Wednesday, January 13, :00 PM ET. Agenda. Immunization of Healthcare Personnel: Preventing Disease Transmission at the Critical Link
|
|
- Eileen Goodwin
- 5 years ago
- Views:
Transcription
1 Vaccination for Healthcare Professionals Wednesday, January 13, :00 PM ET Agenda Agenda Welcome and Introduction William Schaffner, MD, NFID Medical Director Immunization of Healthcare Personnel: Preventing Disease Transmission at the Critical Link William L. Atkinson, MD, MPH, Associate Director for Immunization Education, Immunization Action Coalition Communicating with Healthcare Professionals About Their Vaccination Patricia (Patsy) A. Stinchfield, MS, CPNP, CIC, Director of Infection Prevention & Control, Children s Hospitals and Clinics of Minnesota Questions and Answers 1
2 General Information Please note that today s webinar is being recorded All phone lines will be placed on mute throughout the program To hear audio: Computer: Follow directions Phone: ; Access Code After the presentations, there will be a Question and Answer period Use the Chat box on the lower left side of your screen to type your question At the end of the webinar, participants will be directed to an online evaluation CME Credit/Webinar Evaluation The National Foundation for Infectious Diseases (NFID) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education (CME) for physicians. NFID designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit TM. Online evaluation and post-test will be available following the webinar at: Certificate will be available for print or download following successful completion of online evaluation and post-test 2
3 Disclosures Marla Dalton (NFID staff, content reviewer) owns stock, stock options, or bonds from Merck & Co., Inc. William Schaffner (NFID medical director, content reviewer) served as an advisor or consultant for Merck & Co., Inc. Novavax, and Pfizer Inc.; and served as a speaker or member of a speaker s bureau for Merck & Co., Inc. All other faculty, activity planners/reviewers, and staff for this activity have no relevant financial relationships to disclose Learning Objectives At the conclusion of this webinar, participants will be able to: Identify vaccines recommended for healthcare professionals (HCPs) by the Advisory Committee on Immunization Practices (ACIP) Outline factors that influence acceptance of vaccines by HCPs and apply methods and strategies to approach HCPs with differing views on vaccines to improve uptake Describe the effectiveness of strategies to improve HCP uptake of vaccines in healthcare settings 3
4 About NFID Non-profit 501(c)(3) organization dedicated to educating the public and healthcare professionals about causes, treatment, and prevention of infectious diseases across the lifespan Reaches consumers, health professionals, and media through: Coalition-building activities Public and professional educational program Scientific meetings, research, and training Longstanding partnerships to facilitate rapid program initiation and increase programming impact Flexible and nimble organization Immunization of Healthcare Personnel: Preventing Disease Transmission at the Critical Link William L. Atkinson, MD, MPH Immunization Action Coalition St. Paul, MN 4
5 Why Are We Talking About This? Work in healthcare increases the risk of exposure to several vaccine-preventable diseases Susceptible healthcare personnel (HCP) endanger themselves, their patients and their contacts Outbreaks in healthcare facilities can be dangerous and costly MMWR 2011;60(RR-7):1-19 Healthcare-Associated Measles Outbreak, Arizona, cases, 7 were acquired in hospital settings (EDs, inpatient) One unvaccinated HCP acquired measles and infected a patient who required ICU care 25% of 7,195 HCPs lacked documented evidence of measles immunity 139/1,583 (9%) of those tested were measles IgG negative Response costs in 2 affected hospitals was ~$800,000 or >$100,000 per case investigated J Infect Dis (11):
6 Vaccines* Recommended for All Healthcare Personnel Hepatitis B Influenza Measles, mumps, and rubella Varicella Pertussis *or evidence of immunity in some cases. MMWR 2011;60(RR-7):23. 6
7 Hepatitis B Evidence of Immunity Written documentation of a properly spaced 3 dose series of hepatitis B vaccine, and Confirmation of immunity (antibody to hepatitis B surface antigen [anti-hbs] >10 miu/ml) 1 to 2 months after the third dose CDC recommends that HCPs have both documentation of vaccination and a positive anti- HBs HCPs lacking documentation of vaccination should be considered unvaccinated MMWR 2013;62(RR-10):1-19 Hepatitis B Postvaccination Serologic Testing HCPs who have contact with blood or other body fluids or who are at risk for injury from blood-contaminated equipment should be tested for antibody to hepatitis B surface antigen (anti-hbs) 1 to 2 months after the third dose of vaccine MMWR 2013;62(RR-10):1-19 7
8 The New Hepatitis B Serology Issue: HCP Vaccinated as Infants or Adolescents Routine hepatitis B vaccination of infants was first recommended in 1991 Catch-up vaccination of adolescents recommended in 1995 Vaccination coverage among monthold children first exceeded 90% in 2000 The oldest cohorts vaccinated as infants are now in their early 20s Routine serologic testing of infants is not recommended (except if mother is HBsAg positive) MMWR 2013;62(RR-10):1-19 MMWR 2013;62(RR-10):1-19 8
9 MMWR 2013;62(RR-10):1-19 Hepatitis B Vaccine and HCPs Management of HCPs who have written documentation of a complete series of hepatitis B vaccine doses in the past who were not tested for antibody response following the vaccination series and who now test negative for anti-hbs administer 1 dose of hepatitis B vaccine then test for anti-hbs 1 to 2 months later if positive (anti-hbs >10 miu/ml) the person is immune and nothing else needs to be done MMWR 2013;62(RR-10):1-19 9
10 Management of Nonresponse to Hepatitis B Vaccine For persons who remain seronegative after the booster dose - complete a second series of three doses (i.e., 2 more doses) - use the usual schedule of 0, 1 and 6 months - retest for anti-hbs 1 to 2 months after completing the second series 69% of initial nonresponders will develop seroprotection after 3 revaccination doses MMWR 2013;62(RR-10):1-19 Persistent Nonresponse to Hepatitis B Vaccine ACIP does not recommend revaccination with more than 3 doses (i.e., more than 6 total doses) Check HBsAg and anti-hbc status if not already done If exposed, treat as nonresponder with HBIG postexposure prophylaxis MMWR 2013;62(RR-10):
11 MMWR 2013;62(RR-10):1-19 Hepatitis B Serologic Testing HCPs who have written documentation of a complete 3 (or more) hepatitis B vaccine series AND subsequent postvaccination anti-hbs >10 miu/ml are considered to be immune Immunocompetent persons have longterm protection against HBV infection and do not need further periodic testing to assess anti-hbs levels MMWR 2013;62(RR-10):
