Physicians in New York City

The NYC Department of Health and Mental Hygiene is conducting a large-scale recruitment for school physicians to work at NYC’s public schools.  The candidates being sought should be licensed physicians (specifically pediatricians, family medicine doctors, adolescent medicine doctors, or preventive medicine doctors) who also have a strong public health/population health background (ideally an MPH in addition to MD), and who would like a rewarding opportunity with flexible hours.  Details on available positions:


Health Barriers to Learning: The Prevalence and Educational Consequences in Disadvantaged Children   https://www.childrenshealthfund.org/hbl-literature-review/ describes the HBLs and the supporting evidence base for their impact on academic success.  It also describes the disproportionate prevalence of HBLs in disadvantaged children, the extent of unmet need for services for identification, management and treatment, and each HBL’s impact on learning.  The report offers recommendations for better identification, management, and treatment of these barriers.


New York City Influenza Update

Influenza Prevention and Control 2016-1


Dear Colleague:

We would like to make you aware of changes to child care and school immunization requirements in effect for the 2015-16 school year in New
York City (NYC). Highlights of the changes are as follows:

  • Students entering grades K through 12 are required to have 2 doses of measles- and mumps-containing vaccines, and 1 dose of rubella-containing vaccine.
  • Students entering grades K, 1, 6 and 7 are required to have 2 doses of varicella (chickenpox) vaccine.  One dose of varicella vaccine is required for all other
    grades.
  • Students entering grades K, 1, 6 and 7 are required to have 4 doses of polio vaccine, unless the 3rd dose was received at 4 years of age or older, in which case only 3 doses are required.  Three doses of polio vaccine are required for all other grades.
  • Students entering grades K-5 who are less than 7 years of age are required to have 5 doses of DTaP.  Four doses are acceptable if the 4th dose was received at 4 years of age or older and 3 doses are acceptable if the series was started at age 7 years or older.  Because DTaP cannot be administered to children after age 6 years, children aged 7 years and older who are not complete should receive a single dose of Tdap and, if additional doses are needed, Td until series completion.

The full requirements are available at www.nyc.gov/html/doh/downloads/pdf/imm/sch-med-req.pdf.  The school requirements are in alignment with the Advisory Committee on Immunization Practices (ACIP) recommendations with respect to number of doses required of each vaccine and the spacing intervals between doses; see www.cdc.gov/vaccines/schedules.  In most cases, if the CIR record says that a child’s immunization status is up-to-date (UTD), then that child may be considered UTD for school, as well.  Alternative schedules and philosophic objections to vaccinations are not allowed.  Students who are not in compliance with school immunization requirements will be excluded from school.

Additional information on the new school requirements, including Frequently Asked Questions, is available at:
www.health.ny.gov/prevention/immunization/schools/.  If you have questions about immunization requirements for school admission, please contact us at (347) 396-2400 or e-mail nycimmunize@health.nyc.gov.  Thank you for keeping NYC children safe from vaccine-preventable diseases.

Sincerely,

Jane R.
Zucker, MD, MSc
Assistant Commissioner


New York City Pediatrician comments on Vitamin Supplements

Hear and see Dr. Lisa Thebner with Kaity Tong on PIX Channel 11 News comments on vitamin and sport drinks overuse.


New York City Advocating for HPV Vaccine

On Monday, August 11, 2014 the New York City Health Department issued a Press Release announcing the launch of a citywide HPV vaccination campaign.  Read more about the Campaign here.  Additional resources:


Dear Colleagues:

There are important changes to the Vaccines for Children (VFC) program vaccine ordering process.  The Centers for Disease Control and Prevention recently launched a new vaccine ordering system which the New York City Department of Health and Mental Hygiene Bureau of Immunization must use to place VFC orders.  This new system requires providers to report on-hand VFC vaccine inventory including lot numbers when ordering VFC vaccines.

