Immunization and Infectious Disease Update
National Association of County & City Health Officials
Information and Resources for Local Health Departments

Recent News

Single-Dose Vial Article Sparks Lively Discussion on Medscape
CDC (September 11, 2012)

No Needles, No Pain: Get Ready For Ultrasound Vaccinations
Medical News Daily (September 14, 2012)

Officials Urge Residents to Get Vaccinations
News and Sentinel (WV) (September 14, 2012)

IDSA Updates Flu Preparedness Principles
Family Practice News (September 14, 2012)

Get The Shot, Not The Flu
Battle Creek Enquirer (MI) (September 17, 2012

Health Care Workers in Santa Clara and Contra Costa Counties Must Get Flu Shot or Wear a Mask
Silicon Valley Mercury News (CA) (September 17, 2012)

Whooping Cough Vaccine Vital for Adults, Too
News Works (September 17, 2012)

Rules Changing For Public Health Vaccinations
WHBY News (WI) (September 18, 2012)

Anthrax Vaccine Trial Distribution Could Begin in 2013
Emergency Management (September 18, 2012)

Non-Medical Vaccination Opt-Outs on the Rise
ABC News (September 19, 2012)

Washington State Makes It Harder to Opt Out of Immunizations
New York Times (September 19, 2012

UM Study Analyzes Why People Won't Stop Believing Falsehoods
CBS Detroit (September 20, 2012)

Vaccination Rate Improves for Nevada Children
Reno Gazette Journal (September 20, 2012)

Group: Not Enough Teens Vaccinated Against Meningitis
CBS Local (MN) (September 21, 2012)

Bill Limits Ability to Skip Required Vaccinations
New Milford Patch (NJ) (September 24, 2012)

Group Sues State Over Immunization Requirements
The Record (WV) (September 24, 2012)

Officials Monitor New Paltz School for Measles
Times-Herald Record (NY) (September 25, 2012)

Philip Morris International Licenses China Flu Vaccine
Associated Press (September 25, 2012

Immunization Reporting Across Michigan and Indiana Border
PR Newswire (September 25, 2012)

RI Leads Nation in Child Vaccination Rates
Associated Press (September 26, 2012)

Idaho Military Families Hunt for Shots
Idaho Statesman (September 27, 2012)

Drive-Through Flu Vaccination Clinic is Oct. 19
Savannah Morning News (GA)(September 26, 2012)

Officials Urge Flu Vaccine for Unpredictable 2012-2013 Season
CBS News (September 27, 2012)

National Vaccine Plan Implementation: Summary of Stakeholder Meetings
On September 11, 2012, the U.S. Department of Health and Human Services released the National Vaccine Implementation Plan. This plan describes measurable actions federal agencies will take to ensure access to vaccines for all Americans. The Association of State and Territorial Health Officials (ASTHO) also hosted a series of stakeholder meetings to gain input on the 2010 National Vaccine Plan. Read ASTHO's summary of these stakeholder meetings here.

Information on Rotarix - Risks of Intussusception
The U.S. Food and Drug Administration (FDA), after reviewing results from a study in Mexico linking Rotarix vaccination to an increased risk of intussusception in infants, recommends that parents closely watch their infants for signs of intussuception, especially within the first seven days, after vaccination with Rotarix. These signs include stomach pain, vomiting, diarrhea, blood in the stool, or change in bowel movements. For more information about this announcement, click here.
317 Program Funding Update
Starting October 1, 2012, awardees may not administer vaccines purchased with 317 funds to fully insured children or adults, except in limited circumstances. The 317 Coalition created an easy-to-read infographic to describe the current state of Section 317 funding. LHDs are advised to notify their local medical providers of this change and any necessary actions. For specific language and guidance on the 317 program changes, refer to this document.
Dialogue4Health Web Form: Health In all Policies
The Public Health Institute held a web form titled Health in all Policies: Lesson learned from California. Access the recording from September 6, 2012, here.
The County Health Rankings & Roadmaps announced their newest release, What Works for Health, an online searchable menu of policies and programs focusing on factors that make communities healthier places to live, learn, work and play. Local leaders can choose a health factor of interest (e.g., tobacco use, employment, access to health care, or environmental quality) and browse through the evidence ratings for particular programs, policies, or system changes to address it.