12 Influenza Vaccine Recommendations Routine annual influenza vaccination is recommended for all persons age 6 months and older who do not have a contraindication Healthcare providers are a high priority for annual influenza vaccination HCP may receive either inactivated and live attenuated vaccine as age- and conditionappropriate MMWR 2015;64: Live Attenuated Influenza Vaccine (LAIV) Approved only for healthy persons 2 through 49 years of age Transmission of LAIV in a healthcare setting has not been reported LAIV can be used for HCPs who work in any setting, except those who care for severely immunocompromised hospitalized persons who require care in a protective environment (e.g., a hematopoietic cell transplant unit) MMWR 2013;62 (RR-7):29 12
13 Measles, Mumps and Rubella Immunity All persons who work in medical facilities should be immune to measles, mumps, and rubella - written documentation of 2 doses of measles and mumps vaccine separated by at least 28 days and one dose of rubella vaccine on or after the first birthday, or - laboratory evidence of immunity, or - born before 1957 (except women of childbearing age)* *non-outbreak conditions MMWR 2011;60(RR-7)10-14 Measles Serologic Testing Serologic testing for immunity is not recommended for HCPs who have 2 documented doses of MMR vaccine or other acceptable evidence of immunity to measles In the event that a HCP who has 2 documented doses of MMR vaccine is tested serologically and determined to have negative or equivocal measles titer results, it is not recommended that the person receive an additional dose of MMR vaccine Such persons should be considered to have presumptive evidence of measles immunity Documented age-appropriate vaccination supersedes the results of subsequent serologic testing MMWR 2011;60(RR-7)
14 Acceptable Evidence of Varicella Immunity Among HCPs Written documentation of age-appropriate vaccination Laboratory evidence of immunity or laboratory confirmation of varicella disease Healthcare provider diagnosis or verification of varicella disease History of herpes zoster based on healthcare provider diagnosis Birth in the US before 1980 is not acceptable as evidence of immunity for HCPs MMWR 2007;56(RR-4):16-17 Varicella Serologic Testing Serologic testing before vaccination may be cost-effective Routine testing for varicella immunity after 2 doses of vaccine is not recommended Commercial assays are often not sensitive enough to detect antibody after vaccination Documented age-appropriate vaccination supersedes the results of subsequent serologic testing MMWR 2011;60(RR-7):
15 Tdap Vaccine and Healthcare Personnel All previously unvaccinated HCPs, regardless of age*, should receive a single dose of Tdap as soon as feasible Either brand of Tdap may be used* Priority should be given to vaccination of healthcare personnel who have direct contact with infants 12 months of age and younger Both brands of Tdap are currently licensed and recommended for one dose *off-label recommendation for Adacel MMWR 2011;60 (No. 1):13-5 Tdap Revaccination Revaccination with Tdap applies ONLY to pregnant women Does NOT apply to family members or other contacts ACIP does not recommend Tdap revaccination for HCPs Focus on current Tdap program - improve adult Tdap coverage, including HCPs (31% in 2012) - vaccination of pregnant women MMWR 2013:62(No.7):
16 Immunization of HCPs Summary Hepatitis B- vaccination and serology Influenza- annual vaccination MMR- vaccination or serology, not both Varicella- vaccination or serology, sometimes both (for older persons with uncertain disease history) Tdap- one dose for all HCPs Resources General Recommendations on Immunization. MMWR 2011;60(RR-2):1-61 Immunization of Healthcare Workers. MMWR 2011;69(RR-7):1-45 CDC Guidance for Evaluating Health-Care Personnel for Hepatitis B Virus Protection and for Administering Postexposure Management. MMWR 2013;62(RR-10):1-19 Influenza Vaccination of Healthcare Personnel. MMWR 2006;55(RR-2):1-18 Immunization Action Coalition 16
17 Communicating with Healthcare Professionals About Their Vaccination NFID Webinar January 13, 2016 Patsy Stinchfield, MS, CPNP, CIC Director, Infection Prevention & Control Nurse Practitioner, Infectious Disease and Immunology What does the law require for HCPs? Federal There is no federal law that requires HCPs to be vaccinated ACIP notes HCP as an indication on the adult schedule uniquely OSHA blood borne pathogen standard states employers are required to offer hepatitis B vaccine to staff who may be exposed to blood or other potentially infectious materials as part of their job duties but the vaccine is not required. If declined, a declination form must be signed State Many states have HCP flu vaccination laws. See CDC Public Health Law Assessment requirements (N = 7) Administrative requirements for offering vaccination (N =10) Administrative requirements for ensuring vaccination (N = 8) Surgical mask requirements (N = 3)
18 Examples of State Laws by Type 17 states have HCP flu vaccination laws of various types CDC Public Health Law, Menu of State Hospital Influenza Vaccination Laws, Nov 2015 Assessment New York: document influenza vaccination status of all personnel for the current flu season in each HCP personnel record Administrative offer Nebraska: each acute hospital shall annually offer onsite flu vaccine to all hospital employees Administrative ensure Massachusetts: hospitals shall ensure all personnel are vaccinated with seasonal influenza vaccine unless an individual declines vaccination Surgical Mask Rhode Island: HCPs who are not immunized will be required during any declared period in which flu is widespread -as part of his or her professional licensing obligation-to wear a surgical face mask for the duration of each direct patient contact Other Influencers Regulatory agencies Joint Commission s detailed standard but stops short of mandating Individual hospitals and health system conditions of employment -mandates Professional Society Position Statements-support mandatory influenza vaccine for HCPs American Academy of Pediatrics (AAP), October 2015 AAP reaffirms support for a mandatory influenza immunization policy fore all HCPs...coverage has risen to 75% in 2014 but below the goal of 90% Healthy People Mandatory influenza immunization for all HCPs is ethical, just, and necessary to improve patient safety. It is a crucial step in efforts to reduce healthcare-associated influenza infections
19 Joint Commission on Communication in Healthcare Settings Effective communication is a characteristic of organizational culture; what the organization s leaders say and how they behave may be the most important influence on this culture The Joint Commission. The Joint Commission Guide to Improving Staff Communication. Joint Commission on the Accreditation of Health Care Organizations Advisory Committee on Immunization Practices; Centers for Disease Control and Prevention (CDC) Professional Obligation: First do no harm
