Solicitation of Written Comments on the Maternal Immunizations Working Group's Draft Report and Draft Recommendations for Reducing Patient and Provider Barriers to Maternal Immunizations for Consideration by the National Vaccine Advisory Committee, 16797-16798 [2014-06594]

Download as PDF Federal Register / Vol. 79, No. 58 / Wednesday, March 26, 2014 / Notices Effective: March 26, 2014. Meeting date: The meeting will be held on Wednesday, April 9, 2013 starting at 10:00 a.m. Eastern Daylight Time (EDT), and ending no later than 12:00 p.m. Eastern Daylight Time (EDT). The meeting will be conducted telephonically. Persons wishing to listen to the proceedings may dial 712–432– 1001 and enter access code 474845614#. Note this is not a toll-free number. FOR FURTHER INFORMATION CONTACT: Daniel S. Dayton, Designated Federal Officer, c/o The Foundation for the Commemoration of the World Wars, 701 Pennsylvania Avenue NW., #123, Washington, DC 20004–2608 202–380– 0725 (note: this is not a toll-free number). Written Comments may be submitted to the Commission and will be made part of the permanent record of the Commission. Comments must be received by 5:00 p.m. Eastern Daylight Time (EDT), April 2, 2014 and may be provided by email to daniel.dayton@ dhs.gov. SUPPLEMENTARY INFORMATION: and enter access code 474845614#. Capacity for this call is 1000 callers. Background The World War One Centennial Commission was established by Public Law 112–272, as a commission to ensure a suitable observance of the centennial of World War I, to provide for the designation of memorials to the service of members of the United States Armed Forces in World War I, and for other purposes. Under this authority, the Committee will plan, develop, and execute programs, projects, and activities to commemorate the centennial of World War I, encourage private organizations and State and local governments to organize and participate in activities commemorating the centennial of World War I, facilitate and coordinate activities throughout the United States relating to the centennial of World War I, serve as a clearinghouse for the collection and dissemination of information about events and plans for the centennial of World War I, and develop recommendations for Congress and the President for commemorating the centennial of World War I. Agenda: Wednesday April 9, 2014 • Introductions and plans for today’s meeting—Designated Federal Official • Committee Reports • Old Business • New Business • Public Comments • Closing comments Meeting Location: The Committee will convene its meeting telephonically. Persons wishing to listen to the proceedings may dial 712–432–1001 SUMMARY: sroberts on DSK5SPTVN1PROD with NOTICES DATES: VerDate Mar<15>2010 17:43 Mar 25, 2014 Jkt 232001 Dated: March 20, 2014. Daniel S. Dayton, Designated Federal Official, World War I Centennial Commission. [FR Doc. 2014–06635 Filed 3–25–14; 8:45 am] BILLING CODE 6820–95–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Solicitation of Written Comments on the Maternal Immunizations Working Group’s Draft Report and Draft Recommendations for Reducing Patient and Provider Barriers to Maternal Immunizations for Consideration by the National Vaccine Advisory Committee National Vaccine Program Office, Office of the Assistant Secretary for Health, Office of the Secretary, Department of Health and Human Services. ACTION: Notice. AGENCY: The National Vaccine Advisory Committee (NVAC) was established in 1987 to comply with Title XXI of the Public Health Service Act (Pub. L. 99–660) (§ 2105) (42 U.S. Code 300aa–5 (PDF–78 KB) ). Its purpose is to advise and make recommendations to the Director of the National Vaccine Program on matters related to program responsibilities. The Assistant Secretary for Health (ASH) has been designated by the Secretary of Health and Human Services (HHS) as the Director of the National Vaccine Program. The National Vaccine Program Office (NVPO) is located within the Office of the Assistant Secretary for Health (OASH), Office of the Secretary, U.S. Department of Health and Human Services (HHS). NVPO provides leadership and fosters collaboration among the various federal agencies involved in vaccine and immunization activities. The NVPO also supports the National Vaccine Advisory Committee (NVAC). The NVAC advises and makes recommendations to the ASH in his capacity as the Director of National Vaccine Program on matters related to vaccine program responsibilities. In June 2012, the NVAC accepted a charge from the ASH to review the current state of maternal immunization and existing best practices and identify programmatic barriers to the implementation of current recommendations related to maternal immunization. The NVAC formed the Maternal Immunizations Working PO 00000 Frm 00044 Fmt 4703 Sfmt 4703 16797 Group in August 2012 to address this charge. Through a series of teleconferences, electronic communications, and public discussions during NVAC meetings, the working group developed a number of draft recommendations for consideration by the NVAC. The NVAC draft report details the background and rationale for each of these recommendations and provides input on how the ASH might support HHS activities in these areas. The draft report and draft recommendations from the working group will inform NVAC deliberations as the NVAC finalizes their recommendations for transmittal to the ASH. NVPO is soliciting public comment on the draft report and draft recommendations from a variety of stakeholders, including the general public, for consideration by the NVAC as they develop their final recommendations to the ASH. It is anticipated that the draft report and draft recommendations, as revised with consideration given to public comment and stakeholder input, will be presented to the NVAC for adoption in June 2014 at the quarterly NVAC meeting. DATES: Comments for consideration by the NVAC should be received no later than 5:00 p.m. EDT on April 25, 2014. ADDRESSES: (1) The draft report and draft recommendations are available on the web at https://www.hhs.gov/nvpo/nvac/ index.html. (2) Electronic responses are preferred and may be addressed to: Jennifer.Gordon@hhs.gov. (3) Written responses should be addressed to: National Vaccine Program Office, U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 733G, Washington, DC 20201. Attn: HHS Maternal Immunizations c/o Dr. Jennifer Gordon FOR FURTHER INFORMATION CONTACT: Jennifer Gordon, Ph.D., National Vaccine Program Office, Office of the Assistant Secretary for Health, Department of Health and Human Services; telephone (202) 260–6619; fax (202) 260–1165; email: Jennifer.Gordon@hhs.gov. SUPPLEMENTARY INFORMATION: I. Background Pregnant women and their infants are at increased risk for serious complications due to vaccinepreventable diseases. For example, during the 2009 H1N1 influenza