Back to Top Skip to main content

DHA’s Vaccine Safety Hubs emphasize safety

Soldier filling a vaccine needle Staff Sgt. Jay Griggs, medical technician with the 911th Aeromedical Staging Squadron, prepares a vaccine at the Pittsburgh International Airport Air Reserve Station, Pennsylvania. Department of Defense issued vaccinations are used to prevent a variety of diseases that military members may encounter in the course of their duties. (U.S. Air Force photo by Joshua J. Seybert)

Recommended Content:

Health Readiness | Immunization Healthcare | Vaccine-Preventable Diseases

“It’s very, very easy to do vaccines wrong; it’s very hard to do it right.”

When Dr. Bruce McClenathan, medical director of the South Atlantic Region Vaccine Safety Hub for the Defense Health Agency’s Immunization Healthcare Division, teaches courses on vaccine safety, he often makes this statement to his students.

To do it right, according to McClenathan, is to know the exceptions to every rule and the nuances of delivering high-quality immunization health care. Within the Military Health System that job falls on the four regional vaccine safety hubs of the DHA, which are strategically located throughout the U.S.

“The vaccine safety hubs are designed to place immunization experts in the field and assist stakeholders with various needs; this could be recommendations on clinical care, education and training, answering questions on policy, providing recommendations on clinic operations, best practices, vaccine hesitancy, conducting vaccine research, etc.,” said McClenathan. “Our team helps with all things related to vaccines.”

A physician serves as medical director in leading each hub, which includes nurse practitioners, registered nurses, immunization health care specialists, education experts, and research assistants, as well as a hub administrator, each having various areas of responsibility.

Military personnel in a classroom setting
The Immunization Healthcare Division's Pacific Region Vaccine Safety Hub held a two-day Immunization Lifelong Learners Course at Camp Pendleton in San Diego County, California, on Sept. 2-3, 2020 for MHS healthcare professionals. (Photo by David Carbungco)

“For example, the South Atlantic Region Vaccine Safety hub, which is based out of Fort Bragg, North Carolina, is responsible for taking care of CENTCOM, SOUTHCOM, and SOCOM, as well as the major commands on Fort Bragg proper, such as the U.S. Army Forces Command, the U.S. Army Special Operation Command, Joint Special Operations Command, and XVIII Airborne Corp. In addition, the hub supports the entire southeastern part of the United States,” he said. “If a stakeholder in any of these Commands or geographic areas has a question or concern about immunizations, we are available to assist and help resolve their issues.”

Behind the scenes, the regional vaccine safety hubs conduct training and quality assurance checks to ensure the delivery of a safe and effective vaccine to the patient. “If you go in to get a vaccine and everything is fine, that means we’ve done our job well,” said McClenathan. “All of the details that a patient doesn’t need to know about vaccines—but your clinic staff who provide it do have to know...we make sure folks are trained.”

While the military medical treatment facilities oversee and manage their day-to-day operations in patient care, such as ordering and managing vaccines, if they run into a problem, the regional immunization health care specialist is there to help. Recently, McClenathan and his team helped an MTF secure enough yellow fever vaccine just before a short-notice deployment of troops; they otherwise would have faced a supply shortage.

“We redistribute vaccines anywhere in the DoD and ensure they go where they are needed so that vaccines don’t go to waste,” he said, adding that by doing so, the hubs save the Department of Defense hundreds of thousands of dollars each year.

Staff from the hub also support the 24/7 vaccine call centerline where clinic staff, patients and other beneficiaries can ask an expert vaccine-related questions.

“Our hubs are critical to the success of our organization and the DoD immunization program as a whole,” said McClenathan. “We are a one-stop shop for all things immunization so that those who do provide the immunizations can do their jobs competently, professionally, and to the standard of care, if not exceeding the standard of care.”

The majority of vaccines do not change frequently, with exception of the flu vaccine that is updated every year to adapt to new virus strains, but vaccine research is evolving, said McClenathan. For example, the Food and Drug Administration recently expanded approval of an HPV vaccine for men and women up to age 45 to prevent certain cancers and diseases; previously the maximum age was 26.

“As more data and research are completed and assimilated, the recommendations for use of a vaccine may change, even though vaccine itself may not be changing,” he said.

