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Weekly Vaccine Digest 05/31/2024 Los Angeles County Department of Public Health

County of Los Angeles, California sent this bulletin at 05/31/2024 03:10 PM PDT

Weekly Vaccine Digest 05/31/2024

Los Angeles County Department of Public Health

Dear Colleagues and Partners!

Below are the LACDPH weekly vaccine administration and order updates, upcoming webinars, and newsworthy events. Attached you will find a pdf version of this document and links from today’s CDPH Immunization Updates for Providers. To view past CDPH recordings, slides and other important information on the VFC, VFA, BAP and LHD 317 programs please visit https://eziz.org/.

If this message was forwarded to you, and would like to be added to our listserv, please contact our COVID-19 Provider Vaccine Call Center at covidvaccinereq@ph.lacounty.gov

Table of Contents

· Page 1-4: BAP: Program End Date, VFC Transition to myCAvax,

· Page 4-6: Benefits of VFC Program Enrollment for Birth Hospitals, VFC Outreach to Hospitals, Storage & Handling Penbraya, Penbraya: Ordering through the VFC Program, 2024 Toolkit: Sexual Health Awareness for PRIDE Month, MyTurn and myCAvax shutdown, State General Fund (SGF) Flu Ordering Cut-Off

· Page 7-9: Novavax Lots Expiring, Nominate Your Immunization Champion for the Immunization Champion Award, Immunizations Before Summer Travel, Increase in Invasive Serogroup Y Meningococcal Disease in the U.S. (3/28/24 CDC Health Advisory) and suggested dosing, Adult Vaccine Visits

· Page 9-11: Upcoming Webinars, LACDPH & CDPH Provider Office Hours Links

BAP: Program End Date Announcement

CDC has announced that the Bridge Access Program (BAP), that provides free COVID-19 vaccines to adults with limited or no insurance, will now end in August 2024, just before the arrival of the updated 2024 – 2025 COVID-19 vaccine. Funding that was previously expected to be available to purchase additional vaccine for the Bridge Access Program was rescinded by Congress and no additional federal funding for COVID-19 vaccine for adults has been identified at this time.

BAP Timeline

June 5, 2024: the FDA Vaccines and Related Biologic Products Advisory Committee (VRBPAC) will meet to discuss and make recommendations on the selection of strain(s) to be included in the 2024-2025 Formula for COVID-19 vaccines.
June 26-28, 2024: CDC ACIP anticipated to review and vote on recommendations for 2024-25 season
Late Summer – Fall: 2024-25 vaccine anticipated to be available for use.
BAP Program ends when the 2023-24 vaccine is no longer recommended, and the 2024-25 vaccine is recommended.

BAP Resources Will Remain on Eziz

Webpages and job aids created to support BAP will remain on EZIZ.
Materials will be archived in September after the BAP program ends.
EZIZ VFA 317 BAP Resources

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Are you Ready for the Move? (VFC Transition to myCAvax)

CDPH is aligning all publicly funded programs (including VFC) to one single system – myCAvax. With this transition, myVFCvaccines will no longer serve as your home for ordering VFC vaccine, submitting returns and transfers, and other VFC Program-related activities.

With the transition from MyVFCvaccines to myCAvax quickly approaching, please be aware of the following important dates:

Beginning Monday, May 27, 2024, myVFCvaccines will have limited access:

Ordering will be closed to all providers. For providers that submitted an order by May 24, 2024, myVFCvaccines will allow you to submit order corrections if needed; submit them promptly as requested by the VFC program by May 31, 2024.
Manually document any transfers, returns, or waste and have them ready to enter in myCAvax when the system goes live on June 10.
MyVFCVaccines will allow you to report any temperature excursions in SHOTS until May 31, 2024.
After Friday, May 31, 2024, any unapproved MyVFCvaccines orders must be resubmitted by VFC providers in myCAvax after go-live.
Contact the VFC Customer Service Center for any shipping incidents.

Monday, June 10, 2024:

The VFC program will launch in myCAvax.
Conduct all VFC account management activities in myCAvax from June 10^th moving forward, including: submitting orders, returns, transfers, updating storage units, etc.
Do not log in to MyVFCvaccines to manage or order VFC vaccine from June 10^th moving forward.
Storage and Handling incident reporting will take place in myCAvax from June 10^th moving forward. Providers will no longer record storage and handling incidents in SHOTS.

Providers are encouraged to continue to contact the VFC Customer Service Center and CDPH Provider Call Center for support related to the transition.

