The following updates were made to CDC information and guidance from Sept 28 – Oct 05, 2009. If you have any questions on these or other clinical issues, please write to us at coca@cdc.gov.
If you have received this update from a colleague and would like to subscribe to the listserve, please visit http://emergency.cdc.gov/clinregistry/.
Today’s topics Include:
- COCA Conference Call
- Novel H1N1 & Seasonal Influenza
- Emerging Infectious Disease Journal
- Emergency Preparedness and Response
Title: H1N1 Pediatrics Update and Overview of CDC’s Child Care Guidance
Date and time: Wednesday, October 7, 2009 from 4-5 PM ET
The purpose of the call is to share the latest in H1N1 pediatric news and to discuss CDC Guidance on Helping Child Care and Early Childhood Programs Respond to Influenza during the 2009–2010 Influenza Season.
Additional information including speakers and call-in number will be available soon.
Novel H1N1 & Seasonal Influenza
Key Points – Oct 02
– The CDC expects up to 3 million doses of live attenuated influenza vaccine (LAIV) to be available for ordering.
– First orders placed on September 30th are expected to be in provider settings by Monday, October 5th or Tuesday, October 6th.
– It is important to keep in mind that there will be lag times between states placing orders and vaccine actually being distributed and any number of things can create lag times between time of distribution to states and when vaccine actually arrives in provider offices or clinics.
– Syncope, or fainting, has been reported after vaccination with any vaccine, and is common among adolescent patients. Falls, as a result of fainting after vaccination, can sometimes result in serious injuries. Such injuries can be prevented by assuring that the vaccinated person is sitting in a chair or lying down and is observed for 15 minutes following vaccination.
– The largest supplier of seasonal flu vaccine, Sanofi Pasteur is experiencing a delay in their shipments. Currently, the company has shipped more than half of the 50.5 million doses of Sanofi Pasteur seasonal flu vaccine ordered by the U.S. healthcare providers. It could be November before customers receive their complete orders.
Novel H1N1 Flu Situation Update – CDC – Oct 02
This page also includes current information on the US Seasonal Influenza Weekly Report (Flu View) and the Weekly US Map.
http://www.cdc.gov/h1n1flu/update.htm
Novel H1N1 Influenza: Resources for Clinicians – CDC – Oct 02
This page is designed to give clinicians access to the latest guidelines and information on the evolving novel H1N1 influenza investigation.
http://www.cdc.gov/h1n1flu/clinicians/
2009-2010 Influenza Season Triage Algorithm for Adults (>18 Years) With Influenza-Like Illness (PDF) – CDC – Oct 02
This algorithm is designed to assist physicians and those under their supervision in identifying indicators of and responses to symptoms of flu-like illness (i.e., fever with cough or sore throat). (NOTE: this guidance is not intended for use by the general public and is not a substitute for sound clinical judgment.)
http://www.cdc.gov/h1n1flu/clinicians/pdf/adultalgorithm.pdf
Bacterial Coinfections in Lung Tissue Specimens from Fatal Cases of 2009 Pandemic Influenza A (H1N1) – United States, May – August 2009 – CDC/MMWR – Oct 02
In previous influenza pandemics, studies of autopsy specimens have shown that most deaths attributed to influenza A virus infection occurred concurrently with bacterial pneumonia, but such evidence has been lacking for 2009 pandemic influenza A (H1N1).
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5838a4.htm
Influenza Vaccination
Influenza Vaccination Coverage Among Children Aged 6 Months – 18 Years – Eight Immunization Information System Sentinel Sites, United States, 2008 – 2009 Influenza Season – CDC/MMWR –
Oct 02
Vaccination is the most effective way to prevent influenza-related morbidity and mortality.
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5838a1.htm
2009 H1N1 Influenza Vaccine and Pregnant Women: Information for Healthcare Providers – CDC – Oct 02
http://www.cdc.gov/h1n1flu/vaccination/providers_qa.htm
Questions and Answers on 2009 H1N1 Vaccine Financing – CDC – Oct 01
http://www.cdc.gov/H1N1flu/vaccination/statelocal/vaccine_financing.htm
Influenza Diagnostic Testing
Interim Recommendations for Clinical Use of Influenza Diagnostic Testing During the 2009-2010 Influenza Season (Q&As) – CDC – Sept 29
http://www.cdc.gov/h1n1flu/diagnostic_testing_clinicians_qa.htm
Interim Recommendations for Clinical Use of Influenza Diagnostic Tests During the 2009-10 Influenza Season – CDC – Sept 29
To provide updated interim recommendations on influenza diagnostic testing for clinicians treating patients with suspected 2009 H1N1 influenza virus infection and to assist clinicians with testing decisions for the 2009-10 influenza season.
http://www.cdc.gov/h1n1flu/guidance/diagnostic_tests.htm
Influenza Patient Educational Material
2009 H1N1 Influenza Shots and Pregnant Women: Questions and Answers for Patients – CDC –
Oct 02
http://www.cdc.gov/h1n1flu/vaccination/pregnant_qa.htm
Influenza Diagnostic Testing During the 2009-2010 Flu Season – CDC – Sept 29
http://www.cdc.gov/h1n1flu/diagnostic_testing_public_qa.htm
Vaccine Information Statement (VIS) for Inactivated 2009 H1N1 Influenza Vaccine (PDF)
Explains to vaccine recipients, their parents, or their legal representatives both the benefits and risks of the vaccine.
http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-inact-h1n1.pdf
Vaccine Information Statement (VIS) for Live, Intranasal 2009 H1N1 Influenza Vaccine (PDF)
Explains to vaccine recipients, their parents, or their legal representatives both the benefits and risks of the vaccine.
http://www.cdc.gov/vaccines/pubs/vis/downloads/vis-laiv-h1n1.pdf
Emerging Infectious Disease Journal
The Emerging Infectious Diseases (EID) journal provides recognition of new and re-emerging infections and understanding of factors involved in disease emergence, prevention, and elimination. It also represents the scientific communications component of CDC’s efforts against the threat of emerging infections. See the September 2009 issue of the EID journal at the following link:
http://www.cdc.gov/ncidod/EID/index.htm
Emergency Preparedness and Response
Get Smart: Know When Antibiotics Work – CDC – Oct 05
Antibiotics do not fight infections caused by viruses, like colds, flu, most sore throats and bronchitis, and some ear infections. Rest, fluids, and over-the-counter products may be your or your child’s best treatment option.
http://www.cdc.gov/Features/GetSmart/
New Guide Available from U.S. Government for Community and Faith-Based Organizations Working to Help Americans Stay Healthy from H1N1 and Seasonal Flu – HHS – Oct 02
Officials from the U.S. Department of Health and Human Services (HHS) and the White House Office for Faith-based and Neighborhood Partnerships began distributing a new flu-response guide for community and faith-based organizations in an effort to reach out and educate Americans about the dangers of the new H1N1 and seasonal flu, and to reach populations who may not have access to this public health information in other ways.
http://www.hhs.gov/news/press/2009pres/10/20091002a.html
FDA Issues Strategic Plan for Risk Communication – FDA – Sept 30
The U.S. Food and Drug Administration issued its Strategic Plan for Risk Communication, which outlines the agency’s efforts to disseminate more meaningful public health information.
http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm184331.htm
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