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

Recent News

MedPage Today (July 3, 2013)

Cal Coast News (July 5, 2013)

Associated Press (July 6, 2013)
Healio (July 9, 2013)

Breeding Bacteria on Factory Farms
NY Times (July 9, 2013)  
The Klamath County Health Department (OR) (July 9, 2013)  
Infection Control Today (July 9, 2013)

From AIDS to SARS to MERS, Emerging Infectious Diseases Remain a Dire Threat
Time (July 10, 2013) 


Reuters (July 10, 2013)


CDC: Low Flu, Pneumonia Vaccination Rates Blemish a Good Picture of Seniors' Health
McKnight's Long-Term Care News & Assisted Living (July 11, 2013)

Surf's Up for Pathogenic Viruses and Bacteria, Too
National Public Radio (July 12, 2013) 

Multidimensional Approach to Ensuring Safe Injection Practices
American Pharmacists Association (July 12, 2013) 
Shot of Prevention (July 12, 2013)
At Least 100 Sickened by Cyclospora Parasite Tied to Contaminated Fruits, Vegetables
CBSNews (July 15, 2013)   


One Thing We Know About Autism: Vaccines Aren't to Blame 

National Geographic (July 16, 2013)


2012 Texas West Nile Outbreak Linked to Mild Winter

HealthDay News (July 16, 2013)


New Tick-Borne Infection Similar to Lyme Disease 

Chicago Daily Herald (July 17, 2013) 


Two new measles cases identified in King County

KING5 News (WA)(July 17, 2013)  


TB Outbreak Shakes Wisconsin City 

National Public Radio (July 18, 2013)

HPV Vaccine Found to Help With Cancers of the Throat
NY Times (July 18, 2013)  
Medical Daily (July 18, 2013)  


New Health Reform Planning Tool for State and Local Health Departments
The Georgia Health Policy Center has released "Leading Through Health System Change: A Public Health Opportunity," a new tool to help public health organizations adapt to the changing health-care environment. The tool's interactive website can be used to examine the basics of health reform apply adaptive thinking to questions of health system change, and create a simple implementation plan to increase opportunities for improving population health.


U.S. Preventive Services Task Force (USPSTF) - Screening for Hepatitis C   

The USPSTF recommends screening for hepatitis C virus (HCV) infection in persons at high risk for infection. The USPSTF also recommends offering one-time screening for HCV infection to adults born between 1945 and 1965. Please share and read the clinical summary and pass along the consumer fact sheet


Hepatitis C Online Course

A new self-study, interactive course for medical providers on HCV infection is now available from the University of Washington and in collaboration with the International Antiviral Society. Free CME credit is offered throughout the site and free CNE credit will be available soon. 


RWJF: Extending the Cure Results

The Robert Wood Johnson Foundation (RWJF) recently published results from the Center for Disease Dynamics, Economics & Policy's Extending the Cure, an effort to frame the growing problem of antibiotic resistance. 

11 Year Foodborne Disease Outbreak Summary 

Tracking foodborne disease outbreaks provides valuable insight into the germs and foods that sicken an estimated 48 million Americans each year. CDC's newly released MMWR Surveillance Summary,  "Surveillance for Foodborne Disease Outbreaks - United States, 1998-2008," offers a comprehensive look at what pathogens, foods, and select settings caused outbreaks during 11 years of a stable surveillance system.  This paper also looks at how outbreak reporting and the foods associated with outbreaks changed over time. 

Updated CDC West Nile Virus (WNV) Guidelines Available for the 2013 Season

CDC released updated guidelines,  WNV in the United States: Guidelines for Surveillance, Prevention, and Control, for the 2013 WNV season.  This is the first update to the guidelines since 2003 and provides guidance for communities and public health agencies developing new programs or enhancing existing WNV management programs. 
DEET Education Program Materials on Tick-borne Illnesses
The DEET Education Program has created useful materials on tick-borne illness and prevention materials for the public and health professionals. 


Plan Now: August is National Immunization Awareness Month 

August is recognized as National Immunization Awareness Month. 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 Public Health Information Coalition toolkit to plan your LHD's events and messaging. The toolkit was designed to help public information officers, immunization program managers, Coalition leaders and others in the public health community to share important facts about immunizations. The toolkit highlights a different population each week of the month: Week 1: Off to college (young adults); Week 2:  Back to school (children; Week 3: Not just for kids (adults); Week 4: A healthy start (babies and pregnant women). 


