MARADMINS : 387/14
UNCLASSIFIED/
R 051705Z AUG 14
MARADMIN 387/14
MSGID/GENADMIN,USMTF,2007/CMC WASHINGTON DC DMCS(UC)/F002//
SUBJ/2014-15 SEASONAL INFLUENZA VACCINE GUIDANCE FOR ACTIVE AND RESERVE COMPONENTS//
REF/A/DOC/OASD WASHINGTON DC HA/20140609// REF/B/DOC/BUMED
WASHINGTON DC/20131007// REF/C/MSG/CMC WASHINGTON DC PPO/20101105//
REF/D/DOC/CNO WASHINGTON DC/20091123//
REF/E/DOC/32 CFR PART 199/20091210//
NARR/REF A IS ASSISTANT SECRETARY OF DEFENSE (HEALTH AFFAIRS) GUIDANCE FOR THE USE OF INFLUENZA VACCINE FOR THE 2014-2015 INFLUENZA SEASON. REF B IS BUMEDINST 6230.15B, IMMUNIZATIONS AND CHEMOPROPHYLAXIS. REF C IS MARADMIN 631/10, REQUIREMENT TO TRACK AND IMPROVE INDIVIDUAL MEDICAL READINESS FOR ACTIVE AND RESERVE COMPONENTS. REF D IS OPNAVINST 3710.7U, NAVAL AIRTRAINING AND OPERATING PROCEDURES STANDARDIZATION 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/HOLLIS, TREY/CDR/HQMC/HS/ TEL:703-604-4600/EMAIL: EWELL.HOLLIS(AT)USMC.MIL, DIRECTOR OF PUBLIC HEALTH// POC/CASON, GREGORY/HM1/HQMC/PPO/TEL:703-571-1055/EMAIL: GREGORY.CASON(AT)USMC.MIL, MRRS COORDINATOR//
GENTEXT/REMARKS/1. PURPOSE. PROVIDE GUIDANCE TO MARINE CORPS ACTIVE AND RESERVE COMPONENTS TO IMPLEMENT THE 2014-2015 MANDATORY SEASONAL INFLUENZA VACCINATION PROGRAM. THE DEPARTMENT OF DEFENSE GOAL IS 90 PERCENT OF PERSONNEL VACCINATED NO LATER THAN MONDAY, 15 DECEMBER 2014, PER REF A.
2. BACKGROUND. SEASONAL INFLUENZA IS A HIGHLY CONTAGIOUS DISEASE THAT HAS THE POTENTIAL TO SEVERELY REDUCE MISSION READINESS. A TIMELY COMPREHENSIVE VACCINATION PROGRAM MUST BE ENFORCED BY LEADERSHIP THROUGHOUT THE MARINE CORPS TO MITIGATE MISSION RISK. MAXIMUM AND EARLY INFLUENZA VACCINATION COMPLIANCE REDUCES SEVERITY OF DISEASE IN MARINES WHO BECOME EXPOSED TO THE VIRUS AND STRENGTHENS THE ABILITY OF THE FORCE TO LIMIT SPREAD OF THE DISEASE.
3. EXECUTION
A. PER REFS B AND C, MARINE CORPS ACTIVE AND RESERVE COMPONENT PERSONNEL SHALL RECEIVE THE SEASONAL INFLUENZA VACCINE ANNUALLY, UNLESS MEDICALLY EXEMPT.
B. MARINE CORPS ACTIVE AND RESERVE COMPONENT COMMANDS SHALL MONITOR INFLUENZA VACCINATION COMPLIANCE CLOSELY IN THE MEDICAL READINESS REPORTING SYSTEM (MRRS) AND COORDINATE WITH SUPPORTING MEDICAL COMMANDS TO ENSURE A 90 PERCENT SEASONAL INFLUENZA VACCINATION COMPLIANCE RATE IS ACHIEVED NO LATER THAN 15 DECEMBER 2014.
C. PER REF C, MRRS WILL BE USED TO ENTER VACCINATION STATUS AND MONITOR COMPLIANCE. DELINQUENT PERSONNEL WILL BE IDENTIFIED BY THE COMMAND AND DIRECTED TO RECEIVE THE VACCINE AT THE EARLIEST OPPORTUNITY.