pandemic, pregnant women accounted for five percent of all reported H1N1related deaths and were 7.2 times more E:\FR\FM\26MRN1.SGM 26MRN1 sroberts on DSK5SPTVN1PROD with NOTICES 16798 Federal Register / Vol. 79, No. 58 / Wednesday, March 26, 2014 / Notices likely to be hospitalized than nonpregnant women. Infants too young to be vaccinated are also vulnerable to severe outcomes and death due to influenza and pertussis disease. Maternal immunization is an important strategy to protect both pregnant women and their young infants from vaccinepreventable disease, and both the Advisory Committee for Immunization Practices and the American College of Obstetricians and Gynecologists recommend that all pregnant women receive immunizations against influenza and pertussis disease during every pregnancy. However, despite evidence to support clear health benefits of maternal immunization for pregnant women and infant, immunization coverage in pregnant women remains low. In addition, many pregnant women reported that their provider did not recommend that they receive vaccines, indicating ongoing missed opportunities during healthcare interactions. Therefore, it is critical to understand the barriers that both prevent pregnant women from receiving recommended vaccinations and those that prevent obstetrical care providers from recommending and administering vaccines within their practices. Doing so will help to advance maternal immunization efforts and increase coverage to maximize the number of pregnant women and young infants that can benefit from these strategies. Through their analysis and discussion, the NVAC identified five major areas of opportunity: 1. Enhancing communication to address the safety and effectiveness of all currently recommended immunizations during pregnancy; 2. Maximizing obstetric provider recommendation and administration of recommended maternal immunizations; 3. Focusing efforts to improve financing for immunization services during pregnancy and postpartum; 4. Supporting efforts to increase the use of electronic health records (EHRs) and Immunization Information Systems (IISs) among obstetrical care providers; and 5. Recognizing and addressing current vaccine liability law barriers to optimize investigations and uptake of recommended and future vaccines during pregnancy. Within each area the NVAC report details key recommendations to overcoming challenges in these areas. II. Request for Comment NVPO, on behalf of the NVAC Maternal Immunizations Working Group, requests input on the draft report and draft recommendations. In addition VerDate Mar<15>2010 17:43 Mar 25, 2014 Jkt 232001 to general comments on the draft report and draft recommendations, NVPO is seeking input on efforts or barriers to maternal immunizations not represented in the report where HHS efforts could advance maternal immunization efforts. Please limit your comments to six (6) pages. III. Potential Responders HHS invites input from a broad range of stakeholders including individuals and organizations that have interests in maternal immunization efforts and the role of HHS in advancing those efforts. Examples of potential responders include, but are not limited to, the following: —general public; —advocacy groups, non-profit organizations, and public interest organizations; —academics, professional societies, and healthcare organizations; —public health officials and immunization program managers; —obstetrical care provider groups including all physician and nonphysician providers that administer healthcare services to pregnant women, including pharmacists; and —representatives from the private sector. When responding, please self-identify with any of the above or other categories (include all that apply) and your name. Anonymous submissions will not be considered. Written submissions should not exceed six (6) pages. Please do not send proprietary, commercial, financial, business, confidential, trade secret, or personal information. Dated: March 13, 2014. Bruce Gellin, Deputy Assistant Secretary for Health, Director, National Vaccine Program Office, Executive Secretary, National Vaccine Advisory Committee. [FR Doc. 2014–06594 Filed 3–25–14; 8:45 am] BILLING CODE 4150–44–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Partnerships To Advance the National Occupational Research Agenda (NORA) The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice of public meeting. AGENCY: PO 00000 Frm 00045 Fmt 4703 Sfmt 4703 The National Institute for Occupational Safety and Health (NIOSH) of the Centers for Disease Control and Prevention (CDC) announces the following public meeting, which will be held as a webinar: ‘‘Partnerships to Advance the National Occupational Research Agenda (NORA)’’. Public Meeting Time and Date: 1 p.m.–2:30 p.m. EDT, April 22, 2014. Place: Online and teleconference only, see details below. Purpose of the Meeting: The National Occupational Research Agenda (NORA) has been structured to engage partners with each other and/or with NIOSH to advance NORA priorities. The NORA Liaison Committee continues to be an opportunity for representatives from organizations with national scope to learn about NORA progress and to suggest possible partnerships based on their organization’s mission and contacts. This opportunity is now structured as a public meeting via the Internet to attract participation by a larger number of organizations and to further enhance the success of NORA. Some of the types of organizations of national scope that are especially encouraged to participate are employers, unions, trade associations, labor associations, professional associations, and foundations. Others are welcome. This meeting will include: • Updates from NIOSH leadership on NORA and on plans for evaluating the second decade of NORA; • A discussion of a variety of metrics NIOSH is considering for measuring its performance as a research agency; • Brief written updates from most of the NORA Sector Councils on their progress, priorities, and implementation plans to date, likely including the NORA Agriculture, Forestry and Fishing; Construction; Healthcare and Social Assistance; Manufacturing; Mining; Oil and Gas Extraction; Public Safety; Services; Transportation, Warehousing and Utilities; and Wholesale and Retail Trade Sector Councils; and • Time to ask questions and discuss partnership opportunities. Status: The meeting is open to the public, limited only by the capacities of the conference call and online system for sharing slides. Everyone can participate through the Internet (to see the slides) and a teleconference call (capacity 50). Each participant is requested to register for the free meeting by sending an email to noracoordinator@cdc.gov containing the participant’s name, organization name, and contact telephone number on the day of the meeting. Requirements SUMMARY: E:\FR\FM\26MRN1.SGM 26MRN1

