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Immunization Healthcare

Tool Kit

The Ninth Edition of the Immunization Tool Kit (ITK) is now available in print exclusively for health care personnel within the Department of Defense. The ITK is a comprehensive resource booklet based on military immunization policy, national recommendations, evidenced-based, peer-reviewed published medical literature, and clinical practice guidelines. DoD health care personnel can find information on how to order a printed copy or download the electronic version here.

A new injectable smallpox vaccine, JYNNEOS, received licensure
from the FDA in September 2019. Visit our JYNNEOS webpage for details.

Visit the 2019-2020 Seasonal Influenza Resource Center

A recent social-media rumor about anthrax vaccine and VA disability ratings is unfounded. Click here for important information regarding anthrax vaccine safety.

The Defense Health Agency Immunization Healthcare Division (DHA-IHD) supports 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 Division (DHA-IHD) announces 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 
Pediatric and Adult Influenza Screening and Immunization Documentation
 This screening form has been updated with a new dosing schedule for Fluzone High Dose quadrivalent influenza vaccine. March 27, 2020
Immunization Lifelong Learners Short Course (ILLSC)
 An ILLSC has been scheduled for Naval Support Activity (NSA) Hampton Roads, Norfolk, VA, on June 4, 2020, and has been opened for registration. March 27, 2020
Immunization Lifelong Learners Short Course (ILLSC)

The following ILLSCs have been postponed until dates to be determined. Announcements will be made here if and when they are rescheduled:

  • Fort Sill, OK (originally scheduled for May 14, 2020)
  • Fort Sill, OK (originally scheduled for May 15, 2020)
 March 27, 2020
Vaccine Recommendations by AOR Updates have been made to USINDOPACOM table to reflect new guidance on Northern and Southern Hemisphere flu vaccine, and to clarify additional requirements for anthrax, smallpox and yellow fever vaccines. March 25, 2020
DHA IPM 20-002: Southern Hemisphere Influenza Vaccination Program

The Defense Health Agency’s (DHA) procedures to implement instructions, assign responsibilities, and prescribe procedures for the Southern Hemisphere Influenza Vaccination Program for personnel who are traveling to, conducting a permanent change of station to, or are located in the Southern Hemisphere.

 March 24, 2020
Vaccine Storage and Handling

The following vaccine temperature logs have been updated to add a form for recording vaccine storage troubleshooting:

 March 23, 2020
Pediatric and Adult Influenza Screening and Immunization Documentation This screening form has been updated with information about the Southern Hemisphere influenza vaccine. March 18, 2020
Immunization Lifelong Learners Course (ILLC)

The following ILLCs have been postponed until dates to be determined. Announcements will be made here if and when they are rescheduled:

  • Camp Lejeune, NC (originally scheduled for April 7-8, 2020).
  • MacDill Air Force Base, FL (originally scheduled for April 22-23, 2020).
  • Fort Stewart, GA (originally scheduled for May 12-13, 2020).
 March 18, 2020
DHA-IHD Information Papers The Anthrax Infections and Anthrax Vaccine information paper has been updated to clarify shipping and educational materials requirements. March 18, 2020
DD Form 3110: Routine Immunization Screening Form: Pediatric A screening checklist for contraindications to vaccines for children and teens. This form may also be found on our Vaccine-Preventable Diseases page. March 17, 2020
DD Form 3111: Routine Immunization Screening Form: Adult
 A screening checklist for contraindications to vaccines for adults. This form may also be found on our Vaccine-Preventable Diseases page.
 March 17, 2020

Immunization Lifelong Learners Course (ILLC)

Immunization Lifelong Learners Short Course (ILLSC)

The following ILLCs and ILLSCs have been postponed until dates to be determined. Announcements will be made here if and when they are rescheduled:

ILLCs

  • Fort Carson, CO (originally scheduled for April 28-29, 2020).
  • Landstuhl Regional Medical Center, Germany (originally scheduled for April 29-30, 2020).

