2019–20 Influenza Season Recommendations Released


The CDC has released Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices—United States, 2019–20 Influenza Season in the August 23 issue of MMWR Recommendations and Reports. The summary section is reprinted below.

This report updates the 2018–19 recommendations of the Advisory Committee on Immunization Practices (ACIP) regarding the use of seasonal influenza vaccines in the United States (MMWR Recomm Rep 2018;67[No. RR-3]). Routine annual influenza vaccination is recommended for all persons aged ≥6 months who do not have contraindications. A licensed, recommended, and age-appropriate vaccine should be used. Inactivated influenza vaccines (IIVs), recombinant influenza vaccine (RIV), and live attenuated influenza vaccine (LAIV) are expected to be available for the 2019–20 season. Standard-dose, unadjuvanted, inactivated influenza vaccines will be available in quadrivalent formulations (IIV4s). High-dose (HD-IIV3) and adjuvanted (aIIV3) inactivated influenza vaccines will be available in trivalent formulations. Recombinant (RIV4) and live attenuated influenza vaccine (LAIV4) will be available in quadrivalent formulations.

Updates to the recommendations described in this report reflect discussions during public meetings of ACIP held on October 25, 2018; February 27, 2019; and June 27, 2019. Primary updates in this report include the following two items. First, 2019–20 U.S. trivalent influenza vaccines will contain hemagglutinin (HA) derived from an A/Brisbane/02/2018 (H1N1)pdm09–like virus, an A/Kansas/14/2017 (H3N2)–like virus, and a B/Colorado/06/2017–like virus (Victoria lineage). Quadrivalent influenza vaccines will contain HA derived from these three viruses, and a B/Phuket/3073/2013–like virus (Yamagata lineage). Second, recent labeling changes for two IIV4s, Afluria Quadrivalent and Fluzone Quadrivalent, are discussed. The age indication for Afluria Quadrivalent has been expanded from ≥5 years to ≥6 months. The dose volume for Afluria Quadrivalent is 0.25 mL for children aged 6 through 35 months and 0.5 mL for all persons aged ≥36 months (≥3 years). The dose volume for Fluzone Quadrivalent for children aged 6 through 35 months, which was previously 0.25 mL, is now either 0.25 mL or 0.5 mL. The dose volume for Fluzone Quadrivalent is 0.5 mL for all persons aged ≥36 months (≥3 years).

This report focuses on the recommendations for use of vaccines for the prevention and control of influenza during the 2019–20 season in the United States. A brief summary of these recommendations and a Background Document containing additional information are available at https://www.cdc.gov/vaccines/hcp/acip-recs/vacc-specific/flu.html. These recommendations apply to U.S.-licensed influenza vaccines used within Food and Drug Administration–licensed indications. Updates and other information are available from CDC’s influenza website (https://www.cdc.gov/flu). Vaccination and health care providers should check this site periodically for additional information.

Diabetes Programs Available

Health ICT

A listing of diabetes programs across the state are available. Download the two-page flyer and share with your patients and post in your office. The Diabetes Prevention Program offers lifestyle modification designed to keep people with slightly elevated blood sugars from developing diabetes. The Diabetes Self-Management Education and Support program is designed to help people already diagnosed with diabetes better manage their disease through diet, physical activity, medications, and work with their health care team.

Lakin Family Doc Grabs #1 Spot for Advice

Eat This, Not That

This article published in Eat This, Not That, which garners more than 5 million visitors per month, featured five family physician including Dr. Drew Miller of Lakin who grabbed the number one spot with his advice in 50 Things Doctors Would Tell Their Own Mothers.

NIAM Features #HowIRecommend Vaccination Video Series, plus CME activities for YOU


Thank you for your support of National Immunization Awareness Month (NIAM) in August by encouraging your patients to be up to date on recommended vaccines.

Check out this new resource, #HowIRecommend Video Series, which offers simple and practical guidance for having successful vaccine conversations with parents and patients. These short videos demonstrate how to make effective vaccine recommendations, address common vaccine questions, and take a team-based approach to vaccination.

CDC has also developed Medscape CME activities to help healthcare professionals have successful conversations with parents about vaccines. Access these CME activities:

Kansas HPV Vaccine Rates Improve Significantly


The National Immunization Survey regarding teens released its annual report for 2018 which shows Kansas is improving in vaccine rates for HPV and MenACWY and remaining consistent with Tdap. This report is available in the Morbidity and Mortality Weekly Report from the Centers for Disease Control and Prevention.

The survey, which is conducted among teens ages 13 to 17, monitors the vaccines received by adolescents, specifically HPV, MenACWY and Tdap.* “In 2014, Kansas had the lowest coverage in the nation for the HPV vaccine with only 34.4 percent of respondents reporting one or more doses received,” said KDHE Secretary Lee Norman, MD. “I’m very pleased to report that Kansas is now at 62.3 percent coverage in 2018, up significantly from 52.4 percent in 2017.”

Kansas has seen an average increase in HPV coverage of 6.3 percentage points annually since 2014 while the national average increase has been 4.4.

