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National Infant Immunization Week: An Ounce of Prevention
Posted by: Katherine Pham on Apr 26, 2017

Some may say the diseases that vaccines can protect children against are not that bad if they get the illness, and are willing to accept the potential risk of mild symptoms. It's important to educate to patients and their parents that with all infectious diseases, the severity of symptoms and complications can range, and falling on the wrong side of that range can be very serious. When we take away the protections against preventable disease, children suffer. An ounce of prevention is worth a pound of cure. 

Take Nothing For Granted

"While in Haiti days after the earthquake a baby arrived from the overrun general hospital with 'seizures, r/o sepsis' written in marker on his chest. The baby would have occasional jerking movements but then would have absolutely normal vitals at rest when not stimulated. An attending physician from my hospital who is a well-published Emergency Physician said "I have written about this for 40 years but have never seen it. This is neonatal tetanus". We went on to care for 2 more babies and one teenager who sadly died from overwhelming rhabdomyolysis and renal failure. I was truly convinced of the power of vaccinations, both infant and adult, in that moment. If mom had been vaccinated, the baby would have been protected up until the time for his own immunizations to start. The teenager died because he never had the opportunity to be vaccinated as a child. I hope no one ever needs to treat another case of tetanus ever again." - Shannon M, Boston, MA

The Happiest Place on Earth

In 2014-2015, California experienced a measles outbreak, a disease that was previously considered eliminated in the US in 2000. The Center for Disease Control and Prevention (CDC) found that of the 125 measles cases, 110 were California patients. Of these 110 patients, 45% were unvaccinated, 11% had an incomplete measles vaccine dose series, and 43% had unknown or undocumented vaccination status. Twelve of the unvaccinated were babies too young to be vaccinated. The disease wasn't just contracted by unvaccinated children. The 28 intentionally unvaccinated patients included 18 children and 10 adults. Just a rash? Of the 84 patients with known hospitalization status, 20% were hospitalized.

But That Wasn't the Biggest

Earlier in 2014, Ohio experienced a measles outbreak of 383 cases in an underimmunized Amish community.  Of the 383 patients affected, 89% were not vaccinated. As the authors concluded in this New England Journal of Medicine article, this epidemic was able to be mostly contained: "As a result of targeted containment efforts, and high baseline coverage in the general community, there was limited spread beyond the Amish community." Thank goodness for the high baseline coverage in the general community (aka HERD IMMUNITY!).

Nor the Most Recent

This story broke during National Infant Immunization Week 2017 and, at the time of this post, shows an outbreak of 21 cases in a Somali community of Minnesota. "The Somali community has been the target of misinformation regarding vaccines and a supposed link to autism." Misinformation has consequences.

As advocates for children, the Pediatric Pharmacy community supports immunization against preventable disease through education and dissemination of information from reliable sources.

 National Infant Immunization Week Blog-a-thon with woman holding baby. #ivax2protect

National Infant Immunization Week: How to Walk the Walk
Posted by: Katherine Pham on Apr 25, 2017

Our members support immunization to protect children from preventable diseases, but how do they put this into action?

Stay On Top of It

"A couple of times a month, I sort my NICU census by age, just to see who is 60 days old, and needs immunizations. Those conversations help increase the top-of-mind responsibility for everyone on our team. It's a quick way to help babies leave the NICU better protected." - Kelly M, St Louis, MO

Practice What You Preach

"I was pregnant with my son the year the new recommendation was made to give moms a Tdap during the third trimester. I had to demand my OB give it to me!!! Fast forward, next baby, the OB was ready and even had posters in the office!" - Lisa L, St Louis, MO

 

National Infant Immunization Week Blog-a-thon with woman holding baby. #ivax2protect

National Infant Immunization Week: How to Talk the Talk
Posted by: Katherine Pham on Apr 24, 2017

It's National Infant Immunization Week (NIIW) and today we share sample approaches to communicating with parents and caregivers. Here is what our PPAG members had to say:

Address the Concern

"One thing I try to do is ask what their concern is and always make sure to address it. Sometime I feel that the parents may feel that their concerns are dismissed and by simply letting them talk about it and discuss it, that helps. I also try to explain what each vaccine is used for and what the disease causes. I often hear parents state that measles is just a rash or that the vaccine preventable diseases aren't that bad if their child gets it."  -Bob J., Tulsa, OK

Consider a Compromise

It's always important to consider the emotional stress and fatigue our patients' parents are experiencing. Sometimes they can be quite open to reconsidering a previous stance, but still want to be heard and make their own decision. The 2 and 6 month infant immunizations can be overwhelming, even simplied down to 3 vs 5 shots. I would ask how comfortable the parent would be starting with the 1 combo vaccine and go from there, at their own pace. I gave them time to think about it and remained available for questions. Even starting with one is still better than none.   -Kathy P, Washington, DC

And for a fun one....

Clarify the Misunderstanding

"I ran into a friend at the grocery store who just about ran me down with her cart to find out WHY in the world her daughter in law wouldn't let her see her new grand baby unless she'd had a tetanus shot. Quick review of "it's not the tetanus, it's the whooping cough". That made more sense and we gathered up the rest of our groceries. Another grandma who is now up to date on her vaccines and her info!" - Kelly M, St Louis, MO

 

National Infant Immunization Week Blog-a-thon with woman holding baby. #ivax2protect

National Infant Immunization Week
Posted by: Katherine Pham on Apr 22, 2017

ATTENTION PPAG MEMBERS!

This week is National Infant Immunization Week (NIIW) and a great opportunity to show our support of childhood vaccines. We will be participating in CDC's NIIW Blog-A-Thon through blog. PPAG members are dedicated to this effort every day and we'd love to hear from you! Do you have a story you'd like to share? A tip you find useful when engaging with a hesitant parent or caregiver? An approach that works well for you? Send it to advocacy@ppag.org, and we'll share it on Wee the People.

Thank you for your continued efforts to protect children from preventable diseases!

National Infant Immunization Week Blog-a-thon with woman holding baby. #ivax2protect

ACTION NEEDED: Provider Status Bill Reintroduced to 115th Congress
Posted by: Matthew Helms on Feb 13, 2017

The Pharmacy and Medically Underserved Areas Enhancement Act (S. 109/H.R. 592) seeks to improve health care access to Medicare patients by allowing certain Medicare Part B services to be delivered by state-licensed pharmacists in these communities. The bill would make available certain health care services that pharmacists are allowed to perform according to each state’s laws.

Senators Charles Grassley (R-Iowa), Robert Casey (D-PA), and Sherrod Brown (D-Ohio), along with 24 other original co-sponsors, reintroduced the bill (S. 109) in the Senate on January 13, 2017. Representatives Brett Guthrie (R-KY), Tom Reed (R-NY), G.K. Butterfield (D-NC), and Ron Kind (D-WI) reintroduced the bill (H.R.592), along with 20 co-sponsors, to the House of Representatives on January 23, 2017.

What is PAPCC?

The Patient Access to Pharmacists’ Care Coalition (PAPCC) is a multi-stakeholder and interdisciplinary initiative. Membership is comprised of organizations representing patients, pharmacists, and pharmacies, as well as other interested stakeholders. PPAG joined the coalition in 2015 to support legislative efforts for the Pharmacy and Medically Underserved Areas Enhancement Act.

What can you do?

Grassroots advocacy efforts are critical to building support for this legislation. Communication to your congressional representative is key, whether written (example letter to U.S. Representative) or in person (Talking Points). However you choose your voice to be heard, your efforts are greatly appreciated by PAPCC, PPAG, the profession, and patients who will most benefit from this expanded access.

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