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

Recent News

Salmonella Sickens 30 in 19 States, Peanut Butter Recalled
Reuters (September 25, 2012)

More Providers Are Getting Flu Shots, CDC Says
AHA News Now (September 27, 2012)

Americans Urged to Get Vaccinated as Flu Season Nears
Reuters (September 27, 2012)

Better Follow-Up Testing After Hep B Vaccination Needed in Babies
HealthDay News (September 27, 2012)

Video Contest Recruits Teens To Spread Message About Youth Vaccinations
NJ Today (September 29, 2012)

California to Require Waiver for Unvaccinated Students
Associated Press (September 30, 2012)

Report: Alaska Kids Behind on Vaccinations
Fairbanks Daily News Miner (AK) (September 30, 2012)

Rules Changing for Public Health Childhood Immunizations
Mohave Daily News (AZ) (October 1, 2012)

Carondelet: All Workers Must Get Flu Shots
Arizona Daily Star (October 1, 2012)

Study Finds HPV Vaccine Gardasil Safe
Wall Street Journal (October 1, 2012)

NYC Orders 10,000 Meningitis Vaccines After Recent Spike In Gay Men
Queerty (October 1, 2012)

Boulder County Health Calls Whooping Cough an 'Epidemic' After 114 Cases this Year ABC7 News (CO) (October 1, 2012)

Rhode Island Health Workers Now Required to Get Flu Shots
Associated Press (October 5, 2012)

Update: Multistate Outbreak of Meningitis and Stroke Associated with Potentially Contaminated Steroid Medication

CDC (October 8, 2012)

Whooping Cough Cases Continue to Climb in Broward and Across Florida
Broward Palm Beach (FL) (October 8, 2012)

More Evidence Flu Shot is Safe for the Egg-Allergic
Reuters (October 9, 2012)


No Link Between HPV Vaccination and Increased Sexual Activity in Adolescent Girls
News Medical (October 10, 2012)

NACCHO Provides Updated Compendium of Policy Recommendations
NACCHO has updated its Compendium of Policy Statements to reflect policy recommendations approved by the Board of Directors or revised since August 2011. Policy statements are used by NACCHO and local health department (LHD) leaders to educate and urge action by federal officials, state public health officials, elected officials at all levels, partner organizations, the media, and the public.

Newly approved policy statements include: National Adolescent Immunization Program, Adult Immunization, Eliminating Personal Belief Exemptions for Immunization Requirements for Child Care and School Attendance, Immunization Information Systems, Local Health Department Capacity to Conduct Third-Party Billing for Immunization, and Preservation of Antimicrobials for Medical Treatment of Animals.
Interim Vaccine Storage and Handling Guidance
View CDC's latest Interim Vaccine Storage and Handling Guidance webpage to learn about changes in vaccination recommendations for public and private sector providers.

Flu Prevention Archived Webinar
On October 2, 2012, Dr. William Schaffner, immediate past-president of the National Foundation for Infectious Diseases, shared the latest information on preventing the flu. Jennifer Lastinger, a parent and Families Fighting Flu board member, was also a presenter. To view the webinar, click here.

FluVaxView Interactive

CDC's influenza vaccination coverage webpage, FluVaxView, features national and state-level influenza vaccination coverage estimates using interactive maps, trend lines, bar charts, and data tables. Resources The U.S. Department of Health & Human Services manages, a website with information on influenza symptoms and treatment, prevention and vaccination, planning and preparedness, and pandemic awareness. It includes the video, "What is the best protection against the flu?" and information for specific populations, such as cancer patients, survivors, and their families.

NACCHO's Billing Toolkit for Immunization Programs

NACCHO recently released a toolkit with resources, templates, and tools for LHDs to use and develop capacity to bill third-party payers for immunization services. More than 150 resources are available from state billing guides, the Centers for Medicare and Medicaid Services, state health departments, LHDs, insurance companies, and vendors of products such as electronic medical records and billing clearinghouses. 


Specifically, the toolkit provides the following information:

  • Details on how to get started, such as credentialing steps and contracting processes;
  • How to submit claims; and
  • Steps for establishing billing procedures for other clinical services.

To view and download these tools, please log in or create a NACCHO account here. You do not have to be associated with an LHD to access these, or any other tools, contained within NACCHO's website. 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. For general reference, please see the provided fact sheet.

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

Multistate Outbreak of Meningitis and Stroke

CDC continues to monitor the multistate outbreak of meningitis and stroke associated with potentially contaminated steroid medication. Stay informed by visiting CDC's Health Alert Network webpage. The latest health advisory includes a background summary, product recall information, and recommendations for healthcare professionals.


If your LHD has conducted any activities related to the outbreak, please e-mail NACCHO will compile the information it receives and send it back out to all who respond. 


Free Mobile Phone App: Shot@Life

The United Nations Foundation and the American Academy of Pediatrics recently launched a free mobile phone application called Shot@Life. The new app allows parents to track important developmental milestones in their child's life and learn about the importance of global immunization.  


Control of Foodborne and Waterborne Diseases Course -January 7-12, 2013  

CDC and Emory University's Rollins School of Public Health will sponsor an environmental microbiology course, Control of Foodborne and Waterborne Diseases, in Atlanta, Georgia. This six-day course on the surveillance of foodborne and waterborne diseases is designed for public health practitioners and other students interested in the safety of food and water.   


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. 


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 Webinar

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 on October 23, 2012 (3:00-4:00 PM EDT), will include a live demonstration of the website and discuss how LHDs 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.

Open Staff Positions at NACCHO    

NACCHO's Pandemic & Catastrophic Preparedness Program is currently hiring a director and a senior program analyst. For more information about these positions, please visit the NACCHO Career Network.   


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  


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.




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

MMWR. 2012 Sep 28; 61(38): 753-57.


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

MMWR. 2012 Sep 28; 61(38): 758-63.     


Infectious Disease


Effect of Nonpayment for Preventable Infections in U.S. Hospitals 

Lee GM, Kleinman K, Soumerai SB, Tse A, Cole D, et al. NEJM. 2012 Oct 11; 367: 1428-37.   


Influenza A (H3N2) Variant Virus-Related Hospitalizations - Ohio, 2012 

MMWR. 2012 Sep 28; 61(38): 764-67.  


Postvaccination Serologic Testing Results for Infants Aged 24 Months Exposed to Hepatitis B Virus at Birth - United States, 2008-2011 

MMWR. 2012 Sept 28; 61(38); 768-771.  


First Evidence and Predictions of Plasmodium Transmission in Alaskan Bird PopulationsLoiseau C, Harrigan RJ, Cornel AJ, Guers SL, Dodge M, et al. PLoS ONE. 2012; 7(9): e44729.  


Update: Influenza Activity - United States and Worldwide, May 20-September 22, 2012 

MMWR. 2012 Oct 5; 61(39): 785-89.    

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