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May 31, 2024


Nominate an immunization champion by June 7

Minnesota Department of Health (MDH) is requesting nominations for the 2024 National Immunization Champion Award. The deadline for nominations is Friday, June 7. This award honors one person in Minnesota for their exemplary work in fostering and promoting immunizations for children or adults in their community. Nominees can be leaders from health care, education, non-profits, community, and other immunization partners. For more information and the nomination form, visit Association of Immunization Managers: 2024 Immunization Champion Award Nomination Form (PDF). Questions and completed nomination forms can be sent to Melody Doan at melody.doan.contractor@state.mn.us. Self-nominations are welcome. Please share this information with your immunization network and eligible immunization partners.


End of the Bridge Access Program

The Centers for Disease Control and Prevention (CDC) recently announced that the Bridge Access Program will end in August. This means that free COVID-19 vaccines that MDH provided through this program for adults without health insurance and those whose health insurance does not cover all COVID-19 vaccine costs will no longer be available as they have been provided. A limited number of doses will be available through the Uninsured and Underinsured Adult Vaccine (UUAV) Program after September 2024.

Additional guidance and details about the impact this may have on COVID-19 vaccine efforts in Minnesota are expected from the CDC soon. Please send questions to Rebecca Juarez at rebecca.juarez.c19@state.mn.us.


The ABC’s of hepatitis for adults

May is Hepatitis Awareness Month. Hepatitis impacts thousands of people in Minnesota. Now is a great time to promote testing for hepatitis B and C, as well as vaccination for hepatitis A and B for those who are unvaccinated. The CDC recommends all adults be screened for hepatitis B and C at least once during their lifetime. For more information, visit the MDH Hepatitis webpage.

Hepatitis A and B vaccinations are recommended as part of the routine childhood vaccination schedule. Adolescents and adults who were not vaccinated in childhood are also eligible for Hep A and Hep B vaccinations and should consider getting vaccinated. 

  • Hepatitis A: In 2020, the Advisory Committee on Immunization Practices (ACIP) voted to recommend Hep A vaccination for any adult requesting protection, regardless of risk factors.   
  • Hepatitis B: In 2022, the ACIP voted to expand vaccine recommendations for Hep B.  
    • Vaccine is now recommended for all adults ages 19 to 59 years old and adults ages 60 years and older who have risk factors for hepatitis B infection. Adults ages 60 years and older without risk factors may also receive the vaccine. 
  • Hepatitis C:  
    • There is no vaccine for hepatitis C, but there is a cure for the disease. 
    • All adults ages 18 to 79 years old should be screened for hepatitis C at least once. 
    • People with risk factors (e.g., injection drug use) should receive routine screening. 

New immunization laws for pharmacy and child care

The Minnesota legislative session ended on May 20, resulting in the passage of two immunization-related bills. These legislative changes aim to make vaccines more accessible and better manage the risk of vaccine-preventable diseases in Minnesota.  

Pharmacy

Beginning July 1, pharmacists can initiate, order, and administer: 

  • Influenza and COVID-19 vaccines for children three years and older. 
  • All other ACIP recommended vaccines for children six years and older.  

Trained pharmacy technicians and pharmacy interns can also administer the vaccines under the supervision of a pharmacist. Pharmacists will continue to promote regular well child visits with the child’s pediatrician or primary care provider as required by law.

Child Care

Effective August 1, child care centers and family child care providers will have the option to set immunization policy to not enroll unvaccinated children with non-medical exemptions according to the Minnesota's Immunization Law Exemption Provision. It is important to recognize that: 

  • Non-medical exemptions remain an option in Minnesota. 
  • All child care providers must continue to enroll unvaccinated children with medical exemptions, signed by a health care provider. 
  • This new law does not apply to schools or early education programs.

Pertussis outbreaks update

As of May 23, there have been 73 confirmed and probable cases of pertussis in Minnesota, a significant increase compared to the 61 confirmed cases reported for the entire year of 2023.  So far, the metropolitan area has experienced two outbreaks of pertussis: one in January that affected a local university and another currently affecting a high school and a middle school. This rise in cases highlights the importance of including pertussis in differential diagnoses, especially for patients with prolonged coughs.

  • Watch for cough illnesses lasting longer than 7 days, and that are sometimes accompanied by severe coughing fits, a high-pitched "whoop" sound, gagging, or vomiting. In infants, apnea can be the only symptom, and there may be little to no coughing.
  • Nasopharyngeal swabs for PCR testing are essential for confirming the diagnosis. Prompt administration of appropriate antibiotics, such as azithromycin, is necessary to reduce the severity and spread of the disease. Patients with a cough lasting longer than three days who report exposure to someone with pertussis should be treated with antibiotics and tested for pertussis.
  • Patients diagnosed with pertussis should be advised to stay home from school or work and practice good hygiene to prevent transmission. Confirmed cases must be reported within one working day to the local health department to support effective outbreak management and public health response.
  • Vaccination is essential to prevent and reduce the spread of pertussis. Immunity wanes after 1-2 years, so clinicians should ensure timely vaccination for all ages, catch-up vaccinations for incompletely vaccinated people, and a Tdap booster every ten years for adults. Pregnant people should receive Tdap during each pregnancy.

MDH provides free testing services for clinics or patient populations facing testing barriers. To get more information and request test kits, complete the VPD Test Kit Requests or contact MDH at 1-877-676-5414.

Detailed recommendations and guidelines for managing pertussis can be found at Managing Pertussis: Think, Test and Stop Transmission.

Pertussis disease progression. Description available at link below.

Image description available at CDC: Clinical Features of Pertussis.


Six cases of measles confirmed in Minnesota in two weeks

MDH has identified six cases of measles in the metro area since May 13. The six cases are among two unrelated sets of siblings. They were all unvaccinated and had a history of recent international travel. All six cases required hospitalization for measles-related illness or treatment for multiple gastrointestinal co-infections.

These most recent clusters bring the total number of measles cases in Minnesota to 9 this year. The most recent cases are not related to those from February. Recent national and international trends of increasing measles cases along with the decreased rates of the measles, mumps, and rubella vaccinations in Minnesota leave communities at high risk of measles infections and potential outbreaks. The United States is also seeing an elevated number of cases with over 130 cases reported nationally in 2024. This risk is further elevated with the summer travel season approaching.

Information on recognizing and reporting measles, including a provider pocket guide, can be found at Measles Information For Health Professionals and Measles (Rubeola) Pocket Guide (PDF). Consider measles in patients presenting with clinically compatible symptoms, returning from international travel, unvaccinated, or with a known exposure to someone who has recently returned from international travel. If you suspect your patient has measles, contact MDH immediately prior to specimen collection, at 651-201-5414 to speak with an epidemiologist about next steps.


MIIC webinar series and continuing education units (CEUs)

Thank you to all who attended the spring 2024 MIIC webinar series! If you were unable to attend, visit MIIC User Guidance and Training Resources to access the recordings and transcripts and receive continuing education units (CEUs). CEUs are available to anyone who experience either the live events or the recordings. Stay tuned for our next webinar series expected in fall 2024. For questions about the webinar series reach out to health.miichelp@state.mn.us.

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