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

Recent News

IDSA: School Vaccine Program Lowers Flu Rates, Absenteeism
Physician's Briefing (October 22, 2012)

San Antonio Public Health Agencies Offering Vaccinations at Polls
San Antonio Business Journal (TX) (October 23, 2012)

CDC Advisory Committee for Immunization Practices Recommends Tdap Immunization for Pregnant Women
Centers for Disease Control and Prevention (October 24, 2012)

Bacterial Meningitis Vaccine For At-Risk Infants Recommended By CDC Panel
Reuters (October 24, 2012

New Oral Vaccines Could Replace Needle Vaccinations
Vaccine News Daily (October 25, 2012)

Pace of Flu Immunizations Lagging in Sacramento County
Sacramento Bee (CA) (October 26, 2012)

Don't Believe These 6 Flu Vaccine Myths
Health News Daily (October 26, 2012)

Flu Vaccine Protects a Pregnant Woman, Her Unborn Baby, and Her Newborn Baby
Shot of Prevention (October 26, 2012)

Hepatitis E Vaccine Debuts
Nature (October 29, 2012

Flu Vaccination Can Prevent Heart Diseases, Say Studies
Top News United States (October 29, 2012)

School Flu Shots Reduce Absences by Half
UPI (October 30, 2012)

CDC: Cases of a Rare Fungal Meningitis Rise to 363; Deaths at 28
Washington Post (October 30, 2012)

Whooping Cough: Health Officials Urge Vaccinations as Cases Present in Washtenaw County
(MI) (October 31, 2012

Jackson County Strives to Boost Adult Immunization Rates
Ashland Daily Tidings (OR) (October 31, 2012)

ACIP's New Recommendation Regarding Pertussis Vaccine and Pregnant Women
Shot of Prevention (October 31, 2012)

States Implement Tougher Immunization Requirements
Wolters Kluwer Law & Health (October 31, 2012

Vaccine: The Modern American Debate
New York Academy of Medicine (November 1, 2012)

Controversial Autism Doctor Mark Geier Loses Licenses in Missouri, Illinois
St. Louis Post-Dispatch (November 3, 2012

Third MMR Dose May Help in Mumps Outbreak
Med Page Today (November 5, 2012)

State Moves up to Top 10 in Flu Vaccine Effort
KTBS (LA) (November 5, 2012)

Students Without Required Immunizations Will Be Excluded from School Beginning Monday
Wichita Eagle
(KS) (November 5, 2012)

New Employer-Sponsored Program Effective at Increasing Influenza Vaccination
Sacramento Bee (November 5, 2012)

Bigfork School District Responds to Pertussis Outbreak
Bigfork Eagle (MT) (November 7, 2012

Arizona State University Scientists Engineer Bacterial Vaccine Delivery System
Vaccine News Daily (November 7, 2012)

NACCHO Collaborates with CDC to Improve Antibiotic Use
Get Smart About Antibiotics Week is a national campaign designed to highlight the coordinated efforts of CDC, state and local health departments (SHDs and LHDs), and non-profit and for-profit partners in an effort to educate people about the importance of using antibiotics wisely in both community and healthcare settings. From November 12-18, CDC and its partners will promote appropriate antibiotic use in patient and outpatient settings with a special focus on nursing homes and long-term care facilities.

Today, infections with antibiotic-resistant bacteria have become increasingly common in both healthcare and community settings. As such, patients, health care providers, hospital administrators, and policy makers must work together to employ safe and effective strategies for improving antibiotic use. CDC's Get Smart: Know When Antibiotics Work and Get Smart for Healthcare programs are specifically designed to educate consumers and healthcare providers about appropriate use of antibiotics.

AAP Community Collaboration Archived Webinar

The webinar, Community Collaboration: Establishing Partnerships in Challenging Times, is now available through the American Academy of Pediatrics (AAP). The presentation addresses the following: 1) developing effective and lasting community partnerships to engage in planning and implementation of a community-based project; 2) addressing obstacles that may hinder effective collaboration; 3) understanding and appreciating the value of collaboration; and 4) learning from others who have developed and engaged in collaborative efforts in their communities.

