FINAL – October 21, 2008

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MEETING OF THE ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES (ACIP) 

Centers for Disease Control and Prevention 

1600 Clifton Road, NE, Tom Harkin Global Communications Center (Building 19), Atlanta, Georgia 

October 22-23, 2008 

AGENDA ITEM PURPOSE PRESIDER/PRESENTER(s)

Wednesday, October 22

8:00

 

Welcome & Introductions Dr. Dale Morse (Chair, ACIP) 

Dr. Larry Pickering (Executive Secretary, 

ACIP; CDC) 

8:30 Pneumococcal Vaccines

• Update on Work Group (WG) activities 

• Proposed recommendation for use of PPSV23 

among adult cigarette smokers 

• Revised recommendation for use of PPSV23 

among American Indians and Alaska Natives 

• Revised recommendation for use of PPSV23 in 

high risk children age < 10 years 

• VFC vote 

• Update on investigational 13-valent 

pneumococcal conjugate vaccine 

Information 

Discussion 

Vote 

Discussion 

Vote 

Discussion 

Vote 

VFC Vote 

Information 

Dr. Mike Marcy (ACIP, WG Chair) 

Dr. Pekka Nuorti (CDC/CCID/NCIRD/DBD) 

Dr. Kate O’Brien (Johns Hopkins University) 

Dr. Pekka Nuorti (CDC/CCID/NCIRD/DBD) 

Dr. Jeanne Santoli (CDC/CCID/NCIRD/ISD) 

Dr. Peter Paradiso (Wyeth Vaccines) 

9:55 General Recommendations Information 

Discussion 

Vote 

Dr. Ciro Sumaya (ACIP, WG Chair) 

Dr. Andrew Kroger (CDC/CCID/NCIRD/ISD) 

10:45 Break 

11:15 Human Papillomavirus (HPV) Vaccines

• Introduction and update 

• National Provider Survey

• Vaccine safety update 

 - VAERS 

 - CISA 

 - VSD rapid cycle analysis summary 

 - Vaccine pregnancy registry 

Information 

and 

Discussion 

Dr. Janet Englund (ACIP, WG Chair) 

Dr. Lauri Markowitz (CDC/NCHHSTP/DSTDP) 

Dr. Matt Daley (University of Colorado) 

Dr. Angela Calugar (CDC/ISO) 

Dr. Barbara Slade (CDC/ISO) 

Dr. Julianne Gee (CDC/ISO) 

Dr. Adrian Dana (Merck) 

12:30 Lunch 

1:30 2009 Adult Immunization Schedule Information 

Discussion 

Vote 

Dr. Paul Cieslak 

 (ACIP, WG Chair) 

Dr. Gina Mootrey (CDC/CCID/NCIRD/ISD) 

2:05 2009 Immunization Schedules for Children 0-18 

Years of Age

Information 

Discussion 

Vote 

Dr. Cody Meissner (ACIP, WG Chair) 

Dr. William Atkinson (CDC/CCID/NCIRD/ISD) 

2:50 Japanese Encephalitis Vaccine

• Update from the Japanese Encephalitis (JE) WG

• Revised recommendations for the use of JE 

vaccines for U.S. travelers

Information 

Discussion 

Dr. Paul Cieslak (ACIP, WG Chair) 

Dr. Marc Fischer 

(CDC/CCID/NCZVED/DVBID) 

3:40 Break 

3:55 Hepatitis Vaccines

• Convening of Hepatitis Vaccines Work Group Information Dr. Mark Sawyer (ACIP, WG Chair) 
FINAL – October 21, 2008

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4:00 Anthrax Vaccine (Anthrax Vaccine Adsorbed, AVA)

• Introduction 

• Safety/immunogenicity data from AVA clinical 

trial 

• Recommendations of Anthrax Vaccine WG 

• AVA use in pregnant women 

• Recommendations for the use of AVA in 

pregnant/breastfeeding women 

Information 

Information 

Discussion 

Vote 

Information 

Discussion 

Vote 

Dr. Dale Morse (ACIP, WG Chair) 

Ms. Stacey Martin, Dr. Conrad Quinn (CDC/ 

CCID/NCIRD/DBD) 

Dr. Jennifer Wright (CDC/CCID/NCIRD/DBD)

CAPT Margaret Ryan (DOD) 

Dr. Jennifer Wright (CDC/CCID/NCIRD/DBD)

6:00 Public Comment 

6:15 Adjourn

Thursday, October 23

8:00 Unfinished Business Dr. Dale Morse (Chair, ACIP) 