The regional vaccine safety hubs also contribute to the overall vaccine research community, especially as it relates to military health beneficiaries. The research topics can vary from genetics to vaccine adverse reactions to the efficacy of vaccines. McClenathan’s team recently completed a five-year clinical trial studying the impact of ibuprofen on a patient’s immune response to the flu vaccine. The results of the study will soon be published in a peer-reviewed journal.

“It’s really never been studied, especially in adults,” he said. “But we give a lot of ibuprofen and we give a lot of vaccines in the military, so we need to know if giving ibuprofen impacts how people respond to the vaccine.”

Currently, all four regional vaccine safety hubs within the DHA are participating in a major study, in collaboration with the federal government’s Infectious Disease Clinical Research Program to assess which form of the flu vaccine is most effective and providing immunity against the virus, whether egg-based, cell-based, or recombinant flu vaccine. “That’s going to be a pivotal study that will change not only which flu vaccine is given in the military but hopefully globally,” said McClenathan.

You also may be interested in...

MSMR Vol. 27 No. 1 - January 2020

Report
1/1/2020

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Carbon Monoxide Poisoning, Active and Reserve Component Service Members and Non-Service Member Beneficiaries of the Military Health System, U.S. Armed Forces, July 2009–June 2019; Respiratory Pathogen Surveillance Trends and Influenza Vaccine Effectiveness Estimates for the 2018–2019 Season Among Department of Defense Beneficiaries; Brief Report: The Early Impact of the MHS GENESIS Electronic Health Record System on the Capture of Healthcare Data for the Defense Medical Surveillance System; and Brief Report: Incidence and Prevalence of Idiopathic Corneal Ectasias, Active Component, 2001–2018.

Recommended Content:

Health Readiness | Public Health

Air Force studies fatigue, sleep to enhance readiness

Article
12/31/2019
An Air Force Airman sleeps inside a C-17 Globemaster III during a flight over an undisclosed location in support of Operation Freedom Sentinel. (U.S. Air Force photo illustration)

Good sleep habits are closely related to overall health and performance

Recommended Content:

Health Readiness | Sleep

Guard and Reserve crucial to CCATT expansion

Article
12/20/2019
Air Force Maj. Lori Wyatt, a Critical Care Air Transport Team nurse, assigned to the 167th Airlift Wing, Martinsburg, West Virginia, assembles a gurney during a casualty evacuation training at the Raleigh County Memorial Airport. The Air Force is increasing the number of CCATTs to support future readiness requirements. (U.S. Air Force photo by Master Sgt. De-Juan Haley)

The Guard and Reserve support the bulk of aeromedical evacuation, CCATT capabilities

Recommended Content:

Health Readiness

Air Force, Army medics save groom

Article
12/19/2019
Airmen from the 18th Aeromedical Evacuation Squadron simulate life-saving procedures to a training manikin onboard a KC-135 Stratotanker during an exercise out of Kadena Air Base, Japan. The 18th AES maintains a forward operating presence, and was instrumental in saving an Airman’s life. (U.S. Air Force photo by Senior Airman Matthew Seefeldt)

NCO’s first aeromedical evacuation mission was definitely challenging

Recommended Content:

Health Readiness | Military Hospitals and Clinics

McCaffery AMSUS Remarks 2019

Publication
12/5/2019

McCaffery statements made during the 2019 annual meeting of AMSUS

Recommended Content:

Health Readiness

McCaffery calls for military medical strategic framework for warfighting readiness

Article
12/5/2019
Assistant Secretary of Defense for Health Affairs Tom McCaffery speaks on Thursday at the annual meeting of AMSUS, the Society of Federal Health Professionals. McCaffery announced to the nearly 2,000 conference attendees that he has asked the Military Health System's senior leadership to develop and codify a formal strategic framework to guide integrating and optimizing all MHS components to meet his vision. (MHS photo)

'New reality' includes tight synchronization, expanding partnerships

Recommended Content:

Health Readiness | MHS Transformation

World AIDS Day puts spotlight on landmark DoD study

Article
12/2/2019
Dr. John Mascola, director of the National Institutes of Health Vaccine Research Center, discusses HIV vaccine progress at the Walter Reed Army Institute of Research, Nov. 26, during a World AIDS Day commemoration.  (U.S. Army photo)

