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Influenza Update September 2015

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Presentation on theme: "Influenza Update September 2015"— Presentation transcript:

1 Influenza Update 2015-2016 September 2015
Susan Reeser RN, BSN Montana Immunization Program, DPHHS Call in Phone: Access Code:

2 Overview Who Should Get Vaccinated & When
Current Vaccine Recommendations The Vaccine Available Products Contraindications and Precautions Clinic Resources Questions & Answers Summary

3 Who should get vaccinated?
CDC recommends a yearly flu vaccine for everyone 6 months of age and older who do not have contraindications …as the first and most important step in protecting against this serious disease

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5 People at High Risk for Developing Flu-Related Complications
Children younger than 5, but especially younger than 2 years old Adults 65 and older Pregnant women (and up to 2 weeks postpartum) Residents of nursing homes and other long-term care facilities American Indians and Alaskan Natives People with certain medical conditions

6 When to vaccinate You can begin offering vaccine as soon as the vaccine is available. Health care providers should offer vaccination by October, if possible. Vaccination should continue to be offered as long as influenza viruses are circulating. Children aged 6 months through 8 years who require 2 doses should receive their first dose as soon as possible after vaccine becomes available, and the second dose ≥4 weeks later.* Providers should offer vaccination to unvaccinated persons aged ≥6 months during routine health care visits and hospitalizations when vaccine is available.

7 Algorithm for children aged 6 months - 8 years (ACIP)

8 Healthcare Personnel All HCP should receive annual influenza vaccination Who are HCP: all hospital and outpatient personnel Full-time, part-time, lab, radiology, housekeeping, food service, laundry, HR, front desk staff, volunteers, etc. Why: because they provide care to patients at high risk for complications of influenza

9 Current Vaccine Recommendations

10 Recommendations ACIP does not recommend the use of any specific flu vaccine formulation over another.* Some vaccines are licensed for specific age groups. Some vaccines may be more suitable than others for persons with certain medical conditions. *ACIP did not renew the 2014–15 preferential recommendation for LAIV for healthy children aged 2 through 8 years.

11 The Vaccine

12 Vaccine Antigenic Composition
Trivalent Vaccine an A/California/7/2009 (H1N1)pdm09-like virus an A/Switzerland/ /2013 (H3N2)-like virus a B/Phuket/3073/2013-like virus. (This is a B/Yamagata lineage virus) Quadrivalent Vaccine (B/Brisbane/60/2008-like virus). This is a B/Victoria lineage virus.

13 Vaccine Types Trivalent (3 antigens) Quadrivalent (4 antigens)
IIV3 (inactivated influenza vaccine) CCIV3 (virus grown in cell culture) RIV3 (recombinant egg free) Quadrivalent (4 antigens) IIV4 LAIV (Live Attenuated Influenza Vaccine)

14 Available Vaccine Products

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16 New and Updated Product Approvals
Afluria® IM administration via Stratis needle-free jet injector Adults years Flublok® (RIV3) Adults ≥18 years Fluzone® Intradermal Quadrivalent Adults 18 through 64 years

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19 Influenza Vaccine Products for the 2015-2016 Influenza Season
See MMWR

20 Contraindications and Precautions
Inactivated vs Live Vaccine (IIV vs LAIV)

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25 Egg Allergy http://www.immunize.org/catg.d/p3094.pdf

26 Clinic Resources

27 Resources Prevention and Control of Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices, United States, 2015–16 Influenza Season Weekly August 7, 2015 / 64(30); CDC

28 Resources Immunization Action Coalition http://www.immunize.org/
Screening Questionnaires (Influenza) Inactivated Live (LAIV) Influenza VIS Inactivated (IIV)or Recombinant Live (LAIV) Influenza Vaccination of People with a History of Egg Allergy

29 Resources Montana Immunization Program

30 Questions & Answers

31 Summary Everyone 6 months and older should get a flu vaccine
Healthcare providers should be offering flu vaccine at clinic visits and hospitalizations There are a variety of flu vaccine products available Screen patients for contraindications and precautions

32 Contact Information: Susan Reeser RN, BSN Montana Immunization Program, DPHHS (406)


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