20 One healthcare-associated influenza death can change minds What Factors Influence HCPs to Get their Flu Vaccine?
21 HCPs Balance Risk and Benefit of Vaccines like the General Public Hesitant vaccine decisions attributed to: Concerns vaccine safety Perceptions risks vaccine high Perception risk disease low Even when they believe vaccines are important for protectionthey still may have concerns about vaccine safety. LISTEN FIRST. Honest answers. Perception of risk changes as the season s severity emerges. Benin et al Pediatrics 2006;117: Freed et al Pediatrics 2010;125: Kwok R. The real issues in vaccine safety. Nature 2011;473: Larsen et al. Addressing the vaccine confidence gap. Lancet 2011; 378(9790): Assessing Readiness to Communicate/Hear Vaccine Messages Knowledge Attitudes Beliefs Values Experiences LISTEN FIRST
22 HCPs: Factors Associated Influenza Vaccine Uptake knowing that the vaccine is effective being willing to prevent influenza transmission believing that influenza is highly contagious believing that influenza prevention is important having a family that is usually vaccinated Riphagen-Dalhuisen J, Gefenalte G, Hak E Occup Environ Med 2012;69: Influencing Communication in Healthcare requires communicating well with: Individuals-assertive, active listening, negotiating. Consider human factors stress, fatigue, interruptions Teams-focus on patient safety, sense of pride, and teamwork. Different skills and education require careful communication Organizations-trusting, transparent culture. Values safety of patients and staff The Joint Commission Guide to Improving Staff Communication. Joint Commission on the Accreditation of Health Care Organizations Advisory Committee on Immunization Practices; Centers for Disease Control and Prevention (CDC)
23 The Influencer Model: Motivate Influencer: The Power to Change Anything by Kerry Patterson et al What Methods and Strategies Work? Helge Hollmeyer, Frederick Hayden, Anthony Mounts, Udo Buchholz. (2012) Review: interventions to increase influenza vaccination among healthcare workers in hospitals. Influenza and Other Respiratory Viruses 1. Commitment of and strong support by the hospital s top management 2. Pre-intervention information collection to identify important barriers to vaccination 3. Tailoring of the program to profession, gender, race 4. Provision of free vaccine 5. Organization of easily accessible vaccine, for example, through flexible and worksite delivery
24 What Works? Helge Hollmeyer, Frederick Hayden, Anthony Mounts, Udo Buchholz. (2012) Review: interventions to increase influenza vaccination among healthcare workers in hospitals. Influenza and Other Respiratory Viruses 6. Organizing activities around educational material, education session, reminders, incentives 7. Management optimization, such as (i) assignment of (one or more) dedicated staff to organize and actively promote the measure, and/or (ii) giving feedback of vaccination uptake rates during the preparation phase for the influenza season 8. In a well-prepared setting: requirement of all HCW to become vaccinated against influenza with the possibility to opt-out by signing a declination statement 9. Continuation of the assessment planning intervention cycle for several years Influenza Vaccination Rates, Children's Hospitals and Clinics, November 23, Vaccinated Declined Unknown Pediatrics Critical Care Surgery Ambulatory *Vaccinated rates calculated by total number vaccinated at Children s or elsewhere divided by staff minus staff contraindicated for influenza vaccination
25 Storytelling: Seasonal influenza Wednesday, January 31, 2007 Television news airs photos a family has shared of their 8 year old son Lucio who died of Influenza A His parents hope is to alert parents in order to prevent other children from dying Droves of parents called providers concerned asking for influenza vaccine Telling the real stories makes a difference What Works? Helge Hollmeyer, Frederick Hayden, Anthony Mounts, Udo Buchholz. (2012) Review: interventions to increase influenza vaccination among healthcare workers in hospitals. Influenza and Other Respiratory Viruses 10.Culturally sensitive education on risk and benefit of vaccination 11. Message tailored to specific professional characteristics 12.HCW who have rejected the vaccine in previous years may be particularly resistant; aiming for high rates of coverage will need to target this group of HCW 13.Hospital managers who consider influenza vaccination uptake rates in their employees as a quality marker for their facility should be prepared to commit the required human and financial resources to meet this goal
26 Information Exchange between HCPs Needs to Be: Complete It answers all questions asked to a level that is satisfactory to those involved in the exchange of information Concise Shorten or omit wordy expressions; include only relevant statements; avoid unnecessary repetition Concrete The words used mean what they say; they are specific and considered. Give accurate facts/figures Clear Short, familiar, conversational words are used to construct effective and understandable messages Accurate The level of language is apt for the occasion; ambiguous jargon is avoided, as are discriminatory or patronizing expressions The Joint Commission Guide to Improving Staff Communication. Joint Commission on the Accreditation of Health Care Organizations Advisory Committee on Immunization Practices; Centers for Disease Control and Prevention (CDC)
27 SBAR Example-Your Elevator Speech Situation Influenza is a dangerous disease. And flu vaccine is our best tool to prevent it. Background We can pass the flu 1 day before we even know we are sick. Getting the flu may mean being out of work for a week or more. Flu vaccine does not cause the flu. Patients die of influenza. We can transmit it to them. Assessment Influenza is a vaccine-preventable disease that can be severe for your patients, you, and your family. Flu vaccines are safe and effective to avoid the flu. Recommendations Get vaccinated every year in the fall before the flu season begins and strongly encourage everyone 6 months of age and over to get vaccinated. IHI Patient Safety Communication Method Communicating when Differing Views I don t think influenza vaccines work! It is not 100% but if you don t get a vaccine it will be ZERO effective. Kids who get flu vax have a 74% REDUCED chance of ending up in ICU It works against 3-4 strains of a serious virus but not all of the common cold viruses
