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

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 Prevent Disease

They target diseases that are contagious

But they are not for all diseases

Vaccines are Safe

1st define “Safe”

Harmless versus preserving from danger

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

Vaccine reaction Vaccine potentiated Programmatic error Coincidental Serious side effects

Benefits outweigh risks

PHOTOGRAPHS OF PEOPLE WITH VACCINE

PREVENTABLE DISEASES

Vaccine Myths (& Facts)

Misconceptions

The media

Lack of knowledge

Myths about vaccines

Examples of the roots of myths…

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

Vaccines are a

drop in the ocean

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 of concern: MMR 1998 Wakefield study has been

refuted

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 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 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

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.

• 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

• 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

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

• Diphtheria• Pertussis• Tetanus• Polio• Measles• Mumps• Rubella• Hepatitis B• Varicella

Non-Required Immunizations

• Hib

• Hepatitis A

• Pneumococcal

• Meningococcal

• HPV - Human papillomavirus

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

• DTP 12/22/07 2/24/07 5/15/0812/22/08 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

• HepB10/23/07 12/22/07 2/24/08

• Varicella 5/6/09 11/1/11

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

• DTP 12/5/02 3/15/03 2/12/43

• Polio 12/5/02 3/15/03 2/12/04

• HIB

• MMR3/15/03

• HepB

• Varicella Hx of disease

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 02/10/0811/10/08

• MMR 11/10/08 7/26/12

• HepB8/9/07 10/3/07 2/10/08

• Varicella 11/10/08 7/26/12

DOB 10/10/2007

• DTP 12/7/2007 2/1/2008 4/12/2008

• Polio12/7/2007 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

• 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• HepB7/27/01 2/1/02 10/12/02• Varicella 7/28/05

DOB 5/18/99

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

• Polio2/7/00 4/22/00 8/6/0011/29/03

• 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

• DPT 08/10/05 08/25/06 10/03/0708/16/08

• Polio08/10/05 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??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