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

Recent News

Why Do Vaccine-Preventable Disease Outbreaks Occur in the US?
Medscape Today News (December 6, 2012)

San Francisco Issues Meningitis Advisory
Associated Press (December 7, 2012)

Germ in Cat Feces May Affect Human Brain, Behavior: Study
HealthDay News (December 10, 2012)

Officials: Vaccination Exemption Requests on Rise
Associated Press (December 10, 2012)

College Kids Not So Smart About Flu Shots, Study Finds
HealthDay News (December 10, 2012)

NIH-Funded Trial Launched to Assess Experimental TB Drug
National Institutes of Health News (December 11, 2012)

Cases of Whooping Cough in United States Highest Since 1959
Philadelphia Inquirer (December 11, 2012)
Whooping Cough Vaccine Reaches 44% of Pregnant Women
Press Association (December 11, 2012)

Single-Use Vials -- The Debate Continues
Medscape Today (December 11, 2012)
Some Counties Requiring Health Workers to Get Flu Vaccine
KQED Blog (December 12, 2012) 

Listeriosis Increase May Be Result of Better Detection
Medscape Medical News (December 12, 2012) 

Helping Parents Navigate Immunization Information on the Internet
Shot of Prevention (December 13, 2012)

States Offering Free Whooping Cough Vaccine
Associated Press (December 14, 2012)
NPR Shots (December 17, 2012)
Shot of Prevention (December 17, 2012)
GlaxoSmithKline Wins U.S. Approval For New Flu Vaccine
Reuters (December 17, 2012)

Study Identifies Barriers to Use of Automated Immunization Reminders
iHealth Beat (December 19, 2012)
Are You that Guy? Campaign Helps Kids Say "No!" to Spreading the Flu
The Are You That Guy? influenza awareness campaign by the National Foundation for Infectious Diseases (NFID) focuses on educating parents and children about flu prevention, symptoms, and treatment. The campaign calls attention to "That Guy" - a person who despite experiencing flu symptoms, continues to go about his/her daily activities and as a consequence, may inadvertently spread the virus to others.

To help parents educate their children about the flu, NFID developed a coloring book that teaches children about flu symptoms and good habits that may help prevent flu from spreading.

Vaccine Adverse Event Reporting System (VAERS) Video
A new video on an "Overview of VAERS" is now available on "CDC Streaming Health" that gives more information on who should report an adverse event following immunization and how. This video is also designed to give healthcare professionals an understanding of how rare adverse events following immunization can be detected through vaccine safety monitoring.

10th Annual Ready or Not? Report
The 10th annual Ready or Not? report includes two indicators around vaccine issues - Medicaid coverage of flu vaccine without cost sharing and pertussis vaccination rates for 19-35 month olds.

CDC Published ACIP Recommendations
On December 6, 2012, CDC posted ACIP Provisional Updated Recommendations on Use of Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine (Tdap) for Pregnant Women and Provisional Recommendations Prevention of Measles, Rubella, Congenital Rubella Syndrome (CRS), and Mumps on its website.

Resources for Safe Patient Injections
The CDC and Safe Injection Practices Coalition recently released new materials for healthcare providers to learn about safe injection practices. Resources include a "Bloodborne Pathogen + Safe Patient Injections Training" presentation, a "How to Do It Right" animated video, a poster and brochure demonstrating proper use of insulin pens, and a digital press kit with an infographic, a podcast, fact sheets, and media information. To view more information about these resources, visit NACCHO's IDPC webpage and look under the "In the Spotlight" box.
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. The Joint Commission now requires healthcare organizations to establish an annual influenza vaccination program for staff.

Online Social Health Network ... Sickness Forecasting & Mapping

Sickweather scans social networks for indicators of illness, allowing you to check for the chance of sickness as easily as you can check for the chance of rain. This uses social media platforms to track diseases real time to where you live and work.

CDC's Storage and Handling Toolkit is Now Available 

The CDC's Vaccine Storage and Handling Toolkit is a comprehensive resource for providers on vaccine storage and handling recommendations and best practices. It includes strategies for maintaining the cold chain, routine storage and handling practices, inventory management, and emergency procedures for protecting vaccine inventories.
MedImmune Advocacy: Information on Cocooning  

A new patient education piece on the importance of "cocooning" can be accessed here.  Cocooning is a strategy used to protect infants and other vulnerable populations by immunizing everyone who comes in contact with them for vaccine-preventable diseases (e.g., Tdap and influenza).

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

2013 Public Health Preparedness Summit: Infectious Disease Sessions

Join NACCHO at the 2013 Public Health Preparedness Summit March 12-15 in Atlanta! The goal of the summit is to strengthen and enhance the capabilities of public health professionals and other participants to prepare for, respond to, and recover from disasters and other public health emergencies.


