You are on page 1of 3

FROM

CDRUSAMMA FT DETRICK MD//MCMR-MMO-SO//

***PRIORITY***MESSAGE RELEASED: 09/17/2007

****************UNCLASSIFIED****************

SUBJ: MMI-07-4008
POLICY GUIDANCE FOR THE USE OF INFLUENZA VACCINE FOR THE 2007-2008 INFLUENZA
SEASON

THIS MSG CORRESPONDS TO HQ US ARMY MEDCOM OPORD 07-90.

REF A. DRAFT/DOC/ASD(HA)/XXXXXXX/APMN/ASD(HA) MEMO, SUBJ: POLICY GUIDANCE FOR


THE USE OF INFLUENZA VACCINE FOR THE 2007-2008 INFLUENZA SEASON//

REF B. /DOC/CDC/29JUN07/SUBJ: PREVENTION AND CONTROL OF INFLUENZA: RECOMMENDATIONS

OF THE ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES (ACIP)MMWR 2007;56(NO.


RR 06)//

REF C. /REG/HQDA/29SEP06/ARMY REGULATION 40-562, IMMUNIZATIONS AND


CHEMOPROPHYLAXIS//

REF D. /DOC/CDC/16JUL07/SUBJ: INFLUENZA VACCINE INFORMATION STATEMENTS (VIS)


HTTP://WWW.CDC.GOV/VACCINES/PUBS/VIS/DEFAULT.HTM#FLU//

REF E. /DOC/USAMMA/23AUG07/SUBJ:MMI-07-4004: CLARIFICATION/INFORMATION / 2007-2008

INFLUENZA VIRUS VACCINE//

01. FOR THE 2007-2008 INFLUENZA SEASON, THE ARMY HAS CONTRACTED FOR A TOTAL
OF 1.55 MILLION DOSES, WHICH INCLUDES 692,465 DOSES OF INACTIVATED (INJECTABLE)
VACCINE AND 862,040 DOSES OF LIVE ATTENUATED (INTRANASAL) VACCINE. BOTH THE
INTRANASAL VACCINE AND INJECTABLE VACCINES ARE EXPECTED TO BE AVAILABLE EARLY
THIS FALL. MTFS SHOULD EXPECT SEVERAL DELIVERIES TO FILL REQUIREMENTS. SEE
(REF A).

02. THE 2007-2008 TRIVALENT INFLUENZA VACCINE STRAINS ARE A/SOLOMON


ISLANDS/3/2006(H1N1)-LIKE (NEW FOR THIS SEASON), A/WISCONSIN/67/2005 (H3N2)-LIKE,
AND B/MALAYSIA/2506/2004-LIKE VIRUSES.

03. ALL ARMY COMMANDS (ACOM), ARMY SERVICE COMMANDS (ASCC), AND DIRECT REPORTING
UNITS (DRU) ARE DIRECTED TO IMPLEMENT THE 2007-2008 INFLUENZA VACCINE IMMUNIZATION

PROGRAM IMMEDIATELY UPON RECEIVING INFLUENZA VACCINE TO PROTECT INDIVIDUALS


AT RISK FOR DEVELOPING COMPLICATIONS FROM INFLUENZA.

04. INFLUENZA VACCINATION IS REQUIRED FOR ALL ACTIVE DUTY AND SELECTED RESERVE
PERSONNEL.

A. IMPLEMENTATION OF DOD INFLUENZA IMMUNIZATION WILL BE MONITORED VIA ELECTRONIC


REPORTING TO THE DEFENSE ELIGIBILITY ENROLLMENT REPORTING SYSTEM (DEERS). THE
GOAL IS TO EXCEED 90% IMMUNIZATION IN MILITARY PERSONNEL BY 31 DECEMBER 07
IN ORDER TO PROTECT PERSONNEL FROM INFLUENZA BEFORE EXPOSURE.
B. PERSONNEL SHALL BE IN A DUTY STATUS WHEN RECEIVING ANY DOD-DIRECTED
IMMUNIZATION. UNIT COMMANDERS MUST ENSURE PERSONNEL RECEIVING INFLUENZA
VACCINATION
ARE ELIGIBLE AND ARE IN A DUTY STATUS. INTRANASAL VACCINE WILL BE ADMINISTERED
TO MILITARY PERSONNEL AND HEALTH BENEFICIARIES AGES 5-49 WITHOUT CONTRAINDICATION,

WHERE AVAILABLE.

C. INJECTABLE VACCINE SHOULD BE RESERVED FOR THOSE IN WHOM THE INTRANASAL VACCINE
IS CONTRAINDICATED OR WHERE THE INTRANASAL VACCINE IS UNAVAILABLE DUE TO
TEMPERATURE CONSTRAINTS DURING SHIPPING.

05. ALL IMMUNIZATION CLINICS AND SRP SITES WILL SCREEN ALL PERSONNEL RECEIVING
INFLUENZA VACCINATIONS ACCORDING TO PACKAGE INSERT INFORMATION TO IDENTIFY
IF CONTRAINDICATIONS TO IMMUNIZATION EXIST.

A. INFLUENZA VACCINE SHOULD NOT BE ADMINISTERED TO PEOPLE KNOWN TO HAVE


HYPERSENSITIVITY (E.G., ALLERGIC REACTIONS INCLUDING ANAPHYLAXIS) TO EGGS (E.G.,
HIVES, SWELLING OF THE LIPS OR TONGUE, ACUTE RESPIRATORY DISTRESS OR COLLAPSE)
OR TO OTHER COMPONENTS OF THE INFLUENZA VACCINE WITHOUT FIRST CONSULTING A
PHYSICIAN.

