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Immunization Healthcare

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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:

Document What's changed Date Posted 
Operational Infectious Diseases Weekly Update
The latest update from the Naval Health Research Center (NHRC), with 2017 infectious disease surveillance data through December 7, 2017.
December 8, 2017
Operational Infectious Diseases Weekly Update
The latest update from the Naval Health Research Center (NHRC), with 2017 infectious disease surveillance data through November 30, 2017.
December 5, 2017
Notes from the Field: Absence of Asymptomatic Mumps Virus Shedding Among Vaccinated College Students During a Mumps Outbreak — Washington, February–June 2017 From February-June 2017, a total of 42 mumps cases were reported among students at the University of Washington, Seattle campus. The majority of mumps cases in this outbreak occurred among fraternity and sorority members, all fully immunized according to current recommendations. No evidence was found of asympomatic mumps virus shedding. November 30, 2017
Fractional-Dose Inactivated Poliovirus Vaccine Campaign — Sindh Province, Pakistan, 2016 Because of the limited global stock of inactivated polio vaccine(IPV), fractional-dose intradermal IPV (fIPV), which is one fifth of the full intramuscular dose, has been developed and is being used for polio vaccination activities. However, there are operational challenges related to the use of an intradermally injected vaccine. November 30, 2017
Shingles Vaccines: What You Need to Know A December 6 webcast conducted by the National Foundation for Infectious Diseases on shingles vaccines, following licensure and recommendation of a new vaccine. November 30, 2017
Operational Infectious Diseases Weekly Update
The latest update from the Naval Health Research Center (NHRC), with 2017 infectious disease surveillance data through November 21, 2017.
November 27, 2017
Public Health Economic Burden Associated with Two Single Measles Case Investigations — Colorado, 2016–2017 During July 2016–January 2017, two single, unrelated measles cases were diagnosed in the Denver metropolitan area, each exposing hundreds of persons, prompting a complex and coordinated response by multiple public health agencies, costing in excess of $68,000. November 27, 2017
Progress Toward Poliomyelitis Eradication — Pakistan, January 2016–September 2017 During January 2016–September 2017, wild poliovirus type 1 cases in Pakistan decreased 45% compared with the same period during 2015–2016. Pakistan remains one of three countries, along with Afghanistan and Nigeria, where wild poliovirus transmission has never been interrupted. November 27, 2017
Heplisav-B package insert Prescribing information for the newly licensed Heplisav-B hepatitis B vaccine. November 20, 2017
Global Routine Vaccination Coverage, 2016 An update on the Global Vaccine Action Plan 2011-2020, which calls on all countries to reach routine immunization coverage of 90 percent or greater.  November 20, 2017
Progress in Rubella and Congenital Rubella Syndrome Control and Elimination — Worldwide, 2000–2016 Increased rubella vaccine coverage globally resulted in a decrease in reported rubella cases from 670,894 cases in 2000, to 22,361 cases in 2016. November 20, 2017
Operational Infectious Diseases Weekly Update
The latest update from the Naval Health Research Center (NHRC), with 2017 infectious disease surveillance data through November 16, 2017.
November 16, 2017
ALARACT - 2017-2018 INFLUENZA PREVENTION PROGRAM Army guidance for the 2017-2018 Influenza Prevention Program - Surveillance and Vaccination.
November 15, 2017
"What You Need to Know About Smallpox Vaccine" brochure An updated smallpox vaccine brochure, with minor changes and edits. November 15, 2017
MMQC-17-2753 Smallpox Vaccine Brochure Updated
A Medical Materiel Quality Control (MMQC) message detailing the latest updates to the "What You Need to Know About Smallpox Vaccine" brochure. November 15, 2017
Operational Infectious Diseases Weekly Update
The latest update from the Naval Health Research Center (NHRC), with 2017 infectious disease surveillance data through November 9, 2017.
November 13, 2017
Country Immunization Information System Assessments — Kenya, 2015 and Ghana, 2016 The availability, quality, and use of immunization data are widely considered to form the foundation of successful national immunization programs. Assessments in Kenya and Ghana identified some common problems and larger systemic challenges that could explain the root causes. November 13, 2017

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    Best Practices Immunization Cover   Storage and Handling 2017 cover  CDC Pink Book cover   Yellow Book 2018

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Immunization Healthcare Branch outreach initiatives

Article
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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Immunization Healthcare

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

Infographic
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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Armed Forces Health Surveillance Branch | Immunization Healthcare | Influenza Seasonal

Don’t give flu a fighting chance; get the flu shot

Article
10/10/2017
Navy Hospital Corpsman 3rd Class Gerich Curtom (left), administers a flu shot to Builder 2nd Class Charles Scheck at Naval Air Station North Island’s medical clinic. There are many different strains of flu virus, and they can often mutate quickly, presenting a challenge in keeping everyone healthy and maintaining optimal immunity, and making it necessary to get immunized annually. (U.S. Navy photo by Mass Communication Specialist 1st Class Sean P. Lenahan)

Influenza presents a disease threat almost every year, and annual immunization continues to be the best way to avoid that threat

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Preventive Health | Immunizations | Immunization Healthcare | Influenza Seasonal

National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13–17 Years — United States, 2016

Report
8/25/2017

CDC provides up-to-date estimated immunization rates among teens using the latest recommended immunization schedules.