CDC Provisional ACIP recommendations for PCV13 Use in Adults with Immunocompromising Conditions
On September 18, CDC posted ACIP Provisional Recommendations for Use of 13-valent Pneumococcal Conjugate Vaccine in Adults with Immunocompromising Conditions on its website.

Vaccine Confidence Project
The goal of the Vaccine Confidence Project is to improve dialogue and understanding of vaccine concerns to inform immunization policies, programs, and ultimately improve public confidence in vaccination. Visit the project's website for more details of the project's activities, published papers, and vaccination news stories from across the world.

Vaccine Hesitancy: Building Solutions for Washington State and Beyond
This webinar describes a unique partnership called "Vax Northwest" that addresses the issue of vaccine hesitancy, a growing problem in Washington and other states around the country. Vaccine hesitancy is not just concerned with vaccine safety, but also misinformation about vaccines and lack of trust in government institutions. For a printable version of the webinar slides, click here.

Information About Vaccine Storage and Handling
The current American Academy of Pediatrics (AAP) Immunization Initiatives newsletter features a special section on vaccine storage and handling, following a report from the Office of the Inspector General regarding temperature fluctuations found in vaccine storage refrigerators. To view this newsletter, visit the AAP website. Local public health officials can use a free new web-based application, MappyHealth, to track health concerns in real time using Twitter. MappyHealth is the winning submission of 33 applicants in a developers' challenge sponsored by the Assistant Secretary for Preparedness and Response (ASPR). Health officials can use data gained through this application to complement other health surveillance systems in identifying emerging health issues.

NACCHO's Immunization Billing Toolkit 

NACCHO released a new toolkit that health departments can use in their efforts to bill for immunization services. The resources come from previous guides, the Centers for Medicare and Medicaid Services, state health departments, insurance companies, and vendors. To view and download the tools, log in or create a NACCHO account here. If you would like to share your tools, resources, or best practices, please email All tools and resources will be credited to their original author and organization.    


New NACCHO Immunization and Infectious Disease Policy Statements 

NACCHO has issued four new policy statements supporting immunization and infectious disease related topics. The policy statements address relative and current public health issues. The statements are: National Adult Immunization Program; National Adolescent Immunization Program; Preservation of Antimicrobials for Medical Treatment of Animals; and U.S. Preventive Services Task Force and Recommendations for TB Treatment as Prevention.

NACCHO Immunization Videos Page

NACCHO has gathered
videos addressing vaccination into one convenient place. Watch short videos covering immunization issues, including influenza, pertussis, adolescent immunization, and personal stories about vaccine preventable diseases. Videos range from humorous to serious and target a variety of ages.
Get Involved

Search for LHDs Engaged with Accountable Care Organizations (ACOs)

Is your LHD involved with the ACO initiative? Has your LHD developed a role within your area's ACO? Dr. Paul Etkind, Director of Infectious Diseases at NACCHO, is working with the Association of State and Territorial Health Officials to identify LHDs that are working to integrate public health with clinical care. Please e-mail with your contact information if this applies to your LHD. 


Vacancy Announcement: HIV Epidemiologist (CA)

The Alameda County Department of Public Health has an opening for an HIV epidemiologist in its HIV/AIDS Epidemiology and Surveillance Unit. Candidates must have a master's degree from an accredited college or university with specialization in epidemiology, bio-statistics, or related field and the equivalent of three years full-time professional-level experience planning, developing, and conducting epidemiological studies. Interested candidates may send a resume and any supporting materials to Neena Murgai at 


Immunization NetConferences

Immunization NetConferences are one-hour webinars collectively titled Current Issues in Immunization. Presentations are scheduled four to five times per year and are designed to provide clinicians with the most up-to-date immunization information.  Archived presentations are available here.  


Sign Up for Vote & Vax    

Vote & Vax is a national program that works with local public health providers to assist them in launching vaccination clinics at or near polling places. Resources and technical assistance are available for healthcare professionals interested in setting up an influenza vaccination clinic at or near a polling site on November 6, 2012. 


