appendix i - virginia commonwealth university · 2nd floor raleigh, nc 27609-3811 north dakota...
TRANSCRIPT
I
Appendix I
APPENDIX I
Immunization Resources
National Immunization Program Contact Information . . . . . . . . . . . . . . I-1
IAC Online Directory of Immunization Resources . . . . . . . . . . . . . . . . . I-2
Sample IAC Print Materials. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I-3
IAC Express Information Sheet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I-4
“Immunization Techniques” Video Order Form. . . . . . . . . . . . . . . . . . . . I-5
Global Vaccination Information Websites. . . . . . . . . . . . . . . . . . . . . . . . . I-6
State and Local Immunization Grantee Contact Information . . . . . . . . . I-7
I
Appendix I
I-1
Centers for Disease Control and Preventionand
National Immunization Program
Contact Information & Resources
TelephoneImmunization Call Center800-232-4636 (800-CDC-INFO)
Contact CDC-INFO 24 hours a day, 7 days a week, in English or Spanish, with questionsconcerning immunizations or vaccine-preventable diseases, or to find the location of
immunization clinics near you, or to order single copies of immunization materials from NIP.
Healthcare providers can send their immunization or vaccine-preventable disease relatedquestions to this e-mail address. You will get an answer from a National Immunization Program
expert, usually within 24 hours.
InternetNIP: http://www.cdc.gov/nip
Hepatitis: http://www.cdc.gov/hepatitisInfluenza: http://www.cdc.gov/flu
Travelers’ Health: http://www.cdc.gov/travelCalendar of upcoming events, online access to publications such as ACIP statements and VaccineInformation Statements, online publications ordering, vaccine safety information, latest pediatric
and adult immunization schedules, downloadable Clinic Assessment Software Application(CASA), Frequently Asked Questions, PowerPoint slide presentations from the Pink Book and
from NIP satellite broadcasts, links to other immunization sites, and much more.
NIP Training & Education Resources. Download NIP’s curriculum brochure:http://www.cdc.gov/nip/ed/curriculum/curric-brochure.htm
Publications may be ordered through NIP’s online order form:http://www.cdc.gov/nip/publications
I
Appendix I
I-2
I
Appendix I
I-3
Sample IAC Print MaterialsThese, and many other useful materials for both providers and patients, can be downloaded
free of charge from the IAC’s website at http://www.immunize.org/catg.d/free.htm
Vaccine AdministrationRecordfor Children and Teens
http://www.immunize.org/catg.d/p2022b.pdf
Standing Orders for AdministeringInfluenza Vaccine to Adults
http://www.immunize.org/catg.d/p3074.pdf
Screening Questionnairefor Child and Teen Immunization
http://www.immunize.org/catg.d/p4060scr.pdf
Are You 11-19 Years Old?http://www.immunize.org/catg.d/11teens8.pdf
Temperature Log for Vaccines (Fahrenheit)http://www.immunize.org/catg.d/p3039pdf
I
Appendix I
I-4
I
Appendix I
I-5
I
Appendix I
I-6
Global Vaccination Information
Statistics and Graphics(http://www.who.int/immunization_monitoring/data/en/)
This page contains links to slides, maps, tables, and other documents relating toglobal and national disease incidence, vaccine coverage, and other immunization-related topics.
Global Summary “Country Profile Selection Centre”(http://www-nt.who.int/immunization_monitoring/en/globalsummary/countryprofileselect.cfm)
On this page the reader can view an “Immunization Profile” for a selected country,which includes information on population, disease incidence, vaccine coverage,and the routine schedule.
