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

Recent News

Medpage Today (September 8, 2013)

GOV.UK (September 10, 2013)

HealthDay News (September 13, 2013)

Daily RX (September 17, 2013)
NBC News York (September 17, 2013) 

Infection Control Today (September 18, 2013)

MLive (MI) (September 18, 2013)
Herald-Dispatch (WV) (September 21, 2013) 
Medical Daily (September 22, 2013) 
Daily Rx (September 22, 2013)
CBS Detroit (September 23, 2013)
Huffington Post (September 24, 2013)

C difficile: Symptomatic Patients No Longer the Main Source
Medscape Medical News (September 25, 2013)  

Associated Press (September 26, 2013)
Vaccine News Daily (September 27, 2013)

Scientific American (October 1, 2013)


Antibiotic Resistance Threats Report
A new CDC report, "Antibiotic Resistance Threats in the United States, 2013," presents a snapshot of the burden and threats posed by antibiotic-resistant germs that impact human health. According to the report, at least 2 million people become infected with bacteria that are resistant to antibiotics each year and at least 23,000 people die each year as a direct result of these infections. The full report is available here.

Live Tracking Influenza Vaccination Map from HHS

This mapping tool is a resource for researchers, providers, local health departments (LHDs), and healthcare workers to track influenza vaccination claims rates of Medicare beneficiaries in real-time. It includes information for every county and zip code in the United States. To use the tool: 

  • Click on your state or search for your location to see how many Medicare beneficiaries live in your area and the vaccination claims rate. (The vaccination claims rate is the number of flu vaccine claims relative to the number of beneficiaries.)
  • These numbers will be displayed in the box at the upper right corner of the map and in the table below the map.
  • The map is also colored to show the vaccination claims rate as depicted in the legend. BLUE areas have higher vaccination claims rates. RED areas have lower vaccination claims rates
  • You can also select a specific racial or ethnic population within your state or community and see if there are differences by race (disparities) in vaccination claims rate.
  • When you select a specific race, the disparities rate will be displayed in the table on the far right. (The "disparities rate" is the difference between the minority and the white vaccination claims rates relative to the white vaccination claims rate.)
  • Locations with fewer than 25 claims submitted will not display data.

March of Dimes, Sanofi Pasteur Launch Grandparents' Corner

The March of Dimes and Sanofi Pasteur unveiled Grandparents' Corner, a new online resource from the Sounds of Pertussis Campaign to help grandparents learn more about pertussis and the importance of adult tetanus, diphtheria and acellular pertussis (Tdap) vaccination. 


New Laboratory Informatics Self-Assessment Tool

CDC and the Association of Public Health Laboratories recently released a laboratory informatics self-assessment tool to help state and local public health laboratories assess their own informatics capabilities and gaps across a broad range of topics. The self-assessment tool is the first resource aimed at measuring informatics capabilities in public health laboratories in a systematic and comprehensive manner. Most of the identified capabilities and guidance are universal in nature and, consequently, can provide valuable assessment and direction to clinical laboratories. The tool is currently available to the public as a downloadable PDF.  

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.
NACCHO's New Preparedness Brief Blog
NACCHO is excited to announce the launch of The Preparedness Brief Blog. This new blog will explore preparedness issues through the lens of local public health and will replace NACCHO's bi-monthly Preparedness Brief newsletter. Be sure to visit regularly so you can stay updated on local public health preparedness issues.


Mobilizing Community Partnerships in Rural Communities 

This new NACCHO guide shares the experiences of organizations that lead effective collaborations in rural communities. These organizations include a non-profit corporation that emerged from a partnership, a behavioral healthcare provider and network, and a collaborative network based in a critical access hospital. The stories from the field are followed by a compilation of lessons learned that include brief descriptions of factors supporting the success of partnerships and lists of critical concerns during the strategic planning process.  


NEW: Billing For Clinical Services Toolkit and Website

NACCHO, with funding from the CDC, created a toolkit with resources, templates, and tools for LHDs to use while developing the capacity to bill third party payers for immunization, STD, TB and HIV services. More than 200 resources have currently been collected from state billing guides, CMS, state health departments, LHDs, insurance companies, and vendors of products such as electronic medical records and billing clearinghouses.  The toolkit can be found on NACCHO's new billing website along with other resources such as webinars, training opportunities, and information on peer networking.


NACCHO wants to talk to you about your LHD billing experiences and needs! Please contact and we will work with you to schedule a time to discuss LHD billing.

