Safety of Live Attenuated Influenza Vaccine (LAIV) for Health Care Workers and First Responders

The Advisory Committee on Immunization Practices (ACIP) provides recommendations for the use of influenza vaccine in the United States. The Centers for Disease Control and Prevention (CDC) and the ACIP recommend use of LAIV for healthy, non-pregnant persons aged 2 – 49 years.

LAIV is recommended for nearly all health care workers and first responders. There is a very narrow group of inpatient caregivers who work in negative pressure rooms caring for patients who have received bone marrow transplants for whom LAIV is not recommended. With the exception of these caregivers, LAIV is an excellent formulation for healthy adults who are under 50 years who are health care workers.

During the past 5 years, tens of millions of doses of LAIV have been administered for seasonal influenza prevention, and there has not been transmission of influenza to patients in health care settings or in communities.

The Southern Nevada Health District recommends that health care workers and first responders who have direct patient contact be vaccinated against influenza A H1N1. The first doses of the H1N1 influenza vaccine available in the State of Nevada will be LAIV and will be made available on a voluntary basis to these priority groups first.

Resources

Recommendations & Reports

• Standing Orders for Administering Influenza A (H1N1) 2009 Monovalent Vaccines PDF 61KB
• Attention Southern Nevada Health Care Providers; sufficient supplies of H1N1 vaccine currently exist in our community PDF 144KB
• 2009 H1N1 Influenza Recommendations for Standard and Droplet Precautions and Use of Surgical Masks and Respirators in Health Care Settings PDF 258KB
• H1N1 Influenza (Swine Flu) Interim Report PDF 592KB
• MMWR - Update Swine Influenza PDF 69KB
• MMWR - Swine Influenza PDF 73KB

Surveillance Updates

• Influenza Surveillance Update - February 27, 2010 PDF 136 KB
• Influenza Surveillance Update - January 30, 2010 PDF 135 KB
• Influenza Surveillance Update - January 23, 2010 PDF 135 KB
• Influenza Surveillance Update - January 16, 2010 PDF 135 KB
• Influenza Surveillance Update - January 9, 2010 PDF 133 KB
• Influenza Surveillance Update - January 2, 2010 PDF 137 KB
• Influenza Surveillance Update - December 26, 2009 PDF 132 KB
• Influenza Surveillance Update - December 19, 2009 PDF 121 KB
• Influenza Surveillance Update - December 12, 2009 PDF 113 KB
• Influenza Surveillance Update - December 5, 2009 PDF 133 KB
• Influenza Surveillance Update - November 28, 2009 PDF 119 KB
• Influenza Surveillance Update - November 21, 2009 PDF 326 KB
• Influenza Surveillance Update - November 18, 2009 PDF 127 KB
• Influenza Surveillance Update - November 10, 2009 PDF 117 KB
• Influenza Surveillance Update - November 4, 2009 PDF 154 KB
• Influenza Surveillance Update - October 28, 2009 PDF 122 KB
• Influenza Surveillance Update - October 20, 2009 PDF 171 KB

Technical Bulletins

• Swine Flu Update #9 - October 14, 2009 PDF 41 KB
• Swine Flu Update #8 - August 21, 2009 PDF 142 KB
• Enhanced Pediatric Influenza Surveillance PDF 262 KB
• Swine Flu Update #7 - July 22, 2009 PDF 91KB
• Swine Flu Update #6 - July 2, 2009 PDF 40KB
• Swine Flu Update #5 - May 8, 2009 PDF 137KB
• Swine Flu Update #4 - May 5, 2009 PDF 129KB
• Swine Flu Update #3 - May 1, 2009 PDF 46KB
• Swine Flu Update #2 - April 29, 2009 PDF 45KB
• Swine Flu Update #1 - April 27, 2009 PDF 44KB
• Swine Influenza Health Alert PDF 84KB