 infectious disease surveillance data through August 30, 2018.

September 17, 2018

MMQC-18-2189 Gardasil 9 Prefilled Syringes RECALL

The manufacturer has issued a voluntary recall on Gardasil 9 prefilled syringes that are labeled with an incorrect lot number and expiration date.

August 29, 2018

MMQC-18-2161 Extended Expiration Dates for Select Lots of EpiPen 0.3 mg Auto-Injectors and its Authorized Generic

Due to the intermittent supply interruptions of EpiPen, the Food and Drug Administration (FDA) has approved some EpiPens, and the authorized generic versions, to be used beyond the manufacturer's labeled expiration date.

August 29, 2018
Vaccine Information Statements (VIS)

Updated VIS for Meningococcal ACWY Vaccine (removes reference to discontinued vaccine and other minimal updates) and DTaP Vaccine (updated contraindications and precautions to vaccination) . Stocks of the previous editions may still be used until exhausted.

August 28, 2018
MMQC-18-2164 Current Yellow Fever Vaccine Inventory - Suspense 10 September 2018

All immunization sites are to report their inventory of yellow fever vaccine, even if they have on-hand zero balance, by September 10, 2018.

August 28, 2018
Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices—United States, 2018–19 Influenza Season Updated vaccine recommendations for the 2018-19 influenza season. Routine annual influenza vaccination is recommended for all persons 6 months and older who do not have contraindications. August 27, 2018

National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13–17 Years — United States, 2017

Coverage among adolescents for HPV and meningococcal vaccines increased in 2017, and coverage remained high for tetanus and diphtheria toxoids and acellular pertussis vaccine.

August 27, 2018

Notes from the Field: Mumps Outbreak — Alaska, May 2017–July 2018

Almost 400 confirmed or probable cases of mumps have been reported during this outbreak, mostly in residents of Anchorage, AK.

August 27, 2018
Preventing Hepatitis B Infections in U.S. Adults webinar
An August 28, 2018 webinar from the National Foundation for Infectious Diseases, which will discuss the burden of hepatitis B infections and the importance of preventing infections through vaccination. August 27, 2018
DHA-Interim Procedures Memorandum 18-005: 2018-2019 Seasonal Influenza Vaccination Program This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM) provides guidance for the Seasonal Influenza Vaccination Program.
August 21, 2018
FluMist package insert Prescribing information for the 2018-19 FluMist live, intranasal influenza vaccine.  August 21, 2018

Vision

A premier, responsive, patient centered organization promoting excellence in immunization health care practice and policy for service members and beneficiaries.

Mission

Support Force Health Protection and Readiness, and the Military Health System (MHS) by developing and promoting programs and services that enhance immunization effectiveness, safety, and acceptability. Provide evidence based solutions that improve immunization health care through policy implementation guidance, strategic communication, education, training, and clinical services worldwide.

Immunization Resources

Joint Regulation screenshot    Best Practices Immunization Cover   Storage and Handling 2017 cover  CDC Pink Book cover   Yellow Book 2018

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General Best Practice Guidelines for Immunization

Publication
7/18/2018

The Centers for Disease Control and Prevention (CDC) recommends routine vaccination to prevent 17 vaccine-preventable diseases that occur in infants, children, adolescents, or adults. This report provides information for clinicians and other health care providers about concerns that commonly arise when vaccinating persons of various ages.

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Immunization Healthcare | Vaccine Recommendations | Continuous Quality Immunization Improvement Process (CQIIP) and Virtual Continuous Quality Immunization Improvement Process (VCQIIP)

Advice for healthy older adults: Get the new shingles vaccine

Article
3/29/2018
Navy Petty Officer 3rd Class Luis Echevarria draws up the new vaccine for shingles at Naval Hospital Jacksonville, Florida.  Shingrix is recommended for healthy adults 50 and older even if they’ve already had shingles or received the previous shingles vaccine. (U.S. Navy photo by Petty Officer 1st Class Jacob Sippel)

Rash can recur, cause long-term pain

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Vaccine-Preventable Diseases | Immunization Healthcare

Immunization University and Project Immune Readiness Certificate Retrieval Instructions

Publication
2/14/2018

This document provides instructions for students to retrieve their certificates for Immunization University and Project Immune Readiness courses

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Immunization Healthcare

Army Medicine in thick of war on antibiotic-resistant bacteria

Article
2/2/2018
This strain of antibiotic-resistant Staphylococcus aureus bacteria is magnified 50,000 times.

