Maryland Immunizations: What Providers Need to Know, 2020 Updates - Maryland Center for Immunization
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Maryland Immunizations: What
Providers Need to Know, 2020 Updates
Maryland Center for Immunization
August 2020
Purpose
• Provide an overview of the Maryland Center for
Immunization and Vaccines For Children (VFC)
Program.
• Review ImmuNet, Maryland’s Immunization
Information System (IIS).
• Provide 2020 Flu updates.
• Provide COVID-19 vaccine planning updates.
2
MDPEC-2355-20 August 2020
Maryland Center for Immunization • Works to protect the public from vaccine-preventable diseases. • Provides free vaccines to healthcare providers and local health departments through the Vaccines for Children (VFC) program. • Conducts disease surveillance activities and monitoring. • Provides immunization health education, resources and support to local health departments, healthcare providers, health agencies, school systems, and communities. • Maintains ImmuNet, Maryland’s Immunization Information System. 3
Vaccine Requirements ‘20-’21 School Year • Maryland schools, preschools, and child care program vaccination requirements remain in effect for the 2020-2021 school year regardless if the student is attending in person or virtually. • The 20 day grace period in COMAR also remains in effect. 4
ImmuNet
Maryland Center for Immunization
5ImmuNet, Maryland’s Immunization Information System • ImmuNet is a confidential and secure database designed to collect and maintain vaccination records of children and adults. • As of October 2019, all vaccinations administered in the State of Maryland are required to be reported to ImmuNet, regardless of patient opt-out status in ImmuNet. • www.MDImmuNet.org 6
Reasons Why ImmuNet is Necessary • Physicians overestimate how many of their patients are fully immunized. • Parents often are not aware of their child’s immunization status. • Due to poor record-keeping, a child may receive too many or unnecessary vaccinations. • Duplicate vaccination costs are estimated at $15 million annually. • Most providers don't have immunization reminder systems. • High risk and under-immunized populations are easily identifiable with an IIS. 7
ImmuNet’s Reminder/Recall Feature • The Reminder/Recall Request functionality in ImmuNet is designed to help your organization generate reminder letters, mailing labels, patient query listings and custom letters. • Quick Reference Guide Reminder/Recall Request: www.marylandvfc.org 8
ImmuNet Help Desk ImmuNet Help Desk 201 W. Preston Street Suite 318 Baltimore, MD 21201 Phone: 410-767-6606 Fax: 410-333-5893 mdh.mdimmunet@maryland.gov 9
Maryland MyIR • Clients can now access their individual and/or child's ImmuNet records directly through MyIR, which stands for "My Immunization Record". • MyIR is a portal that allows access to their or their child's official vaccination records for school and employers. • For more information about MyIR, visit: www.MD.MyIR.net 10
11
2020 Flu Updates
Maryland Center for Immunization
122020-2021 Flu Season • In the fall of 2020, there is a potential for influenza and SARS-CoV-2 to circulate simultaneously in the United States. • In order to potentially minimize the burden on the healthcare system due to respiratory disease, CDC and Maryland VFC have placed a high emphasis on enhancing influenza vaccine coverage during the 2020-2021 influenza season. 13
When should you vaccinate? • Getting vaccinated in July or August is too early, especially for older people, because of the likelihood of reduced protection against flu infection later in the flu season. • September and October are good times to get vaccinated. • As long as flu viruses are circulating, vaccination should continue, even in January or later. 14
Will there be changes in how and where flu vaccine is given this fall and winter? • According to the CDC, how and where people get a flu vaccine may need to change due to the COVID- 19 pandemic. • HHS has given Pharmacists emergency authority to vaccinate persons as young as 3yrs of age. • Some settings that usually provide flu vaccine, like workplaces, may not offer vaccination this upcoming season, because of the challenges with maintaining social distance. 15
Will a flu vaccine protect against COVID-19? • The flu vaccine will not protect against COVID-19. • Flu vaccines have been shown to reduce the risk of flu illness, hospitalization and death. • Getting a flu vaccine this fall will be more important than ever, not only to reduce patients’ risk from flu but also to help conserve potentially scarce health care resources. 16
Is there guidance for safely administering vaccines during the COVID-19 pandemic? • CDC has released Interim Guidance for Immunization Services During the COVID-19 Pandemic. • This guidance is intended to help providers in a variety of clinical and alternative settings with the safe administration of vaccines during the COVID-19 pandemic. • More information can be found at, https://www.cdc.gov/flu/season/faq-flu- season-2020-2021.htm. 17
