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Immunization Healthcare

Visit the 2019-2020 Seasonal Influenza Resource Center

Frequently Asked Questions (FAQ) about 2019-2020 influenza vaccine availability 

Frequently Asked Questions (FAQ) about the current measles outbreak
and MMR vaccine policy and recommendations

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 
Vaccine Recommendations by AOR The USINDOPACOM table has been updated with additional guidance on polio vaccine requirements. November 12, 2019
Immunization Lifelong Learners Course (ILLC) The following ILLCs have been opened for registration: Fort Campbell, KY (February 25-26, 2020) and Fort Polk, LA (March 10-11, 2020). November 12, 2019
DHA-IHD Information Papers The Anthrax Infections and Anthrax Vaccine information paper has been updated to reflect new beyond-use-date guidance. November 8, 2019
MMQC-19-2533 BIOTHRAX (ANTHRAX) Beyond-Use Dating Beyond-use-date guidance for Biothrax anthrax vaccine has been updated to reflect that multi-dose vials of Biothrax anthrax vaccine can only be used for 28 days after the vial is punctured. November 8, 2019
Immunization Lifelong Learners Short Course (ILLSC) The following ILLSC has been opened for registration: Joint Base Andrews, MD (January 12, 2020). November 4, 2019
Vaccine Information Statements (VIS)

The CDC has updated the following VISs:

Providers may begin using these VISs immediately, but stocks of the previous editions may be used until exhausted.  

October 31, 2019

MMQC-19-2514 Yellow Fever Vaccine (YF-VAX) Quarterly Reporting 1-10 Nov 19

All activities must report on-hand yellow fever vaccine stock quarterly. The current reporting window is November 1-10, 2019.

October 31, 2019
Vaccine package inserts The package insert for Bexsero meningococcal B vaccine has been updated with minor changes throughout. October 28, 2019
Frequently Asked Questions (FAQ) about 2019-2020 influenza vaccine availability Answers to some frequently asked questions about the availability of 2019-2020 influenza vaccines for DoD beneficiaries.
October 23, 2019

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 2020

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General Best Practice Guidelines for Immunization

Publication
7/9/2019

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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Checklist: Best Practices for Vaccination Clinics Held at Satellite, Temporary, or Off-Site Locations

Publication
6/21/2019

A step-by-step guide to help clinic supervisors follow Centers for Disease Control and Prevention (CDC) and Department of Defense (DoD) guidelines while overseeing any nontraditional vaccination clinic setting.

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Hospital honored for Hepatitis B vaccine birth dose rate

Article
6/10/2019
Navy Hospital Corpsman 3rd Class Tommy Baker checks on Navy Logistics Specialist Seaman Tabernesha Victrum and Romeo Taylor as they hold their newborn daughter at Naval Hospital Jacksonville’s Maternal Infant Unit. (U.S. Navy photo by Jacob Sippel)

NH Jacksonville is the newest entry into IAC’s Birth Dose Honor Roll

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Resolution of Payments to State Vaccine Programs

Congressional Testimony
4/17/2019

S. 3159, SAC Report for FY 2019, 115-290, Pg. 207

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Measles vaccine protects against potentially serious illness

Article
4/4/2019
A Salvadoran nurse vaccinates a baby during a Task Force Northstar mission in El Salvador to provide medical care and other humanitarian and civic assistance. The mission involved U.S. military personnel working alongside their Brazilian, Canadian, Chilean, and Salvadoran counterparts. (U.S. Army Photo by Sgt. Kim Browne)

387 cases to date among civilian population

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Medical helps prevent the flu amongst service members through teamwork

Article
2/15/2019
Members of DLA Troop Support Medical supply chain and DLA Distribution pose for a photo at an after action review for the Department of Defense’s Influenza Vaccination Program at Fort Detrick, Maryland Feb. 5, 2019. The Medical supply chain made approximately 3.4 million doses of the influenza vaccine available at military treatment facilities and U.S. Navy Fleet clinics around the world in support of the DOD’s Influenza Vaccination Program. (DoD photo by Alexander Quiñones)

The Medical supply chain made approximately 3.4 million doses of the influenza vaccine available

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Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger — United States, 2019

Report
2/8/2019

The 2019 child and adolescent immunization schedule summarizes the recommendations of the Advisory Committee on Immunization Practices (ACIP), including several changes from the 2018 immunization schedule.

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Vaccination is the best defense against the flu

Article
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

Report
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

Report
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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Immunization Tool Kit 9th Edition

Publication
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 literature, and clinical practice guidelines.

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WRAIR begins Phase 1 clinical trial of Marburg vaccine

Article
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)

WRAIR recently administered the first vaccine in a Phase 1 clinical trial to evaluate the safety and immunogenicity of a Marburg vaccine

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Vaccination Coverage for Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2017–18 School Year

Report
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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Vaccination Coverage Among Children Aged 19–35 Months — United States, 2017

Report
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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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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