I
Appendix I
I-7
NATIONAL IMMUNIZATION PROGRAMIMMUNIZATION GRANTEES
December 13, 2005
STATE & CITY GRANTEES
ALABAMAAlabama Department of Public Health PHONE #: (334) 206-5023State Immunization Program FAX #: (334) 206-2044P.O. Box 303017 Program Manager: Winkler SimsMontgomery, AL 36130-3017 Email: [email protected] Ex: Disease Control/Immunization Div.The RSA Tower201 Monroe St., Suite 1460Montgomery, AL 36104
ALASKAAlaska Department of Health and Social Services PHONE #: (907) 269-8000Immunization Program FAX #: (907) 562-78023601 C. Street, Suite 540 Program Manager: Laural H. WoodP.O. Box 240249 Email: [email protected], Alaska 99503
ARIZONAArizona Department of Health Services PHONE #: (602) 364-3630Immunization Program Office FAX #: (602)364-3276150 N. 18th Ave. Program Manager: Kathy FredricksonPhoenix, Arizona 85007-3233 Email: [email protected]
ARKANSASArkansas Department of Health PHONE #: (501) 661-2000Immunization Program FAX #: (501) 661-23004815 West Markham Program Manager: Charles BeetsSlot #48 Email: [email protected] Rock, Arkansas 72205-3867
CALIFORNIACalifornia Department of Health Svcs PHONE #: (510) 540-2065Immunization Branch FAX #: (510) 883-6015850 Marina Bay Parkway, Building P Program Manager: Howard BackerRichmond, California 94804-6403 Email: [email protected]
COLORADOColorado Department of Public Health & Environment PHONE #: (303) 692-2650PSD-IMM-A4 FAX #: (303) 691-61184300 Cherry Creek Dr., South Program Manager: Rebecca JordanDenver, Colorado 80246-1530 Email: [email protected]
CONNECTICUTConnecticut State Dept of Public Health PHONE #: (860) 509-7929Immunization Program FAX #: (860) 509-7945P.O. Box 340308 ProgramManager: Vincent Sacco410 Capitol Avenue, MS# 11 MUN Email: [email protected], Connecticut 06134-0308
I
Appendix I
I-8
DELAWAREImmunization Program/Div of Public Health PHONE #: (302) 741-2940Delaware Dept of Health & Social Services FAX #: (302) 739-2358The Jessie Cooper Building ProgramManager: Martin LutaFederal & Water Street Email: [email protected], Delaware 19901
FLORIDAFlorida Department of Health PHONE #: (850) 245-4342Bureau of Immunization FAX #: (850) 922-41954052 Bald Cypress Way, #A-11 Program Manager: Charles AlexanderTallahassee, Florida 32399-1719 Email: [email protected] Ex: 2585 Merchants Row Blvd, Rm 210Prather Bldg, Suite 210Tallahassee, FL 32399-1719
GEORGIAGeorgia Department of Human Resources PHONE #: (404) 657-3158Division of Public Health FAX #: (404) 657-1463Two Peachtree Street, N.W., 15th Floor, Rm 470 Program Manager: Michael ChaneyAtlanta, Georgia 30303 Email: [email protected]
HAWAIIHawaii Department of Health PHONE #: (808) 586-8300Immunization Program FAX #: (808) 586-83021250 Punchbowl Street - Room 428 Program Manager: Malama MarkowitzP.O. Box 3378 Email: [email protected], Hawaii 96801Fed Ex: 1250 Punchbowl St., Rm 428Honolulu, Hawaii 96813
IDAHOIdaho Department of Health and Welfare PHONE #: (208) 334-5931Immunization Program FAX #: (208) 334-49144th Floor, 450 West State Street Program Manager: Tricia Hosch-HebdonBoise, Idaho 83270 Email: [email protected]
ILLINOISllinois Department of Public Health PHONE #: (217) 785-1455Immunization Program FAX #: (217) 524-0967525 West Jefferson Street Program Manager: Karen McMahonSpringfield, Illinois 62761 Email: [email protected]
CHICAGOChicago Department of Health PHONE #: (312) 746-5380Immunization Program FAX #: (312) 746-6388Westside Center for Disease Control Program Manager: Maribel Chavez-Torres2160 West Ogden Avenue Email: [email protected], Illinois 60612
INDIANAIndiana State Department of Health PHONE #: (800) 701-0704Immunization Program FAX #: (317) 233-78052 North Meridian Street Program Manager: Carol BrileyIndianapolis, Indiana 46204-3003 Email: [email protected]
I
Appendix I
I-9
I
