Re: Pertussis booster (esp. for California)

[Guest guest]

Found this:

USE BEYOND LICENSED AGE GROUPS IS PERMITTED BY LAW:

7-9 Years: CDPH recommends administration of Tdap to children 7 through 9 years of age

whenever vaccination against tetanus, diphtheria, or pertussis is indicated. Existing data suggest

that the use of Tdap at these ages is safe (7, 10); in Canada, Tdap is licensed for persons 4 years

of age and older.

65+ Years: CDPH recommends administration of Tdap to persons 65 years of age and older. Local

and systemic events after Tdap vaccination have been reported less frequently in adults less than

65 years than in adolescents (5, 11). Published data on the safety and vaccine efficacy of Tdap in

persons 65 years and older are limited. Even if the immunogenicity of Tdap is found to decline with

age, any additional protection provided could help to limit transmission and protect the vulnerable.

Use of Tdap beyond licensed age groups may or may not be covered by private insurers.

 

with more info from the CA dept. of public health:  http://eziz.org/PDF/CDPH%20Pertussis%20Immunization%20Policy%20July%202010.pdf

[Guest guest]

Is Medicare picking this vaccine up on the payment end?I have given it two times to someone over 65 yo for wounds when did not have the NON pertussis in my office available same day. Claims always denied.

R

Ramona G. Seidel, MDBay Crossing Family MedicineYour Bridge to Healthwww.baycrossingfamilymedicine.com410 518-9808Oct 25, 2010 04:52:15 PM, wrote:

Found this:

USE BEYOND LICENSED AGE GROUPS IS PERMITTED BY LAW:

7-9 Years: CDPH recommends administration of Tdap to children 7 through 9 years of age

whenever vaccination against tetanus, diphtheria, or pertussis is indicated. Existing data suggest

that the use of Tdap at these ages is safe (7, 10); in Canada, Tdap is licensed for persons 4 years

of age and older.

65+ Years: CDPH recommends administration of Tdap to persons 65 years of age and older. Local

and systemic events after Tdap vaccination have been reported less frequently in adults less than

65 years than in adolescents (5, 11). Published data on the safety and vaccine efficacy of Tdap in

persons 65 years and older are limited. Even if the immunogenicity of Tdap is found to decline with

age, any additional protection provided could help to limit transmission and protect the vulnerable.

Use of Tdap beyond licensed age groups may or may not be covered by private insurers.

with more info from the CA dept. of public health: http://eziz.org/PDF/CDPH%20Pertussis%20Immunization%20Policy%20July%202010.pdf

[Guest guest]

Good point.  I do not know if Medicare will cover now; I am opted out of Medicare, so I can't bill for it anyway.  I just include it with my membership fee.  This is a new recommendation and so I'm not sure it has made it through the Medicare channels yet.

Sharon

[Guest guest]

None of my insurances are paying it - commercial or Medicare!

To: Cc: Sent: Mon, October 25, 2010 5:45:38 PMSubject: Re: Re: Pertussis booster (esp. for California)

Is Medicare picking this vaccine up on the payment end?I have given it two times to someone over 65 yo for wounds when did not have the NON pertussis in my office available same day. Claims always denied.

R

Ramona G. Seidel, MDBay Crossing Family MedicineYour Bridge to Healthwww.baycrossingfamilymedicine.com410 518-9808Oct 25, 2010 04:52:15 PM, wrote:

Found this:

USE BEYOND LICENSED AGE GROUPS IS PERMITTED BY LAW:

7-9 Years: CDPH recommends administration of Tdap to children 7 through 9 years of age

whenever vaccination against tetanus, diphtheria, or pertussis is indicated. Existing data suggest

that the use of Tdap at these ages is safe (7, 10); in Canada, Tdap is licensed for persons 4 years

of age and older.

65+ Years: CDPH recommends administration of Tdap to persons 65 years of age and older. Local

and systemic events after Tdap vaccination have been reported less frequently in adults less than

65 years than in adolescents (5, 11). Published data on the safety and vaccine efficacy of Tdap in

persons 65 years and older are limited. Even if the immunogenicity of Tdap is found to decline with

age, any additional protection provided could help to limit transmission and protect the vulnerable.

Use of Tdap beyond licensed age groups may or may not be covered by private insurers.

with more info from the CA dept. of public health: http://eziz.org/PDF/CDPH%20Pertussis%20Immunization%20Policy%20July%202010.pdf

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[Guest guest]

some commercial and some medicare are paying it, I think it is medicare part d and depends on that

 

None of my insurances are paying it - commercial or Medicare!

To: Cc:

Sent: Mon, October 25, 2010 5:45:38 PMSubject: Re: Re: Pertussis booster (esp. for California)

 

Is Medicare picking this vaccine up on the payment end?I have given it two times to someone over 65 yo for wounds when did not have the NON pertussis in my office available same day.   Claims always denied.

R

Ramona G. Seidel, MDBay Crossing Family MedicineYour Bridge to Healthwww.baycrossingfamilymedicine.com410 518-9808

Oct 25, 2010 04:52:15 PM, wrote:

 

Found this:

USE BEYOND LICENSED AGE GROUPS IS PERMITTED BY LAW:

7-9 Years: CDPH recommends administration of Tdap to children 7 through 9 years of age

whenever vaccination against tetanus, diphtheria, or pertussis is indicated. Existing data suggest

that the use of Tdap at these ages is safe (7, 10); in Canada, Tdap is licensed for persons 4 years

of age and older.

