Immunization MMWRs

December 2016

Kerr S, Van Bennekom CM, Mitchell AA, Vaccines and Medications in Pregnancy Surveillance System. Influenza Vaccination Coverage During Pregnancy — Selected Sites, United States, 2005–06 Through 2013–14 Influenza Vaccine Seasons MMWR. 2016;65(48);1370-73.
Among participants in the Birth Defects Study, which included pregnant women in New York and Massachusetts and the areas surrounding Philadelphia, Pennsylvania, and San Diego, California, influenza vaccination coverage increased during the 2012–13 and 2013–14 influenza vaccination seasons, to 35% and 41%, respectively...
. Announcement: National Influenza Vaccination Week — December 4–10, 2016 MMWR. 2016;65(47);1353.
The U.S. Department of Health and Human Services, CDC, state and local health departments, and other partners will observe National Influenza Vaccination Week during December 4–10, 2016...
Middaugh N, Petersen B, McCollum AM, Smelser C. Notes from the Field: Adverse Reaction After Vaccinia Virus Vaccination — New Mexico, 2016 MMWR. 2016;65(47);1351-2.
On February 4, 2016, the New Mexico Department of Health (NMDOH) was contacted regarding a patient who had received ACAM2000 smallpox (vaccinia) vaccine 12 days earlier as part of an institutional review board–approved study...

November 2016

Hsu CH, Mahamud A, Safdar RM, Ahmed J, Jorba J, Sharif S, et al. Progress Toward Poliomyelitis Eradication — Pakistan, January 2015–September 2016 MMWR. 2016;65(46);1295-99.
This report describes the activities, challenges, and progress toward polio eradication in Pakistan during January 2015–September 2016 and updates previous reports...
Casey RM, Dumolard L, Danovaro-Holliday MC, Gacic-Dobo M, Diallo MS, Hampton LM, et al. Global Routine Vaccination Coverage, 2015MMWR. 2016;65(45);1270-73.
Equitable access to immunization is a key goal of the Global Vaccine Action Plan 2011–2020 and is essential to reducing child mortality...
CDC. Announcement: World Pneumonia Day — November 12, 2016 MMWR. 2016;65(44);1241.
November 12th marks the eighth annual World Pneumonia Day, observed to raise awareness of pneumonia as a global public health concern for persons of all ages and a leading infectious cause of death of children aged less than 5 years, causing approximately 900,000 child deaths annually...
Patel MK, Gacic-Dobo M, Strebel PM, Dabbagh A, Mulders MN, Okwo-Bele J, et al. Progress Toward Regional Measles Elimination — Worldwide, 2000–2015 MMWR. 2016;65(44);1228-33.
This report updates a previous report (3) and describes progress toward global measles control milestones and regional measles elimination goals during 2000–2015...
Mbaeyi C, Shukla H, Smith P, Tangermann RH, Martinez M, Jorba JC, et al. Progress Toward Poliomyelitis Eradication — Afghanistan, January 2015‒August 2016 MMWR. 2016;65(43);1195-99.
This report describes actions taken and progress achieved toward polio eradication in Pakistan during January 2014-September 2015 and updates previous reports...
MacNeil JR, Rubin LG, Patton M, Ortega-Sanchez IP, Martin SW. Recommendations for Use of Meningococcal Conjugate Vaccines in HIV-Infected Persons — Advisory Committee on Immunization Practices, 2016 MMWR. 2016;65(43);1189-94.
This report summarizes the evidence considered by ACIP in recommending vaccination for HIV-infected persons, and provides recommendations and guidance for use of meningococcal conjugate vaccines (serogroups A, C, W, and Y) among HIV-infected persons aged ≥2 months; the majority of meningococcal disease among HIV-infected persons is caused by these four serogroups...

October 2016

Schicker RS, Rossow J, Eckel S, Fisher N, Bidol S, Tatham L, et.al. Outbreak of Influenza A(H3N2) Variant Virus Infections Among Persons Attending Agricultural Fairs Housing Infected Swine — Michigan and Ohio, July–August 2016 MMWR. 2016;65(42);1157-60.
This report describes all reported H3N2v virus infections in the United States since January 1, 2016...
Seither R, Calhoun K, Mellerson J, Knighton CL, Street E, Dietz V, et.al. Vaccination Coverage Among Children in Kindergarten — United States, 2015–16 School Year MMWR. 2016;65(39);1057-64.
This report describes vaccination coverage estimates in all 50 states and the District of Columbia (DC), and the estimated number of kindergartners with at least one vaccine exemption in 47 states and DC, during the 2015–16 school year...
Hill HA, Elam-Evans LD, Yankey D, Singleton JA, Dietz V. Vaccination Coverage Among Children Aged 19–35 Months — United States, 2015MMWR. 2016;65(39);1065-71.
The 2015 NIS data reveal no significant changes in overall coverage relative to the previous year...
Oh DH; Dabbagh A, Goodson JL, Strebel PM, Thapa S, Giri JN, et.al. Real-Time Monitoring of Vaccination Campaign Performance Using Mobile Phones — Nepal, 2016 MMWR. 2016;65(39);1072-6.
This report describes pilot testing of RCM using mobile phones (RCM-MP) during the second phase of an SIA in Nepal in 2016...