VFC Customer Service Center: Mon-Thurs, 9AM–4:30PM, Friday, 9AM–4PM

Phone: (877) 243-8832

Email: MyVFCVaccines@cdph.ca.gov

CDPH Provider Call Center: Monday - Friday, 8:00 am - 5:00 pm, PT

Phone: (833) 502-1245

Email: providercallcenter@cdph.ca.gov

Webinars:

Visit this page to register for upcoming webinars related to the system transition.

Webinar topics will include navigating myCAvax for brand new users, vaccine ordering in myCAvax, vaccine management in myCAvax, and office hours
ATTN: If you are unable to register for a given webinar, it is because the webinar is full and has reached capacity. Please register for the next open and available webinar.
Webinar recordings and slides will also be uploaded here as they become available.

For more information on the transition see our EZIZ page and view our Provider Checklist for detailed steps to take!

Tips to Prepare for the VFC Transition to my myCAvax

Q & A:

Q: My site has an inactive myCAvax account, but the vaccine coordinators in myCAvax are different than for VFC. Will the account be automatically activated on June 10? Will the vaccine coordinators from MyVFCvaccines automatically be updated in myCAvax?

The primary and backup coordinators from MyVFCvaccines will be added into myCAvax and automatically activated during the launch on June 10.

Q: I had a myCAvax login from when I had to order COVID-19 vaccines previously. Will I need to get new login credentials?

No, your credentials will remain the same. You will see a VFC Program tile added to your home page.

Q: Do we need to request a new log in or will we be emailed?

You will be emailed - we will set them up automatically.

Q: My current log in for myCAvax is deactivated. Will it be activated prior to June 10th? Should I send an email to reactivate?

No, we will automatically reactive those user accounts if you are listed as a primary or backup for the VFC program.

Q: I am listed as primary/backup VFC coordinator for multiple sites. Will I have access through one myCAvax account or will I have multiple myCAvax accounts created for each VFC account?

If all of those sites are part of one organization, you will use one set of credentials to access all of them.

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Benefits of VFC Program Enrollment for Birth Hospitals

VFC Program covers the entire cost of immunizations for eligible patients:

Single dose of Hep B at birth was previously the only immunization recommended for newborns
- Commercial Cost: ~$28 / dose
Nirsevimab is now recommended for newborns at birth during respiratory virus season
- Commercial Cost: ~$520 / dose
The financial impact for the implementation of Nirsevimab is significant.
- Based on 2022 Medi-Cal Births alone (114, 487) among non enrolled hospitals, Cost of Nirsevimab = $59.5 M

CDC Vaccines Programs VFC Awardees

238 hospitals currently provide birthing services

- 64 (27%) already enrolled in VFC Program
- 174 (73%) not currently enrolled
- In 2022, these facilities delivered 114,487 Medi-Cal births

Goal: Identify top birthing hospitals, considering % of their Medi-Cal births among other criteria for prioritization, and focus enhanced outreach/support for VFC Program enrollment by August 31, 2024 While the Ultimate goal is to enroll all 174 birth hospitals, initial prioritization for outreach is 50 hospitals.

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Outreach Efforts to Hospitals to Enroll in VFC

CDPH special outreach to selected hospitals

Letter from Dr. Schechter, CDPH Immunization Branch Chief, to Hospital Administrators
Special Enrollment Webinars on Monday, June 17 and Tuesday, June 18
Public recognition of enrolled hospitals Collaboration with LHDs
Template letter/talking points
Sharing contact information for priority hospitals

If you are a provider, please encourage your birthing hospital to learn more about VFC and order RSV immunizations.

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Storage & Handling Penbraya

PENBRAYA

PENBRAYA is supplied in a kit that includes:
- a vial of Lyophilized MenACWY Component (NDC 0069-0271-01)
- a prefilled syringe containing MenB Component (NDC 0069-0332-01)
- a vial adapter
- The Lyophilized MenACWY Component is reconstituted with the MenB component toform a single dose of PENBRAYATM
- A single dose after reconstitution is approximately 0.5 mL
- PENBRAYA is supplied in cartons of 1, 5, and 10 kits.

Storage:

Store refrigerated at 2°C to 8°C (36°F to 46°F) in the original carton.
During storage, the white solids and clear liquid component may become separated in the prefilled MenB syringe
- Store the carton horizontally to minimize the time necessary to resuspend the MenB Component.
Do not freeze. Discard if the carton has been frozen.

