MILVAX - Influenza

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INFO PAPER

Influenza, also known as the flu, is a contagious disease that is caused by the influenza virus. It attacks the respiratory tract in humans (nose, throat, and lungs). The flu is different from a cold. Influenza usually comes on suddenly and may include these symptoms: fever, headache, tiredness (can be extreme), dry cough, sore throat, nasal congestion and body aches. These symptoms are usually referred to as "flu-like" symptoms.

Whats New?

CDC: Weekly Influenza Surveillance Report Prepared by the Influenza Division Geographic Spread of Influenza as Assessed by State and Territorial Epidemiologists 2012-2013 Influenza Season Week 8 ending February 23, 2013. 01 Mar 13 CDC: Weekly Influenza Surveillance Report Prepared by the Influenza Division 01 Mar 13 Geographic Spread of Influenza as Assessed by State and Territorial Epidemiologists 2012...	Flu vaccine less effective, especially among elderly 22 Feb 13 CNN 22 Feb 13 Flu vaccine less effective, especially among elderly
MMWR 22 Feb 13 Interim Adjusted Estimates of Seasonal Influenza Vaccine Effectiveness — United States, February 2013 22 Feb 13 MMWR	Flu tapers off, but still poses danger to seniors 15 Feb 13 NBC News 15 Feb 13 Flu tapers off, but still poses danger to seniors
Authors: Government Accountability Office, Publication: GAO-13-374T 13 Feb 13 INFLUENZA; Progress Made in Responding to Seasonal and Pandemic Outbreaks 13 Feb 13 Authors: Government Accountability Office, Publication: GAO-13-374T

Training

Influenza Vaccine Cold Chain Management

13 Sep 12

This module provides information and recommendations for the cold chain management of the influenza vaccines for the 2012-13 season. PLEASE NOTE: The content of this module is the same as the content of the Cold Chain Management module in the Seasonal Influenza Vaccination Training 2012-13 curriculum.

Seasonal Influenza Vaccination Training 2012-13

14 Aug 12

This is a 5 module online course, plus quiz, that will provide Military Healthcare Personnel with important and comprehensive information concerning the influenza vaccine.

Policies

Guidance for the Use of Influenza Vaccine for the 2012-2013 Influenza Season PDF 17 Sep 12

Author: Woodson

2012-2013 Influenza Season PDF 17 Aug 12

Author: Gourley
Air Force Reserve Command

Air Force 2012-2013 Influenza Immunization Program Guidance PDF 09 Aug 12

Author: Potter

Implementation Instructions for Influenza Vaccination Program (IVP) PDF 16 Jul 12

Author: Looney

Addition of Pandemic Influenza Vaccine or Novel Influenza Vaccine to the Policy for Mandatory Seasonal Influenza Immunization for Civilian Health Care Personnel PDF 28 Jul 11

Author: Woodson

Department of Defense Guidance Regarding Thimerosal Containing Vaccines 29 Sep 08

Author: Casscells

Policy for Mandatory Seasonal Influenza Immunization for Civilian Health Care Personnel Who Provide Direct Patient Care in Department of Defense Military Treatment Facilities PDF 04 Apr 08

Author: Casscells

Service Messages

MARADMIN 553/12 PDF 03 Oct 12

2012-13 SEASONAL INFLUENZA VACCINE GUIDANCE FOR ACTIVE AND
RESERVE COMPONENTS

BUMED PDF 05 Sep 12

POLICY FOR THE USE OF THE 2012-2013 SEASONAL INFLUENZA VACCINE

ALCOAST 377/12 PDF 16 Aug 12

2012-2013 SEASONAL INFLUENZA (FLU) IMMUNIZATION PROGRAM

NAVADMIN 246/12 PDF 09 Aug 12

2012-2013 NAVY INFLUENZA VACCINATION AND REPORTING POLICY

ALARACT 202/2012 PDF 30 Jul 12

MOD 01 TO ALARACT 181/2012, 2012-2013 SEASONAL INFLUENZA VACCINATION PROGRAM

AIG 4905 PDF 26 Jul 12

2012-2013 ANNUAL INFLUENZA (FLU) IMMUNIZATION PROGRAM

ALARACT 181/2012 PDF 05 Jul 12

ALARACT 2012-2013 SEASONAL INFLUENZA VACCINATION

Questions & Answers


Policy and Management
The Disease
The Vaccines
Myths and Facts

23 Jul 12

Sample Q&A: Myths and Facts

Myth #5: You must get the influenza vaccine before the influenza season, or it is not worth getting.
Fact: Influenza vaccine can be given before or during the influenza season. Influenza vaccinations provide protection against the influenza strains contained in the vaccine through one influenza season. Vaccinations should begin as soon as vaccine is available and continue throughout the influenza season. Ref: http://www.cdc.gov/flu/about/qa/misconceptions.htm.

