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

Recent News

Medscape News Today (May 27, 2013)

National Institutes of Health - Director's Blog (May 28, 2013)

Epoch Times (May 28, 2013)

Marietta Patch (GA)(May 28, 2013) 

US News & World Report (May 29, 2013) 
Science Daily (May 29, 2013) 
San Diego 6 (CA)(May 29, 2013)  
HHS - Public Health Emergency (May 29, 2013)
CDC News Room (May 30, 2013)
The Post and Courier (SC) (May 30, 2013)
Family Practice News (May 30, 2013)
MERS-CoV: Long Incubation May Require Longer Quarantine

Medscape News Today (May 30, 2013)


Twitter is a Popular Source for Vaccination Information, Debate

Infection Control Today (May 30, 2013)   


WA Kindergarteners Improve Vaccination Rates

Associated Press (May 31, 2013)  

Contemporary Pediatrics (June 1, 2013)  
CDC (May 31, 2013)
FDA (May 31, 2013)
The Atlantic (June 3, 2013)  
Bloomberg (June 3, 2013)  
The Republic (IN) (June 3, 2013) (June 3, 3013)
WMCTV News (TN) (June 4, 2013)  


Coronavirus, Middle East Respiratory Syndrome (MERS) Update
A novel coronavirus called "Middle East Respiratory Syndrome Coronavirus" (MERS-CoV) was identified in 2012 as the cause of respiratory illness in people. Investigations are being done to figure out the source of MERS-CoV and how it spreads. The CDC has developed a website to provide up-to-date information.  

Infectious Disease Integration of Public Health and Primary Care
In December 2012, the Association of State and Territorial Health Officials (ASTHO) convened state health agency leadership to examine examples of integration between public health infectious disease programs and primary care, analyze key components that led to success, and use these examples to further define the unique role of public health in improving population health. The meeting report provides considerations for moving forward along the continuum of integration.

CDC's Website Features NACCHO Demonstration Sites
CDC's Office of State, Tribal, Local, and Territorial Support (OSTLTS) has posted a summary of the Year 1 local health department (LHD) healthcare-associated infection (HAI) prevention demo site activities on their public health stories from the field webpage. The link to the direct summary is available here. 

Oral Cancer and HPV Infographic
Mount Sinai Hospital created an infographic on the risk of oral cancer and HPV. This visual tool may make it easier to explain HPV risks to your patients. 

Vital Signs:  Recipe for Food Safety
The June 2013 edition of the CDC's Vital Signs is focused on protecting people from deadly Listeria food poisoning. You can download the fact sheet here

Spanish Language Posters to Support Childhood Immunization
The CDC has free Spanish language posters available for order from the CDC warehouse to support your childhood immunization efforts. These posters are part of the CDC campaign with the tagline: Con salud, todo es posible. Vacune a sus hijos (With health, all is possible. Vaccinate your children).

Updated Hepatitis C (HCV) Testing Guidance for Clinicians and Laboratorians

CDC issued this update in guidance due to 1) changes in the availability of certain commercial HCV antibody tests, 2) evidence that many people who are identified as reactive by an HCV antibody test might not subsequently be evaluated for current HCV infection, and 3) significant advances in the development of antiviral agents with improved efficacy against HCV.  


Grand Rounds: Unsafe Injection Practices in the U.S. Healthcare System

This session of Grand Rounds explored how unsafe injection practices, which put patients at risk of infection, have been associated with a wide variety of procedures and settings. Injectable medicines are commonly used in healthcare settings for the prevention, diagnosis, and treatment of various illnesses. Unsafe injections also increase the burden on patients, healthcare providers, and medical care and public health systems. 


Plan Now: August is National Immunization Awareness Month 

August is recognized as National Immunization Awareness Month (NIAM). This awareness month highlights the need for improving national immunization coverage levels and encourages all people to protect their health by being immunized against infectious diseases. Refer to the National Health Information Center toolkit to plan your LHD's events and messaging. 

Childhood Immunization as a Tool to Address Health Disparities
The video and presentation slides from the April 2013 session of CDC's Public Health Grand Rounds, Childhood Immunization as a Tool to Address Health Disparities, are now available.


NACCHO Webcast Series: Three Ways the Community Guide Makes the LHD Worker's Job Easier

The series teaches LHDs how to 1) use Task Force recommendations from the Community Guide to quickly identify prevention approaches that work, 2) access systematic review findings from the Community Guide to enhance your grants, and 3) use resources from the Community Guide to promote dialogue with multi-sector stakeholders. The screencast can be downloaded 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 hereYou 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

Has your LHD become an Essential Community Provider?

