ACIP Letters
Important Update: The
ACIP has announced that the draft adult hepatitis B immunization
recommendations will be considered at its next meeting, scheduled
for Wednesday, October 26 in Atlanta. See draft agenda.
Why you should be concerned:
This marks the first time since 1991 that the adult hepatitis B
immunization recommendations will be revised.
These recommendations set immunization policy for the U.S., and
often guide what vaccines private insurance companies will cover.
Due to the universal vaccination of infants and children againat
hepatitis B, hepatitis B rates have declined dramatically in the
U.S. However, HBV rates continue to climb among persons aged 25
years or older--with gay men and African Americans disproportionately
affected.
The ACIP has not shared its draft hepatitis B immunization recommendations
with any stakeholders since they were revised earlier this year.
In addition, the committee is set to vote on the recommendations
BEFORE the public comment period!
Please join us in asking ACIP to delay their vote on the document
until concerned stakeholders have an opportunity to review the
recommendations and provide comments to ACIP members. These recommendations
will set hepatitis B immunization policy for years to come— let's
get them right!!!
Take Action
If your organization would like to submit an individual
letter to ACIP, click
here to view a sample letter which
your agency can revise. You can also view individual organization's
letters to ACIP:
Asian Liver Center
Hepatitis B Foundation
Immunization Action Coalition
National Alliance of State and Territorial
AIDS Directors
National Task Force on Hepatitis B
If you prefer you can add your Organization's name to our NVHR
Organization's group ACIP letter.
Click here to view the
NVHR Organization's group ACIP letter.
Click here to add your Organization's contact
information to our NVHR Organization's group ACIP letter.
The Advisory Committee on Immunization
Practices (ACIP) will consider the Adult recommendations
on October 26-27 in Atlanta, GA. This document will define the nation's
public and private sector hepatitis B vaccination and screening
recommendations for years to come, and this is the first revision
of the document in 14 years. As many of you know, NVHR advocates
for a universal, age-based hepatitis B immunization recommendation.
We believe that vaccinating adults is a necessary and important
step to eliminating hepatitis B in the United States, and that a
recommendation which endorses age-based, rather than risk-based
immunization, is the most effective way to achieve this goal.
The current draft recommendations stop short
of recommending an age-based strategy and continue to endorse a
"risk-based" strategy (e.g. incrarcerated persons, persons
with multiple sex partners, men who have sex with men). The past
14 years have proven that risk-based immunization does not work.
While we believe it is imperative to continue vaccination in risk-based
settings, we need to expand our strategy to, make a REAL difference!
NVHR joins the growing number of organizations and individuals who
have voiced their concerns regarding a continued "risk-based
only" approach to ACIP recommendations. We encourage all who
have an interest in an age-based recommendation on this issue to
also send a letter to the ACIP speaking for this.
Sample letters from several organizations/individuals
are posted below for your review.
- Edward L. Zuroweste,
M.D., Medical Director, Migrant Clinicians
Network
- Julie
M. Scofield, Executive Director, National
Alliance of State and Territorial AIDS Directors
- Dr. Jody H. Hershey,
Virginia Department of Health
- Dr. Jeffrey Davis,
Wisconsin Department of Health and Family Services
- Dr. Elizabeth F. Gondles,
Institute for Criminal Justice Healthcare
- Molli Conti, Vice
President, Hepatitis
B Foundation
- Mass Dept
of Public Health (MDPH)
- Dr. Eugene
R. Schiff, Professor of Medicine, Center for Liver Diseases
- Dr. Deborah L. Wexler,
Executive Director, Immunization Action Coalition
- Dr. Bradley A.
Connor, The New York Center for Travel and Tropical Medicine
- Jason Farrell,
Executive Director, Positive Health Project, Inc.
- Jeffrey B. Caballero,
MPH, Executive
Director, Association
of Asian
Pacific Community Health
Organization (AAPCHO)
To review a copy of the ACIP draft recommendations
document, dated January 2005 (old but the only text available) please
send your request electronically to (dconlon@taskforce.org)
or by fax (404-371-1087) to Dick Conlon, NVHR Administrator.
Agenda for the ACIP meeting
can be found at the ACIP Website www.cdc.gov/nip/acip
Instructions for how to send your
letter
Address your letter to Dr. Larry Pickering:
Larry Pickering, MD,
Executive Secretary for ACIP
National Immunization Program/CDC
1600 Clifton Road, NE, Atlanta, GA 30333
email address: ljp8@cdc.gov
You should cc: your letter to the
following individuals:
Jon Abramson, MD
Chairman of ACIP
Weston M. Kelsey Professor & Chair
Department of Pediatrics
Wake Forest University School of Medicine
Email address: jabrams@wfubmc.edu
Louisa Chapman, MD
National Immunization Program/ CDC
lec3@cdc.gov
Eric Mast, MD, MPH
Division of Viral Hepatitis/CDC
email address: eem1@cdc.gov
John W. Ward, MD
Division of Viral Hepatitis/CDC
jww4@cdc.gov
Dee Gardner
Staff member, ACIP
National Immunzation Program / CDC
acip@cdc.gov
Since postal mail distribution within CDC is often slow, it is best
to also send your letter via email or fax.
Mitchell L. Cohen, MD
Director, Coordinating Center for Infectious Diseases/CDC
mlc1@cdc.gov
Julie Gerberding, MD, MPH
Director, CDC
JYG2@cdc.gov
Michael O. Leavitt
Secretary of Health and Human Services
Fax: 202-690-7203
For other ACIP contact information:
Dee Gardner: (404) 639-8096
Fax (404) 639-8520
ACIP website is http://www.cdc.gov/nip/acip
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