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Immunization Updates Mary Wisinski BSN RN Immunization Program Supervisor Kent County Health Department

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Page 1: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

ImmunizationUpdates

Mary Wisinski BSN RN

Immunization Program Supervisor

Kent County Health Department

Page 2: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

Many Slides Courtesy of MDHHS Staff

Page 3: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

ACIP Updates

Page 4: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 5: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 6: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 7: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 8: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 9: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 10: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 11: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 12: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 13: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 14: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 15: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 16: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 17: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 18: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 19: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 20: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 21: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 22: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 23: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 24: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 25: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 26: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 27: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 28: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 29: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

Re-Cap of August 26th ACIP Meeting

• View it here:

Page 30: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

MDHHS Immunization Priorities

Page 31: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

Impact of COVID-19 on

Immunizations in Michigan

Page 32: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 33: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 34: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 35: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 36: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 37: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 38: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

MDHHS Influenza

Preparedness

Page 39: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 40: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 41: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 42: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

Kent County Expanded Flu Planning

• There will be doses from this CDC Program available later in the season (November to January) to vaccinate adults. The focus will be on the uninsured and under-insured.

• No clear guidance yet on how you would sign up to be a provider.

• KCHD reaching out to long term care centers, nursing homes, and organizations that serve the homeless to assess MCIR status and capacity for vaccinating.

• Once we know more, we will be reaching out to providers that serve adults.

Page 43: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

Benefits of Flu Vaccine

• Keep Vaccinating! Governor Whitmer has set a goal to increase our flu doses by 5%. We can exceed that in Kent!

• The Benefits of Flu Vaccination 2018-2019

• Approximately 49 percent of the US population chose to get a flu vaccine during the 2018-2019 flu season, and this prevented an estimated:• 4.4 million flu illnesses, more than the population Los Angles.• 58,000 flu hospitalizations, about the number of students at Ohio State University.• 3,500 flu deaths, equivalent to saving about 10 lives per day over the course of a year.• CDC logo.• Get vaccinated.• www.cdc.gov/flu

Page 44: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

Flu rates for Kent County

• Let’s get over 50% this year. We can do it!

Page 45: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

MDHHS COVID-19 Preparedness

Page 46: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 47: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 48: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 49: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 50: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations
Page 51: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

VFC/Vaccine Updates

Page 52: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

Pentacel NDC Change

• Sanofi is changing the cell line of the IPV portion of Pentacel. It is the same one used for their IPV vaccine (Vero cells).

• This change requires a new NDC code.

• You may see both in your office during the change over. VFC may see this first before private orders.

• The CPT code will be the same:90698 New:

Page 53: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

KoolTemp ReNew Program

• CDC is trialing return shipping containers for some flu shipments

• Only a small percentage of providers will see these containers

• If you receive one, follow the instructions to close and ship back

Page 54: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

VFC Shipping Hours in MCIR

• VFC orders returned to McKesson due to noncompliant hours• Reminders to providers to check their shipping hours for

compliance: at least one weekday other than Monday for at least four consecutive hours• Hours can be modified in the “Shipping” section of the “VFC”

tab (not the business hours section)

• Pay close attention to the four- hour rule. Many of us have had several days for shipping but in only three- hour increments

Page 55: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

MCIR Recall

• Thank you for those who attended our MDHHS Recall Webinar!

• The recording is available on the home page of www.mcir.org

• Slides are available at www.mcir.org within the “Immunizing Providers” section

Page 56: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

MCIR and EBC Issues

• The new EBC submission within VERA is creating a lot of confusion with Newborn Screening results and those not being present in MCIR months after a child is born. If you have a provider wondering how to get these results, the number is listed on the newborn screening tab within a MCIR id.

Here is a screen shot:

Page 57: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

MCIR and Flu

• Flu will begin to impact the overall assessment of a person’s immunization status for everyone aged 6 months and older effective September 1st. This means that flu will be included with all other vaccines to determine whether a person’s overall immunization status is Up to Date, Eligible, or Overdue.

• 9/1/20 will be the Recommended date for flu vaccine for everyone aged 6 months and older in MCIR. For those who have not received flu vaccine by 10/1/20, that is the date they will show as Overdue for flu vaccine.

Page 58: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

New Updated Flu Website

• Check it out at www.Michigan.gov/flu

• All your quick looks, posters, guides etc. will be under the Health Care Professional Resource Section

Page 59: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations

Don’t Forget:

Michigan 2020 Immunization Conference Webinars

Page 60: Timely Immunization Practice Strategiesr2mcir.org/pdf/kent/KentTipsVFC.pdf•MMWR, Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccines: Updated Recommendations