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Immunization Healthcare


IMMUNIZATION AWARENESS MONTH:
ENSURING A HEALTHY FUTURE

Vaccinate on time


Tool Kit

The Ninth Edition of the Immunization Tool Kit (ITK) is now available in print exclusively for health care personnel within the Department of Defense. The ITK is a comprehensive resource booklet based on military immunization policy, national recommendations, evidenced-based, peer-reviewed published medical literature, and clinical practice guidelines. DoD health care personnel can:


A new injectable smallpox vaccine, JYNNEOS, received licensure
from the FDA in September 2019. Visit our JYNNEOS webpage for details.

Visit the 2020-2021 Seasonal Influenza Resource Center

A recent social-media rumor about anthrax vaccine and VA disability ratings is unfounded. Click here for important information regarding anthrax vaccine safety.

The Defense Health Agency Immunization Healthcare Division (DHA-IHD) supports Department of Defense (DoD) immunization programs and provides clinical consultative services, educational support, and training resources for the entire DoD family. To learn more, visit our:

What's New

The following documents have been updated within the past 30 days:

Important Announcement

The Defense Health Agency Immunization Healthcare Division (DHA-IHD) announces two new, recurring in-person training opportunities: the two-day Immunization Lifelong Learners Course (ILLC) and the one-day Immunization Lifelong Learners Short Course (ILLSC). Individual courses will be announced here when they are opened for registration. These courses are designed to ensure health care personnel are trained in vaccine policy, vaccine safety, and effectiveness based on national and DoD guidelines. They replace the former Standards for Quality Immunization Practices Course (SQIPC) and the Immunization Program Leaders Course (IPLC), which will no longer be offered. These new courses are recommended for any health care personnel working with immunizations.

Continuing education will be available for these activities. See our Immunization Lifelong Learners Course or Short Course pages for more details and for listings of each course.

Document What's changed Date Posted 
Standing Orders The Standing Orders for Immunizations 2020-2021 booklet has been updated with lists of recent changes made to the pediatric and adult standing orders. These lists of changes can also be found on our Standing Orders page under "2020 Updates." August 5, 2020
DHA-IHD Information Papers The information paper Cholera Disease and Cholera Vaccine has been updated with new storage and handling guidance. August 5 ,2020
Vaccine Storage and Handling

The following documents have been updated with information on the 2020-21 influenza vaccines:

August 4, 2020
Immunization Lifelong Learners Short Course (ILLSC)
Two ILLSCs scheduled for August 25-26, 2020 at Great Lakes, IL, have been postponed. An announcement will be made here if and when they are rescheduled.
July 31, 2020
IHD Online Training

The Human Papillomavirus (HPV) and HPV Vaccine, JKO Course Number DHA-US077, is currently being updated. If you need to complete HPV vaccine training, options include the CDC’s You Call the Shots series. DHA-IHD does not have preference of one reputable site over another. Upon completion of non-DoD training, be sure to print out your certificate of completion to ensure proper documentation with your unit or organization. You may not be able to retake these training modules if you previously completed them.

July 30, 2020
Cholera Resource Center

The following documents have been updated with new storage and handling guidance: 

July 29, 2020
2020-2021 Seasonal Influenza Resource Center

Adds the Influenza Vaccine Product List and Age Groups 2020-21, a list of available influenza vaccines for the 2020-21 flu season, along with age indications and other product specifications.

July 28, 2020
Vaccine Information Statements (VIS)

The VIS for hepatitis A vaccine has been updated. Providers are encouraged to begin using this VIS immediately, but stocks of the previous edition may be used until exhausted.

July 28, 2020
Standing Orders for Immunizations 2020-21
A comprehensive booklet of standing orders for vaccine delivery, and other immunization resources. This booklet can also be found under Immunization Resources below and on our Standing Orders page.
July 17, 2020
Immunization Lifelong Learners Short Course (ILLSC) An ILLSC scheduled for August 6, 2020 at Naval Support Activity Hampton Roads, Norfolk, VA, has been cancelled. An announcement will be made here if and when it is rescheduled. July 17, 2020
2020-2021 Seasonal Influenza Resource Center

The following documents have been added:

July 16, 2020
Standing Orders The standing orders for administering Hepatitis A vaccine to pediatric and adult patients have been updated to reflect new recommendations from the Advisory Committee on Immunization Practices (ACIP). July 16, 2020
2020-2021 Seasonal Influenza Resource Center Adds the manufacturer package inserts for the influenza vaccines licensed for the 2020-2021 flu season. July 14, 2020

Vision

A premier, responsive, patient centered organization promoting excellence in immunization health care practice and policy for service members and beneficiaries.

Mission

Support Force Health Protection and Readiness, and the Military Health System (MHS) by developing and promoting programs and services that enhance immunization effectiveness, safety, and acceptability. Provide evidence based solutions that improve immunization health care through policy implementation guidance, strategic communication, education, training, and clinical services worldwide.