Agencies

[Federal Register Volume 79, Number 58 (Wednesday, March 26, 2014)]
[Notices]
[Pages 16797-16798]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-06594]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES


Solicitation of Written Comments on the Maternal Immunizations 
Working Group's Draft Report and Draft Recommendations for Reducing 
Patient and Provider Barriers to Maternal Immunizations for 
Consideration by the National Vaccine Advisory Committee

AGENCY: National Vaccine Program Office, Office of the Assistant 
Secretary for Health, Office of the Secretary, Department of Health and 
Human Services.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The National Vaccine Advisory Committee (NVAC) was established 
in 1987 to comply with Title XXI of the Public Health Service Act (Pub. 
L. 99-660) (Sec.  2105) (42 U.S. Code 300aa-5 (PDF-78 KB) ). Its 
purpose is to advise and make recommendations to the Director of the 
National Vaccine Program on matters related to program 
responsibilities. The Assistant Secretary for Health (ASH) has been 
designated by the Secretary of Health and Human Services (HHS) as the 
Director of the National Vaccine Program. The National Vaccine Program 
Office (NVPO) is located within the Office of the Assistant Secretary 
for Health (OASH), Office of the Secretary, U.S. Department of Health 
and Human Services (HHS). NVPO provides leadership and fosters 
collaboration among the various federal agencies involved in vaccine 
and immunization activities. The NVPO also supports the National 
Vaccine Advisory Committee (NVAC). The NVAC advises and makes 
recommendations to the ASH in his capacity as the Director of National 
Vaccine Program on matters related to vaccine program responsibilities.
    In June 2012, the NVAC accepted a charge from the ASH to review the 
current state of maternal immunization and existing best practices and 
identify programmatic barriers to the implementation of current 
recommendations related to maternal immunization. The NVAC formed the 
Maternal Immunizations Working Group in August 2012 to address this 
charge.
    Through a series of teleconferences, electronic communications, and 
public discussions during NVAC meetings, the working group developed a 
number of draft recommendations for consideration by the NVAC. The NVAC 
draft report details the background and rationale for each of these 
recommendations and provides input on how the ASH might support HHS 
activities in these areas. The draft report and draft recommendations 
from the working group will inform NVAC deliberations as the NVAC 
finalizes their recommendations for transmittal to the ASH.
    NVPO is soliciting public comment on the draft report and draft 
recommendations from a variety of stakeholders, including the general 
public, for consideration by the NVAC as they develop their final 
recommendations to the ASH. It is anticipated that the draft report and 
draft recommendations, as revised with consideration given to public 
comment and stakeholder input, will be presented to the NVAC for 
adoption in June 2014 at the quarterly NVAC meeting.

