2010 Immunization Update2010 Immunization Update

ChildChild

AdultAdult

2010 Updates2010 UpdatesChildChild

Combination Combination vaccinesvaccines

PolioPolio

Hepatitis AHepatitis A

Re-vaccination with Re-vaccination with meningococcalmeningococcal

HPVHPV

AdultAdult

HPV-2 types-malesHPV-2 types-males

MMR immunityMMR immunity

Hepatitis A for Hepatitis A for adopteesadoptees

Hepatitis B minimal Hepatitis B minimal intervalinterval

Meningococcal Rev.Meningococcal Rev.

Hib for adultsHib for adults

Age of consentAge of consentTITLE 39 TITLE 39 HEALTH AND SAFETYHEALTH AND SAFETYCHAPTER 45 CHAPTER 45 THE MEDICAL CONSENT AND NATURAL DEATH ACTTHE MEDICAL CONSENT AND NATURAL DEATH ACT39-4503.PERSONS WHO MAY CONSENT TO THEIR OWN 39-4503.PERSONS WHO MAY CONSENT TO THEIR OWN CARE. Any person of ordinary intelligence and awareness CARE. Any person of ordinary intelligence and awareness sufficient for him or her generally to comprehend the need sufficient for him or her generally to comprehend the need for, the nature of and the significant risks ordinarily for, the nature of and the significant risks ordinarily inherent in, any contemplated hospital, medical, dental or inherent in, any contemplated hospital, medical, dental or surgical care, treatment or procedure is competent to surgical care, treatment or procedure is competent to consent thereto on his or her own behalf. Any health care consent thereto on his or her own behalf. Any health care provider may provide such health care and services in provider may provide such health care and services in reliance upon such a consent if the consenting person reliance upon such a consent if the consenting person appears to the health care provider securing the consent to appears to the health care provider securing the consent to possess such requisite intelligence and awareness at the possess such requisite intelligence and awareness at the time of giving the consent.time of giving the consent.

OtherOther

Merck is no longer making single Merck is no longer making single antigen measles, mumps, rubellaantigen measles, mumps, rubella

Pneumovax for adults. Should we get?Pneumovax for adults. Should we get?

Idaho remain Universal SelectIdaho remain Universal Select

Non state child vaccine-what to do Non state child vaccine-what to do with itwith it

Idaho become a choice stateIdaho become a choice state

Tiered orderingTiered ordering

HiberixHiberix

Use only for the last dose of the Use only for the last dose of the seriesseries

Minimum age is 12 months. Maximum Minimum age is 12 months. Maximum age is 4 years and 364 daysage is 4 years and 364 days

Reconstitute with prefilled syringe Reconstitute with prefilled syringe diluent into the single dose vialdiluent into the single dose vial

Give IMGive IM

After reconstitution, can be stored in After reconstitution, can be stored in fridge up to 24 hoursfridge up to 24 hours

HIBHIB

No further doses needed if previous No further doses needed if previous dose administered at age 15 months dose administered at age 15 months or older. or older.

Look at Catch up scheduleLook at Catch up schedule

PrevnarPrevnar

No further dose needed for healthy No further dose needed for healthy children if previous dose children if previous dose administered at age 24 months or administered at age 24 months or older. older.

For a healthy child between 24 For a healthy child between 24 months and 5 years and never months and 5 years and never received a dose of prevnar after age received a dose of prevnar after age 12 months- give one.12 months- give one.

See catch up scheduleSee catch up schedule

ScenariosScenarios

24 month old has had (last given at 6 24 month old has had (last given at 6 months)months)

3 hepatitis B’s- last one after 6 3 hepatitis B’s- last one after 6 monthsmonths

Hib x2Hib x2

Dtap x 3Dtap x 3

Polio x3Polio x3

What shots would you give today?What shots would you give today?

24 month answer24 month answer

PentacelPentacel

MMRMMR

Varicella (Proquad) What agesVaricella (Proquad) What ages

Hepatitis AHepatitis A

Prevnar-What if had 1 prevnar Prevnar-What if had 1 prevnar already, dependant on their agealready, dependant on their age

6 month old6 month old

3 hepatitis B’s3 hepatitis B’s

2 Dtap2 Dtap

2 IPV2 IPV

2 prevnar2 prevnar

2 hibs2 hibs

What get today?What get today?

6 month old6 month old

PentacelPentacel

PrevnarPrevnar

Hepatitis BHepatitis B