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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.

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

NEW!! AB2109 Personal Belief Exemption Law
Information & 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.)

Click here
for information and resources for providers.

NEW! ACIP Recommends Pneumococcal Conjugate Vaccine (PCV13) for Adults 65 Years and Older
ACIP now 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)

Tenth Annual Kick The Flu Community Immunization Summit Was A Rousing Success!
More than 200 health care and social services professionals filled the Chambers at the County Operations Center in Kearny Mesa on Monday, Sept. 15, to learn the latest information about influenza, flu vaccine and the upcoming flu season.

County Public Health Officer Wilma Wooten, MD, MPH, welcomed the capacity crowd. Presenters included Jeff Johnson, MPH, Senior Epidemiologist with the County Health and Human Services Agency (HHSA) and Mark Sawyer, MD, Professor of Clinical Pediatrics and a Pediatric Infectious Disease specialist at the UCSD School of Medicine, Rady Children’s Hospital San Diego.

The slide presentations are available using the links below:

Influenza Surveillance in San Diego County
Jeff Johnson, MPH

Influenza Vaccination - 2014: What's New?
Mark Sawyer, MD

Following the presentations was a Panel Discussion on Responding to Patients Questions and Myths About the Flu Vaccine. The panelists were Catherine Flores Martin, Executive Director of the California Immunization Coalition; Eric C. McDonald, MD, Medical Director of the Epidemiology and Immunization Services Branch of the County HHSA; Elizabeth Rosenblum, MD, Associate Clinical Professor at UCSD Medical Center in the Departments of Family & Preventive Medicine and Reproductive Medicine, and Tom Christensen, a communications specialist with the County of San Diego.

Influenza Public Service Announcements (PSAs)
Click here to see a series of influenza PSAs from the CDC and other health agencies, shown at the Tenth Annual Kick The Flu Community Immunization Summit. Note that the videos are in a playlist which plays automatically, so it is necessary to wait a few secords after one video ends before the next begins.

Centers for Disease Control and Prevention (CDC) Issues Influenza Immunization Recommendations for 2014-15 Influenza Season
The latest recommendations from the CDC's Advisory Committee on Immunization Practices (ACIP) include information about the antigenic composition of US seasonal influenza vaccines, dosing considerations for children 6 months through 8 years of age and a preference for the use, when immediately available, of live attenuated influenza vaccine (LAIV) for healthy children aged 2 through 8 years. Read the full text in the Morbidity and Mortality Weekly Report (MMWR, Aug. 15, 63(32);691-697).

2014-15 Influenza Vaccine Information Statements (VISs) Now Available:   Inactivated   Live

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 2014 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.

CDC Releases Prevention and Control of Haemophilus influenzae Type b Disease
This report compiles and summarizes all recommendations from CDC’s Advisory Committee on Immunization Practices (ACIP) regarding prevention and control of Haemophilus influenzae type b (Hib) disease in the United States. As a comprehensive summary of previously published recommendations, this report does not contain any new recommendations; it is intended for use by clinicians, public health officials, vaccination providers, and immunization program personnel as a resource. Click here to view and download the report.

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.

Informed Immunization Consent Law in Effect

This legislation requires that a parent or guardian who wants to exempt their child from school or childcare immunization requirements to first receive information from a licensed healthcare provider about the benefits and risks of vaccinations and the risks of vaccine preventable diseases. The provider signs a standardized form (created by the California Department of Public Health) that a parent or guardian would also sign, and then turn in to the school or child care facility.

For more information about the new law and how it is being implemented, please click here or see the link at the top of this web page.


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)

Mother Urges Adults to Get Whooping Cough Vaccine

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

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

Letters To Long-Term Care Facility Administrators: Influenza Activity Update and Preventing Outbreaks
Click on the links below to view and download the letters.
Letter from the Public Health Officer

Letter from the California Department of Public Health

The Next Immunization Skills Institute is March 5!

This innovative course trains medical assistants in safe, caring and effective immunization techniques. See this flyer for more information and to register.

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, now updated with 2015 information. Find out more here.

Attention VFC Providers: Pentacel Again Available For Ordering
Please click here to view and download the announcement.

Protect Your Adolescent Patients With HPV Vaccine!
Click this link to view and download information about the importance of HPV vaccine in protecting preteen health.

Provider Information About the Personal Belief Exemption Law!
View and download this important and helpful information.

CDC H1N1 Health Alert
CDC is alerting clinicians nationwide about cases of severe influenza and recommendations to help prevent them. Read the full alert here.

New 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.