28 Communicating when Differing Views I am afraid of the side effects Soreness, redness, mild achiness for 1-2 days is what to expect with the vaccine If you decide to get the vaccine, you decrease your chances of getting flu and giving it to your patients Communicating when Differing Views I don t need a flu vaccine Everyone 6 months of age or older would benefit from being vaccinated Patients you expose 24 hours before you know you re sick need protection. Like pregnant women, the elderly, and immune compromised
29 Communicating when Differing Views I might get sick if I get the flu vaccine The flu vaccine does not give you the flu, it prevents it. Nichols VA study showed those who are vaccinated against flu get sick far less during the year from other viruses too Children s of Minnesota Influenza Vaccination Interventions Leadership priority as part of patient and staff safety Pre-season education/marketing to promote vaccination Electronic modes: screen-saver messages, home-page thermometer FluVaxTrax electronic tracking system On-site vaccination clinics for all staff on all shifts Roving vaccination carts to floors Unit Based Vaccinator program for unit-based vaccine on 3 shifts Provided at staff meetings, special language meetings Available throughout the influenza season at Employee Health Clinic Incentives, Recognition: 100% Club, Most Improved Real-time data evaluation and actions during the season focus groups, unit feedback on their rates, etc. Transparent comparison of departments Accountability for non-responders. Letter in their performance file
30 Communicating with HCPs In Summary Who: Credible colleague, trusted family What: Clear, concise facts with trust When: For most, at beginning of season, for the hesitant, when disease risk is higher Where: On their unit, cafeteria, to their inbox How: Directly, regularly, often; flexibly, creatively, with technology and face-to-face With: Facts, stories, science, emotion, transparency, real-time data and a variety of communication strategies
31 Questions & Answers CME Credit/Webinar Evaluation The National Foundation for Infectious Diseases (NFID) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education (CME) for physicians. NFID designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit TM. Online evaluation and post-test will be available following the webinar at: Certificate will be available for print or download following successful completion of online evaluation and post-test 31
32 Upcoming Clinical Vaccinology Courses Spring 2016 Clinical Vaccinology Course March 18-20, 2016 Phoenix, AZ Fall 2016 Clinical Vaccinology Course November 4-6, 2016 Philadelphia, PA Register: Subscribe for future updates: Join us for upcoming NFID CME Webinars The Importance of Pneumococcal Vaccination Wednesday, February 3, :00 PM ET Register: Subscribe for future updates: 32
Washtenaw County Community Mental Health HEALTH CARE PERSONNEL (HCP) VACCINES (RECOMMENDED EMPLOYEE IMMUNIZATIONS)
Washtenaw County Community Mental Health HEALTH CARE PERSONNEL (HCP) VACCINES (RECOMMENDED EMPLOYEE IMMUNIZATIONS) PURPOSE To reduce the risk of exposure of Washtenaw County Community Mental Health (CMH)
More informationHealthcare Personnel Immunization Recommendations
Healthcare Personnel Immunization Recommendations Kathleen Harriman, PhD, MPH, RN California Department of Public Health Immunization Branch Vaccine Preventable Disease Epidemiology Section kathleen.harriman@cdph.ca.gov
More informationIn Case of Technical Difficulties
Improving Healthcare Personnel Immunization Rates Thursday, April 5, 2018 12:00 PM ET In Case of Technical Difficulties If you hear an echo: Make sure you are only logged in once on your computer Select
More informationThe University of Toledo Medical Center and its Medical Staff, Residents, Fellows, Salaried and Hourly employees
Name of Policy: Policy Number: Department: Approving Officer: Responsible Agent: Scope: Healthcare Worker Immunizations 3364-109-EH-603 Infection Prevention and Control Hospital Administration Medical
More informationVaccine preventable health associated infections (HAI) Entesar Husain BM BCH, FRCPC
Vaccine preventable health associated infections (HAI) Entesar Husain BM BCH, FRCPC Assistant Professor, Department of Pediatrics Faculty of Medicine Consultant Pediatric Infectious Diseases NBK Hospital
More informationImmunization Update Richard M. Lampe M.D.
Immunization Update 2012 Richard M. Lampe M.D. Immunization Update List the Vaccines recommended for Health Care Personnel Explain why Health Care Personnel are at risk Recognize the importance of these
More informationHealth Care Worker Vaccinations, 2011: EXTENDED CARE FACILITIES
Health Care Worker Vaccinations, 2011: EXTENDED CARE FACILITIES Karen K Hoffmann, RN, MS, CIC, FSHEA. Clinical Instructor, Division of Infectious Diseases University of North Carolina at Chapel Hill Associate
More informationPort Gamble S'Klallam Tribe POLICIES/PROCEDURES. Employee Immunity Assessment and Immunization Policy
Port Gamble S'Klallam Tribe POLICIES/PROCEDURES Employee Immunity Assessment and Immunization Policy Applies To: All Employees subject to the PGST Employee Handbook Purpose The purpose of this policy is
More informationInfluenza Vaccines: Giving the Right Dose at the Right Time. Agenda
Influenza Vaccines: Giving the Right Dose at the Right Time Wednesday, December 9, 2015 12:00 PM ET Agenda Agenda Welcome and Introduction William Schaffner, MD, NFID Medical Director Influenza Vaccines:
More informationUPDATE ON IMMUNIZATION GUIDELINES AND PRACTICES
DISCLOSURES UPDATE ON IMMUNIZATION GUIDELINES AND PRACTICES Nothing to disclose Kylie Mueller, Pharm.D., BCPS Clinical Specialist, Infectious Diseases Spartanburg Regional Medical Center LEARNING OBJECTIVES
More informationIn Case of Technical Difficulties
Talking with Parents about Vaccines for Infants Tuesday, August 14, 2018 12:00 PM ET In Case of Technical Difficulties If you hear an echo: Make sure you are only logged in once on your computer Select
More informationUpdate on Healthcare Personnel Influenza Vaccination
Update on Healthcare Personnel Influenza Vaccination Raymond A. St rikas, MD, MPH Immunization Services Division National Center for Immunization and Respiratory Diseases October 23, 2012 National Center
More informationSeasonal Influenza and Tdap Vaccination Policies in Michigan Hospitals: MDCH Hospital Survey, Fall 2011
Seasonal Influenza and Tdap Vaccination Policies in Michigan Hospitals: MDCH Hospital Survey, Fall 2011 Cristi Carlton, MPH Vaccine Preventable Disease Epidemiologist Division of Immunization Michigan
