Meningitis vaccination
sagutri...@smcm.edu
Carl Shaner
Stephanie,
Great question and after just having a meeting about this yesterday, here is my take on the issue. The conjugate vaccine is still the valid requirement as you have seen from ACIP, AAP, and ACHA. The conjugate vaccine will cover you for A,C,W, and Y and should be repeated after a 5 year interval for coverage of the 4 strain. For those students coming with only MenB, they would only have protection against that strain (B), but this is about 1/3 of all cases of meningitis in the United States.
As you can see from literature all agencies continue to make the conjugate vaccine a requirement, and the Men B a strongly recommended product. Here is the statement that sets this aside for me: “The current low prevalence of MenB, coupled with the fact that important data for making policy recommendations for MenB vaccines are not yet available, resulted in the ACIP concluded that insufficient evidence exists to make a routine health recommendation for all adolescents, however given the seriousness of the disease, evidence suggests the importance of individual clinical decision making.”
As a provider we should be thinking “Individual clinical decision making” cannot occur if a patient does not know about the vaccine and the disease. By discussing the vaccine and availability we are thus doing are part on education parents/students on the importance of the vaccine.
Good news is both should be covered under the Vaccines for Children Program. Hopefully the future hold both of these vaccines as required for attendance at our institutions.
Best wishes and keep up the good fight for inclusivity of all vaccines for our students.
Carl
Carl Shaner,
MSN, EMT
Pennsylvania College of Technology
Director of College Health Services | College Health Services
csh...@pct.edu | 570-320-5234
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