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

Recent News

2 Deaths Lead to Urgent New Call for Flu Vaccination
Oakland Press (MI) (January 2, 2013)

U.S. Research Shows that HPV Vaccination Could Prevent Pre-Cancerous Anal Cell Changes in HIV-Positive Gay Men
AIDS Map (January 3, 2013)

Murder Charge Upheld Against Nurse in Hepatitis C Case
Las Vegas Review-Journal (January 3, 2013)

New Immunization Law Requires Parents to Make 'Informed Decisions'
Morgan Hill Times (CA) (January 3, 2013)

Hospital Employees Fired for Refusing Flu Vaccines
770 KKOB News Radio (IA) (January 4, 2013
Arizona Dept. of Health Services Director's Blog (January 4, 2013)
As Norovirus Rages, A Robot Named 'Vomiting Larry' Gets His Closeup
National Public Radio (January 4, 2013)   

Flu Cases Rise Across U.S., CDC Says Vaccination Not Too Late
ABC News Radio (January 6, 2013)

Author Writes Children's Book That Kids Getting Measles Is 'Marvelous'
CBS Atlanta (January 6, 2013)

Timely Reminders Boost Childhood Immunization Rates: Collaboration Between Practices and Health Departments is Effective, According to Study
Healthcare Informatics (January 7, 2013)

Annual Report to the Nation on the Status of Cancer, 1975-2009, Featuring the Burden and Trends in Human Papillomavirus (HPV)-Associated Cancers and HPV Vaccination Coverage Levels
ABC News (January 7, 2013) 

U.S. HPV Vaccine Coverage Lags Behind Canada, Mexico
U.S. News & World Report (January 8, 2013)

Connecting the Dots: Chicken Pox, Varicella Vaccine and Shingles
Shot of Prevention (January 8, 2013)

Boston Declares Public Health Emergency as Flu Cases Rise Nationwide
Fox News (January 10, 2013)

Technique Identifies Deadliest Whooping Cough Cases: Take White Blood Cell Counts Early and Often, Study Says
HealthDay News (January 10, 2013)

Drugmakers Report U.S. Shortages of Flu Vaccine, Tamiflu
Reuters (January 10, 2013)

Indiana Health Department Now Requires Chicken Pox Vaccine for Students in All Grade Levels
Associated Press
(January 10, 2013)

716 Patients at VA May Have Been Exposed to HIV
The Buffalo News (NY) (January 11, 2013)

Flu Outbreak Could Have Economic Impact
Tampa Bay Business Journal (January 11, 2013)

VIDEO: Flu Shots Working, Outbreak Could Be Waning, CDC Says
ABC News (January 11, 2013)

Hospitals Crack Down on Workers Refusing Flu Shots
Minnesota Public Radio (January 12, 2013)

New York Governor Declares Public Health Emergency to Combat Flu
Reuters (January 12, 2013)

Q&A with CDC Flu Expert Michael Jhung
Public Health Newswire (January 14, 2013)

SC Lawmaker Reintroduces HPV Vaccine Bill
Associated Press (January 14, 2013)

Vaccine Court Awards Millions to Two Children With Autism 

Daily Mail (UK) (January 14, 2013)


More Local Reactions with DTaP Shot in Infants' Arms
Physician's Briefing (January 14, 2013)  

American College of Physicians Calls for Immunizations for All Health Care Providers

American College of Physicians (January 14, 2013)


Past Low Flu Vaccination Rates and Gaps in Flu Policies Contribute to Vaccine Shortages and Other Problems in Preparedness

Trust for America's Health (January 15, 2013)


Vaccine Timetable for Children Is Safe, Experts Say  

Reuters (January 16, 2013)   


New Paper Offers Guidance for Next Flu Pandemic

"Selecting Nonpharmaceutical Strategies to Minimize Influenza Spread: The 2009 Influenza A (H1N1) Pandemic and Beyond," published in the November-December issue of Public Health Reports, provides a road map for making decisions about when and how to use nonpharmacologic approaches - strategies that can help control a flu pandemic before a well-matched vaccine becomes available.   


IOM Report on the Childhood Immunization Schedule and Safety
The Institute of Medicine (IOM) released the report The Childhood Immunization Schedule and Safety: Stakeholder Concerns, Scientific Evidence, and Future Studies on January 16, 2013. The report can be found online here.  


