R 131825Z OCT 10
UNCLASSIFIED//
MARADMIN 571/10
MSGID/GENADMIN,USMTF,2007/CMC WASHINGTON DC PPO//
SUBJ/2010-11 INFLUENZA SEASON GUIDANCE FOR ACTIVE AND RESERVE COMPONENTS//
REF/A/MSGID:DOC/ASD (HA)/YMD:20100719//
REF/B/MSGID:MSG/BUMED WASHINGTON DC 261205ZJUL10//
REF/C/MSGID:MSG/BUMED/181733ZAUG10//
REF/D/MSGID:INST/BUMEDINST 6230.15A/YMD:20060926//
REF/E/MSGID:MSG/MARADMIN 346/06/261400ZJUL06//
REF/F/MSGID:OPNAVINST 3710.7U/YMD:20091123//
REF/G/MSGID:MSG/MARADMIN/202001ZNOV09//
NARR/ REF (A) IS DOD POLICY FOR THE USE OF INFLUENZA VACCINE FOR THE 2010-11 INFLUENZA SEASON.  REF (B) IS INITIAL NAVY MEDICINE POLICY FOR THE USE OF SEASONAL INFLUENZA VACCINE FOR 2010-11. REF (C) IS NAVY MEDICINE POLICY FOR THE ADMINISTRATION, ORDERING, SHIPPING, TRACKING AND REPORTING OF INFLUENZA VACCINE FOR 2010-11. REF (D) IS NAVY MEDICINE GUIDANCE FOR IMMUNIZATIONS AND CHEMOPROPHYLAXIS. REF (E) IS UPDATE TO MEDICAL READINESS REPORTING SYSTEM (MRRS) MARINE CORPS IMPLEMENTATION PLAN. REF (F) IS NATOPS GENERAL FLIGHT AND OPERATING INSTRUCTIONS. REF (G) IS GUIDANCE FOR ACTIVE AND RESERVE MARINE FORCES ON ADMINISTERING NOVEL H1N1 INFLUENZA VACCINE FOR 2009-10.//
POC/SAUCEDA, LEE/HM1/UNIT:HQMC/NAME:PPO/TEL:703-571-1048 /EMAIL: LEE.SAUCEDA@USMC.MIL//
GENTEXT/REMARKS/1.  PURPOSE.  PROVIDE GUIDANCE TO USMC ACTIVE AND RESERVE COMPONENTS (AC/RC) FOR IMPLEMENTING THE 2010-11 INFLUENZA VACCINATION PROGRAM.  COMPREHENSIVE PREVENTION MEASURES MUST BE ENFORCED BY MARINE CORPS LEADERS TO PREVENT POTENTIAL ADVERSE OPERATIONAL CONSEQUENCES OF INFLUENZA.  MAXIMUM INFLUENZA IMMUNIZATION COMPLIANCE IS THE PRIMARY METHOD TO REDUCE RISK AND STRENGTHEN FORCE IMMUNITY.  THE 2010-11 INFLUENZA VACCINE INCORPORATES THE 2009 H1N1 PANDEMIC STRAIN AS ONE OF THE THREE SEASONAL INFLUENZA COMPONENTS.        
2.  BACKGROUND.  PER REFS (A) THROUGH (E), USMC AC/RC ARE REQUIRED TO RECEIVE INFLUENZA VACCINATION, UNLESS MEDICALLY OR ADMINISTRATIVELY EXEMPT (SEE PAR 6).  VACCINE WILL BE ADMINISTERED PER THE SEQUENTIAL PRIORITY CATEGORIES OUTLINED IN REF (B).  DOD CIVILIANS, MILITARY RETIREES, AND FAMILY MEMBERS ARE HIGHLY ENCOURAGED TO RECEIVE THE INFLUENZA VACCINE, BASED ON AVAILABLE SUPPLY, AS INDICATED FOR AGE AND FOR THOSE WITH MEDICAL CONDITIONS ASSOCIATED WITH HIGHER RISK OF COMPLICATIONS FROM INFLUENZA DISEASE PER REFS (A) THROUGH (E).
3.  EXECUTION.  IMMUNIZATION PRIORITY CATEGORIES SHALL BE IAW REF (A).  MAJOR SUBORDINATE COMMANDS SHALL ACHIEVE A 90 PERCENT COMPLIANCE RATE  FOR AC/RC NLT 1 DEC 2010 PER REF (A).  CORRESPONDING MILITARY VACCINATION REPORTS SHALL BE ENTERED IN MRRS NLT 1 JAN 2011.  DELINQUENT AC/RC PERSONNEL SHALL BE IDENTIFIED AND PROMPTLY  IMMUNIZED AT EARLIEST OPPORTUNITY.  VACCINATION OF UNIMMUNIZED PERSONNEL WILL CONTINUE UNTIL VACCINE SUPPLY IS EXHAUSTED OR THE VACCINE EXPIRATION DATE IS REACHED.
