Persons New To Canada
Health care providers who see persons newly arrived in Canada should review the immunization status and update immunization for these individuals. Review of meningococcal vaccination status is particularly important for persons from areas of the world where sickle cell disease is present as persons with sickle cell disease are at risk of serious meningococcal infections. In many countries outside of Canada, conjugate meningococcal vaccines are in limited use. Information on vaccination schedules in other countries can be found on the World Health Organization website. Refer to Immunization of Persons New to Canada in Part 3 for additional general information.
What Is Meningococcal Group B Vaccine
Meningococcal disease is a bacterial infection that can infect the spinal cord and brain, causing meningitis that can be fatal or lead to permanent and disabling medical problems.
Meningococcal disease can spread from one person to another through small droplets of saliva that are expelled into the air when an infected person coughs or sneezes. The bacteria is usually passed through close contact with an infected person, especially through kissing, or sharing a drinking glass or eating utensil.
Meningococcal group B vaccine is used to prevent infection caused by serogroup B meningococcal bacteria. This vaccine contains four common strains of group B meningococcal bacteria.
This vaccine helps your body develop immunity to meningitis, but will not treat an active infection you already have.
Meningococcal group B vaccine is for use in children and young adults who are 10 to 25 years old. The Centers for Disease Control recommends that the best time to get this vaccine is between the ages of 16 and 18 years old.
Like any vaccine, the meningococcal group B vaccine may not provide protection from disease in every person.
What Are The Options For Meningococcal Vaccine
Meningococcal vaccine is highly effective at protecting against four strains of the meningococcal bacteria. Three strains are common in the United States and the fourth strain protects travelers to certain countries where the disease is more common.
The MenACWY vaccine does not contain the meningococcal B strain that may cause some cases in adolescents/young adults. The meningococcal B vaccine can be given to people age 16-23 years. MenB vaccine is also recommended for people over age 10 years with certain high-risk conditions. If your clinic does not carry the MenB vaccine, you can ask them to order it for you, or to refer you to another clinic that has the vaccine. Talk to your health care provider about this additional vaccine.
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Who Should Get The Meningococcal Vaccines
The MenACWY vaccine is recommended for college freshman living in a dormitory. The vaccine has been recommended for 11-12 year olds since 2005, so it is possible that incoming freshmen have already received a dose. If you received a dose before age 16, you should get a booster before you go to college.
Do I Need The Shingles Vaccine And How Much Does It Cost
The CDC recommends adults 50 years and older should get two doses of the shingles vaccine. Shingles is a viral infection that can cause several symptoms, including:
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Nerve pain
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Pneumonia
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Other serious symptoms
Two doses of Shingrix will protect you against shingles and postherpetic neuralgia , the most common shingles complication. PHN affects your nerve fibers and skin, leading to burning pain that persists after other symptoms of shingles, such as the rash and blisters, have gone away.
Studies suggest Shingrix was between 91% and 97% effective in preventing shingles after two shots, depending on your age. Since your risk of acquiring shingles and PHN increases as you get older, strong protection against shingles after 50 is important.
Most Medicare Part D cover the shingles shots, as well as Medicare Advantage plans with built-in Part D coverage. Depending on your plan, you may have to pay toward your deductible, a copay, or pay out-of-pocket and get reimbursed later.
If you havent met your plans deductible for the year, youll have to pay full price for the vaccines. If you have to pay upfront, the average retail cost of is about $200 per dose. You need two doses of Shingrix, 2 to 6 months apart.
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Which Vaccines Should Older Adults Get And When
The Centers for Disease Control and Prevention has established a vaccination schedule for adults over 65. Other factors such as medical conditions and your history may affect these recommendations. Check with your doctor about which vaccines youll need.
A typical vaccine schedule for older adults breaks down like this:
Shingles vaccine: The CDC recommends you get two doses of the shingles vaccine Shingrix, 2 to 6 months apart. If you received a different shingles vaccine called Zostavax in the past, you still need the Shingrix vaccine. Zostavax is no longer in use in the United States.
Pneumococcal vaccine: The CDC recommends a single shot of the pneumonia vaccine to those who need it. People with certain chronic medical conditions, such as chronic heart or lung disease, may need one or two additional shots.
Flu vaccine: The flu shot is usually available in early fall, before flu season starts. Every year adults 65 and older should get the flu shot, not a nasal spray vaccine. The CDC also recommends older adults receive the high-dose quadrivalent flu vaccine.
Tetanus, diphtheria, and pertussis : The CDC recommends adults 65 and older should receive the Tdap vaccine if theyve never had it before, followed by a booster every 10 years. If you need the shot as part of wound management , one dose is recommended.