Images

ACIP Guidelines Prevention and Control of Influenza with Vaccines 17 Aug 12 Recommendations of the Advisory Committee on Immunization Practices (ACIP) — United States, 2012–13 Influenza Season Prevention and Control of Influenza with Vaccines 18 Aug 11 Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2011 (early release) Antiviral Agents for the Treatment and Chemoprophylaxis of Influenza 21 Jan 11 Recommendations of the Advisory Committee on Immunization Practices (ACIP) Prevention and Control of Seasonal Influenza with Vaccines 06 Aug 10 Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2010 ACIP Recommendation for Use of CSL Influenza Vaccine 06 Aug 10 CDC Media Statement	Adverse Events Fluzone Vaccine Safety; FDA and CDC Update on Fluzone Influenza Vaccine and VAERS Reports of Febrile Seizures in Children 20 Jan 11 Food and Drug Administration
Brochures Seasonal Influenza Vaccination Training Brochure PDF 15 Aug 11 Information on DoD Online 2012-13 Seasonal Influenza Vaccination Training	Clinical Interim Adjusted Estimates of Seasonal Influenza Vaccine Effectiveness — United States, February 2013 22 Feb 13 MMWR Influenza Clinic Supply Checklist 2012-13 PDF 10 Jul 12 MILVAX Agency Influenza Competency Form: INJECTABLE VACCINE PDF 10 Jul 12 2012-13 Seasonal Influenza Vaccination Program Influenza Competency Form: INTRANASAL VACCINE PDF 10 Jul 12 2012-13 Seasonal Influenza Vaccination Program US Influenza Vaccine List 2012-13 PDF 10 Jul 12 MILVAX Agency Influenza Vaccination Documentation Wallet Card 2012-13 DOCX 05 Jul 12 Military Vaccine Agency Influenza Activity — United States, 2011–12 Season and Composition of the 2012–13 Influenza Vaccine 08 Jun 12 MMWR
Consumer Influenza Vaccination Documentation Wallet Card 2012-13 DOCX 05 Jul 12 Military Vaccine Agency CDC Recommends Flu Vaccination 29 Sep 08 2 CDC videos emphasizing importance of flu vaccination for children between 6 months - 18 years CDC Flyer: Cover Your Cough 21 Oct 04 CDC Flyer: Stopping the spread of germs at work 21 Oct 04	DHB Recommendations Off-Label Vaccine Use and Vaccination of Military Recruits During Summer Months 15 May 08 Recommendations of the Defense Health Board (DHB) Recommendations on Southern Hemisphere Influenza Vaccine for U.S. Forces - DHB 2007-03 04 Oct 07 Recommendations of the Defense Health Board (DHB) Mandatory Influenza Vaccination for all DoD Health Care Workers PDF 19 Dec 05 Recommendations of the Armed Forces Epidemiological Board (AFEB)
Featured CDC: Weekly Influenza Surveillance Report Prepared by the Influenza Division 01 Mar 13 Geographic Spread of Influenza as Assessed by State and Territorial Epidemiologists 2012-2013 Influenza Season Week 8 ending February 23, 2013. DoD Influenza Surveillance Summary 04 Dec 12 Each week the Armed Forces Health Surveillance Center publishes a summary of influenza activity in the COCOMS. The summary tracks influenza like illness, flu activity through the DoD laboratory surveillance network and influenza vaccination coverage. Reports are by COCOM and service members or beneficiary populations. FDA approves first seasonal influenza vaccine culture 04 Dec 12 On November 20th the FDA announced approval of Flucelvax, the first seasonal influenza vaccine licensed in the United States produced using cultured animal cells, instead of fertilized chicken eggs. Flucelvax is approved to prevent seasonal influenza in people ages 18 years and older. The manufacturing process is similar to the egg-based production method, but a significant difference is that the virus strains included in the vaccine are grown in animal cells of mammalian origin instead of in eggs. Cell culture technology has already been in use for several decades to produce other U.S. licensed vaccines. Influenza Activity — United States, 2011–12 Season ... 20 Jun 12 Influenza Activity — United States, 2011–12 Season and Composition of the 2012–13 Influenza Vaccine - This report summarizes influenza activity in the United States during the 2011–12 influenza season and reports the recommendations for the components of the 2012–13 Northern Hemisphere influenza vaccine.	Forms Standing Order for the Administration of the Influenza Vaccine to Children and Adolescents 2012-13 PDF 11 Sep 12 Military Vaccine Agency Standing Order for the Administration of the Influenza Vaccine to Adults 2012-13 PDF 12 Jul 12 Military Vaccine Agency Recommended 2012-13 Influenza Vaccine Screening Questions - Adult PDF 12 Jul 12 Military Vaccine Agency Recommended 2012-13 Influenza Vaccine Screening Questions - Pediatric and Adolescent PDF 12 Jul 12 Military Vaccine Agency Influenza Competency Form: INJECTABLE VACCINE PDF 10 Jul 12 2012-13 Seasonal Influenza Vaccination Program Influenza Competency Form: INTRANASAL VACCINE PDF 10 Jul 12 2012-13 Seasonal Influenza Vaccination Program Influenza Vaccination Documentation Wallet Card 2012-13 DOCX 05 Jul 12 Military Vaccine Agency
Information Paper Influenza Infection and Influenza Vaccines PDF 31 Jul 12 Information Paper	Listserv 2011-12 SEASONAL INFLUENZA VACCINATION PROGRAM UPDATE PDF 24 Aug 11 MILVAX Agency Listserv
