Influenza Vaccine Information for Providers

On this page:

• Vaccine information
• Antiviral information 
• Vaccine usage 
• Free clinic tools 
• Staff training 
• Billing, coding and dose reporting 
• Information for specific groups 
• Resources 
• Related agencies 

Vaccine Information

On February 25, 2009, the ACIP made policy recommendations for use of influenza vaccine for the 2009-2010 influenza season.
Provisional recommendations for prevention and control of influenza (2009-2010 influenza season):

• The 2009–2010 trivalent influenza vaccines will contain A/Brisbane/59/2007 (H1N1)-like, A/Brisbane/10/2007 (H3N2)-like, and B/Brisbane/60/2008-like antigens. Compared to the 2008-09 Northern Hemisphere influenza vaccines, only the B strain has changed.
• Age and risk groups previously recommended for annual vaccination against influenza have not changed.
• All children aged 6 months through 18 years are recommended to receive vaccination against influenza for the 2009-2010 influenza season.

• Composition of the 2009-2010 influenza vaccine (CDC)
  
• Flu Vaccine available in the United States
  
• How the influenza vaccine viruses are selected (CDC)
  
• Prevention and Control of Seasonal Influenza with Vaccines (MMWR July 24, 2009)
  
• Developing Consistent Influenza Vaccine Messages (CDC Aug. 26, 2008)
  
• Immunization Action Coalition (IAC): Ask the experts about influenza
  
• FluMist excerpts from Flu summit (OAIC Sept. 2006)
  
• Flu Vaccine Manufacturer Websites
  • CSL Biotherapies
  • GlaxoSmithKline
  • Medimmune
  • Novartis
  • Sanofi Pasteur

Antiviral Information

In the United States, most  pandemic influenza A(H1N1) viruses have been susceptible to oseltamivir. During the 2008-09 influenza season, most influenza A(H3) viruses were susceptible to rimantadine while most influenza A(H1) viruses were resistant to oseltamivir.

Updated Interim Recommendations for the Use of Antiviral Medications in the Treatment and Prevention of Influenza for the 2009-2010 Season

Questions & Answers: Revised Recommendations for the Use of Influenza Antiviral Drugs

For more information visit the FDA's flu page

State-owned Antiviral Guidance November 18, 2009

Antiviral Course Tracking Forms

As outlined in the state’s Pandemic Influenza Emergency Management Plan, to ensure proper tracking of antiviral medication throughout the state, treatment centers are responsible for tracking how many antiviral courses they receive, redistribute, dispense, and to whom. Treatment centers are also responsible for reporting this information to the state.

• Treatment Centers 
• Individuals 
• Transfer between sites 

Vaccine Usage

• Provider toolkit Information for providers on influenza vaccine distribution, administration, dose reporting, ancillary kits, and manufacturer contacts.
• Ordering Vaccine for VFC Providers
  Flu vaccine ordering is now closed. To be placed on a waiting list for flu vaccine, please contact your Immunization Program Health Educator for the county you reside in: 971-673-0300
• FDA-Approved Pandemic H1N1 Vaccines
• Influenza Vaccine Availability Tracking System (IVATS)
• Vaccines for Children program (Oregon VFC)
• Model Standing Orders for Vaccines
• Oregon Vaccine Return Form
• Standing Operating Procedures for Vaccine Management (Oregon Public Health Division)
• Vaccine Adverse Event Reporting System (VAERS) form (Oregon Public Health Division)

Flu Clinic Tools

• List your clinic with Oregon Safenet
• Influenza Clinic Advertisement Flyers
• CDC free resources ordering site (CDC)
• Screening Questionnaire for Injectable Influenza Vaccination (IACP4066)
• Screening questionnaire for Intranasal Influenza Vaccination (IACP4067)
• Declination form for influenza vaccination (IACP4068)
• Non-Scannable Vaccine Administration Record (pdf)
• Non-Scannable Vaccine Administration Record in Spanish (pdf)
  These VARs cannot to be used for hard copy submittal to ALERT. Copies of the scannable form used to submit data directly to ALERT can be ordered from ALERT supplies.
• Quick reference guide for influenza websites
• Secret Agent Poster 

Staff Training

• Epinephrine training module for laypersons
• MA training powerpoints:
  • Avoiding common administration errors (Oregon Public Health Division)
  • Vaccine storage and handling (Oregon Public Health Division)
• How to inject (Immunization Action Coalition P2020)
• Immunization Best Practice videos

Billing, Coding and Dose Reporting

• Medicare update 
• Procedure and ICD 9 codes 
• VFC Q&A  
• VAR Codes for IRIS entry 

Flu information for specific groups

Health care workers

Vaccination of health-care workers (HCWs) has been shown to reduce transmission of influenza and absenteeism among HCWs, prevent mortality in their patients, and result in financial savings to worksites. Influenza vaccination coverage among HCWs in the United States, however, remains dismally low.

• Call to action (NCFIC Flyer)
• Vaccination information 
• Oregon Medical Association newsletter 
• Do No Harm (Immunization Action Coaltion)
• Vaccination of HCW presentation (OAIC Feb. 2009)
• Implementing a mandatory employee vaccination campaign (OAIC Aug. 2007)
• The Joint Commission

• Schools, Childcare, Providers, Parents  (CDC)
• Diabetes and influenza (OAIC Sept. 2008)
• Oregon Chronic Disease Prevention Program

Links to Useful Resources

• Influenza chapter from the CDC's "Pink Book"
• Patient Education Materials from the CDC
• National Influenza Vaccine Summit: Co-sponsored by the AMA and the CDC
• Public Health and Aging:
  Influenza Vaccination Coverage Among Adults Aged >50 Years and Pneumococcal Vaccination Coverage Among Adults Aged >65 Years --- United States, 2002 (MMWR Oct. 17, 2003)
• Influenza Vaccination of Health-Care Personnel (MMWR Feb. 24, 2006)
• CDC announces National Influenza Vaccine Week
  Site has resources, ideas from around the country, and a site to list your activities and events.
• CDC Information for Health Professionals.
  This site contains vaccination recommendations, patient and provider education, clinical description and diagnosis and much more.

Related Agencies

• Oregon SafeNet
• American Lung Association 
• Immunization Action Coalition 
• Acute and Communicable Disease Prevention (ACDP) (Oregon Public Health Division)
• CDC Influenza 
• Nation Center for Immunization and Respiratory Diseases (NCIRD) 
• American Medical Association (AMA) 
• American Nurses Assocation (ANA) 
• Oregon Public Health Association (OPHA)  
• Acumentra Health 
• American Pharmacists Association (APhA)