IOWAIowa Department of Public Health PHONE #: (515) 281-4923Division of Family/Community Health FAX #: (800) 831-6292321 E. 12th Street Program Manager: Don CallaghanDes Moines, Iowa 50319-0075 Email: [email protected]
KANSASKansas State Department of Health PHONE #: (785) 296-5591Bureau of Disease Prevention FAX #: (785) 296-6368900 S.W. Jackson Street Program Manager: Michael RunauL.S.O.B Suite 901 N Email: [email protected], Kansas 66612-1274
KENTUCKYKentucky Department for Public Health PHONE #: (502) 564-4478Immunization Program FAX #: (502) 564-4760275 East Main Street, HSIC-D Program Manager: David MillerFrankfort, Kentucky 40621-0001 Email:
LOUISIANALouisiana Office of Public Health PHONE #: (504) 838-5300Immunization Program - Suite 107 FAX #: (504) 483-19091450 L and A Road Program Manager: Ruben TapiaMetairie, Louisiana 70001 Email: [email protected]
MAINEMaine Department of Human Services PHONE #: (207) 287-3746Immunization Program FAX #: (207) 287-81272 Bangor Street Program Manager: Jiancheng Huang11 State House Station Email: [email protected], Maine 04333
MARYLANDMaryland Department of Health & Mental Hygiene PHONE #: (410) 767-6679Center for Immunization FAX #: (410) 333-5893201 West Preston Street, 3rd Floor Program Manager: Gregory ReedBaltimore, Maryland 21201 Email: [email protected]
MASSACHUSETTSMassachusetts State Lab Inst - CDC PHONE #: (617) 983-6800Division of Epidemiology & Immunization FAX #: (617) 983-6868305 South Street, Room 506B Program Manager: Pejman TalebianJamaica Plain, Massachusetts 02130-3597 Email: [email protected]
MICHIGANMichigan Department of Community Health PHONE #: (517) 335-8159Division of Immunization FAX #: (517) 335-9855201 Townsend Street Program Manager: Bob SwansonP.O. Box 30195 Email: [email protected], Michigan 48909
MINNESOTAMinnesota Department of Health PHONE #: (612) 676-5100Immunization Program FAX #: (612) 676-5689625 N. Roberts Street Program Manager: Kristin EhressmannP.O. Box 64975 Email: [email protected]. Paul, Minnesota 55164-0975
I
Appendix I
I-10
MISSISSIPPIMississippi State Department of Health PHONE #: (601) 576-7751Division of Immunization FAX #: (601) 576-7686570 Woodrow Wilson Blvd Program Manager: Joy Sennett (acting)P.O. Box 1700 Email: [email protected], Mississippi 39215-1700
MISSOURIMissouri Department of Health PHONE #: (573) 751-6439Section of Vaccine-Preventable Diseases FAX #: (573) 526-6892930 Wildwood Drive Program Manager: Brad HallP.O. Box 570 Email: [email protected] City, Missouri 65102
MONTANAMontana Department of Health & Human Svcs PHONE #: (406) 444-5580Health Policy and Services Div FAX #: (406) 444-2920Cogswell Building - Room C211 Program Manager: Joyce BurgettP.O. Box 202951 Email: [email protected], Montana 59620
NEBRASKANebraska Department of Health & Human Services PHONE #: (402) 471-6423Immunization Program FAX #: (402) 471-6426301 Centennial Mall South Program Manager: Barbara LudwigP.O. Box 95044 Email: [email protected], Nebraska 68509-5044
NEVADANevada State Health Division PHONE #: (775) 684-5900Immunization Program FAX #: (775) 684-8338505 King Street Program Manager: Bob SalcidoCarson City, Nevada 89710 Email: [email protected]
NEW HAMPSHIRENew Hampshire Department of Health & Human Svcs PHONE #: (603) 271-4482Immunization Program FAX #: (603) 271-3850Six Hazen Drive Program Manager: Michael DumondConcord, New Hampshire 03301 Email: [email protected]
NEW JERSEYNew Jersey State Department of Health & Senior Svcs PHONE #: (609) 588-7520Immunization Program FAX #: (609) 588-7431P.O. Box 369 Program Manager: Kate WytovichTrenton, New Jersey 08625-0369 Email: [email protected] Ex: 3635 Quaker Bridge RoadMercerville, NJ 08619-9998
NEW MEXICONew Mexico Department of Health PHONE #: (505) 827-2369Immunization Program FAX #: (505) 827-28981190 St. Francis Drive Program Manager: Steve NickellRennels Building - Suite 1261 Email: [email protected] Fe, New Mexico 87502
I
Appendix I
I-11