National Influenza Vaccination Week: December 2-8, 2012  

National Influenza Vaccination Week (NIVW) is a national observance that was established to highlight the importance of continuing influenza vaccination, as well as fostering greater use of flu vaccine after the holiday season into January and beyond.

The CDC offers customizable fliers and posters, fact sheets, resources for faith-based and community organizations, resources for health professional and partners, a media toolkit, and web tools. Remember to submit your events and activities to the NIVW Calendar of Events.


Joint Commission and Healthcare Worker Vaccination Against Influenza
Joint Commission Adds Additional Weight to Importance of Healthcare Worker Vaccination Against Influenza is an article on the Infection Control Today website that discusses the Joint Commission's recent progress in the area of healthcare worker vaccination against influenza. As of July 1, 2012, the Joint Commission requires healthcare organizations to establish an annual influenza vaccination program for staff. 

Healthcare-Associated Infections (HAIs) Training Resources
The CDC recently posted presentations from a three-day HAI Train-The-Trainer program, which was presented in all ten regions of the United States, to its HAI webpage. Presentations are posted in the order of the actual training. To access this free resource, click here.

NACCHO's ePublic Health Blog
NACCHO's blog facilitates dialogue among local health department (LHD) professionals interested in issues and topics relating to ePublic health and informatics. The blog is an informal venue for regular communications on the latest public health informatics news, resources, and promotions. It encourages creative discussions and the development of new ideas within the community.  

NCSD Billing for Public Health STD Services Guide
The National Coalition of STD Directors (NCSD) collaborated with key partners to develop a resource to support the sustained delivery of STD services in the face of a changing funding and policy landscape. This guide, Shifting to Third-Party Billing Practices for Public Health STD Services: Policy Context and Cases Studies provides an introduction to what providers need to consider as they approach decisions surrounding third-party billing.   

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, within NACCHO's website. If you would like to share your tools, resources, or best practices, please email Rebecca Gehring at 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

CDC Grand Rounds: Unsafe Medical Injections

On Tuesday, November 13, 2012, CDC will host a Grand Rounds on unsafe injection practices in the United States. Representatives from CDC, CMS, and New York State will speak during the live webcast, which is scheduled for 1:00 PM EDT. For additional information, visit CDC's Public Health Grand Rounds webpage. 


Multistate Outbreak of Meningitis  

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. On the FDA Voice blog, Dr. Margaret Hamburg discusses why state and local partnerships are crucial during a multi-state outbreak of illness.   


NACCHO has developed two documents that summarize over 30 LHDs' experiences with the multistate fungal meningitis outbreak. The first summary is intended for media, policy- and decision-makers, national partners, and other stakeholders. It provides talking points in response to inquiries from this target audience. The second summary, intended for LHD staff, gives more in-depth information about what LHDs are experiencing.   


If your LHD has conducted any activities related to the outbreak, please e-mail NACCHO will de-identify responses and continue to compile incoming information. NACCHO will also update these documents as needed.  


Clinician Telephone Consultation for Fungal Meningitis Cases

CDC established the Clinicians Consultation Network (CCN) to support clinicians in treating patients associated with the multistate fungal meningitis outbreak. The CCN is a free, telephone-based service of experts in fungal disease treatment and management. To access the service, physicians should call 1-800-CDC-INFO and then select the appropriate prompts. A CDC-INFO call agent will verify each physician's role in direct patient management before directing him or her to the CCN. Call operating hours are 8:00 AM - 8:00 PM EDT, Monday through Friday, except for federal holidays.  


Control of Foodborne and Waterborne Diseases Course

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 (January 7-12, 2013). 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.     