September 2016

Centers for Disease Control and Prevention. Announcement: Final 2015–16 Influenza Vaccination Coverage Estimates for Selected Local Areas, States, and the United States Available Online MMWR. 2016;65(38);1041.
The online information includes estimates of the cumulative percentage of persons vaccinated through the end of each month during July 2015–May 2016, for selected local areas, states, and regions as designated by the U.S. Department of Health and Human Services, and the United States overall...
Fill MA, Sweat D, Morrow H, Haushalter A, Martin JC, Zerwekh T, et al. Notes from the Field: Measles Outbreak of Unknown Source — Shelby County, Tennessee, April–May 2016 MMWR. 2016;65(38);1039-40.
This outbreak, with three epidemiologically distinct chains of transmission and no identified common source, highlights the importance of high 2-dose MMR vaccination coverage among vaccine-eligible persons and the need for ongoing, vigilant surveillance for measles virus in the United States...
Black CL, Yue X, Ball SW, Donahue SMA, Izrael D, de Perio MA, et al. Influenza Vaccination Coverage Among Health Care Personnel — United States, 2015–16 Influenza Season MMWR. 2016;65(38);1026-31.
Influenza vaccination coverage among health care personnel during the 2015–16 influenza season, assessed using an opt-in Internet panel survey, was 79.0%, similar to coverage during the 2014–15 season...
Crawford E, Drennon M, Winston T. Notes from the Field: Pediatric Death from Meningococcal Disease in a Family of Romani Travelers — Sarasota, Florida, 2015 MMWR. 2016;65(37);1017.
Because of the challenges of assessing exposure, the DOH-Sarasota epidemiologist and medical director determined that providing chemoprophylaxis to all identified contacts was necessary...
Budd A, Blanton L, Kniss K, Smith S, Mustaquim D, Davlin SL, et al. Update: Influenza Activity — United States and Worldwide, May 22–September 10, 2016 MMWR. 2016;65(37);1008-14.
This season, CDC recommends use of the flu shot (inactivated influenza vaccine or IIV) or the recombinant influenza vaccine (RIV)...
Hoch DE, Scott L, Chang J. Notes from the Field: Varicella Outbreak Associated with Riding on a School Bus — Muskegon County, Michigan, 2015 MMWR. 2016;65(35);941-2.
This investigation underscores the importance of maintaining high 2-dose varicella immunization levels to reduce risk for disease transmission...
Nanduri S, Foo C, Ngo V, Jarashow C, Civen R, Schwartz B, et al. Outbreak of Serogroup C Meningococcal Disease Primarily Affecting Men Who Have Sex with Men — Southern California, 2016 MMWR. 2016;65(35);939-40.
The Advisory Committee on Immunization Practices recently discussed use of MenACWY vaccine among MSM and HIV-infected persons and in June 2016 recommended that all HIV-infected persons be routinely vaccinated with MenACWY...
Hampton LM, Farrell M, Ramirez-Gonzalez A, Menning L, Shendale S, Lewis I, et al. Cessation of Trivalent Oral Poliovirus Vaccine and Introduction of Inactivated Poliovirus Vaccine — Worldwide, 2016 MMWR. 2016;65(35);935-8.
The cessation of tOPV use is a major milestone toward the global goal of eradicating polio; however, careful surveillance for polioviruses and prompt, aggressive responses to polio outbreaks are still needed to realize a polio-free world...
Lopez AS, Zhang J, Marin M. Epidemiology of Varicella During the 2-Dose Varicella Vaccination Program — United States, 2005–2014MMWR. 2016;65(34);902-5.
This report updates varicella incidence trends to include the most recent years in the 2-dose varicella vaccination program...