The Centers for Disease Control and Prevention calls antibiotic resistance one of the world's most pressing public health problems

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Immunization Healthcare

Antibiotics not the answer for common cold

Article
12/21/2017
Antibiotics should only be used to treat bacterial infections, not viral infections as they will not work against upper respiratory illnesses caused by viruses. (U.S. Air Force photo by Airman 1st Class Kenna Jackson)

Antibiotics should only be used to treat bacterial infections, not viral infections

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Immunization Healthcare

Immunization Healthcare Branch outreach initiatives

Article
12/6/2017
Navy Lt. Jessica Miller, a certified nurse midwife in Naval Hospital Jacksonville’s pregnancy Integrated Practice Unit, assesses a patient. A key education initiative for the Defense Health Agency Immunization Healthcare Branch involved outreach to new parents or soon-to-be parents to address any questions or concerns they have about vaccines recommended during pregnancy, infancy or childhood. (U.S. Navy photo by Jacob Sippel)

A key education initiative for the Defense Health Agency Immunization Healthcare Branch involved outreach to new parents or soon-to-be parents

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Immunization Healthcare

Surveillance Snapshot: Influenza Immunization among U.S. Armed Forces Healthcare Workers, August 2012 – April 2017

Infographic
10/31/2017
Did you know …?  During the 2016 – 2017 influenza season, each of the three services attained greater than 94% compliance among healthcare personnel. The U.S. Advisory Committee on Immunization Practices recommends that all healthcare personnel be vaccinated against influenza to protect themselves and their patients. The Joint Commission requires that healthcare organizations have influenza vaccination programs for practitioners and staff, and that they work toward the goal of 90 percent receipt of influenza vaccine. This snapshot of a five-year surveillance period (August 2012 – April 2017) shows  that the active component healthcare personnel of the Army, Navy, and Air Force has exceeded the percentage compliance with influenza immunization requirement in each year. •	Line graph showing the percentage of healthcare specialists and officers with records of influenza vacation by influenza year (1 August through 30 April) and service, active, U.S. Armed Forces, August 2012 – April 2017 displays. Access the full snapshot in MSMR Vol. 24 No. 10 October 2017 at Health.mil/MSMR There are two photos featured on the infographic: 1.	A service member being vaccinated with the flu vaccine displays  2.	A photo of vaccine administrators shows.

This snapshot of a five-year surveillance period (August 2012 – April 2017) details influenza immunization compliance among the active component healthcare personnel of the Army, Navy, and Air Force.

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Armed Forces Health Surveillance Branch | Immunization Healthcare | Influenza Seasonal

Don’t give flu a fighting chance; get the flu shot

Article
10/10/2017
Navy Hospital Corpsman 3rd Class Gerich Curtom (left), administers a flu shot to Builder 2nd Class Charles Scheck at Naval Air Station North Island’s medical clinic. There are many different strains of flu virus, and they can often mutate quickly, presenting a challenge in keeping everyone healthy and maintaining optimal immunity, and making it necessary to get immunized annually. (U.S. Navy photo by Mass Communication Specialist 1st Class Sean P. Lenahan)

Influenza presents a disease threat almost every year, and annual immunization continues to be the best way to avoid that threat

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Preventive Health | Immunizations | Immunization Healthcare | Influenza Seasonal

National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13–17 Years — United States, 2016

Report
8/25/2017

CDC provides up-to-date estimated immunization rates among teens using the latest recommended immunization schedules.

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Immunization Healthcare | Vaccine Schedules | Vaccine-Preventable Diseases

Immunizations provide the ounce of prevention delivering the pound of cure

Article
8/1/2017
Air Force Col. Tonya Rans, chief, Immunization Healthcare Branch, Defense Health Agency.

Air Force Col. Tonya Rans, chief, Immunization Healthcare Branch at the Defense Health Agency, explains how vaccinations are an important preventive health tool.

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Preventive Health | Immunization Healthcare

CDC Yellow Book

Publication
6/12/2017

CDC Health Information for International Travel 2018

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DoD vaccine research saves military, civilian lives

Article
6/2/2017
Mosquitoes lie in a petri dish for testing. Personnel at the Walter Reed Army Institute of Research, a Defense Department biomedical facility in Silver Spring, Maryland, are researching and developing vaccines that can save military and civilian lives. (U.S. Air Force photo)

Personnel at the Walter Reed Army Institute of Research are researching and developing vaccines that can save military and civilian lives

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Immunization Healthcare | Research and Innovation | Preventing Mosquito-Borne Illnesses

DoDEA Immunization Requirements School Year 2017-18

Publication
5/26/2017

Students who enroll in Department of Defense Education Activity (DoDEA) schools are required to meet specific immunization requirements.

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Immunization Healthcare | Vaccine Schedules

Immunization Healthcare nurses have all bases covered

Article
5/12/2017
Immunization Healthcare Branch nurse practitioner Ann Morse (left) speaks to Sailors about immunizations at a health fair. The Health Fair was part of a long-range plan to improve the overall health and wellness of Sailors.(U.S. Navy photo by Lt. j.g. Mckensey Smith)

The nurses and nurse practitioners of the DHA Immunization Healthcare Branch carry on a proud tradition of nursing in military medicine, through education, policy development, adverse event management, research and training all done in the name of caring for patients and providers and ensuring the health of our warfighters.

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Immunization Healthcare

Surveillance of Vaccination Coverage Among Adult Populations — United States, 2015

Report
5/10/2017

The findings provided in this report indicate that vaccination coverage levels among U.S. adults are not optimal. Improvement in adult vaccination is needed to reduce the health consequences of vaccine-preventable diseases among adults.

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Immunization Healthcare | Vaccine-Preventable Diseases | Vaccine Recommendations
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