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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:


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

Visit the 2020-2021 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 
Seasonal Influenza Resource Center 2020-2021 A page with the resources you will need for the 2020-2021 influenza season. More will be added as they are published or released. May 21,2020
Immunization Lifelong Learners Course (ILLC)

An ILLC originally scheduled at Joint Base Mcguire-Dix-Lakehurst, NJ, on August 1-2, 2020, has been postponed until dates to be determined. An announcement will be made here if and when it is rescheduled.

May 19, 2020
MMQC-20-1172 Disposition Instructions for 2019-2020 Influenza Virus Vaccine Disposition guidance for expired or expiring 2019-2020 influenza vaccine. May 14, 2020
Immunization Tool Kit mobile application (ITK APP)

The Immunization Healthcare Division has released the Ninth Edition of the Immunization Tool Kit (ITK) as a mobile application (ITK APP) that is now available for download on any smartphone or tablet.

May 4, 2020
Immunization Tool Kit (ITK) 

The following updates have been made to the Ninth Edition of the Immunization Tool Kit:

April 30, 2020
Immunization Lifelong Learners Short Course (ILLSC)
An ILLSC at Naval Support Activity Hampton Roads, Norfolk, VA (originally scheduled for June 4, 2020) has been rescheduled for August 6, 2020, and is currently open for registration. April 27, 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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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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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)

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

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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

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

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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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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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Immunization University Certificate Retrieval Instructions

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

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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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CDC Pink Book Supplement 2017

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

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