Package Insert FluMist 2012-13 (MedImmune) PDF 01 Jul 12 Package Insert - Vaccines Fluzone 2012-13 (Sanofi Pasteur) 01 Jun 12 Package Insert - Vaccine Fluzone Intradermal 2012-13 (Sanofi Pasteur) 01 May 12 Package Insert - Vaccine Fluzone High-Dose 2012-13 (Sanofi Pasteur) 01 May 12 Package Insert - Vaccine Afluria (CSL Biotherapies) 01 Apr 12 Package Insert - Vaccine	Planning Documents Seasonal Influenza Communications Plan 2012-13 PDF 24 Aug 12 Military Vaccine Agency 2012-2013 Influenza Season PDF 17 Aug 12 Author: Gourley Air Force Reserve Command Air Force 2012-2013 Influenza Immunization Program Guidance PDF 09 Aug 12 Author: Potter Implementation Instructions for Influenza Vaccination Program (IVP) PDF 16 Jul 12 Author: Looney
Related Links MedImmune 24 Jul 12 FluMist Sanofi-Pasteur 24 Jul 12 Fluzone Centers for Disease Control and Prevention 24 Jul 12 Seasonal Flu Merck (CSL Biotherapies) 24 Jul 12 Afluria Flu Near You 09 Oct 11 A joint effort of Children's Hospital Boston, the Skoll Global Threats Fund and the American Public Health Association Armed Forces Health Surveillance Center 17 Aug 11 Influenza Reports and Summaries Faces of Influenza 04 Oct 10 A collaboration between the American Lung Association and Sanofi Pasteur	Standing Orders Standing Order for the Administration of the Influenza Vaccine to Children and Adolescents 2012-13 PDF 11 Sep 12 Military Vaccine Agency Standing Order for the Administration of the Influenza Vaccine to Adults 2012-13 PDF 12 Jul 12 Military Vaccine Agency
Supply & Logistics (MMQC) MMQC-12-1667 08 Nov 12 MEDIMMUNE / FLUMIST REPLACEMENT PROGRAM 2012-2013 INFLUENZA VACCINE SEASON MMQC-12-1371 13 Jun 12 2011-2012 INFLUENZA VIRUS VACCINE / DISPOSITION INSTRUCTIONS MMQC-12-1004 09 Jan 12 FDA UPDATED COMMUNICATION ON USE OF JET INJECTORS WITH INACTIVATED INFLUENZA VACCINES MMQC-11-1703 08 Nov 11 MEDIMMUNE / FLUMIST REPLACEMENT PROGRAM 2011-2012 INFLUENZA VACCINE SEASON MMQC-11-1450 29 Jun 11 2010-2011 INFLUENZA VIRUS VACCINE / DISPOSITION INSTRUCTIONS MMQC-11-1113 09 Feb 11 2010-2011 INFLUENZA VIRUS VACCINE / DISPOSITION INSTRUCTIONS	Toolkit Standing Order for the Administration of the Influenza Vaccine to Children and Adolescents 2012-13 PDF 11 Sep 12 Military Vaccine Agency Seasonal Influenza Communications Plan 2012-13 PDF 24 Aug 12 Military Vaccine Agency Pediatric Influenza 2nd Dose Reminder Card DOC 26 Jul 12 Military Vaccine Agency Recommended 2012-13 Influenza Vaccine Screening Questions - Adult PDF 12 Jul 12 Military Vaccine Agency Recommended 2012-13 Influenza Vaccine Screening Questions - Pediatric and Adolescent PDF 12 Jul 12 Military Vaccine Agency Influenza Competency Form: INJECTABLE VACCINE PDF 10 Jul 12 2012-13 Seasonal Influenza Vaccination Program Influenza Competency Form: INTRANASAL VACCINE PDF 10 Jul 12 2012-13 Seasonal Influenza Vaccination Program
Top Resources Influenza Competency Form: INJECTABLE VACCINE PDF 10 Jul 12 2012-13 Seasonal Influenza Vaccination Program Influenza Competency Form: INTRANASAL VACCINE PDF 10 Jul 12 2012-13 Seasonal Influenza Vaccination Program Influenza Vaccination Documentation Wallet Card 2012-13 DOCX 05 Jul 12 Military Vaccine Agency	Vaccine & VIG Info FluMist Dosage and Administration 21 Aug 09 Video Instructions, produced by MILVAX, length (3:14)
Videos How Influenza Pandemics Occur (03:24) 20 Sep 12 The National Institute of Allergy and Infectious Diseases explains the emergence and potential spread of new influenza viruses. August is National Immunization Awareness and Influenza Vaccine Awareness Month (00:31) 01 Aug 12 A Public Service Announcement by Army Surgeon General, LTG Patricia D. Horoho, about Immunization Awareness Month & the importance of the annual influenza vaccine. Don’t Be the One to Spread the Flu (00:29) 02 Dec 11 NFID Flu F.A.C.T.S. - Taking some simple steps, like washing your hands to stop the spread of germs and getting an annual flu shot, can help protect you from the flu. 1/25th SBCT Flu Vaccinations (1:05) 27 Oct 11 1st Stryker Brigade Combat Team, 25th Infantry Division Brigade Support Medical Company vaccinates soldiers in southern Afghanistan in preparation of the upcoming flu season. All Hands Update: Flu Vaccination (1:00) 21 Oct 11 This edition features a story about Flu virus vaccinations All Hands Update: Flu Vaccine (2:00) 17 Oct 11 This edition features a story about how the Navy is more than ready with vaccines to combat the flu. 2011 NFID Influenza/Pneumococcal News Conference (72:39) 21 Sep 11 CDC Director Dr. Thomas Frieden joined leading medical/public health experts at the National Foundation for Infectious Diseases (NFID) news conference to call on all Americans to get vaccinated against influenza.	VIS Live, Intranasal Influenza Vaccine 2012-13: What You Need to Know 02 Jul 12 Vaccine Information Statement (Interim), Live, Attenuated Influenza Vaccine Inactivated (Injectable) Influenza Vaccine 2012-13: What You Need to Know 02 Jul 12 Vaccine Information Statement (Interim), Inactivated Influenza Vaccine

