2015-2016 Seasonal Influenza Vaccine
The Advisory Committee on Immunization Practices (ACIP) recommendations for the prevention and control of the seasonal influenza (2015-2016 influenza season) are as follows:
“All persons 6 months of age and older are recommended
to receive annual influenza vaccination.”
Optimally, vaccination should occur before onset of influenza activity in the community. Health care providers should offer vaccination by October, if possible. Vaccination should continue to be offered as long as influenza viruses are circulating. Children 6 months through 8 years of age who require 2 doses (see algorithm on page 3) should receive the first dose as soon as possible after the vaccine becomes available. To avoid missed opportunities for vaccination, providers should offer vaccination to unvaccinated persons > 6 months during routine health care visits and hospitalizations when vaccine is available.
2015-2016 Influenza Vaccine Composition
The U.S. influenza quadrivalent vaccines for 2015-2016 will contain:
A/California/7/2009 (H1N1)-like virus;
A/Switzerland/9715293/2013 (H3N2) –like virus;
B/Phuket/3073/2013-like (Yamagata lineage); and
B/Brisbane/60/2008-like virus (Victoria lineage).
Production and distribution of seasonal influenza vaccine is never guaranteed. Each spring the IIP requests from the Centers for Disease Control and Prevention (CDC) the number of seasonal flu doses needed based upon provider surveys, population, estimated vaccine uptake, and available funding. The final number of doses made available to the IIP is dependent upon the contracts CDC secures with vaccine manufacturers as well as vaccine production.
This season the FluMist vaccine distribution, from the manufacturer to the CDC, will be later in the season than normal.
The requested 2015-2016 seasonal flu vaccine will be allocated by the CDC to the IIP as it becomes available from the distribution center (McKesson) in waves from August through December. The IIP will distribute the influenza vaccine through provider orders as the vaccine is available. The IIP will only be supplying the quadrivalent formulation of pediatric influenza vaccine.
The 2015-2016 seasonal influenza vaccine can be ordered from the IIP through the Immunization Reminder Information System (IRIS) beginning September 8, 2015. The available pediatric influenza vaccine will be listed in IRIS on the Create Order screen.
Influenza vaccine orders do not need to follow your ordering frequency.
Influenza vaccine only orders will require a current refrigerator temperature; however, a full inventory count will not be required. For influenza vaccine only orders, click inventory count, click Enter New Count, and then click Save & Submit.
Orders may be placed for specific brands and/or presentations; however,
If the brand and/or presentation requested was not indicated on the Influenza Survey submitted by your facility and/or is not available, then the order will be denied, and
An email will be sent to the primary vaccine coordinator if other brands or presentations are available.
Orders that are reduced or denied (because the influenza vaccine is not available) will not be tracked and will not be filled at a later date. If an influenza order is denied, then a new order will need to be placed. There will be no backorders.
Current on-hand counts will be reviewed during the season as vaccine orders are processed (as with all vaccine orders). Stay current with entering doses of influenza vaccine administered into IRIS.
Multi-dose Vials (MDV) of Influenza Vaccine
The IIP will be supplying two influenza vaccines in MDV. After the MDV vial has been used for the first time the Fluzone 0.5mL MDV may be used until the expiration date printed on the vial. The FluLaval 0.5mL MDV may only be administered 28 days after the first use. Please document the “beyond use date” (28 days from the date the MDV of FluLaval is initially used) on the label along with the initials of the person noting the date.
Vaccine Information Sheets
2015-2016 seasonal influenza vaccine information sheets (VIS) are available to order from the IIP. Please go to the IIP’s website at www.immunizeidaho.com and click on the Resource Order Form link on the healthcare provider page or click on the Related Links tab in IRIS, then click Idaho Immunization Program Resource Order Form.
The 2015-2016 seasonal influenza vaccine information sheets is also available online from the Centers for Disease Control and Prevention – Vaccine Information Statements (VIS) at http://www.cdc.gov/vaccines/hcp/vis/current-vis.html
Influenza vaccine dosing algorithm for children aged 6 months through 8 years for the 2015-2016 influenza season available in the PDF version of the Important Notice.
The algorithm above is a flow chart showing an influenza vaccine dosing for children aged 6 months through 8 years in the United States for the 2015-2016 influenza season. An asterisk footnote symbol appears at the end of the statement, “Has the child received 2 total doses of trivalent or quadrivalent influenza vaccine before July 1, 2015?” The corresponding footnote reads, “The 2 doses need not have been received during the same season or consecutive seasons.” Also, a dagger footnote symbol appears immediately after the phrase “2 doses” in the following statement, “2 doses of 2015-16 influenza vaccine.” The corresponding footnote reads, “Doses should be administered 4 weeks apart.”
Concurrent Administration of Influenza Vaccine with Other Vaccines
For additional information please refer to MMWR / August 7, 2015 / 64(30);818-825 or visit http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6430a3.htm?s_cid=mm6430a3_w.
CDC publishes two corrections to the U.S. immunization schedule for children and teens age 0 through 18 years CDC published Errata: Vol. 62, Suppl 1 in the April 5 issue of MMWR (page 256). The correction is reprinted below.
In the MMWR supplement, "Advisory Committee on Immunization Practices (ACIP) Recommended Immunization Schedules for Persons Aged 0 Through 18 Years and Adults Aged 19 Years and Older—United States, 2013," on page 7, in the third bulleted item under footnote 13, the text should read, "For children aged 2 months through 10 years with high-risk conditions, see below." On page 8, under Additional Vaccine Information, in the fourth bulleted item, the last reference should read, "American Academy of Pediatrics. Immunization in Special Clinical Circumstances. In: Pickering LK, Baker CJ, Kimberlin DW, Long SS, eds. Red book: 2012 report of the Committee on Infectious Diseases. 29th ed. Elk Grove Village, IL: American Academy of Pediatrics."
2013-2014 Seasonal Influenza Vaccine
The Idaho Immunization Program will be supplying the 2013-2014 seasonal pediatric influenza vaccine to all active Vaccines for Children (VFC) providers. The 2013-2014 Seasonal Influenza Vaccine Survey must be completed and returned to the Idaho Immunization Program (IIP) by Monday, March 11, 2013, if your office plans to order 2013-2014 seasonal influenza vaccine from the IIP.
Do not privately purchase pediatric influenza vaccine for the 2013-2014 season. The cost of pediatric vaccines funded by the Idaho Immunization Assessment will not be reimbursed by health insurance carriers for Idaho children.
Adding Inventory to IRIS
Beginning Monday, January 7, 2013, no vaccine inventory will need to be manually entered into IRIS. Varivax and ProQuad vaccine will not need to be manually added to your inventory. All vaccine shipments should be accepted through the manage transfers screen in IRIS.
How to accept a shipment into IRIS inventory? Under Inventory click manage transfers. Under Inbound Transfer click the Create Date of the order. Verify the vaccine listed matches the vaccines received in the office, click Accept Transfer.
If you have any questions contact the Idaho Immunization Program (208) 334-5931 or the IRIS Help Desk (208) 334-5995.