Flu + You 

The National Council on Aging's (NCOA's) Flu + You campaign seeks to educate and empower older adults and their caregivers about the dangers of influenza, the importance of annual vaccination, and available vaccination options. It includes a toolkit and key facts. NCOA also will conduct regional programming for Flu + You in Arizona, Florida, and Pennsylvania to reach older adults and their caregivers. See a list of dates and locations.


List Your Influenza Vaccine Clinic with HealthMap Vaccine Finder

The public can now find real-time influenza vaccination clinics at local health departments, pharmacies, and other influenza vaccination venues by using the free, online HealthMap Vaccine Finder. Local health departments and other providers in your jurisdiction who want to list their influenza vaccine clinics with HealthMap Vaccine Finder can start the process to sign up using the online form. Once approved as a clinic location, the provider will be responsible for providing up-to-date information on clinics and vaccine doses. Contact the HealthMap team at with questions regarding this program. 

MCH Navigator: Introducing a New Online Resource for Local Health Departments on October 23 (3-4 PM EDT)

The Maternal and Child Health Bureau's (MCHB's) MCH Navigator is a new learning portal that facilitates use of existing open-access training and is organized in areas consistent with nationally endorsed public health and MCH leadership competencies. This webinar will include a live demonstration of the website and discuss how local health departments can use this resource. Explore the MCH Navigator before the webinar by visiting  

Sequestration and Your LHD

Budget cuts totaling eight percent of spending across federal departments are set to go into effect on January 2, 2013. Learn how sequestration may affect LHDs at NACCHO's Budget Cuts - Sequestration webpage. 


NACCHO Model Practices Applications Open October 1,2012 

Since 2003, NACCHO's Model Practices Program has honored and recognized outstanding local public health practices and shared these practices through the Model Practices Database. Share what works by submitting a practice and contribute to the overall improvement of public health through evidence-based practice methods. The submission period is open October 1-31, 2012, and the application can be found here. For more information, contact NACCHO's Model Practices team at  


Survive and Thrive: Call for Applicants

NACCHO will launch the third cohort of Survive and Thrive: Roadmap for New Local Health Officials in fall 2012. Applications are now open for fellow and coach applicants. Individuals may apply as new local health officials, aspiring local health officials, or coaches. Applications will be accepted until October 15, 2012. 


Submit a Tool to NACCHO's Immunization and Infectious Disease Toolkits

NACCHO's Immunization and Infectious Disease Toolkits are intended to provide LHDs with resources related to immunization and infectious disease prevention and control practices. Examples of tools include templates, guides, community resources and much more. Log in to submit your own resources to the Toolkit to share with other LHDs.




Epidemic Pertussis in 2012 - The Resurgence of a Vaccine-Preventable Disease 

Cherry JD. N Engl J Med. 2012 Aug; 367(9): 785-787.


Progress in Overcoming Barriers to Influenza Immunization of Pregnant Women 

Read JS, Riley L. Am J Obstet Gynecol. 2012 Sep; 207(3): S1-S2.  


Influenza Vaccination Coverage Among Health-Care Personnel - 2011-12 Influenza Season, United States 

MMWR. Sep 28; 61 (38); 753-757.     


Influenza Vaccination Coverage Among Pregnant Women - 2011-12 Influenza Season, United States

MMWR. Sep 28; 61 (38); 758-763.  


Infectious Disease


HAI Prevention Stories from the States: Florida Stops Outbreak of Carbapenem-Resistant Enterobacteriaceae 

Centers for Disease Control and Prevention [PDF]. 


Notes from the Field: Highly Pathogenic Avian Influenza A (H7N3) Virus Infection in Two Poultry Workers - Jalisco, Mexico, July 2012 

MMWR. 2012 Sep 14; 61(36): 726-27.  


Surveillance Definitions of Infections in Long-Term Care Facilities: Revisiting the McGeer Criteria 

Stone ND, Ashraf MS, Calder J, et al. Infect Control Hosp Epidemiol. 2012 Sep 6; E-pub ahead of print. 



The mission of the National Association of County and City Health Officials (NACCHO) is to be a leader, partner, catalyst, and voice for local public health departments.


For additional information about NACCHO, visit