•CIQ recommends RZV for individuals ≥18 years of age who are immunocompromised or have chronic conditions which increase HZ risk . Ministère de la Santé et des Services sociaux. Available from: https://www.msss.gouv.qc.ca/professionnels/vaccination/piq-vaccins/zona-su-vaccin-sous-unitaire-contre-le-zona/

Immunocompromised patients often need multiple vaccinations - Please do your best to administer them in a single visit 

•For adults and adolescents, COVID-19 vaccines may be given simultaneously with (i.e., same day), or at any time before or after, non-COVID-19 vaccines (including live and non-live vaccines).

Despite strong uptake of COVID-19 vaccinations, other adult immunizations lag behind - Be sure to address all "Immunization Gaps" for your Clinically Vulnerable Patients 

Health Expert | Paul Offit MD official author site, Philadelphia, PA (paul-offit.com)

Dr. Offit's publications cited in this episode 

Pandora's Lab: Seven Stories of Science Gone Wrong: Offit M.D., Paul A.: 9781426217982: Books - Amazon.ca

You Bet Your Life: From Blood Transfusions to Mass Vaccination, the Long and Risky History of Medical Innovation : Offit MD, Paul A: Books - Amazon

Link to PDF with FULL Show NOTES - https://acrobat.adobe.com/link/review?uri=urn:aaid:scds:US:a32591bd-02d9-3534-ace5-11bd1da8c92f

Summary and Links BELOW

ACIP Meeting Materials:  There were 3 ACIP meetings where they reviewed PCV20.  The general topic and links are below.I have also attached the slides. 

Link: https://www.cdc.gov/vaccines/acip/meetings/slides-2021-2-24-25.html

Link: https://www.cdc.gov/vaccines/acip/meetings/slides-2021-06.html

Link:  https://www.cdc.gov/vaccines/acip/meetings/slides-2021-10-20-21.html

Ontario Epidemiology for IPD:

Citation: Wijayasri S, Hillier K, Lim GH, Harris TM, Wilson SE, Deeks SL (2019) The shifting epidemiology and serotype distribution of invasive pneumococcal disease in Ontario, Canada, 2007-2017. PLoS ONE 14(12): e0226353. https://doi.org/10.1371/journal.pone.0226353

Link: https://www.publichealthontario.ca/en/data-and-analysis/infectious-disease/reportable-disease-trends-annually#/52

National Reportable Disease – Pre-built epidemiology graphs:  Notifiable disease pre-built charts - Notifiable diseases on-line (canada.ca)

Lockdown Life: Mental Health impacts of COVID-19 on youth in Canada 

The survey provides an overview of how youth from different regions are generally doing during the pandemic. The survey questions were focused on the challenges they faced, the strategies they used for coping, the help-seeking behaviours they engaged in to support their mental health and any positive experiences they had during this period of uncertainty. The survey also examined the communication methods youth used to stay connected with others and to find information on protection against COVID-19.

Reference: https://documentcloud.adobe.com/link/review?uri=urn:aaid:scds:US:854989bb-cb2a-40fc-8bcd-d6778cbe541c

Finnish study of HPV infection at birth (Evidence of non-sexual transmission)

This study indicates that HPV infection can be acquired nonsexually and is already common at an early age (22.9% of the oral samples collected immediately after birth were positive for HPV DNA). 

Reference:

Syrjänen, S., Rintala, M., Sarkola, M., Willberg, J., Rautava, J., Koskimaa, H....Louvanto, K. (2021). Oral Human Papillomavirus Infection in Children during the First 6 Years of Life, Finland. Emerging Infectious Diseases, 27(3), 759-766. https://dx.doi.org/10.3201/eid2703.202721

B for Kai

Following the Tragic and Preventable death of 19-year-old Kai Matthews in the summer of 2021 from invasive meningitis B infection- the following website was established. 

Reference

B for Kai – Join us in our fight against meningitis B

Long-term effects on academic performance for survivors of Invasive Meningococcal Disease (IMD)

Adolescent IMD survivors and case-matched controls (n=105 and 107, respectively) were followed from September 2000 to July 2002, 18 to 36 months after disease, to evaluate the long-term outcomes of IMD on their overall quality of life, reduced physical ability (including injury, disability, or fatigue), depression, stress, educational achievements, cognitive function, social relationships, or need for subsequent medical care.

Individuals who contracted IMD at 15–19 years of age were shown to have significantly lower quality of life, higher total and mental fatigue scores, and poorer educational achievements than age-matched controls, demonstrating the long-term impact of IMD on this age group.

Reference

Borg J, Christie D, Coen PG, Booy R, Viner RM. Outcomes of meningococcal disease in adolescence: prospective, match-cohort study. Pediatrics. 2009;123(3):e502-e509.

MenB Risk on college campuses

While 10% of the general population consists of meningococcal carriers1, the rate of carriage increases to up to 24% in adolescents and young adults2, and can be as high as 50% in adolescents or young adults in crowded settings.1

References

Christensen et all. Meningococcal carriage by age: a systematic review and meta-analysis: Lancet Infect Dis. 2010;10(12):853-861 

Teen Talk Time Resource 

Created by Dr. Christine Palmay – an incredibly useful resource for “optimizing” a youth healthcare visit

Reference:

https://documentcloud.adobe.com/link/track?uri=urn:aaid:scds:US:0aaa9463-de7d-4f85-b591-680bfc603957

1.     UofT Modules – excellent updated resources, particularly helpful in-depth vaccine summary:

https://www.dfcm.utoronto.ca/covid19-vaccination-modules?utm_source=sfmc&utm_medium=email&utm_campaign=SGFP+Aggregate+Primary+Care+Vaccination+Report+–+Next+Iteration&utm_term=https%3a%2f%2fwww.dfcm.utoronto.ca%2fcovid19-vaccination-modules&utm_id=153759&sfmc_id=7575660

2.     University of Calgary Vaccine Hesitency Tool

https://www.vhguide.ca

3.     Centre for Effective Practice – Updated Information

https://cep.health/toolkit/covid-19-resource-centre/

 4.  Government of Canada –

https://www.canada.ca/en/public-health/services/diseases/coronavirus-disease-covid-19/vaccines.html?utm_source=sfmc&utm_medium=email&utm_campaign=SGFP+Aggregate+Primary+Care+Vaccination+Report+–+Next+Iteration&utm_term=https%3a%2f%2fwww.canada.ca%2fen%2fpublic-health%2fservices%2fdiseases%2fcoronavirus-disease-covid-19%2fvaccines.html&utm_id=153759&sfmc_id=7575660