ILLSCs

  • Fort Riley, KS (four consecutive one-day courses originally scheduled for March 30-April 2, 2020).
 March 13, 2020
Immunization Lifelong Learners Course (ILLC)
 The following ILLCs have been opened for registration: Twentynine Palms, CA (June 17-18, 2020) and Camp Pendleton, CA (September 2-3, 2020). March 12, 2020
Immunization Lifelong Learners Course (ILLC)
 The following ILLC has been opened for registration: Naval Hospital Okinawa, Japan (September 10-11, 2020). March 9, 2020
Immunization Lifelong Learners Course (ILLC)
 The following ILLCs have been opened for registration: Naval Hospital Bremerton, WA (June 23-24, 2020) and Joint Base Elmendorf-Richardson, AK (July 14-15, 2020). March 4, 2020
Immunization Lifelong Learners Short Course (ILLSC)
 The following ILLSCs are now open for registration: Fort Sill, OK (May 14, 2020); Fort Sill, OK (May 15, 2020); Great Lakes, IL (August 25, 2020); and Great Lakes, IL (August 26, 2020). March 4, 2020
Immunization Lifelong Learners Course (ILLC)
 The following ILLCs have been scheduled: Twentynine Palms, CA (June 17-18, 2020); Naval Hospital Bremerton, WA (June 23-24, 2020); Joint Base Elmendorf-Richardson, AK (July 14-15, 2020); Camp Pendleton, CA (September 2-3, 2020); and Naval Hospital Okinawa, Japan (September 10-11, 2020). Another announcement will be made when each course is opened for registration.
 March 2, 2020
Smallpox Vaccination Screening Form This form has been updated with new lot numbers and other minor revisions. March 2, 2020

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 Guide 2019   Immunization Tool Kit cover  
Best Practices Immunization Cover  CDC Pink Book cover   Yellow Book 2020

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DHA IPM 20-002: Southern Hemisphere Influenza Vaccination Program

Policy

This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), establishes the Defense Health Agency’s (DHA) procedures to implement instructions, assign responsibilities, and prescribe procedures for the Southern Hemisphere Influenza Vaccination Program. All Active Duty, Selected Reserve, and National Guard members receive an annual influenza vaccination. Personnel who are traveling to, conducting a permanent change of station to, or are located in the Southern Hemisphere will receive the Southern Hemisphere influenza vaccine or obtain an exemption (e.g., medical or administrative) in accordance with guidance in paragraph 6.a. of Attachment 2. Military personnel residing in the Southern Hemisphere who have received the Southern Hemisphere influenza vaccine in accordance with Appendix 1, meet the annual influenza immunization requirement.

Immunization Tool Kit 9th Edition

Publication
3/9/2020

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 Division (DHA-IHD) publishes the Immunization Tool Kit based on national recommendations, evidenced-based, peer-reviewed published medical literature, and clinical practice guidelines.

Recommended Content:

Immunization Healthcare

Sorry flu, not this year

Article
1/27/2020
U.S. Air Force Kathryn Klein, right, an aerospace medical service specialist with 182nd Medical Group, Illinois Air National Guard, administers an influenza vaccination during drill weekend at the 182nd Airlift Wing in Peoria, Ill., Dec. 8, 2019. According to the Centers for Disease Control and Prevention, the flu is a contagious respiratory illness caused by influenza viruses, and the best prevention is getting a flu vaccine each year. (U.S. Air National Guard photo by Senior Airman Paul R. Helmig II)

The Defense Logistics Agency Troop Support Medical supply chain teamed with Department of Defense partners to provide 3.4 million doses of the influenza vaccine to service members, dependents and retirees.

Recommended Content:

Immunization Healthcare | Health Readiness | Influenza Summary and Reports | Influenza, Northern Hemisphere | Seasonal Influenza Resource Center 2019-20

Mid-season flu activity increase: How to keep healthy

Article
1/22/2020
Navy Hospital Corpsman Kenny Liu, from San Jose, assigned to USS Gerald R. Ford's medical department, prepares a needle with a flu vaccination in the ship's hangar bay. (U.S. Navy photo by Mass Communication Specialist Seaman Apprentice Angel Thuy Jaskuloski)

Despite reports of increased flu activity in the U.S., the Military Health System remains vigilant

Recommended Content:

Immunization Healthcare | Influenza Summary and Reports | Health Readiness | Influenza, Northern Hemisphere | Influenza, Southern Hemisphere | Vaccine Recommendations | Vaccine-Preventable Diseases | Armed Forces Health Surveillance Branch

DTRA contributes to historic Ebola vaccine effort

Article
1/17/2020
Air Force Staff Sgt. Lee Nembhard, an aeromedical evacuation technician assigned to the 375th Aeromedical Evacuation Squadron from Scott Air Force Base, Illinois, straps a simulated Ebola patient to a litter during a Transport Isolation System training exercise at Joint Base Charleston, South Carolina. (U.S. Air Force photo by Senior Airman Megan Munoz)

U.S. Food and Drug Administration approves new Ebola vaccine

Recommended Content:

Immunization Healthcare | Immunizations | Global Emerging Infections Surveillance | Global Health Engagement | Global Health Engagement

HPV vaccine age limit raised by FDA to age 45

Article
1/14/2020
https://www.nfid.org/infectious-diseases/hpv/ Recent CDC and FDA guidance recommends that men and women up to 45 years of age get vaccinated to protect against the Human papillomavirus (HPV). HPV is the most common sexually transmitted infection and can cause certain cancers and genital warts. More than 14 million new HPV infections occur in the U.S. each year, and about 80 percent of sexually active men and women are infected with HPV at some point in their lives. (National Foundation for Infectious Diseases image)

HPV shot protects against a host of diseases in men, women

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Conditions and Treatments | Health Readiness | Preventive Health | Men's Health | Women's Health | Immunization Healthcare | Vaccine-Preventable Diseases | Vaccine Recommendations

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

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Immunization Healthcare | Research and Innovation | Global Health Engagement

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

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Health Readiness | Immunization Healthcare | Immunizations

Army distributes 1.5 million flu vaccines

Article
10/10/2019
Navy Hospital Corpsman 2nd Class Alexander Wrigel (right), a medic assigned to Task Group 68.6, forward deployed to Camp Lemonnier, administers a flu shot to Navy Lt. Cmdr. Hector Ubinas. (U.S. Navy photo by Mass Communication Specialist 1st Class Joe Rullo)

Five to twenty percent of people in the U.S. are affected by the flu each season

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Immunization Healthcare | Immunizations | Medical Logistics

Measles Myths: The Measles Can Be Life-Threatening

Video
9/30/2019
Measles Myths: The Measles Can Be Life-Threatening

Measles can be life-threatening, especially for children and among people who have a compromised immune system.

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Autumn ushers in season of falling under the weather with flu

Article
9/26/2019
A bronze bench and statue near the America Building at Walter Reed National Military Medical Center in Bethesda, Maryland, memorializes military dependent Trevor Lin. The 7-year-old's death in the fall of 2009 was attributed to influenza. (Photo courtesy of Walter Reed-Bethesda)

Health care experts: Everyone 6 months and older should get vaccine

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DoD, HHS implement Executive Order to modernize flu vaccines

Article
9/25/2019
Health care experts recommend that everyone 6 months and older – including the elderly, chronically ill people, and expectant mothers – receive the flu vaccine as soon as it becomes available. (DoD photo)

New task force aims to increase efficiency, effectiveness

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Immunization Healthcare | Immunizations

Measles Myths: Hand Washing Alone Won't Prevent Measles

Video
9/23/2019
Measles Myths: Hand Washing Alone Won't Prevent Measles

Hand washing alone will not prevent the spread of measles. Dr. Margaret Ryan, preventive medicine physician, debunks some myths about vaccinations.

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Measles Myths: Vaccines Are Safe

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9/17/2019
Measles Myths: Vaccines Are Safe

Vaccine components have been rigorously tested for safety. Dr. Margaret Ryan, preventive medicine physician, debunks some myths about vaccinations.

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Measles Myths: Vaccines Do Not Cause Autism

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9/12/2019
Measles Myths: Vaccines Do Not Cause Autism

Vaccines that prevent measles do not cause autism. Dr. Margaret Ryan, preventive medicine physician, debunks some myths about vaccinations.

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