*Vaccine Description:
1. Tdap – protects against tetanus, diphtheria and pertussis. The vaccine is recommended for children ages 11-13. The Healthy People 2020 target is 80 percent coverage. Kansas’ 2018 rate is 89.4 percent.
2. MenACWY – protects against certain strains of meningococcal disease. This vaccination is recommended for patients ages 11-13 with a booster dose at age 16. The Healthy People 2020 target is 80 percent. Kansas’ 2018 rate is 75.3 percent.
3. HPV – protects against HPV-related cancers. Two-dose series are recommended for ages 11-13. Doses should be administered six months apart. If the first dose is not given before 15th birthday, a three-dose series is needed. The Healthy People 2020 target is 80 percent. The Kansas 2018 rate is 62.3 for one or more doses.

Reserve Your Date Today


It is not too early to sign up to serve as Family Doctor of the Day (FDOD) for the 2020 legislative session. Each year during the legislative session, KAFP organizes for a volunteer to serve as the “Family Doctor of the Day” at the state capitol. In preparation for the 2020 legislative session, KAFP is recruiting volunteers to serve. All KAFP members with a Kansas license (including residents) are eligible to volunteer. View the calendar of dates, read more about the program, and complete the volunteer form online today!

Sponsorship Opportunities Close August 31


The KAFP-Foundation challenges you to register today for Let’s Move, Kansas. It will be a fun event for your entire family or clinic!  Join us on Saturday, Oct. 19 for the 5th Annual Let’s Move, Kansas 5K Run/Walk at Sedgwick County Park in Wichita. All proceeds benefit the KAFP-Foundation. It is a great way to support the Foundation’s programs for residents and students while living a healthy lifestyle and sharing a great day with your friends, family and colleagues!

Register a team and get $3.00 off per registrant AND if you are a resident or medical student, use the discount code STURES19 for an additional $5.00 off per registrant. Rally your co-workers — we will have a team trophy for the largest team! Visit www.LetsMoveKansas.com to see a listing of teams to join!

Sponsorship opportunities close Saturday, Aug. 31. Act now if your hospital, clinic or company is interested in being a sponsor for this event, click here for more information.

Thank you to our  sponsors:

Presenting sponsor, KU School of Medicine-Wichita
Media sponsor, KMUW Wichita 89.1
Platinum sponsors, Grene Vision Group and Wichita Surgical Specialists
Gold sponsors, Advanced Physical Therapy, Blue Cross Blue Shield of Kansas, Premier Property Management
Silver sponsor, Wichita Urology
Bronze sponsors, Post Rock Family Medicine and Wichita Marriott

If you cannot participate in the race on October 19, the KAFP-Foundation would greatly appreciate a donation to support residents and students. Give today.

Donate to Gaughan Leadership Fund


This week we are celebrating the retirement of KAFP’s Executive Vice President after 30 years! There is a retirement celebration planned for Wednesday, August 28 at KU School of Medicine. We hope to see you there. Another great way to honor Carolyn and her contributions of leadership and work for the Academy and family medicine is through the support of the Carolyn Gaughan Leadership Fund.  This endowed fund will support medical students and residents from the Wichita campus to participate in leadership development opportunities. Read more about the fund here.

All contributions may be by check made out to KU Endowment (memo: Gaughan Fund), 1010 N. Kansas, Wichita, KS 67214 or make your gift online at www.kuendowment.org/Gaughanfund.

Parent Health Literacy Opportunities Coming Up

Kansas Head Start Association

There are three Parent Health Literacy training upcoming opportunities coming soon!

The training is free for any staff who work directly with parents and patients, supervisors and program directors. Three CEUs are available for $15.

Attendees will receive the resources needed to teach parents how to use the “What To Do When Your Child Gets Sick” book using effective, evidence based teaching methods.

The KHSA Parent Health Literacy project partners with agencies, medical providers, schools and human services organizations who serve families with young children to provide this important health literacy resource.

For more information, visit Parent Health Literacy Project.

AAFP, Other Groups Encourage Well Visits for 16-Year-Olds


The AAFP and six other medical and public health organizations have teamed up to publish a Dear Colleague” open letter(2 page PDF) that encourages family physicians and other health care professionals to ensure that 16-year-old patients are seen for a well visit. During that visit, say the groups, these teens should receive vaccines recommended for them by the CDC’s Advisory Committee on Immunization Practices in its Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger.(www.cdc.gov)

The Aug. 1 letter was signed by AAFP Board Chair Michael Munger, M.D., of Overland Park, Kan., along with officials from the American Academy of Pediatrics, American College Health Association, American College of Obstetricians and Gynecologists, American Pharmacists Association, Immunization Action Coalition and Society for Adolescent Health and Medicine.

The call for well visits for 16-year-olds derives partly from the results of a JAMA Pediatrics study(jamanetwork.com) published in January 2018, which found that although adolescent well-visit rates increased from 41% before implementation of the Patient Protection and Affordable Care Act to 48% after implementation, those figures remain below recommended levels.

The organizations further state in their letter that a well visit at age 16 would allow physicians to administer catch-up doses of vaccines for HPV, hepatitis A and B, varicella, and other diseases.