August 2016

. Reagan-Steiner S, Yankey D, Jeyarajah J, Elam-Evans LD, Curtis CR, MacNeil J, et al. National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13–17 Years — United States, 2015 MMWR. 2016;65(33);850-8.
In 2015, 28 states and local areas achieved increases in HPV vaccination coverage among males, and seven states achieved increases among females...
. Bahl S, Verma H, Bhatnagar P, Haldar P, Satapathy A, Kumar KNA, et al. Fractional-Dose Inactivated Poliovirus Vaccine Immunization Campaign — Telangana State, India, June 2016 MMWR. 2016;65(33);859-63.
This was the first mass vaccination campaign to use fIPV, and in a postcoverage monitoring survey, 94% of assessed children were found to have received fIPV during the campaign...
. Grohskopf LA, Sokolow LZ, Broder KR, Olsen SJ, Karron RA, Jernigan DB, et al. Prevention and Control of Seasonal Influenza with Vaccines Recommendations of the Advisory Committee on Immunization Practices — United States, 2016–17 Influenza Season MMWR. 2016;65(5);1-54.
This report updates the 2015–16 recommendations of the Advisory Committee on Immunization Practices (ACIP) regarding the use of seasonal influenza vaccines...
Jorba J, Diop OM, Iber J, Sutter RW, Wassilak SG, Burns CC. Update on Vaccine-Derived Polioviruses — Worldwide, January 2015–May 2016 MMWR. 2016;65(30);763-9.
This report updates previous summaries regarding VDPVs...

July 2016

Albertson JP, Clegg WJ, Reid1 HD, Arbise BS, Pryde J, Vaid A, et al. Mumps Outbreak at a University and Recommendation for a Third Dose of Measles-Mumps-Rubella Vaccine — Illinois, 2015–2016 MMWR. 2016;65(29);731-734.
The rationale for the recommendation of a third MMR dose included a consideration of seasonal trends and characteristics of the at-risk population...
Viens LJ, Henley SJ, Watson M, Markowitz LE, Thomas CC, et al. Human Papillomavirus–Associated Cancers — United States, 2008–2012MMWR. 2016;65(26);661–666.
CDC estimated that approximately 30,700 new cancers were attributable to HPV, including 19,200 among females and 11,600 among males...

June 2016

Davlin SL, Blanton L, Kniss K, Mustaquim D, Smith S, Kramer N; et al. Influenza Activity — United States, 2015–16 Season and Composition of the 2016–17 Influenza Vaccine MMWR. 2016;65(22);567–75.
This report summarizes influenza activity in the United States during the 2015–16 influenza season (October 4, 2015–May 21, 2016) and reports the vaccine virus components recommended for the 2016–17 Northern Hemisphere influenza vaccines…

May 2016

McMahan DA, Pitcher ED, Waldron1 MR; Billman AS, Richards SM; Pontones PR, et al. Notes from the Field: Expanded Chemoprophylaxis Offered in Response to a Case of Meningococcal Meningitis in an Elementary School — Indiana, 2015. MMWR. 2016;65(20);522.
This public-private partnership resulted in a high level of compliance with public health recommendations and minimal disruption to families and the elementary school...
Biswas HH, Han GS, Wendorf K, Winter K, Zipprich J, Perti T, et al. Notes from the Field: Outbreak of Serogroup B Meningococcal Disease at a University — California, 2016. MMWR. 2016;65(20);520-521.
The response to this outbreak was rapid, with the first vaccination clinic conducted less than 48 hours after the second case was confirmed...
Morales M, Tangermann RH, Wassilak SGF. Progress Toward Polio Eradication — Worldwide, 2015–2016. MMWR. 2016;65(18);470-473.
This report summarizes global progress toward polio eradication during 2015–2016 and updates previous reports...
Mulders MN, Rota PA, Icenogle JP, Brown KE, Takeda M, Rey GJ, et al. Global Measles and Rubella Laboratory Network Support for Elimination Goals, 2010–2015. MMWR. 2016;65(17);438-442.
During the past year, the number of laboratories that participated in molecular proficiency testing increased from 22 to 90...

April 2016

Wiseman R, Weil LM, Lozano C, Johnson TJ, Jin S, Moorman AC, et al. Notes from the Field: Health Care–Associated Hepatitis A Outbreak — Texas, 2015 MMWR. 2016;65(16);425–6.
Although standard precautions are recommended for health care personnel working with diapered or incontinent patients without an infectious etiology for their symptoms, contact precautions are recommended when HAV or another infectious etiology is suspected or confirmed...
Briere EC. Food and Drug Administration Approval for Use of Hiberix as a 3-Dose Primary Haemophilus influenzae Type b (Hib) Vaccination Series MMWR. 2016;65(16);418–9.
As previously recommended, a single booster dose should be administered to children aged 15 months through 18 months; to facilitate timely booster vaccination, Hiberix can be administered as early as age 12 months, in accordance with Hib vaccination schedules for routine and catch-up immunization...
Centers for Disease Control and Prevention. Announcement: National Infant Immunization Week — April 16–23, 2016 MMWR. 2016;65(14);384.
National Infant Immunization Week (NIIW), April 16–23, 2016, will focus attention on the role of immunization in protecting infants from vaccine-preventable diseases...