DATES: Comments for consideration by the NVAC should be received no 
later than 5:00 p.m. EDT on April 25, 2014.

ADDRESSES: 
    (1) The draft report and draft recommendations are available on the 
web at https://www.hhs.gov/nvpo/nvac/.
    (2) Electronic responses are preferred and may be addressed to: 
Jennifer.Gordon@hhs.gov.
    (3) Written responses should be addressed to: National Vaccine 
Program Office, U.S. Department of Health and Human Services, 200 
Independence Avenue SW., Room 733G, Washington, DC 20201. Attn: HHS 
Maternal Immunizations c/o Dr. Jennifer Gordon

FOR FURTHER INFORMATION CONTACT: Jennifer Gordon, Ph.D., National 
Vaccine Program Office, Office of the Assistant Secretary for Health, 
Department of Health and Human Services; telephone (202) 260-6619; fax 
(202) 260-1165; email: Jennifer.Gordon@hhs.gov.

SUPPLEMENTARY INFORMATION: 

I. Background

    Pregnant women and their infants are at increased risk for serious 
complications due to vaccine-preventable diseases. For example, during 
the 2009 H1N1 influenza pandemic, pregnant women accounted for five 
percent of all reported H1N1-related deaths and were 7.2 times more

[[Page 16798]]

likely to be hospitalized than non-pregnant women. Infants too young to 
be vaccinated are also vulnerable to severe outcomes and death due to 
influenza and pertussis disease. Maternal immunization is an important 
strategy to protect both pregnant women and their young infants from 
vaccine-preventable disease, and both the Advisory Committee for 
Immunization Practices and the American College of Obstetricians and 
Gynecologists recommend that all pregnant women receive immunizations 
against influenza and pertussis disease during every pregnancy. 
However, despite evidence to support clear health benefits of maternal 
immunization for pregnant women and infant, immunization coverage in 
pregnant women remains low. In addition, many pregnant women reported 
that their provider did not recommend that they receive vaccines, 
indicating ongoing missed opportunities during healthcare interactions. 
Therefore, it is critical to understand the barriers that both prevent 
pregnant women from receiving recommended vaccinations and those that 
prevent obstetrical care providers from recommending and administering 
vaccines within their practices. Doing so will help to advance maternal 
immunization efforts and increase coverage to maximize the number of 
pregnant women and young infants that can benefit from these 
strategies.
    Through their analysis and discussion, the NVAC identified five 
major areas of opportunity:
    1. Enhancing communication to address the safety and effectiveness 
of all currently recommended immunizations during pregnancy;
    2. Maximizing obstetric provider recommendation and administration 
of recommended maternal immunizations;
    3. Focusing efforts to improve financing for immunization services 
during pregnancy and postpartum;
    4. Supporting efforts to increase the use of electronic health 
records (EHRs) and Immunization Information Systems (IISs) among 
obstetrical care providers; and
    5. Recognizing and addressing current vaccine liability law 
barriers to optimize investigations and uptake of recommended and 
future vaccines during pregnancy.
    Within each area the NVAC report details key recommendations to 
overcoming challenges in these areas.

II. Request for Comment

    NVPO, on behalf of the NVAC Maternal Immunizations Working Group, 
requests input on the draft report and draft recommendations. In 
addition to general comments on the draft report and draft 
recommendations, NVPO is seeking input on efforts or barriers to 
maternal immunizations not represented in the report where HHS efforts 
could advance maternal immunization efforts. Please limit your comments 
to six (6) pages.

III. Potential Responders

    HHS invites input from a broad range of stakeholders including 
individuals and organizations that have interests in maternal 
immunization efforts and the role of HHS in advancing those efforts.
    Examples of potential responders include, but are not limited to, 
the following:

--general public;
--advocacy groups, non-profit organizations, and public interest 
organizations;
--academics, professional societies, and healthcare organizations;
--public health officials and immunization program managers;
--obstetrical care provider groups including all physician and non-
physician providers that administer healthcare services to pregnant 
women, including pharmacists; and
--representatives from the private sector.

    When responding, please self-identify with any of the above or 
other categories (include all that apply) and your name. Anonymous 
submissions will not be considered. Written submissions should not 
exceed six (6) pages. Please do not send proprietary, commercial, 
financial, business, confidential, trade secret, or personal 
information.

    Dated: March 13, 2014.
Bruce Gellin,
Deputy Assistant Secretary for Health, Director, National Vaccine 
Program Office, Executive Secretary, National Vaccine Advisory 
Committee.
[FR Doc. 2014-06594 Filed 3-25-14; 8:45 am]
BILLING CODE 4150-44-P
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