More informationPrepare Your Practice To Fight Flu: Make a Strong Influenza Vaccine Recommendation and Improve Your Influenza Vaccination Rates This Season
Prepare Your Practice To Fight Flu: Make a Strong Influenza Vaccine Recommendation and Improve Your Influenza Vaccination Rates This Season The thing that motivates me to FIGHT FLU is the ability to prevent
More informationIn Case of Technical Difficulties
Interview with Stanley A. Plotkin, MD: Greatest Vaccinology Discoveries of the Last Decade and Future Predictions Wednesday, February 15, 2017 12:00 PM ET In Case of Technical Difficulties If you hear
More informationAddressing the Challenges of Serogroup B Meningococcal Disease Outbreaks on Campuses
Addressing the Challenges of Serogroup B Meningococcal Disease Outbreaks on Campuses Monday, November 17, 2014 12:00 PM ET This activity is supported by an unrestricted educational grant from Novartis
More informationIn Case of Technical Difficulties
In Case of Technical Difficulties If you hear an echo: -- Make sure you are only logged in once on your computer -- Select one form of audio only (either computer speakers or telephone connection) If the
More informationAllied Health STUDENT HEALTH AND SAFETY DOCUMENTATION CHECKLIST
A. MMR (Measles/Rubeola, Mumps, & Rubella) MMR is a combined vaccine that protects against three separate illnesses measles, mumps and rubella (German measles) in a single injection. Measles, mumps, and
More informationJoint Commission 2010 Guidelines: Influenza Vaccinations for Health-Care Workers
Joint Commission 2010 Guidelines: Influenza Vaccinations for Health-Care Workers Axion Health, Inc. 7403 Church Ranch Blvd Suite 110 Westminster, CO 80503 www.axionhealth.com Employee health and employee
More informationEMPLOYEE HEALTH TABLE OF CONTENTS
EMPLOYEE HEALTH TABLE OF CONTENTS PHYSICAL ASSESSMENT.2 REPORTING EMPLOYEE INFECTIONS...3 SUMMARY OF IMPORTANT RECOMMENDATIONS AND WORK RESTRICTIONS FOR PERSONNEL WITH INFECTIOUS DISEASES.4 HEPATITIS B
More informationOccupational Health Employee Health for the IP
Occupational Health Employee Health for the IP Disclosures: I have No conflicts of interest No commercial support No specific product will be endorsed during this presentation Key Concepts Reasons for
More information2007 ACIP Recommendations for Influenza Vaccine. Anthony Fiore, MD, MPH Influenza Division, NCIRD, CDC
2007 ACIP Recommendations for Influenza Vaccine Anthony Fiore, MD, MPH Influenza Division, NCIRD, CDC National Influenza Vaccine Summit April 19, 2007 Recommendation Changes for Influenza Vaccination:
More informationMinistry of Health, Screening and Vaccination Requirements from 1 January 2019
Ministry of Health, Screening and Vaccination Requirements from 1 January 2019 Mumps, Measles and Rubella (MMR) All students should be immune or vaccinated. Documented proof of vaccination (2-dose series);
More informationIn Case of Technical Difficulties
Vaccines for Preteens and Teens: The Importance of Timely Vaccination Tuesday, August 23, 2016 12:00 PM ET In Case of Technical Difficulties If you hear an echo: -- Make sure you are only logged in once
More informationRecommended Childhood Immunization Schedu...ates, January - December 2000, NP Central
Recommended Childhood Immunization Schedule United States, January - December 2000 Vaccines 1 are listed under routinely recommended ages. Solid-colored bars indicate range of recommended ages for immunization.
More informationHealth Care Worker Vaccination 2011 Texas
Health Care Worker Vaccination 2011 Texas Erica Swegler, MD Texas Medical Association Chair, Committee on Infectious Diseases TMA s Be Wise --Immunize Physician s Advisory Panel Disclosure statement HCW
More informationInfluenza Season Education
2016-2017 Influenza Season Education What is Influenza (Flu) Influenza is an infection that is caused by a flu virus. There are many different types of flu viruses The flu affects the lungs, throat, nose,
More informationRoutine Adult Immunization: American College of Preventive Medicine Practice Policy Statement, updated 2002
Routine Adult Immunization: American College of Preventive Medicine Practice Policy Statement, updated 2002 Ann R. Fingar, MD, MPH, and Byron J. Francis, MD, MPH Burden of suffering Vaccines are available
More informationCOFM Immunization Policy 2016
COFM Immunization Policy 2016 Council of Ontario Faculties of Medicine June 2016 COUNCIL OF ONTARIO FACULTIES OF MEDICINE An affiliate of the Council of Ontario Universities COFM Immunization Policy 2016
More informationHealth Care Personnel Vaccination in the Long Term Care Setting
Health Care Personnel Vaccination in the Long Term Care Setting Jennifer Heath, DNP, MPH, RN Objectives Interpret current influenza recommendations as they pertain to health care personnel (HCP) in the
More information2018 NAIIS Influenza Working Group Breakout Session
2018 NAIIS Influenza Working Group Breakout Session Amy Behrman, Amy Parker Fiebelkorn, Kelly McKenna NAIIS Influenza Working Group Co-Leads National Adult and Influenza Immunization Summit May 18, 2018
More informationStanding Orders Protocols Increase Adult Immunizations
Standing Orders Protocols Increase Adult Immunizations William Atkinson, MD, MPH Associate Director for Immunization Education Immunization Action Coalition Saint Paul, Minnesota Immunization Action Coalition
More informationPUBLIC HEALTH OFFICER MANDATE AND HEALTHCARE WORKER VACCINATION
PUBLIC HEALTH OFFICER MANDATE AND HEALTHCARE WORKER VACCINATION Eric C. McDonald, MD, MPH, FACEP Medical Director, Epidemiology and Immunizations Services, Public Health Services County of San Diego Health
More informationASANTE WIDE Document Number 400-EH-0312
Document Title: IMMUNE STATUS PROGRAM Date of Origin: 05/2010 ASANTE WIDE Document Number 400-EH-0312 Rev 1 Document Type Policy Procedure Department of Origin: Health Effective Date: 09/2011 Owner (Department):
More information3 rd dose. 3 rd or 4 th dose, see footnote 5. see footnote 13. for certain high-risk groups
Figure 1. Recommended immunization schedule for persons aged 0 through 18 years 2013. (FOR THOSE WHO FALL BEHIND OR START LATE, SEE THE CATCH-UP SCHEDULE [FIGURE 2]). These recommendations must be read
More informationOB Provider Guide to Alaska s Perinatal Hepatitis B Prevention Program
OB Provider Guide to Alaska s Perinatal Hepatitis B Prevention Program Dear Colleague, This letter is to introduce myself and explain the role I play with the Alaska Perinatal Hepatitis B Program. Alaska
More informationImmunization Policy. "UIC/COD-sponsored graduate education program" is one for which UIC/COD maintains academic responsibility.