B. PREGNANT WOMEN CAN BE VACCINATED WITH INACTIVATED INFLUENZA VACCINE AT


ANY TIME DURING THEIR PREGNANCY.

C. COMMON SIDE EFFECTS OF THE INFLUENZA VACCINES ARE: LOCAL SWELLING, SORENESS
AT THE INJECTION SITE AND HEADACHE. THESE BEGIN 6-12 HOURS AFTER IMMUNIZATION
AND CAN PERSIST FOR 1-2 DAYS. IMMEDIATE ALLERGIC REACTIONS INCLUDING HIVES,
ANGIOEDEMA, ALLERGIC ASTHMA, AND SYSTEMIC ANAPHYLAXIS ARE RARE.

D. REPORT KNOWN OR SUSPECTED ADVERSE EVENTS RELATED TO THE ADMINISTRATION OF


INFLUENZA VACCINE TO THE LOCAL CLINIC WHERE VACCINE WAS ADMINISTERD AND TO
THE VACCINE ADVERSE EVENT REPORTING SYSTEM (VAERS) AT WWW.VAERS.HHS.GOV.

E. VACCINE HEALTHCARE CENTER SYSTEMS (VHC) NETWORK.

- CONTINUE TO EDUCATE LEADERS, HEALTHCARE PROVIDERS, AND PATIENTS ABOUT THE


SERVICES OFFERED BY THE VHC NETWORK.

- THE VHC NETWORK IS A TEAM OF CLINICAL VACCINE EXPERTS WHO ASSIST PATIENTS
AND HEALTHCARE PROVIDERS WITH TREATMENT OF HEALTH PROBLEMS BEFORE AND AFTER
VACCINATIONS, ASSIST WITH MEDICAL EXEMPTIONS, AND TEACH SERVICE MEMBERS AND
THEIR FAMILIES ABOUT VACCINES. THE VHC CAN ALSO ASSIST WITH FILING VAERS REPORTS
AND DOCUMENT EXEMPTIONS.

- ARMY REGIONAL VHCS ARE LOCATED AT WALTER REED ARMY MEDICAL CENTER, WASHINGTON,
DC (COM: 202-782-0411; DSN: 662-0411) AND FORT BRAGG, NC (COM: 910-432-4015;
DSN 239-4015).

- ANYONE WITH VACCINE RELATED QUESTIONS CAN ALSO CONTACT THE DOD CLINICAL CALL
CENTER'S 24-HOUR TOLL-FREE NUMBER AT 1-866-210-6469.

06. IMPLEMENTATION OF SCREENING PROCEDURES AT INSTALLATION IN-AND OUT-PROCESSING


STATIONS IS REQUIRED TO ENSURE THAT PERSONNEL CHANGING STATIONS RECEIVE OR
HAVE ALREADY RECEIVED, SEASONAL INFLUENZA IMMUNIZATION BEFORE PROCEEDING.

07. COMMANDERS ARE CHARGED WITH ENSURING IMMUNIZATION DATA IS ENTERED INTO
MEDPROS FULLY AND PROMPTLY.

08. MEDPROS WILL CONTINUE TO OFFER COMMAND DRILL-DOWN REPORTING CAPABILITY


TO ALLOW ALL USERS TO TRACK COMPLIANCE. THE STANDARD IS FOR EACH ACOM, ASCC,
DRU AND INSTALLATION TO ACHIEVE A GREEN STATUS NLT 31 DECEMBER 07. COMPLIANCE
WILL BE CATEGORIZED AS GREEN (>90% OF PERSONNEL VACCINATED), AMBER (80-90%
PERSONNEL VACCINATED), AND RED (<80% VACCINATED).

09. THE INFLUENZA VACCINE IMMUNIZATION PROGRAM REMAINS A COMMANDERS FORCE HEALTH
PROTECTION RESPONSIBILITY. COMMANDERS WILL FOLLOW GUIDANCE PROVIDED TO PROPERLY
IDENTIFY AND EDUCATE PERSONS TO BE VACCINATED, TRACK IMMUNIZATIONS, AND ENSURE
APPROPRIATE MEDICAL EVALUATION IF THEY EXPERIENCE SYMPTOMS FOLLOWING ANY
VACCINATION.

10. HQDA POCS FOR THIS MESSAGE ARE DIRECTOR FOR MILVAX OR CLINICAL EDUCATION
COORDINATOR FOR MILVAX, COM: 703-681-5101; DSN: 761-5101, OR
EMAIL: VACCINES@AMEDD.ARMY.MIL OR VACCINES@HQDA-S.ARMY.SMIL.MIL
(ATTENTION: MILVAX).

11. EXPIRATION DATE CANNOT BE DETERMINED.

12. PASS MSG TO MEDICAL LOG OFCRS, CMD CHANNELS, PHARMACY, MED STAFF,
PREVENTIVE MEDICINE, SUPPLY OFCRS, IMMUNIZATION CLINICS, VACCINE SHOT TEAMS,
AND SUPPORTED ACTYS/CTRS.

13. AUTHORITY: DODD 5105.22 AND DODD 6025.13. ADDITIONALLY:

ARMY: SEE ARMY REGULATION (AR) 40-61, 28 JANUARY 2005, CHAPTER 4, AND THE
DEPARTMENT OF THE ARMY SUPPLY BULLETIN (SB 8-75-11) FOR APPLICABLE POLICIES AND
PROCEDURES.