The Affordable Care Act is requiring that Qualified Health Plans include Essential Community Providers (ECP) in their networks. This could be a great opportunity for your LHD to become an in-network provider for designated insurance plans. ECPs serve low income and medically underserved communities and can be Federally Qualified Health Centers, Family Planning/STD Clinics, TB Clinics, Ryan White Providers, etc. It is important to negotiate with insurance providers to have your LHD written in on their list of ECPs if you have not already done so. You can find out more information about this process here.The deadline for federally facilitated marketplaces has already passed but the deadline for partnership states is July 31st and state-based marketplaces vary. 


Webinar Series: Proper Federal Grants Management for Public Health Organizations 

This two-part webinar series will help your agency/organization confidently move forward with evidence-based public health programs, ensure proper and accurate reporting, and build the best safeguards against any investigation. Establishing and understanding the basic fundamentals of federal regulations will ease concerns about how to do evidence-based work in a policy environment.


Federal Grants Management: Setting Up Solid Systems 

  • June 19, 2013 (1:00 PM EST) 
  • This webinar provides Federal grantees-recipients of CTG or other HHS/CDC/NIH grants-with essential grants management guidance, focusing on the requirements of Federal cost allocation and time and effort reporting rules, and why they matter so much.

Federal Grants Management: Avoiding Compliance "Hot Spots" 

  • July 24, 2013 1:00 PM EST)  
  • Part 2 of this series provides a comprehensive overview of the current compliance "hot spots" for Federal CDC grantees. The training will briefly review the classic challenges presented in Part 1, but then will go in-depth into current high-risk areas, including lobby restrictions (Section 503 and CDC AR-12) and evidence-based policy work, and the distinction between sub-recipients and vendors. 

Contract Epidemiologist Opportunity
The Houston Department of Health and Human Services is seeking a contract epidemiologist to help develop a comprehensive protocol and procedure manual for epidemiologic investigations. The contract is worth approximately $40,000 and needs to be completed by August 31, 2013. For more information, contact Dr. Raouf Arafat at or (832) 393-5032. 


Call for Resources: NACCHO Seeks LHD Billing Tools for HIV/STI/TB Services

Are you currently billing or plan to bill for HIV/STI/TB services? If so, have you developed any resources or tools that could help other LHDs start billing programs?   

Examples of billing resources for HIV/STI/TB services include:

  • Billing process guidelines or protocols;
  • Billing procedures and training materials for LHD staff;
  • Educational materials to inform for clients of billing changes; and
  • Letter of intent to a third-party payer/insurance companies.

Please submit all resources you would like to share and any questions to Alyssa Kitlas.  

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. 




Local Health Department Public Vaccination Clinic Success During 2009 pH1N1 

Klaiman T, O'Connell K, Stoto M. J Public Health Manag Pract. 2013 July/August; 19(4): E20-26.  


Terranella A, Beeler Asay GR, Messonnier ML, Clark TA, Liang JL. Peds. 2013 May 27; E-pub ahead of print. doi: 10.1542/peds.2012-3144.
Love et al. American Journal of Infection Control. 2013 June; 41 (6): 568-570.
CDC. MMWR. 2013 May 24,; 62(20); 401-404.

Infectious Diseases 

Active Surveillance for Influenza A Virus among Swine, Midwestern United States 2009-2011
Corzo CA, Culhane M, Juleen K, Stigger-Rosser E, Ducatez MF, Webby RJ, et al. Emerg Infect Dis. 2013 June; 19(6): 954-60.

Ascariasis Associated with Pig Farming - Maine 2010-2013 [Notes from the Field]
CDC. MMWR. 2013 May 24; 62(20): 413.

Assessment of Public Health Perspectives on Responding to an Emerging Pathogen: Carbapenem-Resistant Enterobacteriaceae
Guh AY, McDonald LC, Sinkowitz-Cochran, R. J Public Health Manag Pract. 2013 July/August; 19(4): E27-32. 


CDC. MMWR. 2013 May 24; 62(20): 398-400.

Lessons Learned While Implementing Mandatory Healthcare-Associated Infection Reporting in New York State
Stricof RL, Van Antwerpen C, Smith PF, Birkhead GS. J Public Health Manag Pract. 2013 July/August. 19(4): 294-299.

Pandemic Influenza Planning, United States, 1978-2008
Iskander J, Strikas RA, Gensheimer KF, Cox NJ, Redd SC. Emerg Infect Dis. 2013 June; 19(6): 879-85.

Surveillance of Healthcare-Associated Infections: Challenges and Opportunities
Lutterloh EC, Birkhead G. J Public Health Manag Pract. 2013 July/August; 19(4): 289-293.

Huang et al. NEJM. 2013 May 29. DOI: 10.1056/NEJMoa1207290

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