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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 

As of October 1, 2018, the AskIHB secure communication web portal for clinical assistance is no longer available.  The Immunization Healthcare Branch will continue to provide 24/7 clinical support through the Immunization Healthcare Support Center at (877) GET-VACC (438- 8222), Option 1, or DSN 761-4245.

Progress Toward Poliomyelitis Eradication — Pakistan, January 2017–September 2018

Pakistan remains one of three countries (along with Afghanistan and Nigeria) where wild poliovirus type 1 (WPV1) transmission has never been interrupted. Environmental surveillance continues to detect polioviruses, an indication of children who were missed for immunization, as well as poor vaccination program performance.

November 13, 2018

Hepatitis A Virus Outbreaks Associated with Drug Use and Homelessness — California, Kentucky, Michigan, and Utah, 2017

During 2017, four states reported 1,521 hepatitis A infections, mostly among persons who reported drug use or homelessness, signaling a shift in hepatitis A epidemiology from point-source outbreaks associated with contaminated food to large community outbreaks with person-to-person transmission.

November 13, 2018

Update: Recommendations of the Advisory Committee on Immunization Practices for Use of Hepatitis A Vaccine for Postexposure Prophylaxis and for Preexposure Prophylaxis for International Travel

New recommendations have been issued regarding use of Hepatitis A vaccine and immune globulin in children and adults traveling internationally.

November 13, 2018
Current Issues in Vaccines webinar This November 14 webinar will discuss the latest influenza vaccine updates, the impact of pneumococcal conjugate vaccine (PCV13), and the possible expanded recommendation for human papillomavirus (HPV) vaccine. November 5, 2018
Notice of Precautionary Handling Instructions for Certain EpiPen Auto-Injectors A notice that some EpiPen® 0.3 mg and EpiPen Jr® 0.15 mg Auto-Injectors, and their authorized generic versions, may not easily slide out of their carrier tube, which could delay or potentially prevent use of the device during an emergency. November 5, 2018
Updates from October 2018 ACIP Meeting 
This November 6 webinar will discuss updates from the October 2018 Advisory Committee on Immunization Practices (ACIP) meeting, including current U.S. vaccination recommendations for adults, adolescents, and children.
October 31, 2018
MMQC-18-2500 Current Yellow Fever Vaccine Inventory - Suspense 10 November 2018 All immunization sites are to report their inventory of yellow fever vaccine, even if they have on-hand zero balance, by November 10, 2018. October 30, 2018
Anthrax Infections and Anthrax Vaccine Information paper updated to remove information regarding the Anthrax Vaccine in Pregnancy Registry. October 26, 2018

When Pregnancy Is Discovered After Anthrax Vaccination

Information paper updated to reflect that new enrollment in the Anthrax Vaccine in Pregnancy registry has been discontinued. October 26, 2018
Update: Influenza Activity — United States and Worldwide, May 20–October 13, 2018

In the United States, reported influenza activity was low in all regions, typical for this time of year. Fourteen influenza variant virus infections were reported in the U.S., and most were associated with exposure to swine.

October 26, 2018
Update on Vaccine-Derived Polioviruses — Worldwide, January 2017–June 2018

Vaccine-derived polioviruses (VDPVs) can circulate in settings of low population immunity or during outbreaks. After the 2016 synchronized switch from trivalent oral poliovirus vaccine (OPV) (types 1, 2, and 3) to bivalent OPV (types 1 and 3), new circulating VDPV outbreaks were detected in five countries.

October 26, 2018

Measles Outbreak in a Highly Vaccinated Population — Israel, July–August 2017

During July and August 2017, nine measles cases occurred among vaccinated Israeli soldiers. The primary patient had recently traveled to Europe. All other cases occurred in his direct contacts. All patients had mild illness; no tertiary cases occurred.

October 26, 2018
Japanese Encephalitis and Japanese Encephalitis Vaccine
A DHA-IHB information paper updated to include the recently licensed accelerated Japanese Encephalitis vaccination schedule for people at prolonged risk for infection. October 25, 2018
ProQuad package insert The prescribing information for ProQuad measles-mumps-rubella-varicella (MMRV) vaccine has been updated to clarify some information from Post-Marketing Experience.
October 25, 2018
Influenza Vaccine Product List and Age Groups 2018-19 An updated list to reflect the new FDA-licensed age range for Afluria influenza vaccine.  October 24, 2018
Summer may be gone, but West Nile Virus remains a threat Taking steps to prevent mosquito bites can be the best way to reduce risk of West Nile Virus infection and other mosquito-borne illnesses.
October 24, 2018

Mumps Outbreak in a Marshallese Community — Denver Metropolitan Area, Colorado, 2016–2017

An outbreak of 47 mumps cases occurred in the Denver metropolitan area, mostly among members of a Marshallese community. Public health response included early active surveillance, public education, and prompt implementation of MMR vaccination clinics.

October 23, 2018

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

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.

October 23, 2018

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

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.

October 23, 2018

Notes from the Field: Rubella Infection in an Unvaccinated Pregnant Woman — Johnson County, Kansas, December 2017

An unvaccinated patient tested positive for rubella infection while pregnant, after her unvaccinated brother returned home from a rubella-endemic part of the world. Rubella infection in pregnancy can result in miscarriage, stillbirth, or congenital rubella syndrome (CRS). The patient, under care for a high-risk pregnancy, eventually delivered a full-term, apparently normal, infant.

October 23, 2018

Varivax package insert

The prescribing information for Varivax chickenpox vaccine has been updated to clarify some information from Post-Marketing Experience.

October 23, 2018
Pneumococcal Vaccines: Strategies to Increase Adult Immunization Rates  This October 30, 2018 webinar will discuss the importance of pneumococcal vaccines in adults, with a focus on strategies for determining which pneumococcal vaccine to give to whom and when. October 22, 2018
Afluria Quadrivalent package insert Updated prescribing information for Afluria quadrivalent influenza vaccine, to include the expansion of the age indication to everyone 6 months and older. October 18, 2018
Smallpox Vaccine and Contact Transmission Avoidance This information paper describes precautions to be taken by household or other close contacts of those who recently received smallpox vaccine.
October 18, 2018
Hepatitis B Vaccine Information Statement (VIS) Updates to add the available option of a 2-dose schedule. October 16, 2018
Immunization Tool Kit 9th Edition (2018) The Immunization Tool Kit (ITK) is a practical reference that facilitates and enhances the global delivery of quality immunization healthcare to Department of Defense (DoD) beneficiaries and employees. It is based on national recommendations, evidenced-based, peer-reviewed published medical literature, and clinical practice guidelines. The printed version of the new ITK is underway, and will be announced when available.
October 16, 2018


A premier, responsive, patient centered organization promoting excellence in immunization health care practice and policy for service members and beneficiaries.


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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Mass immunization event reaches thousands

Medical staff at Eisenhower Army Medical Center, Fort Gordon, Georgia, immunized nearly 1,200 people recently with their drive-through flu vaccination event. (U.S. Army photo by John Corley)

The medical staff at Eisenhower Army Medical Center has been doing a mass immunization event for the past 10 years, and has shown the capability to immunize up to 75 percent of the installation population in a single day

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