Wisconsin Immunization Program Update
Friday, May 5, 2017
Measles outbreak in Minnesota
As of May 4, 2017, 41 cases have been confirmed. Thirty eight cases were reported in Hennepin county, 2 in Ramsey County and 1 in Crow Wing County. The vaccination status is 39 are unvaccinated and 2 cases have 2 doses of MMR. Forty cases are in children ages 0 through 10 years, and one case is in an adult. Thirty four of the cases are Somali Minnesotans.
The Minnesota Department of Health has released two new resources- the "Protect Your Family from Measles" public service announcement, which is available in four languages: Amharic, English, Oromo, and Somali. Additionally, there is a short video that features a mother's story of her child's battle with measles disease, the MMR vaccine, and more. These can be found by clicking on this link to their website.
Since November 1, 2016, 51 confirmed mumps cases have been reported among Wisconsin residents. The last reported onset was April 5, 2017. For more information please see the latest report: https://www.dhs.wisconsin.gov/immunization/mumps-report.pdf
The American College of Obstetricians and Gynecologists, Committee on Adolescent Health Care workgroup summarized their recommendations for patient HPV vaccination and education.
Influenza vaccine uptake during 2016-2017 season
View the weekly report influenza vaccine uptake in Wisconsin during the 2016-2017 season: https://www.dhs.wisconsin.gov/immunization/flushots1617.pdf
Pregnant women: Tdap and influenza vaccination in Wisconsin, 2013-2015
The Immunization Program recently published an article in the journal Vaccine describing trends in Tdap and influenza vaccination rates among pregnant women in Wisconsin. Since February 2013, when Tdap was first recommended for pregnant women during every pregnancy, the percentage of Wisconsin women vaccinated with Tdap during pregnancy has increased substantially (Figure 1). Most women received Tdap during the recommended time during pregnancy (27-36 weeks gestation) (Figure 2a). Women who delivered during influenza season had higher influenza vaccination rates during pregnancy than women who delivered during summer months (Figure 1). Lower Tdap and influenza vaccination rates were observed among women who delivered to nurse practitioners or midwives, were insured by Medicaid, resided in Milwaukee County, were non-Hispanic black or American Indian/Alaska Native, had less than adequate prenatal care, or delivered preterm.
The article is available at this link: http://dx.doi.org/10.1016/j.vaccine.2017.03.024
For more information on vaccination rates among pregnant women in Wisconsin, please see the reports and resources in the Pregnant Women section of our data page: https://www.dhs.wisconsin.gov/immunization/data.htm
General Best Practice Guidelines for Immunization
On April 20, 2017, CDC released the General Best Practice Guidelines for Immunization (https://www.cdc.gov/vaccines/hcp/acip-recs/general-recs/index.html). The General Best Practice Guidelines for Immunization replace the 2011 General Recommendations on Immunization.
Updated Td Vaccine Information Sheet
On April 11, CDC posted an updated Td VIS. This update corrects an error in the 2/24/2015 Td VIS. The instruction to talk to your doctor if you "have seizures or another nervous system problem" has been removed. This precaution applies to Tdap vaccine but not to Td, and was inadvertently included on the Td VIS. Providers may use up existing stocks of the outgoing VIS, but should make patients aware that this is NOT a precaution for Td. Td Vaccine Information Statement (dated 4/11/17)