Who should get their flu vaccine during the COVID-19 pandemic? • Annual flu vaccination is recommended for everyone 6 months of age and older, with rare exceptions, because it is an effective way to decrease flu illnesses, hospitalizations, and deaths. • For the upcoming flu season, flu vaccination will be very important to reduce flu because it can help reduce the overall impact of respiratory illnesses on the population and thus lessen the resulting burden on the healthcare system during the COVID-19 pandemic. 18
Who should get their flu vaccine during the COVID-19 pandemic? • During the COVID-19 pandemic, reducing the overall burden of respiratory illnesses is important to protect vulnerable populations at risk for severe illness, the healthcare system, and other critical infrastructure. • Healthcare providers should use every opportunity during the influenza vaccination season to administer influenza vaccines to all eligible persons, including: essential workers; persons at increased risk for severe illness from COVID-19; and persons at increased risk for serious influenza complications. 19
What steps can healthcare personnel take to safely give flu vaccine during the COVID-19 pandemic? • The potential for asymptomatic spread of the virus that causes COVID-19 underscores the importance of applying infection prevention practices to encounters with all patients, including physical distancing (at least 6 feet) when possible, respiratory and hand hygiene, surface decontamination, and source control while in a healthcare facility. • Immunization providers should refer to the guidance developed to prevent the spread of COVID-19 in healthcare settings, including outpatient and ambulatory care settings. 20
What is the Maryland Center for Immunization doing to promote flu vaccination during the COVID-19 pandemic? • Increasing the availability of vaccine, for VFC- eligible children & adults. • Conducting targeted communication outreach to specific groups who are at higher risk for complications from flu. • Conducting outreach to nursing homes/long-term care facilities to monitor flu vaccinations. • Providing support for local health department & FQHC flu mass vaccination clinics. 21
COVID-19 Vaccine
Planning Updates
Maryland Center for Immunization
22CDC Planning Assumptions
• Vaccine available in two phases:
1. Limited COVID vaccine could be available fall 2020
2. General population after Jan. 2021
• Two doses, 28 days apart with same product.
• Initial target groups for vaccination:
• Critical care workforce
• Essential employees
• Staff & residents in nursing/long-term care facilities
• Distribution will be through MDH Center for
Immunization.
• Ancillary supplies shipped with the vaccine at no cost.
23Steps to Order COVID Vaccine
• Step 1: Enroll/Onboard with ImmuNet to report
vaccine administration:
oEmail Help Desk to enroll/onboard:
mdh.mdimmunet@Maryland.gov
• Step 2: Register to receive COVID vaccine:
oComplete an eligibility questionnaire.
oComplete a Non-VFC provider profile.
oSign the COVID Vaccine Provider Agreement.
oOrder vaccine when available.
24Resources 25
Additional Resources r/t Vaccinations
• Maryland Center for Immunization Back-to-School
Requirements
• https://phpa.health.maryland.gov/OIDEOR/IMMUN/Pag
es/back-to-school-immunization-requirements.aspx
• Maryland Center for Immunization, Age-
Appropriate Immunization Requirements for
Children Enrolled in Child Care Programs
• https://phpa.health.maryland.gov/OIDEOR/IMMUN/Sha
red%20Documents/2020%20CCA_Vacc_Req_Final.pdf
26Additional Resources r/t Vaccinations
• Vaccine Requirements School Year, 2020-2021
• https://phpa.health.maryland.gov/OIDEOR/IMMUN/Shared%
20Documents/Min_Vacc_Req%2020_21_Final.pdf
• COMAR Preschool and School Regulations
• https://phpa.health.maryland.gov/OIDEOR/IMMUN/Shared%
20Documents/COMAR-School-Vax-Regulations-2013.pdf
• General Best Practices Guidelines for Vaccine
Administration
• https://www.cdc.gov/vaccines/hcp/acip-recs/general-
recs/administration.html
• CDC Vaccine Abbreviations
• https://www.cdc.gov/vaccines/hcp/acip-recs/vac-abbrev.html
27ImmuNet Resources
• ImmuNet Homepage
• https://phpa.health.maryland.gov/OIDEOR/IMMUN/Pages/i
mmunet.aspx
• ImmuNet Quick Reference Guides
• https://phpa.health.maryland.gov/OIDEOR/IMMUN/Pages/q
uick_ref_guides.aspx
• Maryland MyIR
• https://md.myir.net/
• ImmuNet School Guide
• https://phpa.health.maryland.gov/OIDEOR/IMMUN/Shared%
20Documents/ImmuNet_School-User-Guide.pdf
28Flu Resources
• Frequently Asked Influenza (Flu) Questions: 2020-
2021 Season
• https://www.cdc.gov/flu/season/faq-flu-season-2020-
2021.htm
• Interim Infection Prevention and Control
Recommendations for Healthcare Personnel During
the Coronavirus Disease 2019 (COVID-19) Pandemic
• https://www.cdc.gov/coronavirus/2019-
ncov/hcp/infection-control-recommendations.html
29Maryland Center for Immunization Contact Information General Contact Information Hours are 8:00a.m. – 5:00 p.m., M-F Office: 410-767-6679 Fax: 410-333-5893 Email: mdh.izinfo@maryland.gov ImmuNet Help Desk Hours are 8:00 a.m. to 5:00 p.m., M-F Phone: 410-767-6606 Email: mdh.mdimmunet@maryland.gov 30
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