If youre over 65 and have additional risk factors, you may also need these vaccines:
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Hepatitis A
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Meningococcal A, C, W, Y
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Varicella
Which Routine Vaccinations Are Covered By Medicare
The government’s National Immunisation Program Schedule lists the immunisations given at specific times in life. Routine vaccinations are typically available for free from providers that bulk bill. The eligibility for free vaccines is linked to eligibility for Medicare benefits.
Here are the key vaccines listed under the NIP:
| Routine vaccine | When is it administered under the NIP Schedule? |
|---|---|
| Hepatitis A | 2 dose schedule at 18 months and 4 years of age |
| Diphtheria | Can be given from 6 weeks of age |
| Tetanus | Can be given from 6 weeks of age |
| Whooping Cough | Can be given from 6 weeks of age |
| Hepatitis B | Typically first offered in the hospital post-birth then at 6 weeks 4 and 6 months |
| Polio | Can be given from 6 weeks of age |
| Haemophilus Influenzae Type B | Can be given from 6 weeks of age |
| Rotavirus | Can be given from 6 weeks of age |
| Pneumococcal | Can be given from 6 weeks of age |
| Varicella | Given to children at 18 months |
| Meningococcal meningitis | Offered at 12 months and again in school programs at age of 14-16 |
| Measles, Mumps and Rubella | Routinely offered at 12 months |
| Human Papillomavirus | Offered via school programs at age of 12-13 |
| Shingles | Offered to those between 70-79 |
| Annual Influenza | Offered free-of-charge to the following:
|
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*cdc Menb Vaccination Recommendations
Certain persons aged 10 years or older who are at increased risk for meningococcal disease should receive MenB vaccine. These persons include:
- Persons with persistent complement component deficiencies.
- Persons with anatomic or functional asplenia.
- Microbiologists routinely exposed to isolates of Neisseria meningitidis.
- Persons identified as at increased risk because of a serogroup B meningococcal disease outbreak.
Vaccine Pricing* And Accepted Insurance Plans
The Woodford County Health Department offers both Private and VFC vaccines. We are able to bill several insurance companies as well as serve patients who do not have health insurance. Appointments are required to receive vaccines. Please call 309.467.3604 with questions or to schedule an appointment.
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Healthy Infants And Children
One dose of Men-C-C vaccine is recommended in unimmunized children less than 5 years of age. One dose of Men-C-C vaccine may be considered for children 5 to 11 years of age if they have not previously been immunized as infants or toddlers. Immunization with 4CMenB vaccine or MenB-fHBP may be considered on an individual basis, depending on individual preferences, regional serogroup B epidemiology and strain susceptibility.
Meningococcal Vaccine: Canadian Immunization Guide
For health professionals
Latest partial content update :
: The chapter has been updated to align with the National Advisory Committee on Immunization Statement : The Use of Bivalent Factor H Binding Protein Meningococcal Serogroup B Vaccine for the Prevention of Meningococcal B Disease.
Updates include:
MenB-fHBP vaccine may be considered as an option for use in individuals 10 years of age and older in situations when a serogroup B meningococcal vaccine should be offered:
MenB-fHBP vaccine may be considered as an option for individuals 1025 years of age who are not at higher risk of meningococcal disease than the general population, but who wish to reduce their risk of invasive serogroup B meningococcal disease.
Last complete chapter revision: May 2015
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Stiko Publishes Interim Statement On The New Meningococcal Serogroup B Vaccine Bexsero
The German Standing Committee on Vaccination recently published an interim statement on progress in the evaluation of Bexsero® in the National Epidemiological Bulletin . Here we present a brief summary of the key points.
STIKO concluded that the existent evidence based on results of currently available clinical and strain coverage studies is insufficient to allow a definitive decision regarding a vaccination recommendation to be made at the present time, particularly in the German setting of a low incidence with a decreasing trend in recent years. While no data are available on clinical efficacy of the vaccine, available data suggest that vaccination with Bexsero should protect against a high proportion of strains causing serogroup B invasive meningococcal disease in Germany, at least in the short term. However, data are insufficient to evaluate the potential strain coverage in different age groups, particularly infants, who have the highest disease risk. Further studies investigating vaccine coverage of strains circulating in Germany are currently underway.
Definitive answers to most of these questions will require large-scale epidemiological studies following broad implementation of the vaccine in a high incidence setting.
How Is This Vaccine Given
This vaccine is given as an injection into a muscle.