A selection of sessions will examine infectious disease outbreaks and mass dispensing, including:

  • New Strategies for Pandemic Antiviral Distribution and Dispensing: A Workshop for State and Local Public Health
  • Public Health and the Law: Legal Tools to Assist Public Health Practitioners in Responding to Infectious Disease Outbreaks and Other Public Health Emergencies
  • Supporting Healthcare Mass Dispensing Planning: New Tools for New Market Realities
  • Innovative Use of Nurse Triage Lines during an Influenza Pandemic: Update on a CDC Collaborative Initiative between Public Health, Poison Control Centers, and Other Partners
  • Enhancing Community Preparedness by Developing Closed PODs

For more details on the summit, including the full agenda and registration information, visit 


Public Health Uniform National Data System 

NACCHO recently launched the Public Health Uniform National Data System (PHUND$), a web-based public health financial data collection and analysis portal hosted on the NACCHO website. PHUND$ was created to 1) Provide LHDs with timely, reliable and uniform data to support assessment and decision-making; 2) help NACCHO describe and monitor financial health and sustainability of public health systems; 3) provide LHDs the ability to proactively assess their financial and operational performance; 4) promote uniform public health financial management practices; and 5) increase public health agency transparency. For additional information, please contact Giselle Plata or 202-783-1376.  


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.

HealthMap Vaccine Finder: Become a Listed Provider for Immunizations

List Your Influenza and Adult Vaccine Clinics with HealthMap Vaccine Finder! Local public health departments are encouraged to register their influenza and adult immunization services on 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 this free, online resource.
Clinical Vaccinology Course, Chicago, March 8-10, 2013
The National Foundation for Infectious Diseases, the Emory Department of Medicine, Division of Infectious Diseases, and the Emory Vaccine Center are sponsoring a
Clinical Vaccinology Course, which will be held in Chicago on March 8-10, 2013. Registrations are being accepted online and by mail.
National Provider Call: Meaningful Use
CMS will host a National Provider Call on the first two stages of Meaningful Use under the Medicare and Medicaid EHR Incentive Programs on January 16, 2013 (2:00-3:30 PM EDT). The agenda and registration information will be available soon on the CMS National Provider Calls registration website.

2013 National Immunization Conference to be held June 3-6, 2013
The 2013 National Immunization Conference (NIC) is scheduled for June 3-6, 2013, at the Hyatt Regency Hotel in Atlanta, Georgia. Information regarding lodging, registration, and abstract submission guidelines will be posted on the NIC web section as it becomes available.  


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.



2009-2010 Seasonal Influenza Vaccination Coverage Among College Students from 8 Universities in North Carolina
Poehling KA, Blocker J, Ip EH, Peters TR, Wolfson M. J American College Health. 2012 Nov 16; 60(8): 541-47.

Interventions to Improve Influenza and Pneumococcal Vaccination Rates Among Community-Dwelling Adults: A Systematic Review and Meta-Analysis
Lau D, Hu J, Majumdar SR, Storie DA, Rees SE, Johnson JA. Ann Fam Med. Nov/Dec 2012; 10(6):538-46.

Infectious Diseases

Antimicrobial-Resistant Pathogens Associated with Healthcare-Associated Infections: Summary of Data Reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2009-2010
Sievert DM, Ricks P, Edwards JR, Schneider A, Patel J, Srinivasan A, et al. Infection Control and Hospital Epidemiology. 2013 Jan: 34(1); 1-14.

Differentiation of Reinfection from Relapse in Recurrent Lyme Disease
Nadelman RB, Hanincova K, Mukherjee P, Liveris D, Nowakowski J, McKenna D, et al. N Engl J Med 2012; 36: 1883-90.

Efficacies of Sodium Hypochlorite and Quaternary Ammonium Sanitizers for Reduction of Norovirus and Selected Bacteria during Ware-Washing Operations
Feliciano L, Li J, Lee J, Pascall MA. PLoS ONE. 2012 Dec 5; 7(12): e50273.

Highlights from State and Local Programs: TB Screening Practices of Civil Surgeons Evaluating Status Adjustors Seeking Permanent Residence in the United States - New England, 2011
Bernis K, Sosa L, Stratton A, Tibbs A, Cochran J, Lobato, M, et al. TB Notes Newsletter. 2012; 4: 4-5.

Human Coronavirus EMC Does Not Require the SARS-Coronavirus Receptor and Maintains Broad Replicative Capability in Mammalian Cell Lines
Muller MA, Raj VS, Muth D, Meyer B, Kallies S, Smits SL, et al. mBio. 2012 Nov/Dec; 3(6): e00515-12.

Mumps Outbreak on a University Campus - California, 2011
MMWR. 2012 Dec 7; 61(48): 986-89.

Necrotizing Cutaneous Mucormycosis after a Tornado in Joplin, Missouri, in 2011
Fanfair RN, Benedict K, Bos J, Bennett SD, Lo YC, Adebanjo T, et al. N Engl J Med. 2012 Dec 6; 367: 2214-25.

Outbreaks of Acute Gastroenteritis Transmitted by Person-to-Person Contact - United States, 2009-2010
MMWR. 2012 Dec 14; 61(SS-9): 1-12.

Preventing Lethal Hospital Outbreaks of Antibiotic-Resistant Bacteria
Sandora TJ, Goldmann DA. N Engl J Med. 2012 Dec 6; 367: 2168-70.

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