 Hello Immunization Partners,
Please share the following information with staff and colleagues.
The Centers for Disease Control and Prevention (CDC) recommends that children and adults who may have received poliovirus vaccination outside the U.S. meet the U.S. recommendation for poliovirus vaccination that includes protection against all three poliovirus types. CDC recently shared new guidance regarding fractional inactivated polio vaccine (IPV) doses.
For people who received fractional (1/5 full dose) IPV administered intradermally outside of the U.S., 2 fractional doses of IPV (fIPV) should be considered valid and counted as 1 full intramuscular dose of IPV toward the U.S. vaccination schedule. If a person, received only 1 dose of fIPV, this dose should not be considered valid or counted toward the U.S. vaccination schedule. The following countries include 2 fractional doses of IPV as part of their routine immunization schedule:
- Bangladesh
- Cuba
- Ecuador
- India
- Nepal
- Sri Lanka
IPV doses administered in these countries and recorded as "IPV" should be assumed to be fractional IPV doses, not full IPV doses.
MCIR Assessment:
There is a CVX for fIPV, however, at this time we do not have a CVX code or accurate assessment in the Michigan Care Improvement Registry (MCIR), but this is being actively worked on. Below is a work around that is recommended when entering these doses into MCIR, until this can be resolved.
MCIR Work Around:
- If the person you are assessing is from one of the above listed countries and has received IPV, you should assume it is a fractional dose.
- Make sure the two doses are separated by the appropriate interval (4 weeks) and meet minimum age (6 weeks).
- Once you determine that you have two doses, take the date of the last dose and enter into MCIR as an IPV dose. This will ensure that MCIR counts it as IPV dose.
As MDHHS received more guidance from CDC this process might change, and we will share updates as we receive them. We understand that this is not ideal since we will not be able to go back and fix records after the fact, however, it is the only option we have at this time to get an IPV dose into MCIR.
Thank you for all you do to protect Michiganders from vaccine preventable diseases.
Oakland County Health Division, Immunization Action Plan
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