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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 
Typhoid Disease and Vaccine training course New training course on Joint Knowledge Online (JKO), which includes an overview of typhoid disease, FDA-approved typhoid vaccines, indications and precautions for vaccine administration, storage and handling of the oral and injectable typhoid vaccines, and vaccine administration. IHB courses available on JKO can be found on our Online Training page.
June 18, 2018
Adverse Events Following Immunization (AEFI) training course New training course on Joint Knowledge Online (JKO), which includes defining adverse events, recognition of adverse events after immunization, recognition of anaphylactic reaction and appropriate management. IHB courses available on JKO can be found on our Online Training page.
June 18, 2018
Vaccine Adverse Event Reporting System (VAERS) training course
New training course on Joint Knowledge Online (JKO), which includes defining adverse reaction and adverse event, vaccine reportable events, limitations and usefulness of VAERS, and how to submit a VAERS. IHB courses available on JKO can be found on our Online Training page.
June 18, 2018
Operational Infectious Diseases Weekly Update
The latest update from the Naval Health Research Center (NHRC), with 2018 infectious disease surveillance data through June 13, 2018.
June 14, 2018
MMQC-17-1787 Cessation of Mandatory Anthrax and Smallpox Vaccinations for Routine Adult Immunization Medical Readiness
Dept of Army has issued cessation of Mandatory Anthrax and Smallpox Vaccinations for Routine Adult Immunization Medical Readiness. Activities are to follow DepSecDef 2015 Memo:  Clarifying Guidance for Smallpox and Anthrax Immunization Programs and 2013 AR 40-562 Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases. Army Exception to Policy (ETP) requests to be submitted through ASA(M&RA) for approval. See the memo attached to the linked message.
June 11, 2018

Update: ACIP Recommendations for the Use of Quadrivalent Live Attenuated Influenza Vaccine (LAIV4) — United States, 2018–19 Influenza Season

The Advisory Committee on Immunization Practices has once again recommended that the live, intranasal influenza vaccine (FluMist) be an option for influenza vaccination of persons for whom it is appropriate for the 2018-19 season.

June 8, 2018

Update: Influenza Activity in the United States During the 2017–18 Season and Composition of the 2018–19 Influenza Vaccine

The 2017–18 influenza season was a high severity, A(H3N2)-predominant season. Influenza activity indicators were notable for the volume and intensity of influenza cases that occurred in most of the country at the same time.

June 8, 2018
Operational Infectious Diseases Weekly Update
The latest update from the Naval Health Research Center (NHRC), with 2018 infectious disease surveillance data through June 7, 2018.
June 8, 2018
Immunization Program Leaders Course (IPLC)
Walter Reed National Military Medical Center, Bethesda, MD, IPLC (October 17-18, 2018) now open for registration.
June 7, 2018
Standards for Quality Immunization Practice Course (SQIPC)
Walter Reed National Military Medical Center, Bethesda, MD, SQIPC (October 16, 2018) now open for registration.
June 7, 2018
Operational Infectious Diseases Weekly Update
The latest update from the Naval Health Research Center (NHRC), with 2018 infectious disease surveillance data through May 31, 2018.
June 4, 2018

Progress Toward Rubella and Congenital Rubella Syndrome Control — South-East Asia Region, 2000–2016

With more South-East Asian countries introducing rubella-containing vaccine into routine immunization programs since 2000, at least four countries are likely to have controlled rubella and congenital rubella syndrome. Rubellla incidence decreased 37 percent from 2010-2016.
May 31, 2018

MMQC-18-1709 Current Yellow Fever Vaccine Inventory - Suspense 10 June 2018

All immunization sites are to report their inventory of yellow fever vaccine, even if they have on-hand zero balance, by June 10, 2018.

May 29, 2018
Vaccine Storage and Handling Questions and Answers Frequently asked questions about storage and handling of vaccines and other temperature-sensitive medical products (TSMP).
May 25, 2018

Notes from the Field: Vaccine Administration Errors Involving Recombinant Zoster Vaccine — United States, 2017–2018

Early monitoring indicates that vaccine provides might confuse administration procedures and storage requirements of the older Zostavax and newer Shingrix shingles vaccines.

