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Live Well San Diego Website
Click on the logo above to learn more about Live Well San Diego an initiative of the County of San Diego to improve health, safety and well-being for all residents.

Health Care Professionals

As a healthcare professional, you play an integral role in protecting
our community from vaccine-preventable diseases by maintaining
high immunization rates for the patients in your care.

IMPORTANT: Flu Immunization Mandate
for Health Care Personnel in San Diego

NEW!! Immunization Exemption Law (SB277)
Information and Resources Available NOW


Vaccine Information

Disease Reporting

  • Disease Reporting Form/Confidential Morbidity Report revised 10/11 (Report cases of vaccine-preventable diseases to Epidemiology & Immunization Services. Complete this form and fax to (619) 692-5677. For questions call a Public Health Nurse at 1-866-358-2966.)

Please join us on Thursday, May 12 at 6:30 p.m. for the HPV Vaccine Provider Education and Promotion Webinar, hosted by the American Academy of Pediatrics, CA Chapter 3.

This hour-long webinar will provide up-to-date information about the burden of HPV disease and review effective, evidence-based counseling strategies to address the concerns of vaccine-hesitant parents. Also included will be strategies for ensuring completion of the 3-vaccine series, including reminder-recall systems and the San Diego Immunization Registry. Additionally, we'll review the importance of pediatric HPV prevention from the perspective of an adult gynecologist who treats patients with cervical dysplasia and cancer.

CME credit will be available.

Register today--space is limited! Go to www.goo.gl/RfNAen to register. And for more information, please see this flyer.


National Infant Immunization Week (NIIW), was April 16 through 23, and is followed by Toddler Immunization Month (TIM) in May. These observances are celebrated each year to remind everyone of the importance of routine immunizations for children from birth to 2 years of age. To learn more and to view and download a wealth of immunization awareness resources for you, your staff and patients, visit our NIIW/TIM Web page.


Local influenza activity continues and more flu deaths have been reported (see this link to the San Diego County News Center story). Please continue to offer influenza vaccine to your patients, or to direct them to other sources of flu vaccine. We have influenza information and resources for providers on this page. Our Flu Information Page has resources and information your patients can use.

(A message from the California Department of Public Health)
Students are already registering for school this fall. Many four-year-old children in California with birthdays between September and December will be starting transitional kindergarten under a two-year program authorized under the Kindergarten Readiness Act of 2010.

Under California’s kindergarten immunization requirements, even four-year old children need their pre-kindergarten immunizations prior to the first day of transitional kindergarten. The federal ACIP, AAP, and AAFP recommend pre-kindergarten immunizations starting at four years of age. Make sure your patients are immunized before starting transitional or regular kindergarten!

For information about the new law, which took effect Jan. 1, please visit the Calfornia Department of Public Health (CDPH) ShotsforSchool website.

Originally issued last year, the order takes effect every flu season, beginning Nov. 1 and extending until March 31 of the following year. For more information, including the rationale for the order, a fact sheet and FAQ, please visit this page.

ACIP Recommends Pneumococcal Conjugate Vaccine (PCV13) for Adults 65 Years and Older
ACIP recommends pneumococcal conjugate vaccine (PCV13; trade name prevnar 13) as well as pneumococcal polysaccharide vaccine (PPSV23; trade name pneumovax) for all adults aged ≥65 years (Box). Those who have not previously received pneumococcal vaccine or whose vaccination history is unknown should receive a dose of PCV13 first, followed at least 6 months later by a dose of PPSV23. The two vaccines should not be co-administered. The minimum acceptable interval between PCV13 and PPSV23 is 8 weeks.

Previous vaccination with PPSV23. Adults aged ≥65 years who have previously received ≥1 dose of PPSV23 and who have not yet received PCV13 should receive a dose of PCV13 at least 1 year after receipt of their most recent PPSV23 dose. When an additional dose of PPSV23 is indicated, it should be given 6 -12 months after PCV13 and ≥5 years after the most recent dose of PPSV23.

ACIP recommendations remain unchanged for the routine use of PCV13 in adults aged ≥19 years with any of the following:

  • immunocompromising conditions
  • functional or anatomic asplenia
  • cerebrospinal fluid leak
  • cochlear implants

(information courtesy of California Department of Public Health)

Pregnant Women Need Tdap Vaccine Protection
Update: Visit this link to read a letter from Dr. Ron Chapman, CDPH Director and State Health Officer, about current state of pertussis in California, what you can do to help, and how to access pertussis patient education materials available from CDPH.

The American College of Obstetricians and Gynecologists (ACOG) decided to build on the momentum of the H1N1 influenza vaccination of pregnant women to work on Tdap vaccination in that population. The College has worked with the American Academy of Pediatrics, Every Child By Two, and CDC to promote Tdap cocooning. 

