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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.

  Immunization Flu Mandate   Immunization Exemption Law (SB277)  


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.)

The County of San Diego Health and Human Services Agency (HHSA) held the first Long Term Care Facility Flu Symposium, from 9 a.m. to Noon on Tuesday, Nov. 6 at La Costa Glen in Carlsbad.

The event drew long term care facility staff and administrators from around the county, who learned about the latest 2018-2019 influenza season information, as well as guidelines to prepare for and prevent influenza outbreaks in their facilities.

View and download the Symposium Agenda here

View and download speaker presentations below:

Review of 2017-18 Influenza Surveillance Activity in San Diego County
Jeffrey Johnson, MPH

Influenza Vaccine Primer - Long-Term Care Facilities
Mark H. Sawyer, MD

Influenza Outbreak Reporting, Response and CDPH Guidelines
Jackie Hopkins, MPH

Management of Influenza in Skilled Nursing Facilities: Perspectives on Infection Prevention & Use of Antiviral Agents
Raymond Chinn, MD, FIDSA, FSHEA

Public Health Officer Mandate and Healthcare Worker Vaccination
Eric C. McDonald, MD, MPH, FACEP


RELATED: Updated Influenza Recommendations from CDPH for Skilled Nursing Facilities
The California Department of Public Health released updated recommendations for Prevention and Control of Influenza in California Skilled Nursing Facilities. Click here or on the link above to view and download the document. Note that these Recommendations, dated October, 2018, replace the previous Recommendations, which were last updated in January, 2018.


Information for the 2018-19 influenza season, including links to CDC resources, is available on the Influenza Information and Resources For Healthcare Providers page. That page also contains a link to the State Funded Influenza Vaccine Provider Forms and Resources page.

The County of San Diego Health and Human Services Agency’s Epidemiology and Immunization Services Branch (EISB), works with the local medical community to summarize influenza activity here in our county through the Influenza Watch weekly bulletin (click on the preceding link or on the title above for the latest issue). You can sign up to receive the Influenza Watch on the County Health and Human Services Agency's Epidemiology Influenza web page.(See the first dot point on the page under Influenza Surveillance.)

Letter To Long-Term Care Facility Administrators regarding prevention, control and reporting of influenza outbreaks.

What To Do To Avoid The Flu

CDC Report on Influenza Vaccination Coverage Among Health Care Personnel—United States, 2017-18 Influenza Season
To read this report, click here or on the title above.

CDPH Report on Health Care Personnel Flu Vaccination Rates in CA Hospitals, 2016-17
To read the report, click here or on the title above.

NEW! Vaccine Information Statement (VIS) Updates for DTaP and Meningococcal ACWY Vaccines
From the California Department of Public Health (CDPH):

  • The new MenACWY VIS removes references to the meningococcal polysaccharide vaccine (MPSV4), which is no longer available in the United States. Other changes to this VIS are minimal.
  • The new DTaP VIS reflects changes to the recommendations of the Advisory Committee on Immunization Practices with regard to contraindications and precautions for vaccination. It also introduces updated, simplified language in several sections of the document.

Ideally, providers should begin using the new VISs immediately; however, existing stocks may be used until depleted.

Click here to visit the main CDC VIS web page. This page contains links to a range of VIS information, including instructions on how to use VISs, a FAQ, translations, and more.

(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 law, which has been in effect since Jan. 1, 2016, please visit the Calfornia Department of Public Health (CDPH) ShotsforSchool website.

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)

Recommended Immunization Schedules Available
The 2018 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

CDPH Provider Alert: Immunize Men Who Have Sex With Men Against Hepatitis A
Click here to read this alert from the California Department of Public Health.

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.