The Online Registry VFC Vaccine Ordering and Management Tool has been modified to allow entry of vaccine lot numbers.  When ordering VFC vaccines, providers should log on to the Online Registry at www.nyc.gov/health/cir as is currently done, select the VFC icon on the main tool bar, and go to the “Order VFC Vaccine” section.  Next, providers will follow the current six-step ordering process, but in step 3 will need to select the vaccine lot number and expiration date from the drop-down list for each vaccine type in their VFC inventory.  The provider will then enter the number of doses on-hand.  The lot numbers for shipped VFC vaccine will have been pre-populated.  If providers borrowed VFC vaccines, they will need to include the lot numbers, expiration dates, and number of doses of privately-purchased vaccines on-hand that are being used to replenish VFC doses.

For providers using the Online Registry to report immunizations to the Citywide Immunization Registry, please note that VFC vaccine lot numbers are now populated in “My Lot” lists for easy selection when using the “Current Immunization”, “Modify History” and “Add History” functions.

A set of slides which shows the VFC vaccine ordering process is available at this link.  For questions or assistance, please email us at nycimmunize@health.nyc.gov or call the Bureau of Immunization Hotline at 347-396-2400.  We thank you for vaccinating New York City children to protect them from vaccine-preventable diseases.

Sincerely,
Jane R. Zucker, MD, MSc


The New York City Health Code now requires written parental consent before direct oral suction can be performed as part of circumcision.  For further information, see here.  Parental consent forms in English and Yiddish are also available.

TB Testing No Longer Required to School Entry
Effective June 12, 2012, the New York City Department of Health and Mental Hygiene no longer requires that new entrants to secondary schools in New York City undergo testing for latent tuberculosis infection.

The Child & Adolescent Examination Form (CH205) can be accessed and completed through the Citywide Immunization Registry (CIR).  By accessing the form in this way, immunization and lead data will automatically pre-populate the form.  The completed forms can be printed or faxed automatically to the school, camp or daycare.  Please see attached for a set of instructions.

Dr. Thomas Farley, Commissioner of the New York City Department of Health and Mental Hygiene, has distributed a letter detailing the Medical Requirements for Students for the 2012-2013 school year.  In addition, he has provided a Tuberculosis Risk Assessment Questionnaire to determine which students may require testing for tuberculosis.


Dear Colleagues and Friends,

The New York City Health Department is eager to share with you some exciting new resources and tools related to adolescent sexual and reproductive health.  As part of Mayor Bloomberg’s Young Men’s Initiative,  we have developed Best Practices in Sexual and Reproductive Health Care for Adolescents (Best Practices) and the Teens in NYC Web-based Portal (TNYC Portal).

The Best Practices reflect current evidence, guidelines and input from many experts in the field, and are endorsed by: the New York State Department of Health; the New York City Health and Hospitals Corporation; the American Academy of Pediatrics, District II, NYS; the Academy of Family Physicians, NY County, NYS; and the Society for Adolescent Health and Medicine, NYS.  They are available online (with links to a variety of resources), and can be found by visiting nyc.gov and searching for Adolescent Sexual Health.

The TNYC Portal, open to NYC providers of adolescent sexual and reproductive health services from any specialty (pediatrics, primary care, family medicine, adolescent health, family planning, and obstetrics and gynecology), allows providers to:

  • Assess their performance relative to the Best Practices
  • Inform quality improvement work
  • Receive updates on resources and training for NYC providers
  • Become eligible for inclusion in the TNYC Preferred Referral Guide, a popular guide that will soon be available as a mobile app and listsproviders that offer high-quality sexual and reproductive health services to adolescents.

To join the TNYC Portal or get more information, email us at teenclinicregistration@health.nyc.gov.

Deborah Kaplan, MPH, R-PA
Assistant Commissioner
Bureau of Maternal, Infant and Reproductive Health
NYC Department of Health and Mental Hygiene
42-09 28th Street
Long Island City, NY 11101
tel.   (347) 396-4483
Alzen Whitten, MPA
Director, Adolescent Reproductive Health Program
Bureau of Maternal, Infant & Reproductive Health
NYC Department of Health & Mental Hygiene
42-09 28th Street, 10th Floor, 10-131
Long Island City, NY 11101
Office: 347-396-4475