Re: Revisions to Chapter III of the Communicable Disease Control Manual Immunization Program
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1 1 August 17, 2004 ATTN: Medical Health Officers and Branch Offices Public Health Nursing Administrators and Assistant Administrators Holders of Communicable Disease Control Manuals Re: Revisions to Chapter III of the Communicable Disease Control Manual Immunization Program Please note the following revisions: (1) Section I Introduction: Table of Contents: change of term from Immunization Certification to Immunization Competency. Page 4, Subsection 5.0 Immunization Competency: change of term from Immunization Certification to Immunization Competency. notation of the provincial Immunization Competency Program being revised in May 2004 Pages 5 9, Subsection 7.0 History of Immunization Development in BC: re-dated due to additional content: Page 6: regarding DPT, DT and Td adsorbed vaccines notation that these vaccines contained thimerosal Page 7: 1994 note that Pentavalent vaccine (diphtheria, pertussis, tetanus, polio, conjugate haemophilus influenzae type b) ( DPT/IPV/ActHIB) did not contain thimerosal Administrative Circular # 2004:05
2 2 Page 8: 1997 added notation that a hepatitis B vaccine catch-up program was provided to all grade 12 students Page 9: 2001 Thimerosal-free HBV for infants and children < 7 years of age (June 2001) Addition of new vaccine programs introduced in 2004 Page 11: Pertussis toxoid 2.5 μg added to vaccine components list for TdaP (2) Section V Anaphylaxis: Page 4: removal of oral Benadryl use from guidelines Page 7: addition of Epinephrine strength (1:1,000) to top of chart Page 8: removal of oral Benadryl (3) Section VII Biological Products: Page 6, Hepatitis A Vaccine Indications: Inmates of provincial correctional facilities are eligible for hepatitis A vaccine. Page 9, Hepatitis A Vaccine, Avaxim : latex has been removed from the needle shield for this product. Page 16, Hepatitis B Vaccine Pre- exposure, Engerix -B: the schedule for infants and children < 7 years of age is 0, 1, and 6 months, (and not months). Page 17, Hepatitis B Vaccine Pre- exposure, Engerix -B: deleted footnote regarding revaccination of non-responders. Page 18, Hepatitis B Vaccine Pre-exposure, RecombivaxHB : deleted footnote regarding revaccination of non-responders. deleted footnote regarding minimal intervals between vaccine doses.
3 3 Page 28, Immune Globulin Preparations: for children 5 to 18 years inclusive, added 1-1½" needle length, gauge, vastus lateralis site and 1 3 ml volume for adults 19 years of age, added 1-1½" needle length, gauge, vastus lateralis site and 5 ml volume. Page 29, Immune Globulin Preparations or Blood: Timing Intervals: under Indications for measles prophylaxis, changed the wording from normal contact to healthy contact. Page 32, Influenza Vaccine, Fluviral S/F: wording has been changed to direct the reader to the National Advisory Committee on Immunization statement on influenza vaccination for the current season. Page 34, Measles/Mumps/Rubella Vaccine: updated the list of components of MMRII vaccine. Page 37, Meningococcal C Conjugate Vaccine, Neis Vac- C: change to the timing and number of doses of Neis Vac- C for infants: infants from two months to twelve months of age receive two doses of vaccine, two months apart. Page 38, Meningococcal C Conjugate Vaccine, Neis Vac- C: change to vaccine doses and timing for infants from two to twelve months of age, as above. Page 43, Pneumococcal Polysaccharide Vaccine, Pneumo 23 : latex has been removed from the needle shield for this product. Page 43a, Pneumococcal Polysaccharide Vaccine, Pneumovax 23: new page, for the Merck Frosst pneumococcal polysaccharide vaccine. Page 53, Tetanus-Diphtheria-Pertussis Vaccine, Adacel : footnote added to indicate that high school students who missed their grade 9 booster should be given Adacel. Page 54, Tetanus-Diphtheria-Inactivated Poliomyelitis Adsorbed (Td/IPV): clarification of the reinforcing vaccine dose (Td, 0.5 ml IM, every 10 years).
4 4 Page 55, Tetanus Immune Globulin (TIG), Baytet : added footnote indicating that TIG does not interfere with the development of active immunity from a tetanus-containing vaccine. Please remove and destroy the following pages from Chapter III of the Communicable Disease Control Manual Immunization Program : Section 1 Introduction Table of Contents Dated June 2003 Pages 4,5,6,7 & 8 Dated November 2002 Pages 9 &11 Dated June 2003 Section V Anaphylaxis: Pages 4, 7 & 8 Dated June 2003 Section VII Biological Products: Table of Contents Dated July 2004 Pages 6, 34 & 55 Dated August 2003 Pages 16 &18 Dated June 2004 Pages 17 & 54 Dated November 2002 Pages 28, 37 & 43 Dated December 2003 Pages 29 & 38 Dated June 2003 Page 32 Dated September 2003 Page 53 Dated January 2004 Please insert the following replacement pages: Section I Introduction: Table of Contents Pages 4, 5, 6, 7, 8, 9 & 11 Dated August 2004 Section V Anaphylaxis: Pages 4, 7 & 8, 9 Dated August 2004 Section VII Biological Products: Table of Contents Pages 6, 9, 16, 17, 18, 28, 29, 32 34, 37, 38, 43, 43a, 53, 54 & 55 Dated August 2004
5 5 If you have any questions or concerns, please contact Karen Pielak, Nurse Epidemiologist or Cheryl McIntyre, Associate Nurse Epidemiologist, at telephone (604) , fax (604) or by to or Sincerely, David Patrick Director Epidemiology Services BC Centre for Disease Control DMP/kka pc: Dr Perry Kendall Provincial Health Officer Dr. Bob Fisk Medical Consultant Non-Communicable Disease Ministry of Health Planning Dr. Eric Young Deputy Provincial Health Officer Warren O Briain Executive Director Comm Disease and Addiction Prevention Valery Dubenko Manager, Communicable Disease Prevention --Immunization Communicable Disease and Addiction Prevention
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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