NEW YORKNew York State Department of Health PHONE #: (518) 473-4437Immunization Program FAX #: (518) 474-7381Corning Tower Building Program Manager: David LynchRoom 649 Email: [email protected], New York 12237-0627
NEW YORK CITYNew York City Department of Health PHONE #: (212) 676-2259Bureau of Immunization FAX #: (212) 676-22522 Lafayette Street - 19th Floor Program Manager: Jane ZuckerNew York, New York 10007 Email: [email protected]
NORTH CAROLINANorth Carolina Division of Public Health PHONE #: (919) 707-5550Immunization Branch FAX #: (919) 870-48241917 Mail Service Center Program Manager: Beth Rowe-WestRaleigh, NC 27699-1917 Email: [email protected] Ex: 5601 Six Forks Road2nd FloorRaleigh, NC 27609-3811
NORTH DAKOTANorth Dakota Department of Health PHONE #: (701) 328-2378Division of Disease Control FAX #: (701) 328-1412State Capitol Program Manager: Heather Weaver600 East Boulevard Email: [email protected], North Dakota 58505-0200
OHIOOhio Department of Health PHONE #: (614) 466-4643Immunization Program FAX #: (614) 728-427935 East Chestnut - 7th Floor Program Manager: Tony PaytonColumbus, Ohio 43215 Email: [email protected]
OKLAHOMAOklahoma State Department of Health PHONE #: (405) 271-4073Immunization Program - 0306 FAX #: (405) 271-61331000 N.E. 10th Street Program Manager: Don BloseOklahoma City, Oklahoma 73117-1299 Email: [email protected]
OREGONOregon Immunization Program PHONE #: (503) 731-4020800 NE Oregon Street FAX #: (503) 731-3095Suite 370 Program Manager: Lorraine DuncanPortland, Oregon 97232 Email: [email protected]
PENNSYLVANIAPennsylvania Department of Health PHONE #: (717) 787-5681Division of Immunizations FAX #: (717) 705-5513Rm 1026 Health & Welfare Bldg Program Manager: Alice GrayCommonwealth & Forrester St. Email: [email protected], Pennsylvania 17120
I
Appendix I
I-12
PHILADELPHIAPhiladelphia Department of Health PHONE #: (215) 685-6748Division of Disease Control FAX #: (215) 685-6806500 South Broad Street Program Manager: Andrew ChilkatowskyPhiladelphia, Pennsylvania 19146 Email: [email protected]
RHODE ISLANDRhode Island Department of Health PHONE #: (401) 222-2312mmunization Program FAX #: (401) 222-14423 Capital Hill - Room 302 Program Manager: Becky BessetteProvidence, Rhode Island 02908-5097 Email: [email protected]
SOUTH CAROLINASouth Carolina Department of Health PHONE #: (803) 898-0460
and Environmental Control FAX #: (803) 898-0318Immunization Division Program Manager: Jesse Greene
1751 Calhoun Street Email: [email protected], South Carolina 29201
SOUTH DAKOTASouth Dakota Department of Health PHONE #: (605) 773-5323615 East 4th Street FAX #: (605) 773-5509Pierre, South Dakota 57501 Program Manager: Michelle Hudacek
Email: [email protected] Department of Health PHONE #: (615) 741-7247Immunization Program FAX #: (615) 741-3857Cordell Hull Building, 4th Floor Program Manager: Pamelia Baggett425 5th Avenue North Email: [email protected], Tennessee 37247-4911
TEXASTexas Department of Health PHONE #: (512) 458-7284Immunization Division FAX #: (512) 458-72881100 West 49th Street Program Manager: Jack SimsAustin, Texas 78756 Email: [email protected]
HOUSTONHouston Health & Human Services Dept PHONE #: (713) 794-9267Immunization Bureau FAX #: (713) 794-99378000 North Stadium Drive Program Manager: Risha JonesHouston, Texas 77054 Email: [email protected]
SAN ANTONIOSan Antonio Metro Health District PHONE #: (210) 207-8790Immunization Division FAX #: (210) 207-8882332 West Commerce Street, Suite 202 Program Manager: Brenda LemkeSan Antonio, Texas 78205 Email: [email protected]
UTAHUtah Department of Health PHONE #: (801) 538-9450CFHS/Immunization FAX #: (801) 538-9440P.O. Box 142001 Program Manager: Linda AbelSalt Lake City, Utah 84114-2001 Email: [email protected]
I
Appendix I
I-13
VERMONTVermont Department of Health PHONE #: (802) 863-7638Immunization Program FAX #: (802) 865-7701P.O. Box 70 Program Manager: Sue Barry108 Cherry Street Email: [email protected], Vermont 05402
