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Welcome to the updated Immunization Page!
In an effort to consolidate and organize the rapidly changing information on vaccinations for children, this page has been re-organized to make it easier to navigate.  The main areas may be reached by using the links on the left.  Important new links will be listed below.


AAP District II is consolidating vaccine information so that it is not duplicated on the Chapter web sites.  If you have arrived here by using a link from a New York Chapter web site, you may return by clicking here or on the links to the left.  


NY State Statewide Immunization Information System (NYSIIS)
(aka - Immunization Registry)

NYSIIS Letter
NYSIIS Frequently Asked Questions
PowerPoint presentation on the NYSIIS
NYSIIS Regulation Letter, Jan. 2008

     Our overarching message is: "NYSIIS implementation roll out has begun as planned with the statewide local health department training underway and region specific provider training and system access to follow according to our specified schedule."

     THE PLAN IS STILL TO BRING PROVIDERS ON BOARD OVER TIME AND REGIONALLY.  PROVIDERS ARE ENCOURAGED TO WAIT FOR THEIR REGIONAL TRAININGS/ROLL OUT PERIOD.  PROVIDERS ARE ENCOURAGED TO GET THEIR HPN ACCOUNTS SET UP IN THE MEANTIME. Link for providers to begin HPN account process: https://commerce.health.state.ny.us/pub.  Dr. Henry Schaeffer wants all pediatricians in New York to know that "penalties for non-compliance will not be issued during the implementation period, which should take a couple of years."

     Assistance with HPN process: Commerce Account Management Unit (CAMU) Help 
Desk 1-866-529-1890 or hinhpn@health.state.ny.us.  

     First provider training is scheduled for Jan 15-Feb15 in the Upper Hudson Region. Those that sign up for training will be set up with NYSIIS accounts.  For previous regional registry users, their past data may not be available immediately after their training date.  The plan is to get all Upper Hudson data migrated by 2/15/08 and to continue migration regionally as quickly as possible.

     If a provider really wants to get on the system before their regional roll out, the EDS Help Desk can set up one person per organization as the first administrative user. The EDS Help Desk is now live Mon - Fri from 8:00am to 5:00pm. Assistance with getting a NYSIIS account or using the actual application: EDS Help Desk 1-866-389-0371 or nysiishelpdesk@eds.com.  

     Early adopting users (i.e. those before their roll out) should sign themselves up for Webinar training ASAP.  Register at: http://nysdoh.webex.com. Open "Training Center" and click on the tab labeled "Upcoming."  Select a training session and click on the registration icon to the far right.

     There is a lot of information on the HPN NYSIIS page, especially under "Training Information" and "Information for Providers."  Please visit frequently!
https://commerce.health.state.ny.us/hpn/bcdc/immunization/nysiis.html 

     The training schedule can be found below.
 

Jan 15 - Feb 15 Upper Hudson: Greene, Columbia, Rensselaer, Albany, Schenectady, Montgomery, Fulton, Saratoga, Washington, Warren, Hamilton, Essex, Clinton, Franklin
Feb 15 - Mar 15 Central NY: Herkimer, St. Lawrence, Jefferson, Lewis, Oneida, Oswego, Cayuga, Onondaga, Madison, Chenango, Cortland, Tompkins, Tioga, Broome
Mar 15 - Apr 15 Finger Lakes: Chemung, Schuyler, Seneca, Wayne, Monroe, Orleans, Wyoming, Livingston, Ontario, Yates, Steuben
Apr 15 - May 15 Western: Niagara, Erie, Chautauqua, Cattaraugus, Allegany, Genesee
May 15 - Jun 15 Lower Hudson: Westchester, Rockland, Putnam, Orange, Dutchess, Ulster, Sullivan, Delaware, Otsego, Schoharie
Jun 15 - July 15 Long Island: Nassau, Suffolk

     Non-interactive independent learning opportunities for providers such as on-line tutorials and system manuals will be available after January 1, 2008.  Access to the NYSIIS will be through the Health Provider Network (HPN), so it is important to sign up to the network in advance.  

  • Get an HPN account for your organization and users

  • Confirm Internet access available for designated users

  • Monitor NYSDOH communications regarding NYSIIS implementation

  • Investigate specs for data upload process.  This link is to a pdf file with the specifications 
    for you to give to you office management program manufacturers.