Meningococcal group B vaccine is recommended if:
- you’ve been exposed to an outbreak of meningococcal disease
- you work in a laboratory and are exposed to meningococcal bacteria
- you have a medical problem affecting your spleen, or your spleen has been removed
- you use a medicine called eculizumab or
- you have an immune system disorder called “persistent complement component deficiency.”
Meningococcal group B vaccine is given in a series of 2 or 3 shots. Booster shots are given at 1, 2, or 6 months after the first shot.
Your booster schedule may be different. Follow the guidelines provided by your doctor or local health department.
Be sure to receive all recommended doses of this vaccine or you may not be fully protected against disease.
There are other types of meningococcal vaccine available. When you receive a booster dose, make sure you are receiving a vaccine for meningococcal serogroup B and not for serogroups A, C, W, or Y.
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We Offer More Than Just Flu Shots
While vaccine availability may vary by state, all of our CVS Pharmacy and MinuteClinic locations offer most of the vaccinations commonly recommended by the CDC, including pneumonia, MMR , meningitis, and Hepatitis A and B.
Additionally, your pharmacist is an excellent resource for information about what vaccinations are appropriate for your age group.
An appointment for a vaccination is not required, but we do recommend that calling the store first to confirm that the vaccination youre looking for is in stock.
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Bexsero Coupons And Rebates
Bexsero offers may be in the form of a printable coupon, rebate, savings card, trial offer, or free samples.Some offers may be printed right from a website, others require registration, completing a questionnaire,or obtaining a sample from the doctor’s office.
There are currently no Manufacturer Promotions that we know about for this drug.
Health Panel Recommends Cautious Approach To Meningitis B Vaccine
- Read in app
A panel of health experts stopped short of recommending that all American adolescents and young adults be vaccinated against a dangerous strain of meningitis that has caused outbreaks at Princeton University and the University of California campus in Santa Barbara, opting instead to let doctors decide whether to give the vaccine.
A committee of outside medical and public health experts convened by the Centers for Disease Control and Prevention voted, 14 to 1, to recommend the more limited use of the vaccine in people ages 16 to 23. The vaccine is new and relatively costly and the illness is rare, a combination that seemed to tip the balance toward a more cautious approach.
Some on the committee also said they were not comfortable with what was known about the vaccines safety.
There are some red flags with safety for this vaccine, said Dr. Edward Belongia, the director of the Center for Clinical Epidemiology and Population Health at the Marshfield Clinic Research Foundation in Wisconsin.
The recommendation will take effect in the coming months. Such recommendations constitute guidelines for health practice in the United States and the basis of the childhood immunization schedule.
These recommendations are now what guides clinical practices, said Dr. Bruce Gellin, the director of the National Vaccine Program Office at the Department of Health and Human Services.
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Is It Cheaper To Get A Vaccine At My Doctors Office Or A Pharmacy
You may feel more comfortable getting shots at your healthcare providers office. Your provider knows your patient history and can provide a one-on-one experience. If you choose to get vaccinated at your providers office, keep in mind you may be billed for an office visit in addition to the cost of the shot.
For the COVID-19 vaccine, your provider shouldnt charge you if the vaccine was the only service you received. You should ask for a refund if you believe you were billed in error for the COVID-19 vaccine.
You can also get immunizations against flu, pneumonia, shingles, and other conditions at your local pharmacy. Youll be responsible for any copays or deductibles depending on your prescription drug plan, but you wont have an office visit copay.
Plus, your vaccine record will be kept on file as part of your permanent pharmacy history. When you get vaccinated at your pharmacy, your information is entered into the state immunization registry, which can be accessed by your doctor, Dr. Schaffner says.
Meningitis B Vaccine Availability
The University strongly recommends that undergraduate students and graduate students, who are not older than 25 and who will be living in dormitories, receive a meningococcal B meningitisvaccine if they have not already.
NOTE: Students who have already received two doses of the vaccine do not need additional doses.
The University held several meningitis B vaccine clinics in September, October and November 2016. No additional clinics are scheduled however, both the Bexsero and Trumenba vaccines are available by appointment through University Health Services. The vaccines are also available through many personal physicians and local CVS Minute Clinics.
Vaccine Costs
The Princeton University Student Health Plan and most insurance carriers will cover the cost of the vaccine.
Students who are on the Student Health Plan or covered by other insurance will have the cost of the vaccine charged to their student account. Students will receive documentation to send to their insurance company for reimbursement and may use those funds to pay their bill.
Background
Between March 2013 and March 2014, nine cases of meningococcal B meningitis were associated with Princeton University. Eight of these cases occurred on the Princeton campus between March 2013 and November 2013, with the ninth case, a fatality, occurring off-campus.
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