4.  VACCINE ADMINISTRATION.  SIMULTANEOUS ADMINISTRATION OF VACCINES SHALL BE ACCOMPLISHED PER REF (D).  FOR USMC PERSONNEL IN AN ACTIVE FLYING STATUS (DIFOPS) EXPOSED TO ALTITUDE CHANGES, THE LIVE ATTENUATED INFLUENZA VACCINE (FLUMIST) REQUIRES A SELF-CANCELLING GROUNDING PERIOD OF 72 HOURS AFTER IMMUNIZATION PER REF (C).  USMC PERSONNEL NOT IN ACTIVE FLYING STATUS, AIR TRAFFIC CONTROLLERS FOR EXAMPLE, WOULD ONLY REQUIRE A 12-HOUR SELF-CANCELLING GROUNDING PER REF (F).  FLIGHT SURGEONS MAY RECOMMEND RETURN OF AERONAUTICALLY DESIGNATED PERSONNEL TO DUTY INVOLVING FLIGHT OPERATIONS IN LESS THAN 72 HOURS WHEN NECESSARY TO MEET REAL WORLD OPERATIONAL COMMITMENTS AND SAFETY OF FLIGHT IS NOT COMPROMISED.  THE TRIVALENT INACTIVATED VACCINE (INJECTABLE) REQUIRES A 12-HOUR SELF-CANCELLING GROUNDING PERIOD PER REF (F).
5.  ADVERSE REACTIONS.  MEDICAL PERSONNEL SHALL REVIEW ADMINISTRATIVE PRECAUTIONS FOR INDIVIDUALS WITH HYPERSENSITIVITY (E.G. ALLERGIC REACTIONS INCLUDING ANAPHYLAXIS) TO EGGS OR EGG PRODUCTS.  IN THE EVENT OF AN ADVERSE REACTION, SUBMIT A VACCINE ADVERSE EVENT REPORT.  INSTRUCTIONS CAN BE FOUND AT THE FOLLOWING LINK HTTP:VAERS.HHS.GOV WITHIN THE MRRS IMMUNIZATION REACTION SECTION. 
6.  MEDICAL EXEMPTIONS.  PER REF (D), INDIVIDUALS WITH REPORTED HYPERSENSITIVITY ARE DEFERRED FROM IMMUNIZATION.  HYPERSENSITIVITY TO ANY VACCINE, VACCINE COMPONENT, OR MEDICATION WILL BE DOCUMENTED IN MRRS AND THE MEMBERS HEALTH RECORD.
    A.  MEDICAL TEMPORARY (MT) EXEMPTION CODES ARE WARRANTED ONLY WHEN A PROVIDER HAS CONCERN ABOUT THE SAFETY OF IMMUNIZATION FOR MEMBERS WITH CERTAIN CLINICAL CONDITIONS.
    B.  MEDICAL PERMANENT (MP) EXEMPTIONS ARE GENERALLY WARRANTED IF THE MEDICAL CONDITION OR POTENTIAL ADVERSE REACTION IS SO SEVERE OR UNREMITTING THAT THE RISK OF SUBSEQUENT IMMUNIZATION IS NOT JUSTIFIED.
    C.  NO OTHER EXEMPTIONS CODES WILL BE USED TO EXEMPT MEMBERS FROM RECEIVING INFLUENZA VACCINE.
7.  ACTION.  COMMANDERS WILL ENSURE WIDEST DISSEMINATION OF THIS MESSAGE.  VACCINATIONS WILL BE DOCUMENTED IN THE MEMBERS HEALTH RECORD AND REGISTERED IN MRRS WITHIN 24 HOURS OF ADMINISTRATION. MRRS PROVIDES (DRILL DOWN) CAPABILITY TO TRACK COMPLIANCE TO THE INDIVIDUAL LEVEL.  IF A COMMAND DOES NOT HAVE ACCESS TO MRRS, CONTACT THE LOCAL MRRS MAINTENANCE OFFICER OR THE HQMC PPO POC LISTED IN THIS MESSAGE FOR FURTHER ASSISTANCE.
8.  CANCELLATION CONTINGENCY.  THIS MARADMIN IS CANCELLED 1 JULY 2011.
9.  RELEASE AUTHORIZED BY LTGEN R. T. TRYON, DEPUTY COMMANDANT FOR PLANS, POLICIES, AND OPERATIONS.//