D. NOTIFY THE HEADQUARTERS MARINE CORPS (HQMC) HEALTH SERVICES POINT OF CONTACT (POC) VIA THE CHAIN OF COMMAND IF 90 PERCENT COMPLIANCE IS NOT EXPECTED TO BE ACHIEVED BY 15 DECEMBER 2014 TO COORDINATE MITIGATION STRATEGIES WITH SUPPORTING ORGANIZATIONS. BASED ON PREVIOUS EXPERIENCES, MAJOR COMMANDS SHOULD ATTAIN AT LEAST 75 PERCENT COMPLIANCE IN THEIR ROLL-UP REPORTS BY 1 NOVEMBER 2014 TO BE ON TRACK TO ACHIEVE THE 90 PERCENT COMPLIANCE BY 15 DECEMBER 2014.
4. VACCINE ADMINISTRATION. THE CENTERS FOR DISEASE CONTROL VACCINE INFORMATION SHEETS WILL BE REVIEWED BY EACH MARINE PRIOR TO VACCINATION. REF D PROVIDES GROUNDING REQUIREMENTS FOR AVIATION PERSONNEL AFTER VACCINATIONS. PERSONNEL IN AN ACTIVE FLYING STATUS EXPOSED TO ALTITUDE CHANGES AS A ROUTINE PART OF THEIR DUTIES REQUIRE A 72-HOUR GROUNDING AFTER RECEIVING THE LIVE ATTENUATED INFLUENZA VACCINE (FLUMIST). PERSONNEL IN AN ACTIVE FLYING STATUS BUT NOT EXPOSED TO ALTITUDE CHANGES AS PART OF THEIR DUTIES, FOR EXAMPLE AIR TRAFFIC CONTROLLERS AND UNMANNED AERIAL SYSTEM OPERATORS, ONLY REQUIRE A 12-HOUR GROUNDING AFTER RECEIVING THE FLUMIST. THE INACTIVATED VACCINE (INJECTABLE) REQUIRES A 12-HOUR GROUNDING PERIOD FOR ALL PERSONNEL IN AN ACTIVE FLYING STATUS.
5. ADVERSE REACTIONS. IN THE EVENT OF AN ADVERSE REACTION, MEMBERS SHOULD REPORT TO MEDICAL AND A VACCINE ADVERSE EVENT REPORT SHOULD BE SUBMITTED. INSTRUCTIONS CAN BE FOUND AT THE VAERS.HHS.GOV WEBSITE WHICH IS ALSO REFERENCED WITHIN THE MRRS IMMUNIZATION REACTION SECTION.
6. ACTION
A. VACCINATIONS WILL BE DOCUMENTED IN THE MEMBERS HEALTH RECORD AND RECORDED IN MRRS WITHIN 24 HOURS OF ADMINISTRATION.
B. REF E ALLOWS TRICARE PRIME ENROLLED MEMBERS, WHICH INCLUDES ALL ACTIVE DUTY SERVICE MEMBERS, TO USE TRICARE AUTHORIZED PHARMACIES TO RECEIVE THE SEASONAL INFLUENZA VACCINE AS PART OF THEIR PHARMACY BENEFIT. THERE SHOULD BE NO COST FOR ACTIVE DUTY PERSONNEL OR OTHER TRICARE PRIME BENEFECIARIES. PERSONNEL USING THIS OPTION MUST PROVIDE THEIR MRRS REPRESENTATIVE AND MEDICAL FACILITY DOCUMENTATION OF THE MANUFACTURER, TYPE (INJECTED OR NASAL), LOT NUMBER, AMOUNT (0.2ML OR 0.5ML) AND LOCATION GIVEN (RIGHT ARM, LEFT ARM, NOSE), AND DATE OF ADMINISTRATION OF THE VACCINE WITHIN 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 TO THE INDIVIDUAL MARINE LEVEL.IF A COMMAND DOES NOT HAVE ACCESS TO MRRS, CONTACT THE LOCAL MRRS SECURITY OFFICER OR THE HQMC PLANS, POLICY, AND OPERATIONS POC LISTED IN THIS MESSAGE FOR FURTHER ASSISTANCE.
7. THIS MARADMIN IS APPLICABLE TO THE TOTAL FORCE MARINE CORPS.
8. THIS MARADMIN IS CANCELLED 1 JULY 2015.
9. RELEASE AUTHORIZED BY MAJOR GENERAL M. R. REGNER, STAFF DIRECTOR, MARINE CORPS//