Resource Information on Liability Protection for Public Health Partners

A new brochure that describes the liability protection provided by the Public Readiness Emergency Preparedness (PREP) Act is now available on the Strategic National Stockpile (SNS) Extranet. This brochure provides helpful information SNS planners can use when discussing potential partnerships with private business and nonprofit organizations to dispense medical countermeasures during an emergency. SNS planners should contact their CDC program services consultants if they need information on how to access the SNS Extranet.


Influenza Vaccine Availability Tracking System

The Influenza Vaccine Availability Tracking System (IVATS) addresses difficulties healthcare providers may experience when trying to determine which wholesale distributors or manufacturers have seasonal influenza vaccine in stock.  


Insulin Pen Safety Resources

In light of the possible HIV exposure at a Buffalo VA hospital, the One & Only Campaign has an insulin pen safety page that includes patient/provider education materials demonstrating the proper use of injection devices to give diabetes medication.     


Special Report from USA Today: Unsafe Injection Practices

USA Today's cover story, "Dirty Medical Needles Infect Thousands Across the USA," highlights some of the recent healthcare-associated infections resulting from unsafe injection practices. The webpage also features a video with statements from Evelyn McKnight, president of HONOReform, a national advocacy organization dedicated to protecting patients through safeguarding the medical injection process; and CDC's associate director for injection control, Michael Bell.

Emerging Infections, Microbial Threats to Health, and the Microbiome

The Institute of Medicine released audio and Microsoft PowerPoint presentations from the December 11-12, 2012, Anniversary Symposium on "Emerging Infections, Microbial Threats to Health, and the Microbiome." The audio files and presentations are embedded in the meeting agenda.

The Flu Strikes Back - 7 Free Online Tools to Guide You through the Flu Season
The latest ePublic Health Blog post, The Flu Strikes Back - 7 Free Online Tools to Guide You through the Flu Season, is a way to stay informed related to influenza and it provides tools and resources to share with your community.

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 Influenza Application
The CDC Influenza application for clinicians and other healthcare professionals enables users to find CDC's latest recommendations and influenza activity updates on an iPad, iPhone, or iPod Touch. When a device is connected to the internet, new information and content will update automatically. Click here for additional information.

2012 Public Health Emergency Medical Countermeasures Enterprise Webinar
The Public Health Emergency Medical Countermeasures Enterprise (PHEMCE) coordinates the development, acquisition, stockpiling, and use of medical products that are needed to effectively respond to a variety of potential high-consequence public health emergencies, whether naturally occurring or intentional. Local and state health department preparedness staff are encouraged to participate in the January 28 (1:00-2:00 PM EDT) webinar, "Working Together: Federal Plans for Medical Countermeasures Use in Public Health Emergencies and Their Impact on the Public Health Community." Hosted by NACCHO and the Office of the Assistant Secretary for Preparedness and Response, the webinar will introduce the newly released 2012 PHEMCE Strategy and Implementation Plan.

Federally Qualified Health Centers and Public Health Emergencies Webinar
NACCHO and the Association of State and Territorial Health Officials will host a webinar Thursday, February 28 (1:00-2:00 PM EDT), that explores the role and expectations of federally qualified health centers (FQHCs) during disease outbreaks. Webinar speakers will share a national-level perspective of FQHCs, in addition to lessons learned from H1N1 at the community level. The relationship of FQHCs with local and state health departments will also be discussed during the hour-long session. Sign-up information will be available soon.

Capacity Development to Deliver Chronic Disease Self-Management Program Workshops
NACCHO with support from the CDC's Division of Diabetes Translation (CDC/DDT), Division of Population Health and the Office of State, Tribal, Local and Territorial Support (CDC/OSTLTS), is pleased to offer this opportunity for 10 local health departments (LHDs) to develop the capacity to deliver effective chronic disease self-management programs through the
Stanford Chronic Disease Self-Management Program (CDSMP). The CDSMP is a six week educational workshop for people with chronic conditions (e.g. arthritis, diabetes, lung and heart disease). Evidenced-based, self-management education programs have been proven to significantly help people with chronic diseases. 
FDA Proposes New Food Safety Standards for Foodborne Illness Prevention
The Food and Drug Administration (FDA) has proposed two new food safety rules that help prevent foodborne illness. The proposed rules implement the FDA Food Safety Modernization Act and are available for public comment for the next 120 days. Instructions for submitting comments can be found here.

