1. Influenza Update 2015-2016 September 2015
Susan Reeser RN, BSN
Montana Immunization Program, DPHHS
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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

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

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

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

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

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)