I. PURPOSE Immunization Policy TITLE: CLINICAL HEALTHCARE PROVIDERS - IMMUNIZATIONS AND HEALTH REQUIREMENTS To prevent or reduce the risk of transmission of vaccine-preventable and other communicable diseases
More informationIn Case of Technical Difficulties
Addressing Challenges in Adult Vaccine Financing Thursday, June 8, 2017 12:00 PM ET In Case of Technical Difficulties If you hear an echo: Make sure you are only logged in once on your computer Select
More informationPersonnel who contract vaccine-preventable illnesses not only expose vulnerable
ECRI Institute Perspectives Immunization of healthcare personnel can increase safety and decrease costs Personnel who contract vaccine-preventable illnesses not only expose vulnerable patients to diseases
More informationIIHF INFECTION CONTROL
IIHF INFECTION CONTROL Introduction The IIHF has witnessed numerous outbreaks of infection during their Championships over the years. When teams play each other in Championships the risk of infection becomes
More informationHealthcare Professionals
EMPLOYEE HEALTH Employee Health: Screening and immunization programs Counseling, follow up work restrictions Analysis and trending of occupational exposure incidents Assess risk for occupational exposure
More informationImmunizations (Guideline Intervals Using The Rule of Six for Vaccines Birth to Six Years)
Immunizations (Guideline Intervals Using The Rule of Six for Vaccines Birth to Six Years) Guideline developed by Shelly Baldwin, MD, in collaboration with the ANGELS Team. Last reviewed by Shelly Baldwin,
More informationMandates and More. Julie Morita, M.D. Deputy Commissioner Chicago Department of Public Health. Chicago Department of Public Health
Mandates and More Julie Morita, M.D. Deputy Chicago Department of Public Health Why are vaccines required for school entry? School Vaccine Requirements Small pox vaccine required in Massachusetts 1855
More informationIn Case of Technical Difficulties
Maternal Immunization: Protecting Mother and Baby Thursday, August 10, 2017 12:00 PM ET In Case of Technical Difficulties If you hear an echo: Make sure you are only logged in once on your computer Select
More informationStrategies to increase the uptake of the influenza vaccine by healthcare workers: A summary of the evidence
Strategies to increase the uptake of the influenza vaccine by healthcare workers: A summary of the evidence This evidence summary document has been prepared for the National Collaborating Centres for Public
More informationMONTANA STATE UNIVERSITY COLLEGE OF NURSING A-20 Procedure
MONTANA STATE UNIVERSITY COLLEGE OF NURSING A-20 Procedure PROCEDURE: The MSU College of Nursing follows the procedures recommended by the Centers for Disease Control and Prevention and outlined by the
More informationTennessee Immunization Program Updates
Tennessee Immunization Program Updates Kelly L. Moore, MD, MPH Medical Director, TN Immunization Program Tennessee Association of School Nurses Murfreesboro, Tennessee November 3, 2011 Objectives Recent
More informationAPEC Guidelines Immunizations
Pregnancy provides an excellent opportunity to enhance a woman s protection against disease and to provide protection to the neonate during the first 3 to 6 months of life. Women of childbearing age should
More informationVaccines Indicated for Infants, Children, and Adolescents Based on Medical and Other Indications
Vaccines Indicated for Infants, Children, and Adolescents Based on Medical and Other Indications Vaccine Prematurity 1 Altered Immunocompetence 2 (excluding human immunodefi ciency virus [HIV] infection)
More informationACIP Meeting Update, New Recommendations and Pending Influenza Season
ACIP Meeting Update, New Recommendations and Pending Influenza Season February 17 th 2011 www.immunizetexas.com ACIP Upcoming Agenda and New Recommendations ACIP (February 23-24 th 2011) Topics for meeting
More informationOccupational Health: Vaccinations in the Workplace Additional Questions & Answers: Ruth M. Carrico, PhD, FNP-C, CIC
Occupational Health: Vaccinations in the Workplace Additional Questions & Answers: Ruth M. Carrico, PhD, FNP-C, CIC Healthcare Professionals (HCPs)/Facilities Please provide guidance regarding requiring
More informationFrequently Asked Questions About the Flu Vaccine Policy
Frequently Asked Questions About the Flu Vaccine Policy How has the CHWC new flu vaccine policy changed since last year? CHWC s new flu vaccine policy requires all CHWC employees, volunteers, medical staff,
More informationImmunisation Requirements for Health Care Workers - Quick Reference Guide
TARGET AUDIENCE All health care workers (HCW) at Alfred Health and Women s @ Sandringham. This includes employees, agency, contractors, Visiting Medical Officers (VMOs), locums, students, volunteers and
More informationImmunization 201 Challenging Immunization Scenarios. Ronald C. Samuels, MD, MPH Associate Director Children s Hospital Primary Care Center 10/18/18
Immunization 201 Challenging Immunization Scenarios Ronald C. Samuels, MD, MPH Associate Director Children s Hospital Primary Care Center 10/18/18 Disclosures I, Ronald Samuels, have been asked to disclose
More informationImplementing Standing Orders Protocols Making a Difference in Immunization Rates
Implementing Standing Orders Protocols Making a Difference in Immunization Rates Litjen (L.J.) Tan, MS, PhD Chief Strategy Officer Immunization Action Coalition Co-Chair National Adult and Influenza Immunization
More informationCOFM Immunization Policy