Vaccine study shows infection risk lowered by 31 percent, offering hope for future

Recommended Content:

Immunization Healthcare | Research and Innovation | Global Health Engagement

MSMR Vol. 26 No. 12 - December 2019

Report
12/1/2019

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Editorial: Mitigating the risk of disease from tick-borne encephalitis in U.S. military populations; Tick-borne encephalitis surveillance in U.S. military service members and beneficiaries, 2006–2018; Case report: Tick-borne encephalitis virus infection in beneficiaries of the U.S. military healthcare system in southern Germany; Update: Cold weather injuries, active and reserve components, U.S. Armed Forces, July 2014–June 2019

Recommended Content:

Health Readiness | Public Health

CDC Yellow Book

Publication
11/21/2019

CDC Health Information for International Travel 2020

Recommended Content:

Immunization Healthcare

Military medical reform is an opportunity to make trauma care better

Article
11/21/2019
Army Lt. Gen. R. Scott Dingle, U.S. Army Surgeon General, spoke to surgeons at the Defense Committee on Trauma and Committees on Surgical and En Route Combat Casualty Care Conference held in San Antonio, Texas, on November 13. He spoke about the plans for current and future trauma and surgical initiatives within Army Medicine and that surgeons must be involved in improving trauma care during this time of military medical reform. (U.S. Army Image by Rebecca Westfall)

There is an opportunity to bring real change to how the military handles combat trauma care

Recommended Content:

Health Readiness

Preventing seasonal influenza

Article
11/13/2019
Air Force Staff Sgt. Jaqueline Mbugua and members of the Massachusetts Air National Guard’s 102nd Medical Group traveled to the Roxy Theater on Joint Base Cape Cod to provide flu shots to Airmen Nov. 2, 2019. (U.S. Air Force photo by Tech. Sgt. Thomas Swanson).

The best way to prevent the flu is to get vaccinated every year

Recommended Content:

Health Readiness | Immunization Healthcare | Immunizations

The art of moulage

Article
11/6/2019
Combat Medic Training program students at the Medical Education and Training Campus at Joint Base San Antonio-Fort Sam Houston conduct an emergency cricothyrotomy on a “casualty” during simulation training. The “wounded” manikin also presents with facial burns that were created with moulage techniques. (DoD photo by Lisa Braun)

METC combat medic manikins rock realistic wounds

Recommended Content:

Health Readiness

MSMR Vol. 26 No. 11 - November 2019

Report
11/1/2019

A monthly publication of the Armed Forces Health Surveillance Branch. This issue of the peer-reviewed journal contains the following articles: Editorial: Mitigating the risk of disease from tick-borne encephalitis in U.S. military populations; Tick-borne encephalitis surveillance in U.S. military service members and beneficiaries, 2006–2018; Case report: Tick-borne encephalitis virus infection in beneficiaries of the U.S. military healthcare system in southern Germany; Update: Cold weather injuries, active and reserve components, U.S. Armed Forces, July 2014–June 2019

Recommended Content:

Health Readiness | Public Health

The Defense Health Agency participates in AUSA 2019 annual meeting

Article
10/18/2019
U.S. Army Lt. Gen. Ronald Place, DHA Director, discusses upcoming Military Health System changes designed to improve the readiness of combat forces during a seminar held at the Association of the United States Army 2019 Annual Meeting and Exposition in Washington, D.C.  Lt. Gen. Place explained how DHA is standardizing systems to improve healthcare across the enterprise.  (DHA Photo by Hannah Wagner)

Focus on quality care, innovation at home and on the battlefield

Recommended Content:

Health Readiness | Medical and Dental Preventive Care Fitness

The Military Training Network transitions to the Defense Health Agency

Article
10/11/2019
The Military Training Network or MTN transferred from the Uniformed Services University of the Health Sciences to the Defense Health Agency in September 2019. MTN oversees basic, advanced, and pediatric life-support training for more than 350,000 medical and non-medical personnel at 345 military facilities around the globe. (U.S. Air Force photo by Airman 1st Class Alexandra Singer)

Shift speeds training where it’s needed most

Recommended Content:

Health Readiness
<< < ... 6 7 8 9 10  ... > >> 
Showing results 106 - 120 Page 8 of 45

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.