R 121412Z SEP 11
UNCLASSIFIED//
MARADMIN 515/11
MSGID/GENADMIN/CMC WASHINGTON DC HS//
SUBJ/2011 TO 2012 SEASONAL INFLUENZA VACCINE GUIDANCE FOR AC, RC//
REF/A/MSGID:DOC/ASD (HA)/YMD:20110802//
REF/B/MSGID:DOC/BUMEDINST 6230.15A/YMD:20060926//
REF/C/MSGID:MSG/MARADMIN 613/10/YMD:20101105//
REF/D/MSGID:DOC/OPNAVINST 3710.7U/YMD:20091123//
REF/E/MSGID:DOC/32 CFR PART 199/YMD:20091210//
NARR/REF (A) IS DOD POLICY FOR THE USE OF INFLUENZA VACCINE FOR THE 2011 TO 2012 INFLUENZA SEASON. REF (B) IS TRISERVICE REQUIREMENTS FOR IMMUNIZATIONS AND CHEMOPROPHYLAXIS. REF (C) IS REQR TO TRACK AND IMPROVE INDIV MED READINESS FOR AC AND RC. REF (D) IS NATOPS GENERAL FLIGHT AND OPERATING INSTRUCTIONS. REF (E) IS THE CIVILIAN HEALTH AND MEDICAL PROGRAM OF THE UNIFORMED SERVICES (CHAMPUS)/ TRICARE INCLUSION OF RETAIL NETWORK PHARMACIES AS AUTHORIZED TRICARE PROVIDERS FOR THE ADMINISTRATION OF TRICARE COVERED VACCINES.//
POC/PADGETT, WILLIAM/CDR/UNIT:HQMC/NAME:HS/TEL:703-614-4477/ EMAIL: WILLIAM.PADGETT(AT)USMC.MIL, PREVENTIVE MEDICINE OFFICER//
POC/SAUCEDA, LEE/HM1/UNIT:HQMC/NAME:PPO/TEL:703-571-1048/ EMAIL: LEE.SAUCEDA(AT)USMC.MIL, MRRS COORDINATOR//
GENTEXT/REMARKS/1. PURPOSE. PROVIDE GUIDANCE TO USMC ACTIVE AND RESERVE COMPONENTS (AC,RC) FOR IMPLEMENTING THE 2011 TO 2012 SEASONAL INFLUENZA VACCINATION PROGRAM. COMPREHENSIVE PREVENTION MEASURES MUST BE ENFORCED BY MARINE CORPS LEADERSHIP TO PREVENT POTENTIAL ADVERSE OPERATIONAL CONSEQUENCES OF INFLUENZA. MAXIMUM INFLUENZA IMMUNIZATION COMPLIANCE REDUCES RISK OF COMPLICATIONS TO MARINES AND SAILORS WHO BECOME EXPOSED TO THE VIRUS AND STRENGTHENS THE FORCES ABILITY TO LIMIT SPREAD OF THE DISEASE.
2. BACKGROUND. PER REFS (A) AND (B), USMC AC, RC ARE REQUIRED TO RECEIVE INFLUENZA VACCINATION ANNUALLY, UNLESS MEDICALLY EXEMPT (SEE PAR 6). DOD CIVILIANS, MILITARY RETIREES, AND FAMILY MEMBERS ARE HIGHLY ENCOURAGED TO RECEIVE THE INFLUENZA VACCINE FOR THEIR OWN WELL BEING AND TO PROVIDE ADDITIONAL DEFENSE AGAINST THE SPREAD OF DISEASE.
3. EXECUTION. COMMANDS SHALL ACHIEVE A 90 PERCENT SEASONAL INFLUENZA VACCINATION COMPLIANCE RATE FOR AC, RC NLT 1 DEC 2011 PER REF (A). THE MEDICAL READINESS REPORTING SYSTEM (MRRS) WILL BE USED TO ENTER VACCINATION STATUS AND MONITOR COMPLIANCE PER REF (C). DELINQUENT AC, RC PERSONNEL SHALL BE IDENTIFIED AND PROMPTLY IMMUNIZED AT THE EARLIEST OPPORTUNITY. VACCINATION OF UNIMMUNIZED PERSONNEL WILL CONTINUE UNTIL VACCINE SUPPLY IS EXHAUSTED OR THE VACCINE EXPIRATION DATE IS REACHED. THE HQMC(HS) POC SHOULD BE NOTIFIED VIA CHAIN OF COMMAND IF 90 PERCENT COMPLIANCE IS NOT EXPECTED TO BE ACHIEVED BY 1 DEC 2011.
4. VACCINE ADMINISTRATION. THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) VACCINE INFORMATION STATEMENTS (VIS) SHALL BE AVAILABLE FOR REVIEW TO EACH MARINE OR SAILOR PRIOR TO IMMUNIZATION. SIMULTANEOUS ADMINISTRATION OF VACCINES SHALL BE ACCOMPLISHED PER REF (B).