May 25, 2018

Vaccination Coverage Among Children Aged 2 Years — U.S. Affiliated Pacific Islands, April–October, 2016

A new method of estimating vaccine coverage by medical record abstraction in the remote U.S. Affiliated Pacific Islands showed coverage with the combined six-vaccine series by age 2 years ranged from 19.5% to 69.1%.

May 25, 2018
Operational Infectious Diseases Weekly Update
The latest update from the Naval Health Research Center (NHRC), with 2018 infectious disease surveillance data through May 24, 2018.
May 25, 2018
Rotavirus Disease and Vaccine training course New training course on Joint Knowledge Online (JKO), which includes rotavirus overview, rotavirus vaccine, indications and precautions for rotavirus administration, storage and handling of rotavirus vaccine, and vaccine administration. IHB courses available on JKO can be found on our Online Training page.
May 24, 2018
FluMist Quadrivalent package insert The prescribing information for FluMist quadrivalent seasonal influenza vaccine has been updated to include information on pregnancy and lactation.  May 21, 2018

QuickStats: Percentage of Adults Aged ≥60 Years Who Ever Had the Shingles Vaccine, by Sex — National Health Interview Survey, 2008–2016

The percentage of adults aged ≥60 years who ever had the shingles vaccine increased from 6.7% in 2008 to 33.4% in 2016. Women were more likely than men to have had the shingles vaccine.

May 21, 2018

Community-Based Services to Improve Testing and Linkage to Care Among Non–U.S.-Born Persons with Chronic Hepatitis B Virus Infection — Three U.S. Programs, October 2014–September 2017

The CDC funded three programs to develop hepatitis B testing and linkage-to-care programs serving non–U.S.-born persons during 2014–2017; 78% of persons with chronic HBV infection were linked to care using community-based services.

May 21, 2018
Operational Infectious Diseases Weekly Update
The latest update from the Naval Health Research Center (NHRC), with 2018 infectious disease surveillance data through May 17, 2018.
May 21, 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    Best Practices Immunization Cover   Storage and Handling 2017 cover  CDC Pink Book cover   Yellow Book 2018

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Advice for healthy older adults: Get the new shingles vaccine

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3/29/2018
Navy Petty Officer 3rd Class Luis Echevarria draws up the new vaccine for shingles at Naval Hospital Jacksonville, Florida.  Shingrix is recommended for healthy adults 50 and older even if they’ve already had shingles or received the previous shingles vaccine. (U.S. Navy photo by Petty Officer 1st Class Jacob Sippel)

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Immunization University and Project Immune Readiness Certificate Retrieval Instructions

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2/14/2018

This document provides instructions for students to retrieve their certificates for Immunization University and Project Immune Readiness courses

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Army Medicine in thick of war on antibiotic-resistant bacteria

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2/2/2018
This strain of antibiotic-resistant Staphylococcus aureus bacteria is magnified 50,000 times.

The Centers for Disease Control and Prevention calls antibiotic resistance one of the world's most pressing public health problems

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Antibiotics not the answer for common cold

Article
12/21/2017
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

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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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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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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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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DoD vaccine research saves military, civilian lives

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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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DoDEA Immunization Requirements School Year 2017-18

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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 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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Mentorship creates unique comradery, opportunities for African Americans

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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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Malaria vaccine candidate proves effective in Navy Medicine clinical trial

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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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One Health concept highlights collaboration as key

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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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Immunization research supports warrior care, force readiness

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1/10/2017
Navy Petty Officer 3rd Class Brett Friebel prepares a flu shot for a patient at Naval Branch Health Clinic Mayport’s immunizations clinic. (U.S. Navy photo by Jacob Sippel)

How DHA’s Immunization Healthcare Branch supports Warrior Care

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