Immunization Resources

Joint Regulation Immunization  Standing Orders booklet  Tool Kit

S&H Guide  Best Practices  Pink Book  Yellow Book

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Checklist: Best Practices for Vaccination Clinics Held at Satellite, Temporary, or Off-Site Locations

Publication
6/21/2019

A step-by-step guide to help clinic supervisors follow Centers for Disease Control and Prevention (CDC) and Department of Defense (DoD) guidelines while overseeing any nontraditional vaccination clinic setting.

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Hospital honored for Hepatitis B vaccine birth dose rate

Article
6/10/2019
Navy Hospital Corpsman 3rd Class Tommy Baker checks on Navy Logistics Specialist Seaman Tabernesha Victrum and Romeo Taylor as they hold their newborn daughter at Naval Hospital Jacksonville’s Maternal Infant Unit. (U.S. Navy photo by Jacob Sippel)

NH Jacksonville is the newest entry into IAC’s Birth Dose Honor Roll

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Resolution of Payments to State Vaccine Programs

Congressional Testimony
4/17/2019

S. 3159, SAC Report for FY 2019, 115-290, Pg. 207

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Measles vaccine protects against potentially serious illness

Article
4/4/2019
A Salvadoran nurse vaccinates a baby during a Task Force Northstar mission in El Salvador to provide medical care and other humanitarian and civic assistance. The mission involved U.S. military personnel working alongside their Brazilian, Canadian, Chilean, and Salvadoran counterparts. (U.S. Army Photo by Sgt. Kim Browne)

387 cases to date among civilian population

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Medical helps prevent the flu amongst service members through teamwork

Article
2/15/2019
Members of DLA Troop Support Medical supply chain and DLA Distribution pose for a photo at an after action review for the Department of Defense’s Influenza Vaccination Program at Fort Detrick, Maryland Feb. 5, 2019. The Medical supply chain made approximately 3.4 million doses of the influenza vaccine available at military treatment facilities and U.S. Navy Fleet clinics around the world in support of the DOD’s Influenza Vaccination Program. (DoD photo by Alexander Quiñones)

The Medical supply chain made approximately 3.4 million doses of the influenza vaccine available

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Advisory Committee on Immunization Practices Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger — United States, 2019

Report
2/8/2019

The 2019 child and adolescent immunization schedule summarizes the recommendations of the Advisory Committee on Immunization Practices (ACIP), including several changes from the 2018 immunization schedule.

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Vaccination is the best defense against the flu

Article
12/10/2018
Vaccination is the primary method for preventing influenza and its complications and getting an annual influenza vaccine is the best way to protect yourself and your family from the flu. (U.S. Army photo by Staff Sgt. Erica Knight)

Vaccination is needed every year because the Influenza viruses change

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Updated Framework for Development of Evidence-Based Recommendations by the Advisory Committee on Immunization Practices

Report
11/16/2018

In 2010, the Advisory Committee on Immunization Practices (ACIP) implemented the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach for developing evidence-based recommendations. Since its February 2018 meeting, ACIP has incorporated the use of Evidence to Decision or Evidence to Recommendation (EtR) frameworks into GRADE methodology.

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Global Routine Vaccination Coverage — 2017

Report
11/16/2018

Global coverage with vaccines to prevent diphtheria, tetanus, pertussis, polio, and measles has remained at 84%–85% since 2010. Prioritizing countries with the highest number of unvaccinated children to implement context-specific strategies has the potential to increase immunization coverage globally.

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WRAIR begins Phase 1 clinical trial of Marburg vaccine

Article
10/19/2018
The WRAIR study evaluates the VRC-MARADC087-00-VP vaccine, developed by the Vaccine Research Center of the National Institute of Allergy and Infectious Diseases, National Institutes of Health. (U.S. Army file photo)

WRAIR recently administered the first vaccine in a Phase 1 clinical trial to evaluate the safety and immunogenicity of a Marburg vaccine

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Vaccination Coverage Among Children Aged 19–35 Months — United States, 2017

Report
10/12/2018

The Advisory Committee on Immunization Practices recommends routine vaccination by age 24 months against 14 potentially serious illnesses. In 2017, coverage with most recommended vaccines among children aged 19–35 months remained stable and high but was lower in more rural areas and among uninsured or Medicaid-insured children.

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Vaccination Coverage for Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2017–18 School Year

Report
10/12/2018

Immunization programs conduct annual kindergarten vaccination assessments to monitor school-entry vaccination coverage for all state-required vaccines. Median vaccination coverage was 94.3% for 2 doses of measles, mumps, and rubella vaccine; 95.1% for the state-required number of doses of diphtheria and tetanus toxoids and acellular pertussis vaccine; and 93.8% for 2 doses of varicella vaccine.

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Say ‘Shoo’ to the flu with TRICARE

Article
9/26/2018
Amanda LaFountain, a licensed practical nurse, administers the flu shot to a Soldier. (U.S. Army photo by Staff Sgt. Marshall Metzger)

Flu viruses are serious, contagious viruses that can lead to hospitalization or even death

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Immunization University Certificate Retrieval Instructions

Publication
2/14/2018

This document provides instructions for students to retrieve their certificates for Immunization University courses

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National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13–17 Years — United States, 2016

Report
8/25/2017

CDC provides up-to-date estimated immunization rates among teens using the latest recommended immunization schedules.

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