COUNCIL OF ONTARIO FACULTIES OF MEDICINE An affiliate of the Council of Ontario Universities COFM Immunization Policy This policy applies to all undergraduate medical students attending an Ontario medical
More information10/16/2018. Be Discuss. Describe. Discuss. Discuss 2018 ADULT IMMUNIZATION SCHEDULE INFLUENZA ADULT IMMUNIZATION UPDATE TRAINING OBJECTIVES FLUMIST
ADULT IMMUNIZATION UPDATE NORTH DAKOTA ACADEMY OF FAMILY PHYSICIANS NOVEMBER 10, 2018 Be Discuss Upon completion of the adult immunization training, participants will be able to: Discuss the general adult
More informationStaff Immunisation Policy
Policy No: IC05 Version: 8.0 Name of Policy: Staff Immunisation Policy Effective From: 18/08/2015 Date Ratified 15/07/2015 Ratified Infection Prevention & Control Committee Review Date 01/07/2017 Sponsor
More informationRUTGERS POLICY. Errors or changes? Contact: Rutgers University Occupational Health Department
RUTGERS POLICY Section: 40.3.2 Section Title: Legacy UMDNJ policies associated with Risk Management Policy Name: Housestaff Immunizations and Health Requirements Formerly Book: 00-01-40-45:00 Approval
More informationImmunization of HCP. Ed Septimus, MD, FACP, FIDSA, FSHEA. Medical Director Infection Prevention and Epidemiology Clinical Services Group, HCA
Immunization of HCP Ed Septimus, MD, FACP, FIDSA, FSHEA Medical Director Infection Prevention and Epidemiology Clinical Services Group, HCA Professor Internal Medicine Texas A&M Professor, Distinguished
More informationInfluenza Vaccination of Health-care Personnel: A Department of Health and Human Services Initiative
Influenza Vaccination of Health-care Personnel: A Department of Health and Human Services Initiative Raymond A. Strikas, MD National Vaccine Program Office Department of Health and Human Services 1 Major
More informationVaccines, Not Just for Babies
Vaccines, Not Just for Babies Meg Fisher, MD Medical Director Disclosures I have no relevant financial relationships with the manufacturers of any commercial products or commercial services discussed in
More informationSurveillance, Reporting and Control of Influenza and Pertussis. Steve Fleming, EdM Hillary Johnson, MHS Epidemiologists Immunization Program, MDPH
Surveillance, Reporting and Control of Influenza and Pertussis Steve Fleming, EdM Hillary Johnson, MHS Epidemiologists Immunization Program, MDPH Disclosures The speaker has no financial interest or conflict
More informationInfluenza: A recap of the season
Influenza: A recap of the 2012 2013 season March 22, 2013 Debra Blog MD, MPH Director Division of Epidemiology What are we going to talk about The 2012 13 Influenza Vaccine Influenza Activity and Surveillance
More informationVaccines and Adults: Our Collective Challenge Webinar
Vaccines and Adults: Our Collective Challenge Webinar Questions 1. What documentation would a pediatrician need to immunize adult parents to avoid some risk since they are non-patients of the practice
More informationSeptember 10, To Whom It May Concern:
September 10, 2018 Centers for Medicare & Medicaid Services Department of Health and Human Services Attention: CMS-1691-P P.O. Box 8010, Baltimore, MD 21244-8010 RE: CMS-1691-P Medicare Program; End-Stage
More informationHepadnaviridae family (DNA) Numerous antigenic components Humans are only known host May retain infectivity for more than 7 days at room temperature
Hepatitis B Epidemic jaundice described by Hippocrates in 5th century BC Jaundice reported among recipients of human serum and yellow fever vaccines in 1930s and 1940s Australia antigen described in 1965
More informationIHS Mandatory Influenza Vaccination Policy for Health Care Personnel. Amy V. Groom, MPH IHS Immunization Program Manager
IHS Mandatory Influenza Vaccination Policy for Health Care Personnel Amy V. Groom, MPH IHS Immunization Program Manager Overview Background and review of IHS influenza vaccination policy Amy Groom Lessons
More informationSchool Immunization Requirements IN State Department of Health School Year FAQ s
Requirements & Compliance School Immunization Requirements IN State Department of Health 2014-2015 School Year FAQ s 1. Are there any new required immunizations for the 2014-2015 school year? Yes. Two
More informationNJ Department of Health Vaccine Preventable Disease Program
FOR LOCAL HEALTH DEPARTMENTS AND HEALTH CARE PROVIDERS: CHILD CARE/PRESCHOOL REQUIREMENTS FOR LOCAL HEALTH DEPARTMENTS AND HEALTH CARE PROVIDERS CHILD CARE/PRESCHOOL REQUIREMENTS NJ Department of Health
More informationNFID Vision. Healthier lives through effective prevention, diagnosis, and treatment of infectious diseases
NFID Overview NFID Vision Healthier lives through effective prevention, diagnosis, and treatment of infectious diseases Non-profit 501(c)(3) organization dedicated to educating the public and healthcare
More informationNOTE: The above recommendations must be read along with the footnotes of this schedule.
Figure 1. Recommended immunization schedule for persons aged 0 through 18 years 2013. (FOR THOSE WHO FALL BEHIND OR START LATE, SEE THE CATCH-UP SCHEDULE [FIGURE 2]). These recommendations must be read
More informationOUR BEST SHOT: The Truth About Vaccines for You and Your Loved Ones VACCINES. Produced in partnership with
OUR BEST SHOT: The Truth About Vaccines for You and Your Loved Ones VACCINES Produced in partnership with OUR BEST SHOT: The Truth About Vaccines for You and Your Loved Ones Vaccines are one of the greatest
More informationWhat are the new active vaccine recommendations in the Canadian Immunization Guide?
