CDC – MMWR for September 26, 2014 / Vol. 63 / No. 38

:: Updated Preparedness and Response Framework for Influenza Pandemics
CDC has updated its framework to describe influenza pandemic progression using six intervals (two prepandemic and four pandemic intervals) and eight domains. This updated framework can be used for influenza pandemic planning and has been aligned with the pandemic phases restructured in 2013 by the World Health Organization.

Vaccination with Tetanus, Diphtheria, and Acellular Pertussis Vaccine of Pregnant Women Enrolled in Medicaid — Michigan, 2011–2013
Excerpt
…Discussion
Based on Medicaid administrative claims data and the statewide immunization information system records, 14.3% of publicly insured women who delivered their first child during November 2011–February 2013 received Tdap during pregnancy. Because the 2011 ACIP recommendation was only for unvaccinated women and women could have received Tdap before pregnancy, a 100% coverage rate for Tdap during pregnancy would not be expected. However, based on data from the 2012 National Health Interview Survey, only 14.2% of adults reported receiving Tdap in the past 7 years (8). With such a low proportion of the general population having received Tdap, a higher proportion of pregnant women in this population would be expected to have received Tdap if ACIP recommendations had been consistently followed.
Black, Asian, and Arab women were significantly less likely to receive Tdap during pregnancy compared with white women, even after controlling for significant predictors of vaccination (infant’s gestational age and maternal age at delivery). No significant difference in vaccination was observed between Hispanic women or Native American women and white women. Racial disparities in prenatal vaccination have also been observed with the influenza vaccination; black women (45.4%) were less likely to receive the influenza vaccine compared with white women (52.2%) (9)…