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

Recent News

Food Safety News (August 16, 2013)
Medical Xpress (August 2013)

U.S. News and World Report, Health (August 19, 2013)

Associated Press (August 19, 2013)
The Plain Dealer (OH) (August 22, 2013) 
Associated Press (August 22, 2013)
Public Health Newswire (August 22, 2013)

Mistake Prompts State to Test Dozens for HIV, Hepatitis
NBC Connecticut (August 23, 2013) 
Medscape (August 23, 2013)
Des Moines Register (IA) (August 23, 2013) 
Associated Press (August 25, 2013) 
Los Angeles Times (August 27, 2013) 
Anderson Cooper 360 (August 28, 2013) 


"Dear Colleague" Letter for Healthcare Providers on 2013-2014 Flu Season
Last week Assistant Surgeon General of the US Public Health Service, Anne Schuchat, MD, wrote a letter to healthcare providers on flu vaccination. It includes information about CDC's current vaccination recommendations and the effectiveness of flu vaccines. The letter is available for distribution to providers in your area.

CDC Releases 2014 Edition of "Yellow Book"
The CDC released the online version of the 2014 edition of CDC Health Information for International Travel, commonly known as the "Yellow Book" for its yellow cover. The most recent version includes special guidance for people who will be living long-term in areas with malaria.

CMS Announces Final Rule for Eligibility, Enrollment, and Benefits

On July 5, 2013, the Centers for Medicare & Medicaid (CMS) issued a final rule on implementing provisions of the Affordable Care Act related to Medicaid, the Children's Health Insurance Program (CHIP) and the Health Insurance Marketplace. In collaboration with other national public health organizations, NACCHO weighed in on the provision in February 2012 calling it an important step towards ensuring that Medicaid and CHIP beneficiaries have access to available, recommended preventive services. 


NACCHO's Webinar - The Affordable Care Act (ACA): What You Need To Know 

NACCHO hosted an ACA webinar on August 22, 2013, that specifically addressed the needs of LHDs. Speakers presented information on the major components of the ACA, including private insurance market reforms, the health insurance marketplace, Medicaid expansion, and consumer outreach and enrollment opportunities. The recording is now available online. 


Zooming in on Health Reform: Understanding the Potential Impact of the ACA on Medicaid and the Uninsured at the Local Level 

Nationwide, the ACA will expand Medicaid coverage to millions of people and substantially decrease the number of people without health insurance coverage. However, the impact of the law will vary by geographic region depending on current coverage patterns and socio-demographic/economic factors. Use these interactive maps from the Kaiser Family Foundation to zoom in on your area and see how the number and composition of individuals enrolled in Medicaid or without insurance coverage could change if your state expands Medicaid (click here for a list of states).


NACCHO Exchange Highlights Public Health Law and Immunization Billing 

Read the summer issue of NACCHO Exchange to learn more about important topics in public health law. This issue includes national-level information and local examples of using law to benefit public health practice. Topics in this issue include information about federal lobbying restrictions, administrative preparedness, reduction of sugar-sweetened beverage consumption, billing for immunization programs, the role of public health law in accreditation, use of zoning laws to promote health equity, and opioid prescribing guidelines. For more information on billing, visit NACCHO's Billing for Clinical Services website. 

New Health Reform Planning Tool for State Health Departments and LHDs
The Georgia Health Policy Center recently released "Leading Through Health System Change: A Public Health Opportunity," a new tool to help public health organizations adapt to the changing healthcare environment. The tool's interactive website can be used to examine the basics of healthcare reform and create a simple implementation plan for improving population health.


2013-2014 ACIP Influenza Recommendations 

A summary of the latest Advisory Committee on Immunization Practices (ACIP) influenza vaccine recommendations for the 2013-2014 flu season is now available on the CDC's website. The CDC continues to recommend that all persons ≥6 months of age be vaccinated against influenza each year. The summary recommendations highlight important updates on available products, vaccination timing, dose considerations, and vaccination of specific populations. 


NACCHO's Workforce Resource Center  

 NACCHO's Workforce Resource Center serves as a new hub for LHDs to access information and tools on topics relevant to the development of a more competent workforce, including: workforce-oriented accreditation prerequisites, certifications and competencies for public health practitioners, and NACCHO's workforce policy statements and publications. Visit the Workforce Resource Center at


Give Birth to the End of Hep B Campaign
The Immunization Action Coalition is urging hospitals and birthing centers to Give birth to the end of Hep B with the launch of its new comprehensive guidebook "Hepatitis B: What Hospitals Need to Do to Protect Newborns." Experts agree that hepatitis B virus infection can be eliminated, and that preventing transmission at birth is fundamental to this efforts. Yet nearly one in three newborns leaves the hospital unprotected by hepatitis B vaccine, despite national recommendations to provide it before the newborn is discharged from the hospital.


NACCHO's Billing for Clinical Services Toolkit

NACCHO recently released a toolkit with resources, templates, and tools for LHDs to use and develop capacity to bill third-party payers for clinical services. More than 200 resources are available from state billing guides, CMS, 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. 
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

Lyme Disease In The News
On August 19, 2013, CDC announced that the actual number of Lyme disease cases in the United States may be ten times higher than previously reported. A new CDC publication, Tickborne Diseases of the United States: A Reference Manual for Healthcare Providers, provides an overview of tickborne diseases, prevention tips, and information on tick bite prophylaxis.

Learn how Westport Weston Health District (WWHD) in Westport, Connecticut, is addressing Lyme disease through its Target Lyme Disease program. Through this program, WWHD has provided residents with health information on how to control ticks in an environmentally responsible way. 


Vaccine Education Center (VEC) Vaccine Webinar Series

On Wednesday, September 11, 2013 (1:00 PM EST), Dr. Paul Offit will speak about Rotavirus and Intussusception as part of the "Current Issues in Vaccines" webinar series. Registration is available here.  


Register Today to Become a Certified Application Counselor Organization

Implementation of ACA is right around the corner with open enrollment starting October 1, 2013, for coverage beginning January 1, 2014. If your LHD is interested in helping enroll clients into insurance plans on the marketplace, you can apply to become a certified application counselor organization, which will give you access to training about health reform programs in your state. You will be able to educate your clients about options available and help them complete an application for coverage. It is important to note that this information is only for states with federally-facilitated marketplaces or state-federal partnership marketplaces.  


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. 


CDC. MMWR. 2013 August 2; 62(32): 645-648.

Infectious Diseases  

CDC. MMWR. 2013 August 16; 62 (32): 637-641.

Continued Evolution of West Nile Virus, Houston, Texas, USA, 2002-2012
Mann BR, McMullen AR, Swetnam DM, Salvato V, Reyna M, Guzman H, et al. Emerg Infect Dis. 2013 September; 19(9). 

CDC. MMWR. 2013 August 16; 62(32): 642-644.

Investigational Drug Available Directly from CDC for the Treatment of Infections with Free-Living Amebae
CDC. MMWR. 2013 August 23; 62(33): 666.

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