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Penbraya: Ordering through the VFC Program

Both PENBRAYA (MenACWY-MenB) presentations will be available for ordering from VFC starting this week:
Single-dose vial; 1-pack, NDC: 00069-0600-01
Single-dose vial; 5-pack, NDC: 00069-0600-05
If a VFC provider decides to order PENBRAYA , Trumenba would be needed for additional MenB dose(s) when MenACWY isn’t indicated.
- If a VFC provider plans on switching to Trumenba from another MenB vaccine product because they will be using PENBRAYA , submit the “Provider Request Form to Update Vaccine Brand Products Administered”

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2024 Toolkit: Sexual Health Awareness for PRIDE Month

CDPH has produced a new PRIDE Month 2024 Printed Materials Toolkit to help local PRIDE event organizers promote sexual health awareness. The toolkit covers STI testing and mpox vaccination, to help connect event attendees with services to keep them and their communities healthy.

Visit the toolkit for downloadable files and step-by-step instructions for producing stickers, flyers and posters. Together we can make this PRIDE season happier and healthier.

Visit the CDPH LGBTQ+ Health page for additional resources.

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myCAvax and My Turn Shutdown

My Turn and myCAvax will not be accessible from June 6 – June 9.

My Turn users should use CSV Bulk Upload to vaccinate any scheduled appointments and then upload the file following the completion of the deployment.

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State General Fund (SGF) Flu Ordering Cut-Off

CDPH will be processing final orders of SGF Flu vaccines by the end of day (EOD) Thursday, June 6, 2024. Providers will need to submit all orders by EOD Wednesday, June 5, to allow for LHD/CDPH review and approval by 12:00 pm the following day.

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Novavax Lots Expiring

CDC discontinued provider ordering of Novavax on April 30, 2024. Remaining lots of Novavax that are out in the field will now be reaching their expiration on Friday, May 31, 2024.

Providers should report their waste in myCAvax after expiration and will need to return expired vaccines to McKesson following routine reporting and receival of the return shipping labels.

Active Vaccines for Children (VFC) providers will be able to report any Novavax waste in myCAvax upon the June 10th system migration.

If there are any issues with reporting Novavax waste in myCAvax, contact the Provider Call Center at 833-502-1245 or via email ProviderCallCenter@cdph.ca.gov.

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Nominate Your Immunization Champion for the Immunization Champion Award!

The Association of Immunization Managers has opened up nominations for the Immunization Champion Award, honoring individuals going above and beyond to foster and/or promote immunization in their communities. Please see the details below and submit your nominations!

Nominate Your Immunization Champion for the Immunization Champion Award!

This message marks the launch of the nomination period for the Immunization Champion Award! We look forward to receiving your nominations and selecting a 2024 Immunization Champion for California. The Immunization Champion Award is a national award program hosted by the Association of Immunization Managers (AIM) and honors individuals going above and beyond to foster and/or promote immunization in their communities.

Access the nomination form here. Nominations will be accepted until 5:00 pm on Friday, June 21, 2024. Please share this email with your networks. (Note that the deadline on AIM’s site

does not apply to California’s nominations.) Completed nomination forms must be sent directly to the California Immunization Program at MyVFCVaccines@cdph.ca.gov, subject line, “IZ Champion.”

Individuals can be recognized for their work in childhood, adolescent, or adult vaccines and are selected based on their demonstration of leadership, collaboration, innovation, and advocacy.

Eligible nominees include healthcare professionals (i.e., pharmacists, physicians, nurses, physicians’ assistants, nurse practitioners, medical assistants), nonprofit leaders, community activists, parents, school and education leaders, coalition members, community-based organization members, and immunization partners.
Ineligible people include immunization program managers; county, state, and federal government employees paid by state or federal immunization funding; individuals who have been affiliated with and/or employed by pharmaceutical companies; individuals who have already received the award; and groups of people.

Completed nomination forms must be sent directly to the California Immunization Program at MyVFCVaccines@cdph.ca.gov, subject line, “IZ Champion.” We look forward to receiving your nominations. Please refer to thenomination packet for full details on nomination guidelines and criteria.

Read here for information about California’s 2023 Immunization Champion, Dr.Silvia Diego.

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Immunizations Before Summer Travel

Immunization of families heading abroad is critical to protect them against measles, pertussis, and other diseases causing recent outbreaks. Recall patients that are falling behind on these vaccinations. Also, don’t forget to protect young children 6-11 months who are about to travel abroad with a recommended accelerated dose of MMR.

Encourage your patients to get caught up on any immunizations at least a month before travel. If you do not stock certain travel vaccines, direct patients to a travel medical clinic.