For ACOG's opinion
on Tdap Vaccination from the Committee on Obstetric Practice, click this link.

The College maintains a website just for women about immunization.

For additional information and resources for OB-GYNs, please visit this page.

Also, see the Immunization Resources for Obstetrician-Gynecologists: A Comprehensive Tool Kit.

three-year program aims to help improve the rate of childhood immunization in San Diego County (and decrease personal belief exemptions to immunization requirements) through several strategies, including creating focus-group tested immunization education tools, implementing physician training, implementing an immunization reminder recall program, encouraging the use of the San Diego Immunization Registry and exploring the use of social media.

The project is a partnership of Rady Children’s Hospital, Children’s Physician Medical Group, Children’s Primary Care Medical Group, the local chapter of the American Academy of Pediatrics and First 5 San Diego.

For more information, please visit the program website at www.whyimmunizekids.org. You can also contact Phyllis Hartigan, Program Consultant at Phartigan@rchsd.org.

Recommended Immunization Schedules Available
The 2015 Advisory Committee on Immunization Practices (ACIP)-recommended schedules for currently licensed vaccines are available from the CDC Immunization Schedules web pages. There is a web page to view and download the Birth-18 Years & Catch-up Immunization Schedules, as well as a web page for the Adult Immunization Schedule.

You can also view and download the Morbidity and Mortality Weekly Report (MMWR) Early Release issues which contain the schedules and related information. Click here to visit the web page.

Proper handwashing is an important part of controlling influenza and other contagious diseases. CDC's ongoing Hand Hygiene Saves Lives campaign offers providers information, training, promotional materials and more in order to help them practice and promote hand hygeine in healthcare settings. For more information and links, visit CDC's Hand Hygiene website.

Hand hygiene saves lives

VFC (Vaccines For Children) Vaccine Fact Sheets
Visit this page to download these 1-page, quick-reference fact sheets about routine schedules, minimum intervals, billing codes, storage and more.

MMWR Article on Preventing Unsafe Injection Practices in US Health-Care System
Follow this link to read the article.

CDC Helps Clinicians Double-Check Injection Practices
According to a study in Medical Care, between 2001 and 2011, at least 130,000 patients were potentially exposed to life-threatening diseases after their clinicians failed to follow safe injection practices.  In this age of high-tech care, it is difficult to image that these types of basic infection control breaches still happen. However, we know that many healthcare providers simply aren’t aware that they are putting their patients at risk.

The Safe Injection Practices Coalition, led by CDC, recently released a toolkit to help office-based clinicians, as well as inpatient staff members, double check their practices.  This “meeting in a box,” is an excellent resource for use during staff meetings, grand rounds, and other seminars. It includes a narrated PowerPoint and print materials to help educate and remind healthcare providers about safe injection practices.

An online version of the toolkit can be found at www.oneandonlycampaign.org. In addition, the Coalition issued the following press release about the toolkit: http://oneandonlycampaign.org/news.

(information courtesy of the Centers for Disease Control and Prevention)

Vaccines.gov: Consumer-Based Immunization Information Website!
The U.S. Department of Health and Human Services has an innovative website to help parents and other consumers learn about the most effective way to protect themselves and their children from infectious diseases and learn about immunization. Vaccines.gov brings together the best in federal resources on vaccine and immunizations to provide consumers with easy-to-understand health information specifically for their needs.

VAERS Reporting
Vaers Reporting can be completed and submitted online. more...

Hot Topics

CDC's 2015-16 Flu Immunization Recommendations Available
Click here to view and download the latest recommendations from the CDC's Advisory Committee on Immunization Practices, excerpted from the Aug. 7 edition of the Mobidity and Mortality Weekly Report (MMWR). (The complete Aug. 7 MMWR edition is available here.)

Flu Vaccine Information Statements (VISs) for 2015-16 Flu Season
The newest VISs for flu vaccine from CDC:
Inactivated vaccine

Live vaccine

Guidance from CDC on HPV-9 Vaccine
The CDC has released detailed guidance on the use of 9-valent HPV vaccine. Please click here for for more.

Pneumococcal Vaccine Timing Tool for Clinicians
This printed tool helps clarify and illustrate the new recommendations for administration of PCV13 and PPSV23 vaccines.

CDC Vaccine Schedules App
Providers who recommend or administer vaccines can immediately access all CDC recommended immunization schedules and footnotes using the CDC Vaccine Schedules app. Find out more here.

Training Videos from EZIZ on Temperature Logs
Training for the recently revised refrigerator/freezer temperature logs is now available at EZIZ.

CDC Vaccine Information Statements (VIS)Supplement Available
These provider guidelines supplement the VIS and summarize relevant ACIP recommendations; include more detailed information about indications, schedules, and precautions; and contain other information giving providers a quick reference to help address common patients' questions.

Pertussis Booster Video PSA!
See it here.