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

ICD-10 Transition Overview for Public Health
The U.S. transition to International Classification of Diseases 10th Revision (ICD-10-CM/PCS) on October 1, 2014 will have significant impact on public health entities. CDC's ICD-10 Transition Workgroup is offering a training session that will provide an overview of the transition and an introduction to the new code sets.  Specifically, the presentation will describe why the U.S. is transitioning to ICD-10 code sets, who is affected by the transition, what CDC is doing around the transition, key differences between ICD-9-CM and ICD-10 code sets, and what some of the implementation issues will be for public health entities. Register for the July 22, 2013 2:30 PM EDT Webinar here 
Current Issues in Immunization NetConference (CIINC) Immunization NetConferences are live, one-hour presentations combining an online visual presentation with simultaneous audio and a live question and answer session. The upcoming Netconference on July 25 (12:00-1:00 PM EDT) will cover influenza vaccine recommendations. Registration will close on July 24 or when the course is full.

The Burden of Tuberculosis (TB) and Infectious Diseases Webinar
The U.S. Department of Health and Human Services will host a free webinar on Tuesday, July 30 (12:30-2:00 PM EDT), to examine the burden of infectious diseases nationally and internationally with a special emphasis on TB. It will highlight one community-based organization's work on TB prevention and treatment in the U.S.-Mexico border region. Registration is available here. 


HealthMap Vaccine Finder Needs You!

Flu season is just around the corner, and now is the time to provide data on your vaccine services to the HealthMap Vaccine Finder. Last year, the free, online tool helped direct over 500,000 users to vaccine providers in their area. We encourage you to take advantage of this free opportunity to promote your vaccination services starting on July 22, 2013. This year, HealthMap Vaccine Finder is asking for information on 7 kinds of influenza vaccines (trivalent, quadrivalent, high dose, intradermal, cell culture-based, recombinant, and nasal spray) and 10 other adult vaccines (hepatitis A, hepatitis B, HPV, MMR, Td, Tdap, meningococcal, pneumococcal, varicella, zoster). Providers who participated last year can log in to their account and update their information by following the directions on the Help tab. New providers must first register for an account. Once you receive your password and login, you may then upload the required information to your account. Please direct any questions to


NIHCM Health Care Workforce: Meeting the Demand for Increased Primary Care

This  webinar will explore the dynamics behind workforce shortages as well as strategies for increasing primary care capacity. The webinar will be August 6, 2013 at 12:00  - 1:30PM EDT. A draft agenda is available here. Please register by noon (EDT) on August 5th.Speakers will discuss the following:

  • opportunities and challenges facing primary care, including the effects of delivery system innovations on the demand for services
  • initiatives to attract medical students to family practice and to close workforce gaps on primary care teams by recruiting and training physician assistants and other health professionals
  • a new payment model designed to promote efficiency within primary care practices, and a physician perspective on how well it's working
  • the use of tele-medicine to improve access to care in underserved areas while responding to a growing consumer demand for convenience.
November Clinical Vaccinology Course  
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 (November 15-17, 2013) in Cambridge, MA. The course will focus 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. Continuing education credits are available.  

NACCHO Seeks LHD Billing Tools for HIV, STI, and TB Services

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

Examples of billing resources for these services may include:

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

Please submit any resources you would like to share 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. 


Griffin MR, Zhu Y, Moore MR, Whitney CG, Grijalva CG. N Engl J Med. 2013 Jul 11; 369: 155-63.

Rulin C et al. American Journal of Public Health. 2013 June 1. doi: 10.2105/2013.301495.
Herrero, Rolando et al. PLOS One. 2013 July. 
Infectious Diseases  

2013 Pipeline Report: HIV, HCV, and TB Drugs, Diagnostics, Vaccines, Preventive Technologies, Research Toward a Cure, and Immune-Based and Gene Therapies in Development
Clayden P, Collins S, Daniels C, Frick M, Harrington M, Horn T, et al. Treatment Action Group. 2013 June 30.

Burden and Etiology of Diarrheal Disease in Infants and Young Children in Developing Countries (the Global Enteric Multicenter Study, GEMS): A Prospective, Case-Control Study
Kotloff KL, Nataro JP, Blackwelder WC, Nasrin D, Farag TH, Panchalingam S, et al. The Lancet. 2013 May 14; E-pub ahead of print. doi:10.1016/S0140-6736(13)60844-2.

Influenza A (H7N9) and the Importance of Digital Epidemiology
Salathe M, Freifeld CC, Mekaru SR, Tomasulo AF, Brownstein JS. NEJM. 2013 July 3; E-pub ahead of print. doi: 10.1056/NEJMp1307752

Outbreak-Associated Salmonella enterica Serotypes and Food Commodities, United States, 1998-2008
Jackson BR, Griffin PM, Cole D, Walsh K, Chai SJ. Emerg Infect Dis. 2013 August; 19(8).

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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