VIRGINIAVirginia State Department of Health PHONE #: (804) 864-8055Division of Immunization FAX #: (804) 786-03961500 E. Main Street - Room 120 Program Manager: Jim FarrellRichmond, Virginia 23219 Email: [email protected]
WASHINGTONWashington State Department of Health PHONE #: (360) 236-3595Office of Immunization FAX #: (360) 235-3590Newmarket Industrial Campus Program Manager: Janna BardiP.O. Box 47843 Email: [email protected], Washington 98504-7843Fed Ex: DOH/Immunization ProgramNewmarket Industrial Campus Bldg 17171 Cleanwater LaneOlympia, WA 98501
WASHINGTON, DCDepartment of Public Health PHONE #: (202) 576-7130Preventive Hlth Svcs Administration FAX #: (202) 576-6418Division of Immunization Program Manager: Rosie McLaren1131 Spring Road, N.W. Email: [email protected], DC 20010
WEST VIRGINIAWest Virginia Department of Health & Human Resources PHONE #: (304) 558-2188Bureau for Public Health FAX #: (304) 558-1941Immunization Program Program Manager: Jeff Neccuzi350 Capitol Street, Rm 125 [email protected], West Virginia 25301-3715
WISCONSINWisconsin Division of Public Health PHONE #: (608) 267-9959Immunization Program FAX #: (608) 267-94931 West Wilson St, Rm 318 Program Manager: Dan HopfenspergerP.O. Box 2659 Email: [email protected], Wisconsin 53702-2659
WYOMINGWyoming Division of Health PHONE #: (307) 777-7942Community and Family Health Div. FAX #: (307) 777-6001Hathaway Building, Room 424 Program Manager: Katelyn Wells-Fahling2300 Capitol Ave Email: [email protected], Wyoming 82002
I
Appendix I
I-14
OTHER GRANTEESAMERICAN SAMOADepartment of Health, IM Program PHONE #: 011-684-633-7223Division of Public Health FAX #: 011-684-633-5379Government of American Samoa Program Manager: Joseph TufaLBJ Tropical Medical Center Email: [email protected] Pago, AS 96799
GUAMDepartment of Public Health and Social Services PHONE #: 011-671-735-7143Immunization Program FAX #: 011-671-734-1475123 Chalan Kareta, Route 10 Program Manager: JosieO’MallanMangilao, Guam 96923 Email: [email protected]
INDIAN HEALTH SERVICEIndian Health Services HQ West PHONE #: (505) 248-4226Epidemiology Department - 3rd Floor FAX #: (505) 248-43935300 Homestead Rd., N.E. Program Manager: Amy GroomAlbuquerque, New Mexico 87110 Email: [email protected]
MARSHALL ISLANDSRepublic of the Marshall Islands PHONE #: 011-692-625-8457Ministry of Health Services FAX #: 011-692-625-3432Immunization Program Program Manager: Mailynn KoneliosP.O. Box 16 Email: [email protected], Marshall Island 96960
MICRONESIAFederated States of Micronesia PHONE #: 011-691-320-2619Division of Health Services FAX #: 011-691-320-5263Immunization Program Program Manager: Louisa HelgenbergerP.O. Box PS 70, Palikir Email: [email protected], FM 96941
NORTHERN MARIANA ISLANDSDepartment of Public Health & Environmental Service PHONE #: 011-670-236-8733Commonwealth Health Center FAX #: 011-670-234-8930Lower Navy Hill Program Manager: Mariana SablanP.O. Box 409 Email: [email protected], N. Mariana Is. 96950
PALAUBureau of Health Services PHONE #: 011-680-488-4804Immunization Program FAX #: 011-680-488-3115Republic of Palau Program Manager: Ann KlassBelau National Hosp Building Email: [email protected], RP 96940
I
Appendix I
I-15
PUERTO RICOPuerto Rico Department of Health PHONE #: (787) 274-5612Immunization Program FAX #: (787) 274-5619Program for Communicable Diseases Program Manager: Angel RiveraP.A.S.E.T., Box 70184 Email: [email protected] Juan, Puerto Rico 00936Fed Ex: Dept. De Salud, Edificio AAntigua Hosp de PsiquiatriaPabellon #1, Primer PisoSeccion de VacunacionRio Piedras, Puerto Rico 00922
VIRGIN ISLANDSVirgin Islands Department of Health PHONE #: (340) 776-8311 ext. 2151Roy L. Schneider Hospital FAX #: (340) 777-8762Immunization Program Program Manager: Joan Montenegro48 Sugar Estate Email: [email protected]. Thomas, Virgin Islands 00802