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Immunization Healthcare

Visit the 2020-2021 Seasonal Influenza Resource Center


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.

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 
Seasonal Influenza Vaccination Training, Course Number DHA-US069
The Seasonal Influenza Vaccination Training, JKO Course Number DHA-US069, is currently being updated for the 2020-2021 influenza season. An announcement will be made here and on our Online Training page when the training becomes available on JKO. This training is designed for health care personnel who administer flu vaccine in DoD. If your unit or organization requires training to be completed right away, you may complete training that is currently on JKO.
September 21, 2020
Seasonal Influenza Vaccine Cold Chain Management for Logistics Personnel, JKO Course Number DHA-US070
The Seasonal Influenza Vaccine Cold Chain Management for Logistics Personnel, JKO Course Number DHA-US070, is currently being updated. An announcement will be made here and on our Online Training page when the training becomes available on JKO. If your unit or organization requires training to be completed right away, you may complete training that is currently on JKO.
September 21, 2020
Immunization Lifelong Learners Short Course (ILLSC)

The following ILLSCs are now open for registration:

September 15, 2020
Influenza Vaccine Product List and Age Groups 2020-2021
The CPT code for Fluad influenza vaccine has been updated. September 3, 2020

DHA-PI 6025.34: Guidance for the DoD Influenza Vaccination Program (IVP)

This Defense Health Agency-Procedural Instruction (DHA-PI) implements instructions, assigns responsibilities, and prescribes procedures for the DoD Northern Hemisphere (NH) and Southern Hemisphere (SH) Seasonal influenza vaccination program.

August 25, 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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CDC Pink Book

Publication
7/25/2019

Epidemiology and Prevention of Vaccine-Preventable Diseases - 13th Edition

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DODI 6205.02 DOD Immunization Program

Policy

Establishes policy, assigns responsibilities, and provides procedures to establish a uniform DoD immunization program, in accordance with the authority in DoDD 6200.04 and DoD Instruction (DoDI) 1010.10.

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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