National Women and Girls HIV/AIDS Awareness Day

For the 8th year, the Office on Women's Health will be leading National Women and Girls HIV/AIDS Awareness Day on March 10, 2013 (though events can be held throughout March). National Women and Girls HIV/AIDS Awareness Day seeks to galvanize the full weight of community, national, public and private-sector resources to offer support and hope, reduce the stigma of HIV, and empower women and girls to take positive actions like getting tested, seeking treatment, educating their peers and preventing new infections. Please visit and bookmark this website for resources and more information in support of this special day.

NFID Clinical Vaccinology Course, March 8-10, 2013

The National Foundation for Infectious Diseases (NFID) will hold a Clinical Vaccinology Course on March 8-10, 2013, at the Hyatt Regency Chicago in Illinois.

The course focuses on new developments and issues related to the use of vaccines. Faculty will provide information on both current and prospective vaccines, updated recommendations for vaccinations across the lifespan, and innovative and practical strategies for ensuring timely and appropriate vaccination.  


Present at the 2013 Health Datapalooza IV

The submission portal for individuals and organizations interested in participating in the 2013 Health Datapalooza IV is now open. This year's event will have opportunities for app demonstrations and products on the main stage, in breakout panel discussions, and in the apps demo sessions. The conference will include government health data owners, state and local health data enthusiasts, and health data policymakers. The deadline for speaker/exhibitor submission materials is April 5, 2013. 


2013 Profile of Local Health Departments

NACCHO is launching the 2013 National Profile of Local Health Departments (Profile) study. All local health departments should have received their invitation (via e-mail) to participate on January 10, 2013. The Profile is the only national-level source of critical information on infrastructure and public health practices at the local level. To access reports, research briefs and other publication based on the findings of past Profile studies go to If a local health department does not receive their survey, have them contact the Profile Team at or (800) 758-6471.  


Chronic Disease Self-Management Program Funding Opportunity

NACCHO recently released an RFA for local health departments to develop the capacity to deliver effective chronic disease self-management programs (Stanford Chronic Disease Self-Management Program). Visit NACCHO's chronic disease prevention website for additional details. Applications are due January 28, 2013. 


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:

  • How St. Louis County DOH Partnered With a Community Group to Dramatically Expand Its Closed Point-of-Dispensing Network
  • Operation Medicine Delivery: A Public Health Perspective of a Full Scale Exercise of the Quick Strike Antibiotic Distribution Plan in Partnership with the US Postal Service
  • Scripted Surge: Pharmacy Dispensing Throughput Exercises
  • Best Practices: Evolution of Maryland's SNS Program and State's TAR Scores - Strategies, Successes, and Challenges
  • Effective Strategies for Building and Implementing Dynamic, Interactive Point-of-Dispensing Operations Trainings 

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


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.




Breaking Through the Status Quo: Improving Influenza Vaccination Coverage Among Health-Care Personnel 

Koh HK and Gordon JL. Public Health Reports. 2013 Jan-Feb; 128(1): 26-8. 


Childhood Immunization Schedule and Safety: Stakeholder Concerns, Scientific Evidence, and Future Studies 

Board on Population Health and Public Health Practice, Institute of Medicine. 2013 Jan 16. 


Early Estimates of Seasonal Influenza Vaccine Effectiveness - United States, January 2013 

MMWR. 2013 Jan 11; 62(Early Release): 1-4. 


Strategies to Achieve the Healthy People 2020 Annual Influenza Vaccine Coverage Goal for Health-Care Personnel: Recommendations from the National Vaccine Advisory Committee 

National Vaccine Advisory Committee. Public Health Reports. 2013 Jan-Feb; 128(1): 7-25.     


Risk of Fetal Death After Pandemic Influenza Virus Infection or Vaccination
Haberg, s. et al. New England Journal of Medicine, 2013 January 16. 


Infectious Diseases  


Cephalosporin-Resistant Gonorrhea in North America 

Kirkcaldy RD, Bolan GA, Wasserheit JN. JAMA. 2013; 309(2): 185-87. 


The Burden of Influenza in Young Children, 2004-2009

Poehling KA, Edwards KM, Griffin MR, Szilagyi PG, Staat MA, Iwane MK, et al. Peds. 2013 Jan 6; 131(2): 2012-55.   


Notes from the Field: Serogroup C Invasive Meningococcal Disease Among Men Who Have Sex With Men - New York City, 2010-2012 

MMWR. 2013 Jan 14; 1(51): 1048 


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