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IMMUNIZATIONS. HEALTHROOM ASSISTANT TRAINING 2013-2014 Cheri Dotson, SFPS Lead Nurse cdotson@sfps.info. Immunization Protection is for Everyone. Infants & Children Teens Adults & Older Adults 1 shot protects you and others. They prevent common infections

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Immunizations

IMMUNIZATIONS

HEALTHROOM ASSISTANT TRAINING

2013-2014

Cheri Dotson, SFPS Lead Nurse

cdotson@sfps.info


Immunization protection is for everyone
Immunization Protection is for Everyone

  • Infants & Children

  • Teens

  • Adults & Older Adults

  • 1 shot protects you and others


Immunizations are important because

They prevent common infections

They prevent infections from returning

They prevent infections a plane ride away

Some diseases have no cure

Immunizations are Important Because…


Immunizations prevent disease
Immunizations Prevent Disease

  • They target diseases that are contagious

  • But they are not for all diseases


Vaccines are safe
Vaccines are Safe

  • 1st define “Safe”

    Harmless versus preserving from danger


Vaccines are safe safety standards
Vaccines are Safe – Safety Standards

  • Who decides what vaccines are needed?

  • What kind of safety standards are there?

  • Examples of safety monitoring:

    • Rotavirus vaccine

    • Thimerosol

    • Pneumococcal vaccine

    • Others


Safety and side effects
Safety and Side Effects

  • Vaccine reaction

  • Vaccine potentiated

  • Programmatic error

  • Coincidental

  • Serious side effects

  • Benefits outweigh risks



Vaccine myths facts

Misconceptions

The media

Lack of knowledge

Myths about vaccines

Vaccine Myths (& Facts)

Examples of the roots of myths…


Vaccine myth fact vaccines weaken the immune system
Vaccine Myth & Fact: Vaccines Weaken the Immune System

  • Vaccines are weak

  • Vaccines actually strengthen the immune system


Vaccine myth fact vaccines overload the immune system
Vaccine Myth & Fact: Vaccines Overload the Immune System

  • Vaccines are a

    drop in the ocean


Vaccine myth fact natural infection is better
Vaccine Myth & Fact: Natural Infection Is Better

  • There are significant risks with natural infections such as death, hearing loss, mental retardation, sterility, and arthritis.

  • Secondary infections also occur.


Vaccine myth fact vaccines cause autism
Vaccine Myth & Fact: Vaccines Cause Autism

  • Vaccine of concern: MMR

  • 1998 Wakefield study has been refuted


Vaccine myth fact vaccines cause diabetes
Vaccine Myth & Fact: Vaccines Cause Diabetes

  • Vaccine of concern: Haemophilus Influenzae type B (Hib) & others

  • Evidence does not support this


Vaccine myth fact vaccines cause sids ms
Vaccine Myth & Fact: Vaccines Cause SIDS & MS

  • Vaccine of concern: Hepatitis B

  • SIDS rates have actually decreased

  • MS rates remain the same


Vaccine myth fact you can get the flu from the vaccine
Vaccine Myth & Fact: You Can Get the Flu from the Vaccine

  • Vaccine of concern: Influenza

  • Vaccine is a killed virus – can’t cause flu (shots vs. Flu Mist)

  • Vaccine is not 100% effective, so possible to still catch the flu


Summary of vaccine safety issues
Summary of Vaccine Safety Issues

  • Risk of diseases versus risk of vaccines

  • Vaccines prevent disease

  • Vaccines are “Safe”

  • Understand what is behind a myth or concern


Nm law requires that all students must be immunized against certain communicable diseases
NMLAW REQUIRES THAT ALL STUDENTS MUST BE IMMUNIZED AGAINST CERTAIN COMMUNICABLE DISEASES.

  • Requirements determined by NM DOH

  • Shot record on enrollment

  • Dates: month, day, year

  • In-process

  • Exemptions (www.health.state.nm.us, families/kids, immunization schedules- recommendations, exemptions, NM form)


In process
IN PROCESS

  • A child whose immunizations are not up-to-date but who has received all immunizations permissible at the current date.

  • Scheduled appointment.

  • If out of school longer than five consecutive days for noncompliance, call the local DHO.