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. Please email Alyssa Kitlas ( if you have an immunization video you would like to share with other LHDs. 

Get Involved

IDWeek 2014 Seeks Topic Suggestions
The IDWeek Program Committee is seeking suggestions
for important topics to be covered at IDWeek 2014 (October 8-12, 2014). The deadline to submit suggestions is Monday, October 14, 2013.


Giving Adolescents a Fair Shot: Immunizations in the 21st Century 

The Society for Adolescent Health and Medicine is hosting a webinar discussing adolescent immunizations on Wednesday, October 9, 2013 (1:00-2:00 PM EDT). The webinar will discuss current recommendations for vaccinating adolescents and strategies for increasing vaccine uptake among this population. Registration is available here.  


2014 Health Care Workforce: Meeting the Demand for Increased Primary Care
The U.S. could face a shortfall of 91,500 physicians by 2020, according to projections from the Association of American Medical Colleges. At the same time, innovations in healthcare delivery and payment, such as team-based care, medical homes and episodic bundling, could dramatically shift workforce demands. To learn more about these dynamics, watch "The Post-2014 Health Care Workforce: Meeting the Demand for Increased Primary Care," an archived webinar from August 2013. 


Call for Applications: National Model Practice Awards Program

NACCHO is accepting Model Practice applications October 1-31, 2013. NACCHO's Model Practice Program honors and recognizes outstanding local public health practice. By submitting a practice, LHDs contribute to the overall improvement of public health through evidence-based best practice methods. Learn more at  


Invisible Threat: A High School Student Produced Film on Vaccines

A group of award winning teen broadcast journalists created a film on the immune system and vaccines. The documentary, Invisible Threat, has already been endorsed by national health organizations. Organizations that have suitable theaters or auditoriums can host a private screening at  no charge. For more information about seeing the movie in theaters, visit students' goal is to start a national conversation on vaccines from the unique point of view adolescents. Questions can be directed to


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 September; 62(38): 781-786. 
CDC. MMWR. 2013 September; 62(38): 787-792.

National, State, and Local Area Vaccination Coverage Among Children Aged 19-35 Months - United States, 2012
CDC. MMWR. 2013 September 13; 62(36): 733-40.

Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices - United States, 2013-2014.
CDC. MMWR. 2013 September 20; 62(RR07): 1-43.

The Relationship Between Parent Attitudes About Childhood Vaccines Survey Scores and Future Child Immunization Status: A Validation Study
Opel DJ, Taylor JA, Zhou C, Catz S, Myaing M, Mangione-Smith R. JAMA Peds. 2013 September 23; E-pub ahead of print. doi: 10.1001/jamapediatrics.2013.2483.

Serotype-Specific Changes in Invasive Pneumococcal Disease After Pneumococcal Conjugate Vaccine Introduction: A Pooled Analysis of Multiple Surveillance Sites
Feikin DR, Kagucia EW, Loo JD, Link-Gelles R, Puhan MA, Cherian T, et al. PLoS Med. 2013; 10(9): e1001517.

Vaccinations Administered During Off-Clinic Hours at a National Community Pharmacy: Implications for Increasing Patient Access and Convenience
Goad JA, Taitel MS, Fensterheim LE, Cannon AE. Ann Fam Med. 2013 September/October; 11(5): 429-436.

Vaccines: A Report on the Prevention and Treatment of Disease Through Vaccines
America's Biopharmaceutical Research Companies. 2013.  


Infectious Diseases  
Alliance for the Prudent Use of Antibiotics (APUA) Newsletter
2013 September; 31(2).

Comparison of Provisional with Final Notifiable Disease Case Counts - National Notifiable Diseases Surveillance System, 2009
CDC. MMWR. 2013 September 13; 62(36): 747-51.

The Emergence of Novel Pathogens: The Greatest Risk of Hubris in Human Health
Harjivan C, Ho A, Faroogi S. PwC. 2013.

Human Infections with New Subspecies of Campylobacter Fetus
Patrick ME, Gilbert MJ, Blaser MJ, Tauxe RV, Wagenaar JA, Fitzgerald C. Emerg Infect Dis. 2013 October; 19(10).  
Measles - United States, January 1-August 24, 2013
CDC. MMWR. 2013 September 13; 62(36): 741-43.

CDC. MMWR. 2013 September 13; 62(36): 753.

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