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

Recent News

When Parasites Catch Viruses
Harvard Gazette (November 7, 2012)

Not All St. Louis-Area EMTs Are Getting Vaccinated Against the Flu
St. Louis Public Radio (November 8, 2012)

New HIV Vaccine Shows No Adverse Side Effects
Discovery News (November 8, 2012)

IAVC: Vaccine Offers Modest Malaria Protection to Infants
Physician's Briefing (November 9, 2012)

Cuomo Expands Access to Tetanus Vaccines in Areas Affected by Sandy
New York Daily News (November 11, 2012)

Chickenpox Clinic Totals Fall Short of Goal
Trib Star (IA) (November 11, 2012)

Pertussis Immunity Drop Linked to Whole Cell Vaccine Withdrawal
Family Practice News (November 12, 2012)

Flu, Fever During Pregnancy Linked to Autism Risk: Reason for Concern?
CBS News (November 12, 2012)

West Virginia Judge Orders Home Instruction of Unvaccinated Student
Deseret News (UT) (November 12, 2012)

Every Kid Deserves a Shot
Connecticut Department of Public Health (November 12, 2012)

Many New Local Pertussis Cases Involve Adults
Daily Inter Lake (MT) (November 13, 2012)

NM Health Officials Boost Vaccinations for Seniors
Associated Press (November 13, 2012)

UPDATE: School Officials: 75 Exposed to Tuberculosis at Butler High School
WRDW-TV Augusta (GA) (November 14, 2012)

Meningitis: Top 10 Things CDC Says You Should Know
PBS Newshour (November 14, 2012)

CIDRAP Report Highlights Need for Novel Influenza Vaccine
Vaccine News Daily (November 14, 2012

MRSA Outbreak Mystery Solved by DNA Sequencing
Medscape Today News (November 14, 2012)

Pediatric Influenza Vaccination Rates Improve, but More Work Needed to Protect All Children
PR Newswire
(November 15, 2012)

FDA Panel Gives Nod to Bird Flu Vaccine
Med Page Today (November 16, 2012)

Flu Cases Starting to Increase; Still Time to Get a Flu Shot
Mount Vernon News (OH) (November 17, 2012)

Wisconsin Flu Season Gets Off to Quick Start
Milwaukee Journal Sentinel (WI) (November 18, 2012)

Research Suggests Cultural Sensitivity Needed to Increase HPV Vaccination
Vaccine News Daily (November 19, 2012)

Panel Recommends Routine HIV Tests for Teens, Adults
USA Today (November 19, 2012)

W. Indiana County Tops 100 Chickenpox Cases
Associated Press (November 20, 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. 

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.

CDC iPad App for Clinicians About Influenza Now Available 
The CDC Influenza application for clinicians and other health care professionals makes it easier than ever to find CDC's latest recommendations and influenza activity updates on your iPad. When your device is connected, the content is updated automatically so you always have the most up-to-date information. You can personalize your experience with features like highlighting, annotations, and bookmarks to suit your own needs. You can find the app here.

CDC Posts October ACIP Meeting Notes and Slides 
On November 15, CDC posted the presentation slides shown at the October 24-25 ACIP meeting. CDC also published a brief update of the meeting in the October 2012 issue of CDC's Immunization Works electronic newsletter.

MedImmune Advocacy: Information on Cocconing 

A new patient education piece will be added to the web portal on the importance of "Cocooning" by making sure everyone who comes in contact with infants has been immunized for Tdap and influenza. The document will be available to order on November 26, 2012 and can be accessed here.  


VFC Program Operations Guide 

The CDC has updated the Operations Guide for the Vaccines for Children (VFC) Program. The Guide was created to provide guidance and to communicate VFC program requirements to state and local immunization programs. The latest update was released on November 1st and includes detailed information about many areas of the VFC program. The VFC Program helps provide vaccines to children whose parents or guardians may not be able to afford them. The CDC buys vaccines at a discount and distributes them to grantees - state health departments and certain local and territorial public health agencies-which in turn distribute them at no charge to those private physicians' offices and public health clinics registered as VFC providers.   


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 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

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.  


Webinar: Learn How to Keep You, Your Baby & Family Healthy This Flu Season

Families Fighting Flu (FFF) invites you to join a free educational webinar, November 29, 2012 from 12 PM to 1 PM, to learn about protection from the flu for pregnant women, new moms, including those who are breastfeeding, and young children. Dr. Kevin Ault, professor, Department of Gynecology and Obstetrics at Emory University School of Medicine will be discussing what moms and moms-to-be should know and do to keep themselves and their families healthy during flu season. You must register in advance to participate.


CDC's NetConference on Vaccine Storage and Handling

CDC will present a Current Issues in Immunization NetConference on November 29 from noon to 1 PM, ET. Dr. Chesley Richards, MD, MPH, FACP, director, Immunization Services Division, NCIRD, will speak on the impact and importance of proper vaccine storage and handling. Patricia Beckenhaupt, RN, MS, MPH, public health analyst, will discuss updated vaccine storage recommendations. JoEllen Wolicki, RN, BSN, nurse educator, will address storage and handling best practices and resources for providers. Registration, which is required, will close on November 28 or when the course is full.  


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.     


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.


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.  


2013 NACCHO Annual: Call for Sharing Session Proposals 

Submit your session proposal today for an opportunity to share your knowledge and expertise with peers at 2013's largest gathering of local health officials in the United States! For questions or additional information, contact the NACCHO annual speaker coordinator at or 703-964-1240, ext.11. 


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.




Vaccinate Adults!  

Immunization Action Coalition. 2012 Oct; 16(4).    


Knowledge, Attitudes, and Beliefs Regarding HPV Vaccination: Ethnic and Cultural Differences Between African-American and Haitian Immigrant Women
Joseph NP, Clark JA, Bauchner H, Walsh JP, Mercilus G, Figaro J, et al. Women's Health Issues. 2012 Nov; 22(6): e571-e579. 

Infectious Disease


Baseline Characteristics and Mortality Among People in Care for Chronic Viral Hepatitis"?: The Chronic Hepatitis Cohort Study (CHeCS)
Moorman AC, Gordon SC, Rupp LB, Spradling PR, Teshale EH, Lu M, et al. Clinical Infectious Diseases. 2012 Sep 18; 55(11).

Differentiation of Reinfection from Relapse in Recurrent Lyme Disease
Nadelman RB, Hanincova K, Mukherjee P, Liveris D, Nowakowski J, McKenna D, et al. New England Journal of Medicine. 2012 Nov 15; 367: 1883-90.

Do Patients Feel Comfortable Asking Healthcare Workers to Wash Their Hands?
Ottum A, Sethi AK, Jacobs EA, Zerbel S, Gaines ME, Safdar N. Infection Control and Hospital Epidemiology. 2012 Dec; 33(12): 1282-84.

Integrated Prevention Services for HIV Infection, Viral Hepatitis, Sexually Transmitted Disease, Tuberculous for Persons Who Use Drugs Illicitly: Summary Guidance from CDC and the U.S. Department of Health and Human Services
MMWR. 2012 Nov 9; 61(5).


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.


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