FINAL – February 20, 2009

 1

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 

February 25-26, 2009 

AGENDA ITEM PURPOSE PRESIDER/PRESENTER(s)

Wednesday, February 25, 2009

8:00

 

Welcome & Introductions

 

Dr. Dale Morse (Chair, ACIP) 

Dr. Larry Pickering (Executive 

Secretary, ACIP; CDC) 

8:30 Anthrax Vaccine

• BioThrax® (Anthrax Vaccine Adsorbed): reduced 

dose/route change study – immunogenicity results 

• Draft recommendation for route/schedule of Anthrax 

Vaccine Adsorbed (AVA) 

Information 

Information 

Discussion 

Vote 

Dr. Robert Hopkins (Emergent 

BioSolutions) 

Dr. Jennifer Wright 

(CDC/CCID/NCIRD/DBD) 

8:55 Hepatitis Vaccines

• Hepatitis A vaccination among contacts of 

internationally adopted children 

 

Information 

Discussion 

Vote 

Dr. Mark Sawyer (ACIP, WG Chair) 

Dr. Sandra Chaves and Dr. Cindy 

Weinbaum 

(CDC/CCID/NCHHSTP/DVH) 

9:55 Break 

10:25 Influenza Vaccines 

• Introduction 

• Influenza surveillance update 

• Antiviral resistance 

• 2009 influenza vaccine recommendations 

Information 

Discussion 

Vote 

Dr. Kathy Neuzil (ACIP, WG Chair) 

Dr. Anthony Fiore 

(CDC/CCID/NCIRD/ID) 

11:25 Rabies Vaccine Information 

Discussion 

Dr. Paul Cieslak (ACIP, WG Chair) 

Dr. Charles Rupprecht 

(CDC/CCID/NCZVED/DVRD) 

12:10 Update: Pertussis Vaccines Work Group Information Dr. Mark Sawyer (ACIP, WG Chair) 

Dr. Jennifer Liang 

(CDC/CCID/NCIRD/DBD) 

12:15 Lunch 

 1:15 Pneumococcal Vaccines

• Use of PPSV23 for prevention of pneumococcal 

pneumonia during an influenza pandemic 

• An economic analysis for use of PPSV23 for prevention 

of pneumococcal pneumonia during an influenza 

pandemic 

• Update on PCV13 pediatric phase 3 trial results 

• Use of pneumococcal vaccines 

Information 

Discussion 

Information 

Discussion 

Information 

VFC Vote 

Dr. Matthew Moore 

(CDC/CCID/NCIRD/DBD) 

Dr. Mark Messonnier 

(CDC/CCID/NCIRD/ISD) 

Dr. Peter Paradiso (Wyeth) 

Dr. Jeanne Santoli 

(CDC/CCID/NCIRD/ISD) 

2:35 Measles, Mumps and Rubella

• Proposed changes in MMR vaccine evidence of 

 immunity requirements for healthcare personnel 

 

Information 

Discussion 

Dr. Jane Seward 

 (CDC/CCID/NCIRD/DVD/OD) 

Ms. Amy Parker 

 (CDC/CCID/NCIRD/DVD/EB) 

3:05 Break 

3:20 General Recommendations

• Storage and handling of immunobiologics 

• Vaccination of people with altered immunocompetence 

Information 

Discussion 

Vote 

Dr. Ciro Sumaya (ACIP, WG Chair) 

Dr. Andrew Kroger 

(CDC/CCID/NCIRD/ISD) 
FINAL – February 20, 2009

 2

4:05 Human Papillomavirus (HPV) Vaccines

• Introduction 

• Update on bivalent HPV vaccine: ASO4 adjuvant 

 mechanisms of action and safety meta–analysis 

• Burden of HPV related disease in males 

• Update on quadrivalent HPV vaccine: efficacy data in 

 males 

• Work Group plans for upcoming recommendations 

Information 

Information 

Information 

Information 

Discussion 

Dr. Janet Englund (ACIP, WG Chair) 

Dr. Tom Verstraeten (GSK) 

Dr. Mona Saraiya 

(CDC/NCCDPHP/DCPC) 

Dr. Rick Haupt (Merck) 

Dr. Lauri Markowitz 

(CDC/CCID/NCHHSTP/DSTDP) 

4:55 Pediatric Haemophilus influenzae B Cases in Minnesota, 

2008-2009

Information 

Discussion 

Ms. Kris Ehresmann (ACIP, MDH) 

Dr. Jeanne Santoli 

(CDC/CCID/NCIRD/ISD) 

5:15 Vaccination of Immigrants and Refugees Information 

Discussion 

Dr. Martin Cetron/Dr. Katrin Kohl 

(CDC/CCID/NCPDCID/DGMQ) 

5:30 Public Comment

5:45 Adjourn 

Thursday, February 26, 2009

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

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

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

Information 

8:45 Meningococcal Vaccine

• Update: Meningococcal Work Group 

• Meningococcal conjugate vaccine post-licensure 

 safety update - Vaccine Adverse Event Reporting 

 (VAERS) 

Information 

Information 

Discussion 

Dr. Carol Baker (ACIP, WG Chair) 

Dr. Angela Calugar (CDC/OD/OCSO) 

9:15 Update: Herpes Zoster (Shingles) Vaccine

• Update: herpes zoster (shingles) vaccine 

• National provider survey regarding barriers to 

 implementation of zoster vaccine 

Information 

Information 

Dr. Rafael Harpaz 

(CDC/CCID/NCIRD/DVD) 

Dr. Allison Kempe 

 (University of Colorado) 

9:55 Vaccine Supply Information 

Discussion 

Dr. Jeanne Santoli 

(CDC/CCID/NCIRD/ISD) 

10:10 Break 

10:40 MMRV Vaccine Safety

• Introduction 

• Update on Work Group activities for developing policy 

options for MMRV vaccine use 

• Provider survey regarding opinions on the use of MMRV 

vaccine 

• Discussion 

Information 

Information 

Information 

Discussion 

Dr. Jonathan Temte 

 (ACIP, WG Chair) 

Dr. Mona Marin 

(CDC/CCID/NCIRD/DVD) 

Dr. Allison Kempe 

 (University of Colorado) 

Dr. Jonathan Temte 

11:25 Polio: Update on the Global Polio Eradication Initiative 

and Domestic Policy Issues 

Information 

Discussion 

Dr. Steve Wassilak 

(CDC/CCID/NCIRD/GID) 

Dr. Gregory Wallace 

(CDC/CCID/NCIRD/DVD) 

12:10 Update: Yellow Fever Vaccine Work Group Information Dr. Carol Baker (ACIP, WG Chair) 

12:15 Public Comment

12:30 Adjourn 
FINAL – February 20, 2009

 3

Acronyms 

ACIP Advisory Committee on Immunization Practices 

CCID Coordinating Center for Infectious Diseases 

CDC Centers for Disease Control & Prevention 

CMS Centers for Medicare and Medicaid Services 

DBD Division of Bacterial Diseases [of NCIRD] 

DOD Department of Defense 

DGMQ Division of Global Migration and Quarantine

DHQP Division of Healthcare Quality Promotion

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 

GID Global Immunization Division 

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) 

MDH Minnesota Department of Health 

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] 

WG Workgroup 
 

This document can be found on the CDC website at: 

http://www.cdc.gov/vaccines/recs/acip/downloads/agenda-feb09.pdf