154 CCDR 17 April 2014 Volume 40-8 https://doi.org/10.14745/ccdr.v40i08a03 1 What are the new active vaccine recommendations in the Canadian Immunization Guide? Warshawsky B 1 and Gemmill I 2 on behalf
More informationAlaska Statewide Maternal Child Health & Immunization Conference. Doreen Stangel Lorraine Alfsen September 23, 2008
Alaska Statewide Maternal Child Health & Immunization Conference Doreen Stangel Lorraine Alfsen September 23, 2008 Agenda for today ACIP adolescent vaccination platform Recommendations Adolescent Immunization
More informationINFLUENZA VACCINATION STRATEGIES FOR RESIDENTS AND HEALTHCARE PERSONNEL IN NURSING HOMES
INFLUENZA VACCINATION STRATEGIES FOR RESIDENTS AND HEALTHCARE PERSONNEL IN NURSING HOMES Nursing Home Knowledge Share Webinar Sherri Atherton MS, RN, CNS-BC, CIC 9/12/12 Objectives Describe the incidence
More informationChanges for the School Year
February 8, 2018 Dear Immunization Provider: In accordance with South Carolina Code of Laws, Section 44-29-180, and South Carolina Regulation 61-8, the 2017-2018 "Required Standards of Immunization for
More informationImmunization Update Disclosures. Candice Robinson, MD, MPH Medical Officer Immunization Services Division 5/12/2017
Centers for Disease Control and Prevention National Center for Immunization and Respiratory Diseases Immunization Update 2017 Candice Robinson, MD, MPH Medical Officer Immunization Services Division Western
More informationTake advantage of preventive care to help manage your health
Take advantage of preventive care to help manage your health Preventing disease and detecting health issues at an early stage, if they occur, are important to living a healthy life. Following the recommended
More informationSeries of 2 doses, 6-12 months apart. One dose is 720 Elu/0.5ml (GSK) or 25 u/0.5 ml (Merck)
UTAH PREVENTIVE CARE RECOMMENDATIONS Adult - Ages 19 and Above IMMUNIZATIONS CONTENTS: General Instructions Hepatitis A Hepatitis B Human Papilloma Virus Influenza Meningococcal A, C, Y, W (MCV4) Meningococcal
More informationNursing and Midwifery students only. Section 1: Information
Nursing and Midwifery students only. Section 1: Information Students enrolled in programs offered by our School are REQUIRED to provide evidence of their immunisation status for the diseases listed in
More informationRespiratory Syncytial Virus (RSV) in Older Adults: A Hidden Annual Epidemic. Webinar Agenda
Respiratory Syncytial Virus (RSV) in Older Adults: A Hidden Annual Epidemic Wednesday, November 2, 2016 12:00 PM ET Webinar Agenda Agenda Welcome and Introductions William Schaffner, MD, NFID Medical Director
More informationAPPENDIX 1 State Summary Tables
APPENDIX 1 State Summary Tables X SUMMARY TABLE Element 1: Affected HCW Health Care Worker means all persons, whether paid or unpaid, including but not limited to employees, staff, contractors, clinicians,
More informationNational Adult Immunization Coordinators Partnership Quarterly Conference Call April 7, 2015 (2:00-3:00 EST) Meeting Minutes
Website: www.izsummitpartners.org/naicp/ 2:00-2:05 Welcome and housekeeping Lisa H. Randall, JD, MPH Lisa called the group to order at 2:00 p.m. and proceed to welcomed participants. She reminded everyone
More informationImmunization of Adults in High Risk Populations. Carol A. Kurbis MD, CCFP, FRCPC WRHA Medical Officer of Health
Immunization of Adults in High Risk Populations Carol A. Kurbis MD, CCFP, FRCPC WRHA Medical Officer of Health OBJECTIVES To review recommendations for immunization in adult populations, with a focus on
More informationThe National Foundation For Infectious Diseases Increasing Vaccination Coverage
The National Foundation For Infectious Diseases Increasing Vaccination Coverage Presented by: Carol J. Baker, MD, FAAP, FIDSA President, NFID Professor of Pediatrics, Molecular Virology and Microbiology,
More informationHospital-based Massage Training Program Admissions Check List
Hospital-based Massage Training Program Admissions Check List You will be required to provide the following before deadline start date of class: A copy of your massage therapist license from the state
More informationMeasles: United States, January 1 through June 10, 2011
Measles: United States, January 1 through June 10, 2011 Preeta K. Kutty, MD, MPH Measles, Mumps, Rubella and Polio Team Division of Viral Diseases Centers for Disease Control and Prevention Atlanta, GA
More informationUpdate: ACIP Recommendations for Hepatitis B Vaccination
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention Update: ACIP Recommendations for Hepatitis B Vaccination Sarah Schillie, MD, MPH, MBA Summit for the Elimination of Hepatitis B and
More informationImmunization 201 Challenging Immunization Scenarios Ronald C. Samuels, MD, MPH Associate Director Children s Hospital Primary Care Center 10/12/17
Immunization 201 Challenging Immunization Scenarios Ronald C. Samuels, MD, MPH Associate Director Children s Hospital Primary Care Center 10/12/17 1 Disclosures I, Ronald Samuels, have been asked to disclose
More information131. Public school enrollees' immunization program; exemptions
TITLE 14. EDUCATION PART I. FREE PUBLIC SCHOOLS CHAPTER 1. DEPARTMENT OF EDUCATION SUBCHAPTER II. POWERS AND DUTIES 14 Del. C. 131 (2007) 131. Public school enrollees' immunization program; exemptions
More informationThese slides are the property of the presenter. Do not duplicate without express written consent.
Cancer Survivorship Protecting Against Vaccine Preventable Diseases Heidi Loynes BSN, RN Immunization Nurse Educator Michigan Department of health and Human Services (MDHHS) loynesh@michigan.gov Are Vaccine-Preventable
More informationEvaluation of Health Care Worker Vaccination Rates in Utah Outpatient Clinics
The Henderson Repository is a free resource of the Honor Society of Nursing, Sigma Theta Tau International. It is dedicated to the dissemination of nursing research, researchrelated, and evidence-based
More informationL.J Tan, MS, PhD Immunization Action Coalition Chief Strategy Officer THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER
L.J Tan, MS, PhD Immunization Action Coalition Chief Strategy Officer THIS INITIATIVE IS BEING SUPPORTED BY A SPONSORSHIP FROM PFIZER Disclosure The Immunization Action Coalition has been responsible for
More informationPlatforms. Adolescent Immunization Update and the 16 Year Old Platform. Advisory Committee on Immunization Practices (ACIP)
Adolescent Immunization Update and the 16 Year Old Platform William Atkinson, MD, MPH Associate Director for Immunization Education Immunization Action Coalition Advisory Committee on Immunization Practices
More informationMA Adult Immunization Update
MA Adult Immunization Update May 21, 2013 Donna Lazorik, RN, MS MA Department of Public Health Donna Lazorik, RN, Immunization Program, MDPH Consultant Grant Research/Support Speaker s Bureau Major Stockholder
More informationCall: Visit:
Candidate details are logged on Arithon. Ensure all personal information is completed in the tabs. All candidate documents are to be original sight stamp verified and uploaded per document. All conversations
More information5/13/2015 TODAY S TOPICS SURVEILLANCE, REPORTING AND CONTROL OF VACCINE PREVENTABLE DISEASES 2015
SURVEILLANCE, REPORTING AND CONTROL OF VACCINE PREVENTABLE DISEASES 2015 20 th Annual Massachusetts Adult Immunization Conference April 14, 2015 Hillary Johnson, MHS Meagan Burns, MPH Epidemiologists Epidemiology
More informationOctober 11, Disclosures. I have no financial interest in, or conflict with, the manufacturer of any product discussed in this CME activity.
Adult Immunizations New York State Updates Christine Compton, MD, MPH Medical Director New York State Department of Health Bureau of Immunization October 11, 2017 2 Disclosures I have no financial interest
More information