Exemptions
EXEMPTIONS

Medical:

Statement or certificate signed by a licensed physician or certified nurse practitioner (length of time depends on MD note).

Notarized Certification of Religious Exemption (1 school year)


Immunizations required
Immunizations Required

  • Diphtheria

  • Pertussis

  • Tetanus

  • Polio

  • Measles

  • Mumps

  • Rubella

  • Hepatitis B

  • Varicella


Non required immunizations
Non-Required Immunizations

  • Hib

  • Hepatitis A

  • Pneumococcal

  • Meningococcal

  • HPV - Human papillomavirus


Reading immunization schedule
READING IMMUNIZATION SCHEDULE

  • Have CURRENT schedule.

  • Must know child’s birth date and today’s date.

  • Four day grace period allowed.

  • Confer with nurse on questionable immunizations.


Dob 10 22 2007
DOB 10/22/2007

  • DTP 12/22/07 2/24/07 5/15/08

    12/22/08 11/1/11

  • Polio 12/22/07 2/24/08 11/1/11

  • HIB 12/22/07 2/24/08 11/1/11

  • MMR 5/6/09 11/1/11

  • HepB 10/23/07 12/22/07 2/24/08

  • Varicella 5/6/09 11/1/11


Dob 5 4 2008
DOB 5/4/2008

  • DTP 7/22/08 12/11/08 2/25/09

  • Polio 7/22/08 12/11/08 2/25/09

  • HIB 7/22/08 12/11/08 2/25/09

  • MMR 11/9/09

  • HepB 5/5/08 7/22/08 2/25/09

  • Varicella 11/9/09


Dob 6 13 02
DOB 6/13/02

  • DTP 12/5/02 3/15/03 2/12/43

  • Polio 12/5/02 3/15/03 2/12/04

  • HIB

  • MMR 3/15/03

  • HepB

  • Varicella Hx of disease


Dob 8 9 2007
DOB 8/9/2007

  • DPT 10/3/07 12/3/07 2/10/08

    11/10/08 7/26/12

  • Polio 10/3/07 11/10/08 7/26/12

  • HIB 10/3/07 12/3/07 02/10/08 11/10/08

  • MMR 11/10/08 7/26/12

  • HepB 8/9/07 10/3/07 2/10/08

  • Varicella 11/10/08 7/26/12


Dob 10 10 2007
DOB 10/10/2007

  • DTP 12/7/2007 2/1/2008 4/12/2008

  • Polio 12/7/2007 2/1/2008 4/12/2008 10/12/2008

  • HIB 12/7/2007 2/1/2008

  • MMR 10/12/2008

  • HepB 10/11/2007 12/7/2007 2/10/2008

  • Varicella 10/12/2008


Dob 7 27 2001
DOB 7/27/2001

  • DTP 10/12/01 12/2/01 2/1/02 7/28/05

  • Polio 10/12/901 12/2/01 2/1/02 7/28/05

  • HIB 10/12/01 12/2/01 2/1/02 7/28/05

  • MMR 7/28/05

  • HepB 7/27/01 2/1/02 10/12/02

  • Varicella 7/28/05


Dob 5 18 99
DOB 5/18/99

  • DTP 2/7/00 4/22/00 8/6/00 10/18/00 11/29/03

  • Polio 2/7/00 4/22/00 8/6/00 11/29/03

  • MMR 8/6/00 11/29/03

  • HepB 2/7/00 4/22/00 8/6/00

  • HepA 2/11/06 3/9/07

  • Varicella 5/31/03


Dob 03 09 2004
DOB 03/09/2004

  • DPT 08/10/05 08/25/06 10/03/07 08/16/08

  • Polio 08/10/05 08/25/06 10/03/07

  • Hib 08/10/05

  • MMR 03/12/05 08/16/08

  • HepB 03/11/04 08/25/06 10/03/07

  • Varicella 03/12/05


Questions
Questions??

Adverse Events Reporting System (VAERS)- 1-888-275-4772 –phone number & website listed on all Vaccine Information Sheets [VIS]

For accurate immunization information, current VISs, etc. visit: CDC.gov/immunizations

For great information sheets, videos, etc.: vaccine.chop.edu (Children’s Hospital of Philadelphia