March 2016

Petersen BW, Harms TJ, Reynolds MG, Harrison LH. Use of Vaccinia Virus Smallpox Vaccine in Laboratory and Health Care Personnel at Risk for Occupational Exposure to Orthopoxviruses — Recommendations of the Advisory Committee on Immunization Practices (ACIP), 2015 MMWR. 2016;65(10);257–262.
These recommendations contain information on ACAM2000 and its use in laboratory and health care personnel at risk for occupational exposure to orthopoxviruses...
Khanal S, Sedai TR, Choudary GR, Giri JN, Bohara R, Pant R, et al. Progress Toward Measles Elimination — Nepal, 2007–2014 MMWR. 2016;65(8);206-210.
This report updates a previous report and summarizes progress toward measles elimination in Nepal during 2007–2014. During 2007–2014, estimated coverage with the first MCV dose (MCV1) increased from 81% to 88%...

February 2016

Su JR, Miller ER, Duffy J, Baer BM, Cano MV. Notes from the Field: Administration Error Involving a Meningococcal Conjugate Vaccine — United States, March 1, 2010–September 22, 2015 MMWR. 2016;65(6);161-162.
A recipient who receives an improperly prepared dose of Menveo should receive a repeat dose of meningococcal conjugate vaccine prepared according to manufacturer instructions...
Russell K, Blanton L, Kniss K, Mustaquim D, Smith S, Cohen J, et al. Update: Influenza Activity — United States, October 4, 2015–February 6, 2016 MMWR. 2016;65(6);146-153.
This report summarizes U.S. influenza activity during October 4, 2015–February 6, 2016, and updates the previous summary...
Murphy TV, Denniston MM, Hill HA, McDonald M, Klevens MR, Elam-Evans LD, et al. Progress Toward Eliminating Hepatitis A Disease in the United States MMWR. Supplements 2016;65(1);29-41.
This report examines the temporal association of ACIP-recommended HepA vaccination and disparities in cases of HAV disease and on seroprevalence of HAV-related protection...
Morales M, Nnadi CD, Tangermann RH, Wassilak SGF. Notes from the Field: Circulating Vaccine-Derived Poliovirus Outbreaks — Five Countries, 2014-2015 MMWR. 2016;65(05);128-129.
The World Health Organization recently broadened the definition of cVDPVs to include any VDPV with genetic evidence of prolonged transmission and indicated that any single VDPV2 event should elicit a detailed outbreak investigation and local immunization response...
Williams WW, Lu P, O’Halloran A, Kim DK, Grohskopf LA, Pilishvili T, et al. Surveillance of Vaccination Coverage Among Adult Populations — United States, 2014 MMWR. Surveillance Summaries 2016;65(1);1-36.
This report represents the first comprehensive release of adult vaccination coverage data to include assessment of associations with expanded data on demographic characteristics of respondents including access to health care...
Kim DK, Bridges CB, Harriman KH, Advisory Committee on Immunization Practices (ACIP), ACIP Adult Immunization Work Group. Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older — United States, 2016 MMWR. 2016;65(4);88-90.
This schedule provides a summary of ACIP recommendations for the use of vaccines routinely recommended for adults aged 19 years or older in two figures, footnotes for each vaccine, and a table that describes primary contraindications and precautions for commonly used vaccines for adults...
Robinson CL, Advisory Committee on Immunization Practices (ACIP), ACIP Child/Adolescent Immunization Work Group. Advisory Committee on Immunization Practices Recommended Immunization Schedules for Persons Aged 0 Through 18 Years — United States, 2016 MMWR. 2016;65(4);86-87.
In October 2015, ACIP approved the recommended immunization schedules for persons aged 0 through 18 years for 2016; the 2016 schedules include several changes from the 2015 immunization schedules...

January 2016

Chu KM, Johnson LA. Increases in Acute Hepatitis B Virus Infections — Kentucky, Tennessee, and West Virginia, 2006-2013 MMWR. 2016;65(3);47-50.
Compared with cases that occurred during 2006-2009, a significant increase in the proportion of cases in which injection drug use was reported during 2010-2013...