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Immunization Healthcare

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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:

Important Announcement

The Defense Health Agency Immunization Healthcare Branch (DHA-IHB) announces the upcoming launch of two new, recurring in-person training opportunities: the two-day Immunization Lifelong Learners Course (ILLC) and the one-day Immunization Lifelong Learners Short Course (ILLSC). Individual courses will be announced here when they are opened for registration. These courses are designed to ensure health care personnel are trained in vaccine policy, vaccine safety, and effectiveness based on national and DoD guidelines. They replace the former Standards for Quality Immunization Practices Course (SQIPC) and the Immunization Program Leaders Course (IPLC), which will no longer be offered. These new courses are recommended for any health care personnel working with immunizations.

Continuing education will be available for these activities. See our Immunization Lifelong Learners Course or Short Course pages for more details and for listings of each course.

Document What's changed Date Posted 
Immunization Lifelong Learners Course (ILLC) A two-day ILLC at Joint Base Pearl Harbor-Hickam, HI (June 11-12, 2019) has now been opened for registration.
March 18, 2019
Updates from February 2019 ACIP Meeting

This March 19, 2019 National Foundation for Infectious Diseases (NFID) webinar will give updates from the February 2019 ACIP meeting, including current U.S. vaccination recommendations for children, adolescents, and adults.

March 5, 2019
Immunization Lifelong Learners Short Course (ILLSC)
A one-day ILLSC at Fort Knox, KY (April 24, 2019) has now been opened for registration.
March 4, 2019
Vaccine Package Inserts
The prescribing information for FluMist quadrivalent influenza vaccine (prescribing information starts on page 2) has been updated with information about use in specific populations and concomitant administration with other live vaccines.
March 4, 2019

Notes from the Field: Measles Outbreak in an Era of Stricter Immunization Requirements — California, March 2018

In a 2018 outbreak in California, six unvaccinated patients with measles all had parents who had chosen not to vaccinate them during childhood. Since 2016, children entering school in California may no longer receive exemptions from immunization requirements based on parental personal beliefs. However, interviews with local health authorities suggest that some students without contraindications to vaccination have received medical exemptions.

March 1, 2019

Progress Toward Hepatitis B Control and Elimination of Mother-to-Child Transmission of Hepatitis B Virus — Western Pacific Region, 2005–2017

In 1990, chronic hepatitis B virus infection in the World Health Organization Western Pacific Region (WPR) was highly endemic. During 2005-2017, increases in coverage for both the hepatitis B vaccine birth dose and third dose led to a decline in prevalence of chronic hepatitis infection in children to <1% in 25 countries.

March 1, 2019
MILPERSMAN 1730-020 Immunization Exemptions for Religious Beliefs Navy Military Personnel Manual (MILPERSMAN) guidance on requesting immunization exemptions. March 1, 2019
III MEF Force Health Protection Requirements 2019

Provides Force Health Protection guidance to all personnel attached, assigned, or reporting to III Marine Expeditionary Force (III MEF) units.

March 1, 2019
Vaccine Package Inserts The prescribing information for Zostavax shingles vaccine has been updated with information about possible adverse reactions. February 25, 2019

MMQC-19-1341 Current Yellow Fever Vaccine Inventory - Suspense 10 March 2019

All immunization sites are to report their inventory of yellow fever vaccine, even if they have on-hand zero balance, by March 10, 2019.

February 25, 2019
Immunization Lifelong Learners Short Course (ILLSC) One-day ILLSCs at Naval Hospital Jacksonville, FL (March 27, 2019) and Camp Lejeune, NC (April 2, 2019) have now been opened for registration. February 20, 2019

Update: Influenza Activity — United States, September 30, 2018–February 2, 2019

As of February 2, 2019, this has been a low-severity influenza season, with a lower percentage of outpatient visits for influenza-like illness (ILI), lower rates of hospitalization, and fewer deaths attributed to pneumonia and influenza, compared with recent seasons.

February 20, 2019

Interim Estimates of 2018–19 Seasonal Influenza Vaccine Effectiveness — United States, February 2019

The overall estimated effectiveness of 2018-2019 seasonal influenza vaccine for preventing medically attended, laboratory-confirmed influenza virus infection was 47 percent.

