FRAGO I OPORD 10-65 2010-2011 Influenza Vaccine Immunization ...

UNCLASSIFIEDHEADQUARTERS, US ARMY MEDICAL COMMANDFort Sam Houston, TX 78234-6007201600Q AUG 2010FRAGO 1 TO OPORD 10-65 (2010-2011 INFLUENZA VACCINE IMMUNIZATIONPROGRAM)References:(g) [Add] USAMEDCOM OPERATION ORDER 10-65 (2010-2011 INFLUENZAVACCINE IMMUNIZATION PROGRAM) 30 July 2010.(h) [Add] Center for Disease Control and Prevention (CDC) Media Statement: ACIPRecommendation for Use of CSL Influenza Vaccine, dated 6 August 2010. Available athttp://www.cdc.gov/media/pressrel/2010/s100806.htm.Time Zone Used Throughout the Order: No change.Task Organization: No change.1. Situation. No change.2. Mission. No change.3. Execution.a. Commander’s Intent. No change.b. Concept of Operations. No change.c. Tasks to All Subordinate Units. No change.d. Tasks to OneStaff. No change.e. Coordinating Instructions.(3) ACIP guidelines recommend that all people age 6 months and older receivethe annual influenza vaccination.years.(f) [Add] Afluria should not be used in children aged 6 months through 8(g) [Add] Other age-appropriate, licensed seasonal influenza vaccineformulations should be used for prevention of influenza in children aged 6 monthsthrough 8 years.UNCLASSIFIED

UNCLASSIFIEDFRAGO 1 TO OPORD 10-65 (2010-2011 INFLUENZA VACCINE IMMUNIZATIONPROGRAM) – USAMEDCOM(h) [Add] If no other age-appropriate, licensed seasonal influenza vaccine isavailable for a child aged 5 years through 8 years old who has a medical condition thatincreases their risk for influenza complications, Afluria may be given, and providersshould discuss the benefits and risks of influenza vaccination with the parents orcaregivers before administering Afluria.4. Sustainment. No change.5. Command and Control. No change.ACKNOWLEDGE: OPSCENTER 21 at eoc.opns@amedd.army.mil.OFFICIAL:SCHOOMAKERLTGPATRICK O. WILSONACS, OperationsANNEXES:[Change] A – Service Support[Change] B – Screening and ReportingC – Occupations Subject to Mandatory Influenza Vaccinations – No change.DISTRIBUTION:AMEDDC&SDENCOMERMCHCAAHFPAMRMCNRMCPHC-PPRMCSRMCUSAG Ft. DetrickUSAG Walter ReedUSAMITCWRMCWTC2UNCLASSIFIED

UNCLASSIFIEDFRAGO 1 TO OPORD 10-65 (2010-2011 INFLUENZA VACCINE IMMUNIZATIONPROGRAM) – USAMEDCOMACS, FacilitiesACS, Health Policy and ServicesACS, Human ResourcesACS, Information ManagementACS, LogisticsACS, Resource ManagementDeputy, POPMDIR, AMEDD TransformationDIR, Executive AgenciesDIR, Planning, Analysis, and EvaluationDIR, Special StaffDIR, Strategy and InnovationDIR, Strategic Communications3UNCLASSIFIED

UNCLASSIFIEDANNEX A (SERVICE AND SUPPORT) TO FRAGO 1 TO OPORD 10-65 (2010-2011INFLUENZA VACCINE IMMUNIZATION PROGRAM) – USAMEDCOM1. General. No Change2. Logistics.d. The 2010-2011 influenza vaccines contracted for DoD and listed in MMI-10-4005(See Reference D in the base order) have the following characteristics:(2) [CHANGE] NSN: 6505-01-583-5395: Fluzone® pediatric vaccine Nom:Influenza virus vaccine, USP, trivalent, syringe, 0.25ml syringe unit,thimerosal/preservative free; [ADD] May contain latex; 10 per package; forimmunizing persons 6 months to 35 months of age; for influenza season 2010-2011;MFR: Sanofi-Pasteur; unit of issue; package (PG); unit price $121.53 (FY10), $114.97(FY11); acquisition advice code: A; storage requires refrigeration. Do not freeze. Storeproduct at 2 to 8 degrees Celsius or 36 to 46 degrees Fahrenheit. Cold chain must bemaintained when transporting and storing Fluzone® prior to use.(4) [DELETE](5) [CHANGE] NSN: 6505-01-583-4459: Afluria® Nom: Influenza virus vaccine,USP, trivalent, syringe, 0.50 ml syringe unit, thimerosal/preservative free; 10 perpackage; for immunizing persons [DELETE] 36 months [ADD] 9 years and older; forinfluenza season 2010-2011; MFR: CSL Limited; Dist by: MSD; unit of issue; package(PG); unit price $91.44 (FY10), $86.61 (FY11); acquisition advice code: A; storagerequires refrigeration. Do not freeze. Store product at 2 to 8 degrees Celsius or 36 to 46degrees Fahrenheit. Cold chain must be maintained when transporting and storingAfluria® prior to use.(6) [CHANGE] (6) NSN: 6505-01-585-1689: Fluzone® High Dose: Influenzavirus vaccine, USP trivalent, syringe, 0.50 ml syringe unit; thimerosal/preservative free;[ADD] May contain latex; 10 per package; for immunizing persons 65 years of age andolder; for influenza season 2010-2011; MFR: Sanofi-Pasteur; unit of issue; package(PG); acquisition advice code: l; storage requires refrigeration. Do not freeze. Storeproduct at 2 to 8 degrees Celsius or 36 to 46 degrees Fahrenheit. Cold chain must bemaintained when transporting and storing Fluzone® prior to use. Facilities that are inneed of this vaccine can purchase it through the Direct Vendor Distribution (DVD)program.OFFICIAL:PATRICK O. WILSONACS, OperationsA-1UNCLASSIFIED

UNCLASSIFIEDANNEX B (SCREENING AND REPORTING) TO FRAGO 1 TO OPORD 10-65 (2010-2011 INFLUENZA VACCINE IMMUNIZATION PROGRAM) – USAMEDCOM1. General. No change.2. Sceening.e. [ADD] The tip caps of the Fluzone and Fluzone High-Dose prefilled syringesmay contain natural rubber latex. Vial presentations of Fluzone do not contain latex.3. Adverse events.d. [ADD] The tip caps of the Fluzone and Fluzone High-Dose prefilled syringesmay contain natural rubber latex which may cause allergic reactions in latex sensitiveindividuals.4. Reporting Requirements for Military Immunizations. No change.OFFICIAL:PATRICK O. WILSONACS, OperationsB-1UNCLASSIFIED