8:30 Agency Updates (CDC/CCID/NCIRD, CMS, DOD, DVA, 

FDA, HRSA, IHS, NIH, NVPO/NVAC) 

Information 

8:45 Rotavirus Vaccines

• National trends in rotavirus detections, 2007-

2008 

• Effectiveness of pentavalent rotavirus vaccine 

in US clinical practice 

• Trends in diarrhea and rotavirus hospitalizations 

in New York State 

Information 

Information 

Discussion 

Information 

Discussion 

Dr. Jacqueline Tate (CDC/CCID/NCIRD) 

Dr. Julie Boom (Texas Children’s Hospital) 

Dr. Hwa-Gan Chang (New York State 

Department of Health) 

9:15 Immunization Safety Office Update Information Dr. John Iskander (CDC/ISO) 

9:20 MMRV Vaccine Safety

• Measles, Mumps, Rubella, and Varicella (MMRV) 

Vaccine Safety WG Update 

• Vaccine Safety Datalink (VSD) Project safety 

study of MMRV Vaccine 

• Merck safety study of ProQuad ®

 (MMRV vaccine) 

• MMRV Vaccine Safety WG: interim synthesis of 

evidence for febrile seizure risk after MMRV 

vaccination and considerations for future 

activities 

• Discussion 

Information 

Information 

Information 

Information 

Discussion 

Dr. Jonathan Temte 

 (ACIP, WG Chair) 

Mr. Eric Weintraub (CDC/ISO) 

Dr. Patricia Saddier (Merck) 

Dr. Karen Broder (CDC/ISO) 

Dr. Jonathan Temte 

 (ACIP, WG Chair) 

10:20 Break 

10:45 National Immunization Survey - Teen Results Information Dr. Nidhi Jain (CDC/CCID/NCIRD/ISD) 

11:00 Influenza Vaccines

• Influenza surveillance 

• Update on vaccine effectiveness studies 

• Adult vaccination 

Information 

Information 

Information 

Dr. Anthony Fiore (CDC/CCID/NCIRD/ID) 

Dr. Kathy Neuzil (ACIP, WG Chair) 

11:45 Rabies Vaccine Supply Information 

Discussion 

Dr. Charles Rupprecht 

(CDC/CCID/NCZVED/DVRD) 

12:15 Vaccine Supply Information 

Discussion 

Dr. Jeanne Santoli (CDC/CCID/NCIRD/ISD) 

12:30 Tdap (Boostrix®) in Adults

Information Dr. Jennifer Liang (CDC/CCID/NCIRD/DBD) 

Dr. Wayde Weston (GSK) 

12:45 Public Comment 

1:00 Adjourn 
FINAL – October 21, 2008

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Acronyms 

ACIP Advisory Committee on Immunization Practices 

CCID Coordinating Center for Infectious Diseases 

CDC Centers for Disease Control & Prevention 

CISA Clinical Immunization Safety Assessment 

CMS Centers for Medicare and Medicaid Services 

DBD Division of Bacterial Diseases [of NCIRD] 

DHQP Division of Healthcare Quality Promotion 

DOD Department of Defense 

DSTDP Division of Sexually Transmitted Diseases Prevention [of NCHHSTP] 

DVA Department of Veterans Affairs 

DVBID Division of Vector-Borne Infectious Diseases 

DVD Division of Viral Diseases [of NCIRD] 

DVH Division of Viral Hepatitis [of NCHHSTP] 

DVRD Division of Viral and Rickettsial Diseases 

FDA Food and Drug Administration 

HRSA Health Resources and Services Administration 

ID Influenza Division [of NCIRD] 

IHS Indian Health Service 

ISD Immunization Services Division [of NCIRD] 

ISO Immunization Safety Office (of CDC/OD/Office of the Chief Science Officer) 

NCHHSTP National Center for HIV, Hepatitis, STD and TB Prevention [of CDC/CCID] 

NCIRD CDC National Center for Immunization & Respiratory Diseases [of CDC/CCID] 

NCPDCID National Center for Preparedness, Detection, and Control of Infectious Diseases 

NCZVED National Center for Zoonotic, Vector-Borne, and Enteric Diseases [of CDC/CCID] 

NIH National Institutes of Health 

NVAC National Vaccine Advisory Committee 

NVPO National Vaccine Program Office 

OCSO Office of the Chief Science Officer 

OD Office of the Director [of CDC] 

VSD Vaccine Safety Datalink 

WG Workgroup 
 

This document can be found on the CDC website at: 

http://www.cdc.gov/vaccines/recs/acip/downloads/agenda-oct08.pdf