February 20, 2019

Recommendations of the Advisory Committee on Immunization Practices for Use of Hepatitis A Vaccine for Persons Experiencing Homelessness

All persons aged ≥1 year experiencing homelessness should be routinely immunized against hepatitis A virus. Vaccination of homeless persons facilitates integration of hepatitis A vaccine into routine preventive services.

February 20, 2019
Advisory Committee on Immunization Practices (ACIP) Guidelines The ACIP has updated its recommendations for hepatitis A vaccine. February 20, 2019

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

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Medical helps prevent the flu amongst service members through teamwork

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Members of DLA Troop Support Medical supply chain and DLA Distribution pose for a photo at an after action review for the Department of Defense’s Influenza Vaccination Program at Fort Detrick, Maryland Feb. 5, 2019. The Medical supply chain made approximately 3.4 million doses of the influenza vaccine available at military treatment facilities and U.S. Navy Fleet clinics around the world in support of the DOD’s Influenza Vaccination Program. (DoD photo by Alexander Quiñones)

The Medical supply chain made approximately 3.4 million doses of the influenza vaccine available

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Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger — United States, 2019

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The 2019 child and adolescent immunization schedule summarizes the recommendations of the Advisory Committee on Immunization Practices (ACIP), including several changes from the 2018 immunization schedule.

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Vaccination is the best defense against the flu

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12/10/2018
Vaccination is the primary method for preventing influenza and its complications and getting an annual influenza vaccine is the best way to protect yourself and your family from the flu. (U.S. Army photo by Staff Sgt. Erica Knight)

Vaccination is needed every year because the Influenza viruses change

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Updated Framework for Development of Evidence-Based Recommendations by the Advisory Committee on Immunization Practices

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11/16/2018

In 2010, the Advisory Committee on Immunization Practices (ACIP) implemented the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach for developing evidence-based recommendations. Since its February 2018 meeting, ACIP has incorporated the use of Evidence to Decision or Evidence to Recommendation (EtR) frameworks into GRADE methodology.

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Global Routine Vaccination Coverage — 2017

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Global coverage with vaccines to prevent diphtheria, tetanus, pertussis, polio, and measles has remained at 84%–85% since 2010. Prioritizing countries with the highest number of unvaccinated children to implement context-specific strategies has the potential to increase immunization coverage globally.

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General Best Practice Guidelines for Immunization

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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 Tool Kit 9th Edition

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A practical reference that facilitates and enhances the global delivery of quality immunization healthcare to Department of Defense (DoD) beneficiaries and employees. The Defense Health Agency Immunization Healthcare Branch (DHA-IHB) publishes the Immunization Tool Kit based on national recommendations, evidenced-based, peer-reviewed published medical ...

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WRAIR begins Phase 1 clinical trial of Marburg vaccine

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10/19/2018
The WRAIR study evaluates the VRC-MARADC087-00-VP vaccine, developed by the Vaccine Research Center of the National Institute of Allergy and Infectious Diseases, National Institutes of Health. (U.S. Army file photo)

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Vaccination Coverage Among Children Aged 19–35 Months — United States, 2017

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The Advisory Committee on Immunization Practices recommends routine vaccination by age 24 months against 14 potentially serious illnesses. In 2017, coverage with most recommended vaccines among children aged 19–35 months remained stable and high but was lower in more rural areas and among uninsured or Medicaid-insured children.

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Vaccination Coverage for Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2017–18 School Year

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10/12/2018

Immunization programs conduct annual kindergarten vaccination assessments to monitor school-entry vaccination coverage for all state-required vaccines. Median vaccination coverage was 94.3% for 2 doses of measles, mumps, and rubella vaccine; 95.1% for the state-required number of doses of diphtheria and tetanus toxoids and acellular pertussis vaccine; and 93.8% for 2 doses of varicella vaccine.

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Say ‘Shoo’ to the flu with TRICARE

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Advice for healthy older adults: Get the new shingles vaccine

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

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Antibiotics not the answer for common cold

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