  • Register for formal training (when available) or complete independently

  • Begin actively reporting no later than the implementation date for your region.

  • General questions can be directed to NYSIIS staff at (518) 473-4437 or 
    nysiis@health.state.ny.us
     

Merck Hib/Comvax recalls (December 11, 2007)  -  Bottom line: No need to revaccinate, do not use the listed lots.


New York State Education Department Health Appraisal Form
Revised October, 2007, for:

  • New school entrants

  • Students in grades Kindergarten, 2, 4, 7 and 10

  • Sports

  • Working papers

  • Triennially for the Committee on Special Education (CSE)


>New York State Insurance Mandate
[from the New York State Insurance Department Circular No. 13 (2006]

Based on the recommendation of the Commissioner of Health, the (Insurance) Department  has determined that covered necessary immunizations under the law are those recommended by the ACIP, and should the ACIP amend its recommendations, ...HMOs will take the necessary steps to provide coverage in accordance with the ACIP revised schedule, effective as of the date of the change.  

               Please direct any questions concerning the Circular Letter to:
Deborah A. Kozemko, J.D.
Supervising Insurance Attorney
New York State Insurance Department
One Commerce Plaza
Albany, NY   12257
E-mail:
dkozemko@ins.state.ny.us 


Recommendations for Influenza Vaccine, 2007-2008

The American Academy of Pediatrics (AAP) recommends annual influenza immunization for all children with high-risk conditions who are 6 months and older; all healthy children ages 6 through 59 months; all household contacts and out-of-home caregivers of children who have high-risk conditions and/or healthy children younger than 5 years; and all health care professionals.

The purpose of this statement is to update the current recommendations for routine use of influenza vaccine in children, which were originally published in a condensed version in April 2007. New information includes (1) harmonization of the recommendation of the AAP and the Centers for Disease Control and Prevention that children younger than 9 years receive two doses of influenza vaccine in their second season of immunization if they received only one dose in the previous seaon; and (2) further details on the administration of live-attenuated influenza vaccine (LAIV), including the recommendation for the use of LAIV in children as young as 2 years.

To view the statement, please log into the AAP Member Center.


Merck PedvaxHIB Shortage

Merck & Co., Inc. has reported that PedvaxHIB® is unavailable for shipment.  Based on the latest information, Merck expects PedvaxHIB® (PRP-OMP) to be available sometime in the first quarter of 2008.  Merck reports that the exact timing is dependent upon resolution of a manufacturing issue.  There are currently adequate amounts of ComVax® (PRP-OMP/Hepatitis B) to meet historical demand, but not to meet additional demand.

Limited amounts of PedvaxHIB® (PRP-OMP) will be made available from the CDC vaccine stockpile.  Doses for the private sector will be made available through Merck & Co., Inc. and to the public sector through the CDC vaccine contracts.

There will not be a sufficient quantity of stockpile vaccine to meet the historical demand for the PedvaxHIB® (PRP-OMP).  Sanofi Pasteur is working to provide additional ActHib® (PRP-T) to meet demand.  Current estimates are that providers of Haemophilus influenzae b conjugate vaccine (Hib) will need to utilize ActHib® (PRP-T) for approximately one-half of their historical PedvaxHIB® (PRP-OMP) use for the immediate future.  Orders placed beyond the available inventory of vaccine will result in backorders.

Updates of vaccine availability will be provided as more information becomes available.  If it becomes necessary to complete a series with PRP—T (ActHIB® [sanofi pasteur]) that was started with PRP-OMP (PedvaxHIB® or ComVax® (PRPOMP/Hepatitis B) [Merck]), the following guidelines may be followed:

  • If the first 2 doses of PRP-OMP were administered as the primary series, any Haemophilus influenzae b conjugate vaccine including PRP-T may be administered for the dose 3 booster at age 12-15 months.

  • If only one dose of PRP-OMP has been administered, the primary series may be completed with 2 additional doses of PRP-T. There should be a minimum interval of 4 weeks between all doses of the primary series followed by a 4th dose as a booster at age 12-15 months.

Please consult the Catch-Up Immunization Schedule (found on page 3 of the schedule) for the timing of doses for those who start late or are more than one month behind: http://www.cdc.gov/vaccines/recs/schedules/downloads/child/2007/child-schedule-color-print.pdf

For more information regarding recommendations during the current Hib shortage, please refer to the following (posted 3/6/2008):

 

 

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