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Immunization Healthcare | Vaccine Schedules | Vaccine-Preventable Diseases

Immunizations provide the ounce of prevention delivering the pound of cure

Article
8/1/2017
Air Force Col. Tonya Rans, chief, Immunization Healthcare Branch, Defense Health Agency.

Air Force Col. Tonya Rans, chief, Immunization Healthcare Branch at the Defense Health Agency, explains how vaccinations are an important preventive health tool.

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Preventive Health | Immunization Healthcare

CDC Yellow Book

Publication
6/12/2017

CDC Health Information for International Travel 2018

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Immunization Healthcare

DoD vaccine research saves military, civilian lives

Article
6/2/2017
Mosquitoes lie in a petri dish for testing. Personnel at the Walter Reed Army Institute of Research, a Defense Department biomedical facility in Silver Spring, Maryland, are researching and developing vaccines that can save military and civilian lives. (U.S. Air Force photo)

Personnel at the Walter Reed Army Institute of Research are researching and developing vaccines that can save military and civilian lives

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Immunization Healthcare | Research and Innovation | Preventing Mosquito-Borne Illnesses

DoDEA Immunization Requirements School Year 2017-18

Publication
5/26/2017

Students who enroll in Department of Defense Education Activity (DoDEA) schools are required to meet specific immunization requirements.

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Immunization Healthcare | Vaccine Schedules

Immunization Healthcare nurses have all bases covered

Article
5/12/2017
Immunization Healthcare Branch nurse practitioner Ann Morse (left) speaks to Sailors about immunizations at a health fair. The Health Fair was part of a long-range plan to improve the overall health and wellness of Sailors.(U.S. Navy photo by Lt. j.g. Mckensey Smith)

The nurses and nurse practitioners of the DHA Immunization Healthcare Branch carry on a proud tradition of nursing in military medicine, through education, policy development, adverse event management, research and training all done in the name of caring for patients and providers and ensuring the health of our warfighters.

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Immunization Healthcare

Surveillance of Vaccination Coverage Among Adult Populations — United States, 2015

Report
5/10/2017

The findings provided in this report indicate that vaccination coverage levels among U.S. adults are not optimal. Improvement in adult vaccination is needed to reduce the health consequences of vaccine-preventable diseases among adults.

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Immunization Healthcare | Vaccine-Preventable Diseases | Vaccine Recommendations

General Best Practice Guidelines for Immunization

Publication
4/20/2017

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 Healthcare | Vaccine Recommendations | Continuous Quality Immunization Improvement Process (CQIIP)

Mentorship creates unique comradery, opportunities for African Americans

Article
2/27/2017
Dr. Limone C. Collins, Jr., Chief of Vaccine Safety and Evaluation, Immunization Healthcare Branch, Public Health Division, Defense Health Agency (U.S. Army photo by Joseph Palgutt)

Dr. Limone Collins Jr, Chief of Vaccine Safety and Evaluation, Defense Health Agency Immunization Healthcare Branch (DHA-IHB), has served the United States for more than 40 years, in the Army and now as a DoD civilian

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Immunization Healthcare | Immunizations

CDC Pink Book Supplement 2017

Publication
2/22/2017

Epidemiology and Prevention of Vaccine-Preventable Diseases - 13th Edition - Supplement

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Immunization Healthcare

Malaria vaccine candidate proves effective in Navy Medicine clinical trial

Article
2/3/2017
Navy Petty Officer 1st Class James Bowes, Camp Lemonnier's expeditionary medical facility senior preventive-medicine technician, places mosquitoes on a dish to view under a microscope at Camp Lemonnier, Djibouti. Bowes, a member of the camp's mosquito-control program, routinely analyzes mosquitoes to help determine the risk of mosquito-borne diseases like malaria. (U.S. Navy photo by Petty Officer 1st Class Tom Ouellette)

An effective malaria vaccine would be an ideal tool to prevent malaria in deployed military personnel

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Immunization Healthcare | Mosquito-Borne Illnesses | Preventing Mosquito-Borne Illnesses | Malaria

One Health concept highlights collaboration as key

Article
1/24/2017
Given its nature and the potential for pandemics, flu is of particular concern regarding Force Health Protection and global health. Navy Petty Officer 3rd Class Esteven Baca, from the immunizations department at Naval Hospital Pensacola, administers a flu shot to Lt. Alison Malloy, Staff Judge Advocate for the Center for Information Warfare Training. (U.S. Navy photo by Petty Officer 3rd Class Taylor L. Jackson)

Experts, including those at the Defense Health Agency’s Public Health Division, are integrating human medicine, animal health and environmental science to prevent and treat the flu, as well as other serious public health threats

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Global Health Engagement | Immunization Healthcare | Preventive Health | Immunizations | Armed Forces Health Surveillance Branch | Veterinary Service | Public Health
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