A. FOR USMC PERSONNEL IN AN ACTIVE FLYING STATUS EXPOSED TO ALTITUDE CHANGES AS A ROUTINE PART OF THEIR DUTIES, THE LIVE ATTENUATED INFLUENZA VACCINE (FLUMIST) REQUIRES A SELF CANCELLING GROUNDING PERIOD OF 72 HOURS AFTER IMMUNIZATION. USMC PERSONNEL IN AN ACTIVE FLYING STATUS BUT NOT ROUTINELY EXPOSED TO ALTITUDE CHANGES AS PART OF THEIR DUTIES, SUCH AS AIR TRAFFIC CONTROLLERS AND UNMANNED AERIAL SYSTEM OPERATORS, WOULD ONLY REQUIRE A 12 HOUR SELF CANCELLING GROUNDING PER REF (D). FLIGHT SURGEONS MAY RECOMMEND RETURN OF AERONAUTICALLY DESIGNATED PERSONNEL TO DUTY INVOLVING FLIGHT OPERATIONS IN LESS THAN 72 HOURS AFTER FLUMIST WHEN NECESSARY TO MEET REAL WORLD OPERATIONAL COMMITMENTS ON A CASE BY CASE BASIS WHERE AN ASSESSMENT HAS VERIFIED SAFETY OF FLIGHT IS NOT COMPROMISED. THE TRIVALENT INACTIVATED VACCINE (INJECTABLE) REQUIRES A 12 HOUR SELF CANCELLING GROUNDING PERIOD PER REF (D).
B. PREGNANT FEMALES, INDIVIDUALS WITH ASTHMA OR REACTIVE AIRWAY DISEASE AND INDIVIDUALS OVER THE AGE OF 49 WILL NOT RECEIVE FLUMIST AND INSTEAD BE GIVEN INJECTABLE.
C. THE ONLY EXCEPTIONS TO MANDATORY VACCINATION ARE THE FOLLOWING MEDICAL CONTRAINDICATIONS: (1) ALLERGY TO CHICKEN EGGS. (2) PRIOR ALLERGIC REACTION TO AN INFLUENZA VACCINATION. (3) PERSONAL HISTORY OF GUILLAIN BARRE SYNDROME. (4) KNOWN OR SUSPECTED IMMUNE DEFICIENCIES. (5) ACUTE MODERATE OR SEVERE ILLNESS WITH FEVER. THESE INDIVIDUALS SHOULD WAIT TO GET VACCINATED UNTIL SYMPTOMS LESSEN.
5. ADVERSE REACTIONS. IN THE EVENT OF AN ADVERSE REACTION, SUBMIT THE REACTION USING THE VACCINE ADVERSE EVENT REPORTING SYSTEM (VAERS) AT WWW.VAERS.HHS.GOV.
6. MEDICAL EXEMPTIONS. PER REF (B), 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 WHEN A PROVIDER HAS CONCERN ABOUT THE EFFICACY OF INFLUENZA IMMUNIZATION AT THAT TIME FOR MARINES OR SAILORS WITH CURRENT CLINICAL CONDITIONS, BUT WHOSE CONDITIONS ARE EXPECTED TO RESOLVE AND ALLOW FUTURE IMMUNIZATION.
B. MEDICAL PERMANENT (MP) EXEMPTIONS ARE WARRANTED IF THE MEDICAL CONDITION OR POTENTIAL ADVERSE REACTION IS EXPECTED TO PERMANENTLY PRECLUDE INFLUENZA VACCINATION.
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.
A. VACCINATIONS WILL BE DOCUMENTED IN THE MEMBERS HEALTH RECORD AND REGISTERED IN MRRS WITHIN 24 HOURS OF ADMINISTRATION.
B. REF (E) ALLOWS TRICARE PRIME ENROLLED MEMBERS TO UTILIZE TRICARE AUTHORIZED PHARMACIES TO RECEIVE THE SEASONAL INFLUENZA VACCINE AS PART OF THEIR PHARMACY BENEFIT. THERE SHOULD BE NO COST FOR ACTIVE DUTY PERSONNEL. OTHER CATEGORIES OF TRICARE PRIME MAY HAVE THE USUAL CO PAY.  MARINES AND SAILORS UTILIZING THIS OPTION MUST PROVIDE THEIR MRRS REP DOCUMENTATION OF THE BRAND, TYPE, LOT NUMBER, AMOUNT AND LOCATION GIVEN, AND DATE OF ADMINISTRATION OF THE VACCINE WITHIN ONE (1) BUSINESS DAY FOR INCLUSION IN MRRS AND THEIR MEDICAL RECORD.
C. MRRS PROVIDES (DRILL DOWN) CAPABILITY TO TRACK COMPLIANCE FROM THE MAJOR SUBORDINATE COMMAND LEVEL THROUGH TO THE INDIVIDUAL MARINE 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 2012.
9. RELEASE AUTHORIZED BY RDML M. H. ANDERSON,DIRECTOR, HEALTH SERVICES, HEADQUARTERS UNITED STATES MARINE CORPS.//