65+ Years: CDPH recommends administration of Tdap to persons 65 years of age and older. Local

and systemic events after Tdap vaccination have been reported less frequently in adults less than

65 years than in adolescents (5, 11). Published data on the safety and vaccine efficacy of Tdap in

persons 65 years and older are limited. Even if the immunogenicity of Tdap is found to decline with

age, any additional protection provided could help to limit transmission and protect the vulnerable.

Use of Tdap beyond licensed age groups may or may not be covered by private insurers.

 

with more info from the CA dept. of public health:  http://eziz.org/PDF/CDPH%20Pertussis%20Immunization%20Policy%20July%202010.pdf

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-- Sangeetha Murthy M.D

[Guest guest]

Yes, I need to challenge it but haven't yet had time.

To: Sent: Mon, October 25, 2010 7:57:31 PMSubject: Re: Re: Pertussis booster (esp. for California)

some commercial and some medicare are paying it, I think it is medicare part d and depends on that

None of my insurances are paying it - commercial or Medicare!

To: Cc: Sent: Mon, October 25, 2010 5:45:38 PMSubject: Re: Re: Pertussis booster (esp. for

California)

Is Medicare picking this vaccine up on the payment end?I have given it two times to someone over 65 yo for wounds when did not have the NON pertussis in my office available same day. Claims always denied.

R

Ramona G. Seidel, MDBay Crossing Family MedicineYour Bridge to Healthwww.baycrossingfamilymedicine.com410 518-9808Oct 25, 2010 04:52:15 PM, wrote:

Found this:

USE BEYOND LICENSED AGE GROUPS IS PERMITTED BY LAW:

7-9 Years: CDPH recommends administration of Tdap to children 7 through 9 years of age

whenever vaccination against tetanus, diphtheria, or pertussis is indicated. Existing data suggest

that the use of Tdap at these ages is safe (7, 10); in Canada, Tdap is licensed for persons 4 years

of age and older.

65+ Years: CDPH recommends administration of Tdap to persons 65 years of age and older. Local

and systemic events after Tdap vaccination have been reported less frequently in adults less than

65 years than in adolescents (5, 11). Published data on the safety and vaccine efficacy of Tdap in

persons 65 years and older are limited. Even if the immunogenicity of Tdap is found to decline with

age, any additional protection provided could help to limit transmission and protect the vulnerable.

Use of Tdap beyond licensed age groups may or may not be covered by private insurers.

with more info from the CA dept. of public health: http://eziz.org/PDF/CDPH%20Pertussis%20Immunization%20Policy%20July%202010.pdf

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-- Sangeetha Murthy M.D

[Guest guest]

As with Pneumovax, I think it means that the immune system is lower over

65 so anyone should be immunized again even if already had it yrs ago.

> We are having a pertussis outbreak in CA (372 cases in Orange County

> so far this year, compared to about 20 normally). Anyway, I'm trying

> to interpret these guidelines:

> __________________________-

> New Recommendations for Immunizations Against Whooping Cough

>

> *CDPH BROADENS RECOMMENDATIONS FOR VACCINATING AGAINST PERTUSSIS:

> IMMUNIZATION KEY TO CONTROLLING WHOOPING COUGH*

>

> On July 19th CDPH issued new recommendations in response to the ever

> increasing numbers of whooping cough cases being identified in

> California. In addition to the typical series of childhood pertussis

> immunizations, CDPH now recommends an adolescent-adult pertussis

> booster vaccine (Tdap) for:

> • anyone 7 years and older who is not fully immunized, including those

> who are more than 64 years old,

> • women of childbearing age, before, during, or immediately after

> pregnancy, and

> • other people who have contact with pregnant women or infants.

>

> __________________________--

>

> The CDC info still says to give only up to age 64. What do you think

> the " not fully immunized " means for those over 64? I also have the

> question into CPH, and will post if I get an answer.

>

> Thanks,

>

> Sharon

>

>

>

>

> Sharon McCoy MD

> Renaissance Family Medicine

> 10 McClintock Court; Irvine, CA 92617

> PH: (949)387-5504 Fax: (949)281-2197 Toll free phone/fax:

> www.SharonMD.com <http://www.SharonMD.com>

>

>

Attachment: vcard [not shown]

[Guest guest]

is pertussis booster covered across the board?

grace

> > We are having a pertussis outbreak in CA (372 cases in Orange County

> > so far this year, compared to about 20 normally). Anyway, I'm trying

> > to interpret these guidelines:

> > __________________________-

> > New Recommendations for Immunizations Against Whooping Cough

> >

> > *CDPH BROADENS RECOMMENDATIONS FOR VACCINATING AGAINST PERTUSSIS:

> > IMMUNIZATION KEY TO CONTROLLING WHOOPING COUGH*

> >

> > On July 19th CDPH issued new recommendations in response to the ever

> > increasing numbers of whooping cough cases being identified in

> > California. In addition to the typical series of childhood pertussis

> > immunizations, CDPH now recommends an adolescent-adult pertussis

> > booster vaccine (Tdap) for:

> > • anyone 7 years and older who is not fully immunized, including those

> > who are more than 64 years old,

> > • women of childbearing age, before, during, or immediately after

> > pregnancy, and

> > • other people who have contact with pregnant women or infants.

> >

> > __________________________--

> >

> > The CDC info still says to give only up to age 64. What do you think

> > the " not fully immunized " means for those over 64? I also have the

> > question into CPH, and will post if I get an answer.

> >

> > Thanks,

> >

> > Sharon

> >

> >

> >

> >

> > Sharon McCoy MD

> > Renaissance Family Medicine

> > 10 McClintock Court; Irvine, CA 92617

> > PH: (949)387-5504 Fax: (949)281-2197 Toll free phone/fax:

> > www.SharonMD.com <http://www.SharonMD.com>

> >

> >

>