Resources

Measles and Travel
Destination List and Immunizations Required (CDC)
Immunizations for Travel (CDC)
Don’t Wait—Vaccinate! toolkit (CDPH)

Visiting Another Country? Think Measles (before + after) poster

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Increase in Invasive Serogroup Y Meningococcal Disease in the U.S. (3/28/24 CDC Health Advisory) and suggested dosing

Healthcare providers should:

1) Have a heightened suspicion for meningococcal disease, particularly among populations disproportionately affected: ages 30-60y, Black/African American, people living with HIV.

2) Be aware that patients may present without symptoms typical of meningitis, and

3) Ensure that all people recommended for meningococcal vaccination, including people with HIV, are up to date for meningococcal vaccines.

Incidence rates of meningococcal disease have declined in the United States since the 1990s and remain low
Incidence decreased during the COVID-19 pandemic and is returning to pre-pandemic levels in California and the US
The proportion of serogroup Y cases is also increasing in California, but the increase is general (no disproportionately affected groups observed so far in California)

Pentavalent Meningococcal Vaccine (MenACWY-MenB) Penbraya Available

Suggested routine dosing:
- Dose 1 (11-12 yrs)= Menveo (MenACWY-CRM) or MenQuadfi (MenACWY-TT)
- Dose 2 (16-18 yrs) = Penbraya (MenACWY-TT/MenB-FHbp)
- Dose 3 (16-18 yrs, ≥6 months after dose 2) = Trumenba (MenB-FHbp)

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ADULT VACCINES VISITS (AVVs)

CORE DATA ELEMENTS IN EHR/EMR
Eligibility (317)
Race/ethnicity
Date of administration
Vaccine manufacturer
Vaccine lot number
Name and title of the person who administered the vaccine
Address of the facility where the permanent record will reside
Vaccine information statement (VIS)
Date printed on the VIS
Date the VIS was given to the patient or parent/guardian

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UPCOMING WEBINARS

Healthy Places Index Webinar
- Tuesday, June 4, 2024 from 1pm- 2pm
- Register here
CDPH Infection Prevention Webinar from 3:00 – 4:00 pm
- When: 4^th Wednesday of the month
- Register here
California Immunization Coalition Annual Summit
- Location: The Safe Credit Union Convention Center in Sacramento, CA - June 5-6, 2024 Registration Link
Virtual Grand Rounds
- Tuesday, June 11, 2024, from 12 pm-1pm
- Registration Link
Getting Started with myCAvax for Brand New Users
- Tuesday, June 4, 2024, from 12:30 – 1 PM (session full)
- Friday, June 7, 2024, from 11:30 AM – 12:00 PM
- Register on Zoom
VFC 101: Requesting VFC Vaccine in myCAvax
- Thursday, June 6, 2024, from 9:30 – 10 AM (session full)
- Tuesday, June 11, 2024, from 12 – 12:30 PM
- Tuesday, June 18, 2024, from 11:30 AM – 12 PM
- Register on Zoom
VFC 102: Managing VFC Vaccine in myCAvax
- Friday, June 7, 2024, from 9:30 – 10 AM (session full)
- Wednesday, June 12, 2024, from 10 – 10:30 AM (session full)
- Wednesday, June 19, 2024, from 12:30 – 1 PM
- Friday, June 21, 2024, from 9:30 – 10 AM
- Register on Zoom
VFC Office Hours
- Thursday, June 20, 2024, from 9:30 – 10 AM | Register on Zoom
- Thursday, June 20, 2024, from 12:30 – 1 PM | Register on Zoom
- Thursday, June 27, 2024, from 9:30 – 10 AM | Register on Zoom
- Thursday, June 27, 2024, from 12:30 – 1 PM | Register on Zoom

VFC: All trainings and office hour offerings are listed on EZIZ’s Get Ready to Move page. Upon completion of each session, you can find the session slides and recordings next to each date listed.

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LACDPH & CDPH Provider Office Hours Link

LA County Department of Public Health Provider Immunization Office Hours Information

Every other Wednesday from 9am-10am – June 5, 2024

To request meeting slides or be added to our Office Hours listserv, please email covidvaccinereq@ph.lacounty.gov

Microsoft Teams meeting

Join on your computer or mobile app

Click here to join the meeting

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+1 323-776-6996,,350547595# United States, Los Angeles

Phone Conference ID: 350 547 595#

California Department of Public Health Provider Office Hours Registration Link

NOTE: The next Provider Office Hours will be held next Friday June 14 from 9am-10:30am.
Complete one-time registration here.
Meeting recordings and slides can be found here.

Providers should add staff names to the Provider Listserv to receive weekly emails and updates. To be added, please email blanca.corona@cdph.ca.gov

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