Dialogue4Health Webinar: Public Health and the Prevention Fund
The Public Health Institute, Trust for America's Health, Policylink, the Prevention Institute, and the American Public Health Association are sponsoring an important Dialogue4Health web forum on November 14, 2012 (2:30-4:00 PM EDT). The presentation, Where We Stand and What's Ahead: Public Health and the Prevention Fund, will examine the post-election landscape for the prevention fund, the looming threat of the "fiscal clicff," and provide recommendations for promoting national commitment to community-based prevention. Registration is available now

Whooping Cough Webinar

The Virtual Immunization Communication (VIC) Network will host a pertussis webinar on November 14, 2012 (2:00 PM EDT). In addition to information about pertussis, webinar participants will receive information on materials and resources to promote flu shots during National Influenza Vaccination Week (December 2-8, 2012). Registration is available here.


Johns Hopkins' Infectious Disease Virtual Education Congress

Game Changers in Infectious Disease: A Focus on Important Changes in the ID Field is a free, online training that includes Continuing Medical Education (CME) units. Live streaming video will be available on November 29 and 30, 2012, at IDCareLive. Choose from nine 1-hour interactive CME sessions on topics such as novel treatment strategies, emerging infections, multi-resistant pathogens, immunocompromised host and opportunistic infections, vaccine research, antiretroviral therapies in HIV, and emerging therapies in hepatitis C.


NACCHO Mentorship Program for the Voluntary National Retail Food Regulatory Program Standards

NACCHO invites your LHD to submit an application to participate as a mentor in the second cohort of the NACCHO Mentorship Program. Selected mentors will work with peer LHDs to share experiences and provide guidance, tools, and resources related to the Voluntary National Retail Food Regulatory Program Standards (Program Standards). The overall objective of the mentorship program is to match LHD practitioners experienced in applying the Program Standards with LHDs currently or newly enrolled in the program standards and looking for guidance, tools, resources, and recommendations for achieving a standard or standards. The anticipated amount awarded to each selected LHD is $8,000-18,000, depending on the number of mentees that are paired with the mentor. The application deadline was extended to November 14, 2012, at 8:00 PM EST.


Your Feedback on CIFOR Resources is Needed

The RAND Corporation is conducting an external evaluation of the Council to Improve Foodborne Outbreak Response (CIFOR) Guidelines for Foodborne Disease Outbreak Response & Toolkit. As part of the evaluation, NACCHO is surveying state and local public health professionals involved in foodborne disease outbreak activities.  Please participate in this brief survey to help the RAND Coportation understand the use and impact of the CIFOR Guidelines and Toolkit. The survey only takes approximately 15 minutes.


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. 


Intersectoral Collaboration for Health: Reports from Local Health Departments

Increasingly, local communities throughout the United States are adopting a Health in All Policies framework, based on the recognition that policy and program decisions of "non-health" agencies impact health in significant and lasting ways. The Public Health Institute will host a web forum on the Health in All Policies approach and include examples from Baltimore and Sonoma. Register now for the webinar, which will be held on November 15, 2012 (2:30 PM EDT).    


Open Staff Positions at NACCHO    

NACCHO is currently hiring for multiple positions in emergency preparedness, chronic diseases, and infectious diseases. For more information, please visit the NACCHO Career Network.   


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.




Evaluation of 11 Commercially Available Rapid Influenza Diagnostic Tests - United States, 2011-2012
MMWR. 2012 Nov 2; 61(43): 873-76.

Global Routine Vaccination Coverage, 2011  

MMWR. 2012 Nov 2; 61(43): 883-85.   


Infectious Disease


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

Lee GM, Kleinman K, Soumerai SB, Tse A, Cole D, Fridkin SK, et al. 2012. NEJM; 367: 1428-1437. 


Fall in Human Papillomavirus Prevalence Following a National Vaccination Program 

Tabrizi SN, Brotherton JML, Kaldor JM, Skinner SR, Cummins E, Liu B, et al. 2012. J Infect Dis; 206(11): 1645-1651 


Increasing Evidence that Influenza Is a Trigger for Cardiovascular Disease
Siriwardena AN. 2012. J Infect Dis; 206(11): 1636-38.

Monitoring HPV Vaccine Impact: Early Results and Ongoing Challenges
Hariri S, Markowitz L. 2012. J Infect Dis; 206(11): 1633-35.


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