|The model standing orders listed below and standing orders for any newly recommended vaccines will be updated within one month from the date that ACIP makes its recommendation or at the discretion of the Oregon Health Authority.|
Note to clinicians: The vaccines and biologics listed here are routinely recommended in the state of Oregon. Any clinician ordering travel vaccines in addition to these is advised to review package information regarding simultaneous administration.
Vaccine Adverse Event Reporting
Oregon Public providers are to complete the Vaccine Adverse Events Reporting System (VAERS) report online by going to https://vaers.hhs.gov/esub/step1. Save the report number for your records and send copies of the report and VAERS ID number to the Oregon Immunization Program Vaccine Safety Coordinator via confidential email or fax (971-673-0278).
Private providers are to report adverse events directly to VAERS and can read about options on how to do so at www.vaers.hhs.gov
Regarding Zostavax and Adults age 50 and older:
Update based upon the August 22, 2014 MMWR
On August 22, 2014 ACIP made the following determinations:
- Not to recommend Zostavax for persons <60 years of age.
- The burden of herpes zoster increases with age, especially after age 60.
- Adults receiving herpes zoster vaccine before age 60 years might not be protected when the risks for herpes zoster and its complications are the highest.
- Vaccination at age 60 years would prevent the most shingles cases (26,147 per 1 million persons).
- The protection of herpes zoster vaccine wanes within the first 5 years after vaccination.
- Booster doses have not been studied.
- The CDC is actively monitoring data on duration of vaccine protection in adults vaccinated at age ≥60 years. As additional data become available, ACIP will reevaluate the optimal age for vaccination and the need for revaccination.
- Zostavax is covered by some Medicare Part D policies for patients ≥65 years of age. Oregon Medicaid covers zoster vaccine for those age 60 and older. Other insurance companies may not cover the cost of Zostavax, especially for indications (e.g., <60 years of age) that lie outside of ACIP recommendations.
Emergency Preparedness/Post-exposure Prophylaxis
Please see the new model standing order category for "Emergency Preparedness/Post-exposure Prophylaxis." The first, anthrax, includes an additional algorithm. Other post-exposure prophylaxis model standing orders will be added as developed and updated.
To request this material in an alternative format (e.g. Braille) or to clarify any part of the model standing order, contact the Oregon Health Authority Acute and Communicable Disease Prevention program at 971-673-1111.
Disclaimer of Liability
This site is provided as a public service by the Immunization Program of the Oregon Health Authority Public Health Division. The model standing orders provided here are intended for use by the public and private sectors to promote quality standard of practice in immunization. This information is designed to help practitioners provide precise and timely immunization services to the client. These orders are not in effect unless they have been reviewed and authorized by a medical doctor. Although the information and forms displayed here are carefully reviewed before publication, in providing immunizations, the practitioner should consult the package insert and recommendations made by both the American Academy of Pediatrics and the Advisory Committee on Immunization Practices. The state of Oregon does not make either express or implied warranties regarding the use of these forms and information. Each practitioner must depend on his or her own knowledge and expertise in using or modifying these forms and information.
Disclaimer of Reliability
In preparation of these sites, every effort has been made to offer the most current information possible. The information and data included on this have been compiled by state staff from a variety of sources, and are subject to change without notice. The state of Oregon makes no warranties or representation whatsoever regarding the quality, content, completeness, or adequacy of such information and data. The state of Oregon disclaims any responsibility for typographical errors and accuracy of the information that may be contained on state of Oregon web pages. In any situation where the official printed publications of the state of Oregon differ from the text contained in this system, official printed documents take precedence.
The state of Oregon makes no representations or warranties regarding the condition or functionality of this web site, its suitability for use, or that this web service will be uninterrupted or error-free. If misleading, inaccurate or otherwise inappropriate information is brought to our attention, a reasonable effort will be made to fix or remove it. Such concerns should be addressed to the Immunization Program at 971-673-0300.
Disclaimer of Endorsement
Reference herein to any specific commercial products, process, or service by trade name, trademark, manufacturer, or otherwise, does not constitute or imply its endorsement, nor its recommendation by the state of Oregon. The views and opinions of authors expressed herein do not state or reflect those of the state of Oregon, and may not be used for advertising or product endorsement purposes.
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