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Immunization Healthcare

Visit our 2018-19 Seasonal Influenza Resource Center

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 

QuickStats: Percentage of Adults Aged 18–64 Years Who Had an Influenza Vaccination in the Past 12 Months, by Sex and Current Asthma Status — National Health Interview Survey, 2017

In 2017, adults aged 18–64 years with current asthma were more likely to have had an influenza vaccination in the past 12 months (47.9%) than those without asthma (36.4%).

January 18, 2019
Standing Orders for Vaccine Delivery in DoD Standing orders for Varivax chickenpox vaccine for adults have been updated with information on the recommended interval between chickenpox vaccine and smallpox vaccine. January 16, 2019
MMQC-19-1082 RESUME USE of BIOTHRAX (ANTHRAX), MDV (10-DOSE) / Joint Vaccine Acquisition Program (JVAP)
Previously quarantined lots of anthrax vaccine have been cleared and released for use after an investigation determined that pieces of stopper fell into the vial due to the use of an incorrect needle size. January 15, 2019
Potentially Compromised Temperature Sensitive Medical Products (PC TSMP) Worksheet This worksheet has been updated with the most current vaccine pricing. January 8, 2019
MMQC-19-1050 - BIOTHRAX (ANTHRAX), MDV (10-DOSE)/Joint Vaccine Acquisition Program (JVAP)

Notice to quarantine affected lot of anthrax vaccine until a CDC investigation can determine if it is contaminated.

January 8, 2019
Immunization Lifelong Learners Course (ILLC) An ILLC scheduled for February 12-13, 2019, at Fort Jackson, SC, is now open for registration. January 7, 2019
Standing Orders for Vaccine Delivery in DoD
Standing orders have been added for human papillomavirus (HPV) vaccine and inactivated polio vaccine (IPV) for adults. January 4, 2019
Standing Orders for Vaccine Delivery in DoD Standing orders have been updated for administering Japanese Encephalitis vaccine to adults and to children and adolescents January 3, 2019
Vaccine Package Inserts
The prescribing information for Vaqta hepatitis A vaccine and ActHIB Hib vaccine have been updated to include additional data on lactation. The prescribing information for Recombivax HB hepatitis B vaccine has been updated to include additional data on lactation and minor revisions to storage and handling guidelines. December 26, 2018
MMQC-18-2832 Current Yellow Fever Vaccine Inventory - Suspense 10 January 2019
All immunization sites are to report their inventory of yellow fever vaccine, even if they have on-hand zero balance, by January 10, 2019.
December 26, 2018
Vaccine Package Inserts
The prescribing information for Engerix-B hepatitis B vaccine and Diphtheria and Tetanus Toxoids Adsorbed have been updated to include additional data on lactation and fertility. December 21, 2018
Standing Orders for Vaccine Delivery in DoD See our new central resource center, which contains standing order examples for most of the vaccines used in the Department of Defense. These standing orders can also be found on their corresponding Vaccine-Preventable Disease pages. December 20, 2018
Vaccine Package Inserts The prescribing information for Twinrix hepatitis A/hepatitis B vaccine has been updated to include additional data on interactions, fertility and lactation. The prescribing information for Havrix hepatitis A vaccine has been updated to include additional data on lactation. December 20, 2018

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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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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11/16/2018

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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10/30/2018

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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10/25/2018

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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10/12/2018

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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9/26/2018
Amanda LaFountain, a licensed practical nurse, administers the flu shot to a Soldier. (U.S. Army photo by Staff Sgt. Marshall Metzger)

Flu viruses are serious, contagious viruses that can lead to hospitalization or even death

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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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Antibiotics should only be used to treat bacterial infections, not viral infections as they will not work against upper respiratory illnesses caused by viruses. (U.S. Air Force photo by Airman 1st Class Kenna Jackson)

Antibiotics should only be used to treat bacterial infections, not viral infections

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Immunization Healthcare Branch outreach initiatives

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12/6/2017
Navy Lt. Jessica Miller, a certified nurse midwife in Naval Hospital Jacksonville’s pregnancy Integrated Practice Unit, assesses a patient. A key education initiative for the Defense Health Agency Immunization Healthcare Branch involved outreach to new parents or soon-to-be parents to address any questions or concerns they have about vaccines recommended during pregnancy, infancy or childhood. (U.S. Navy photo by Jacob Sippel)

A key education initiative for the Defense Health Agency Immunization Healthcare Branch involved outreach to new parents or soon-to-be parents

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Surveillance Snapshot: Influenza Immunization among U.S. Armed Forces Healthcare Workers, August 2012 – April 2017

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10/31/2017
Did you know …?  During the 2016 – 2017 influenza season, each of the three services attained greater than 94% compliance among healthcare personnel. The U.S. Advisory Committee on Immunization Practices recommends that all healthcare personnel be vaccinated against influenza to protect themselves and their patients. The Joint Commission requires that healthcare organizations have influenza vaccination programs for practitioners and staff, and that they work toward the goal of 90 percent receipt of influenza vaccine. This snapshot of a five-year surveillance period (August 2012 – April 2017) shows  that the active component healthcare personnel of the Army, Navy, and Air Force has exceeded the percentage compliance with influenza immunization requirement in each year. •	Line graph showing the percentage of healthcare specialists and officers with records of influenza vacation by influenza year (1 August through 30 April) and service, active, U.S. Armed Forces, August 2012 – April 2017 displays. Access the full snapshot in MSMR Vol. 24 No. 10 October 2017 at Health.mil/MSMR There are two photos featured on the infographic: 1.	A service member being vaccinated with the flu vaccine displays  2.	A photo of vaccine administrators shows.

This snapshot of a five-year surveillance period (August 2012 – April 2017) details influenza immunization compliance among the active component healthcare personnel of the Army, Navy, and Air Force.

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