Bilingual form to screen pregnant women for lead exposure.  Developed by MCN.

This Guide provides information on Mexico's Immunization Schedule, including number of doses and recommended ages.

An MCN/CDN webcast facilitated by Candace Kugel, FNP, CNM

Over the last three years, we have touched on many topics that we hoped would help you as you work to improve immunization rates in your clinic. For the final edition, we return to the important issue of patient-carried immunization records.

First, we offer an article that provides a convincing yes to the title question: “Are Patient-Held Vaccination Records Associated with Improved Vaccination Coverage Rates?” The authors of the article, James T. McElligott and Paul M. Darden.

As a compliment to the article, and by way of a final thank-you for your participation, MCN, along with CHEC (Community Health Education Concepts), has developed patient-friendly, low literacy, bi-lingual immunization cards for you to use with your clients.  The cards are 5x7, and can be printed from your clinic computers.  There are two versions, a Lifetime Card for adults, and a Child and Teen Card, both in Spanish/English.  We designed the card to be as simple as possible, and to include only the most important information.  If the information is meaningful and understandable to the clients, they are more likely to understand the importance of keeping their shots up to date.

An article that provides a convincing yes to the title question: “Are Patient-Held Vaccination Records Associated with Improved Vaccination Coverage Rates?” The authors of the article, James T. McElligott and Paul M. Darden, conclude that the “Use of patient-held vaccination records is an easily implemented strategy that is associated with increased immunization rates. A greater effect was seen in groups at risk for underimmunization. Methods to incorporate and to ensure effective use of these records should be implemented” The article was published in Pediatrics in February of 2010. The full citation is as follows: Pediatrics 2010;125;e467-e472; originally published online Feb 15, 2010; DOI: 10.1542/peds.2009-0835. The online version of this article, along with updated information and services also available.

A Shot of Quality Improvement!

Welcome to Immu-News, the Immunization Initiatives listserv, a monthly resource for the community of participants in this project.

All health care delivery organizations are required to have quality assurance and quality improvement programs, but it is often difficult to make these efforts really meaningful in the everyday practice of serving patients. This month’s Immu-News suggests a number of immunization quality measurements that you can adapt to your local setting. We are finding from our site visits that many of you really struggle with understanding who is getting immunized, who is missed, and what the root causes are for the gap between your goal of full immunization and the present reality at your center. Additionally, immunization data gathering is often very time consuming, often duplicated several times over for various outside agencies, and often not in step with the ways changes are made in other parts of your organization. Here are a few ideas from us, and we welcome responses back from you that will continually improve immunization practices.

Addressing the Big Four: On-Time Immunizations, Knowing Your Baseline, Making Improvement, and Accurate Records

Our four quality topics will cover:

• Immunization reminder systems
• Baseline immunization rate audits
• Measuring success
• Patient self-management in record retrieval

Resources

• PDSA Worksheet for Testing Change
• Immunization Audit Summary
• Manual Immunization Audit

Este recurso del CDC ofrece una visión general de la tos ferina , también conocida como Whooping Cough. Los temas incluyen síntomas , propagación, la tos ferina en los EE.UU. y las medidas de prevención.

This resources provides an overview of Pertussis, also known as the Whooping Cough. Topics include symptoms, how its spread, Pertussis in the US and prevention measures.

The Fresno County Website Community Health page offers information and resources on Pertussis also known as the Whooping Cough. Content includes information for parents, vaccination schedules and respitory hygiene, information for health care providers, and information for schools.

The Immunization Action Coalition (IAC) has recently released its fall issue of Needle Tips, http://www.immunize.org/nt with news and information for all health professionals who give vaccines.  Also available is Vaccinate Adults, http://www.immunize.org/va  a condensed version ofNeedle Tips for those who work only with adult patients. 

Again, Dr. Deborah Wexler, the Executive Director of the Immunization Action Coalition provides further reading and research on the topic of parental hesitation.  In the second half, we take a brief look at adults specifically:  why do adults hesitate to receive vaccines?  Are these barriers the same as for parents on behalf of their children?  Please feel free to send responses, comments, thoughts, and ideas to the listserv administrator atkath@healthletter.com. If you send comments, we will follow up with your responses and ideas in the next listserv.

First of all, this month we offer some reminders for resources that are available to help you navigate, with your clients, between immunization requirements in the US and those from neighboring Mexico.   Second, we guide you to a link on the World Health Organization website where you can check other countries’ immunization requirements and schedules.   This may give you a starting point for understanding your migrant clients’ immunization histories. Third, we offer a sample bi-lingual parent-held pediatric vaccine record.  Remember, “the most reliable source of vaccine information on any particular individual is that individual! Contrary to popular belief, parents DO carry portable vaccination records when given them. This is particularly true for immigrant families, who are used to carrying important documents and who realize the potential of revaccination if records are unavailable to the local provider.”  Jennie McLaurin, MD Finally, in the season of giving, our gift offer to the clinics participating in Immunization Initiatives  send us the English patient-held vaccine record you use for your clients, and we will translate it into Spanish. We offer this first to the clinics participating in Immunization Initiatives, and to the first six clinics who contact us.  Email the listserv administrator to make arrangements at kath@healthletter.com

This table for healthcare providers and planners provides information related to spacing between the two doses of 2009 H1N1 Vaccine for children 6 months through 9 years of age.