2010 Immunization Update

Child
Adult
2010 Updates
Child
Combination
vaccines
Polio
Hepatitis A
Re-vaccination with
meningococcal
HPV
Adult
HPV-2 types-males
MMR immunity
Hepatitis A for
adoptees
Hepatitis B minimal
interval
Meningococcal Rev.
Hib for adults
Age of consent
TITLE 39
HEALTH AND SAFETY
CHAPTER 45
THE MEDICAL CONSENT AND NATURAL DEATH ACT
39-4503.PERSONS WHO MAY CONSENT TO THEIR OWN
CARE. Any person of ordinary intelligence and awareness
sufficient for him or her generally to comprehend the need
for, the nature of and the significant risks ordinarily
inherent in, any contemplated hospital, medical, dental or
surgical care, treatment or procedure is competent to
consent thereto on his or her own behalf. Any health care
provider may provide such health care and services in
reliance upon such a consent if the consenting person
appears to the health care provider securing the consent to
possess such requisite intelligence and awareness at the
time of giving the consent.
Other
Merck is no longer making single
antigen measles, mumps, rubella
Pneumovax for adults. Should we
get?
Idaho remain Universal Select
Non state child vaccine-what to do
with it
Idaho become a choice state
Tiered ordering
Hiberix
Use only for the last dose of the
series
Minimum age is 12 months.
Maximum age is 4 years and 364
days
Reconstitute with prefilled syringe
diluent into the single dose vial
Give IM
After reconstitution, can be stored in
fridge up to 24 hours

HIB
No further doses needed if previous
dose administered at age 15 months
or older.
Look at Catch up schedule
Prevnar
No further dose needed for healthy
children if previous dose
administered at age 24 months or
older.
For a healthy child between 24
months and 5 years and never
received a dose of prevnar after age
12 months- give one.
See catch up schedule
Scenarios
24 month old has had (last given at 6
months)
3 hepatitis Bs- last one after 6
months
Hib x2
Dtap x 3
Polio x3
What shots would you give today?
24 month answer
Pentacel
MMR
Varicella (Proquad) What ages
Hepatitis A
Prevnar-What if had 1 prevnar
already, dependant on their age
6 month old
3 hepatitis Bs
2 Dtap
2 IPV
2 prevnar
2 hibs

What get today?
6 month old
Pentacel
Prevnar
Hepatitis B