News

CNN 22 Feb 13

Flu vaccine less effective, especially among elderly

NBC News 15 Feb 13

Flu tapers off, but still poses danger to seniors

CNN 08 Feb 13

Flu activity decreasing nationwide

Library

INFLUENZA; Progress Made in Responding to Seasonal and Pandemic Outbreaks Feb 2013 Author(s): Government Accountability Office Publication: GAO-13-374T Subject: Vaccine-General Disease: Influenza - Seasonal Influenza - Pandemic	Comparative Efficacy of Inactivated and Live Attenuated Influenza Vaccines Sep 2009 Author(s): Monto AS, Ohmit SE, Petrie JG, Johnson E, Truscon R, Teich E, Rotthoff J, Boulton M, Victor JC Publication: NEJM Subject: Vaccine-Effectiveness Disease: Influenza - Seasonal
Administering influenza vaccine to egg allergic recipients: a focused practice parameter update Jan 2011 Author(s): Greenhawt MJ, Li JT Publication: Annals of Allergy, Asthma & Immunology, vol. 106 Subject: Vaccine-Safety Disease: Influenza - Seasonal	Comparison of the trivalent live attenuated vs. inactivated infuenza vaccines among U.S. military service members Jan 2009 Author(s): Eick AA, Wang Z, Hughes H, Ford SM, Tobler SK Publication: Vaccine 27 (2009) Subject: Vaccine-Effectiveness Disease: Influenza - Seasonal