The United States is continuing its slow emergence from a nation-wide shut down imposed to slow down the spread of COVID-19. Most states have started to reopen, with bars, restaurants, and many workplaces starting to fill. As people begin to spend more time together again, it is critically important that public health agencies do everything they can to help prevent further spread of the infection and continue to monitor the level of infection within the population.
On June 10, 2020 the US Senate released a white paper titled “Preparing for the Next Pandemic” under the signature of Senator Lamar Alexander of Tennessee. The white paper has five recommendations to address future pandemics based on lessons learned from COVID-19 and the past 20 years of pandemic planning. “The five recommendations…along with a series of questions at the end of this white paper, are intended to elicit recommendations that Congress can consider and act on this year,” Alexander said in a statement, adding that “I am inviting comments, responses, and any additional recommendations for the Senate Committee on Health, Education, Labor and Pensions to consider. This feedback will be shared with my colleagues, both Democrat and Republican.” This feedback from the public will be accepted until June 26, 2020 and can be submitted to PandemicPreparedness@help.senate.gov.
Like many things in the age of COVID-19, the vaccine development landscape is unlike anything we have seen in our lifetimes. There are over 100 SARS-CoV-2 vaccines currently in development, many of which are utilizing new technologies not used in any currently licensed vaccine. The potential impact on immunization schedules (clinical guidelines for clinicians) and immunization clinical decision support is significant.
On February 12, 2020, HLN released a new version (v1.22.1) of the Immunization Calculation Engine (ICE). ICE is a state-of-the-art open-source software system that provides clinical decision support for immunizations for use in Immunization Information Systems (IIS), Electronic Health Record (EHR) and Personal Health Record (PHR) Systems.
On October 15, 2019, HLN released a new version (v1.21.1) of the Immunization Calculation Engine (ICE). ICE is a state-of-the-art open-source software system that provides clinical decision support for immunizations for use in Immunization Information Systems (IIS), Electronic Health Record (EHR) and Personal Health Record (PHR) Systems.
This version includes important updates including:
- Updated HPV rules as per the June 2019 ACIP approved recommendations, including a harmonized recommendation for catch-up vaccination for males and females through age 26 years and recommendation based on shared clinical decision making for individuals aged 27 through 45 years who are not adequately vaccinated.
- Slight change to the way the dose number included in the vMR output is determined.
- A duplicate shot/same day fix whereby a non-combination shot might be selected instead of the combination shot.
The full software release is available for download at https://cdsframework.atlassian.net/wiki/display/ICE/Downloads. A revised ICE Implementation Guide is also available. The ICE code systems and codes are now accessible in Google Sheets as an added convenience. These are the codes as those in the Implementation Guide. The codes will be updated in both the places.
See the feature article about ICE in Open Health News.