Health & Wellness

Advancing Health Equity

At the Greater Phoenix Urban League, health equity means that everyone has a fair and just opportunity to be as healthy as possible.

 

The Women’s Health Coalition of Arizona has been a part of the League’s family since its inception’in 2008. The Women’s Health Coalition is the ‘health arm’ of the Greater Phoenix Urban League and acts as a catalyst for change. On behalf of the League, the Women’s Health Coalition creates partnerships among community groups, non-profit organizations, professional associations, as well as businesses and government agencies. It supports community change by offering outreach services in health education, application assistance for AHCCCS/SNAP/KIDCARE, focus group facilitation and recruitment, community asset mapping and health event management.

 

Resources

ADHS Immunization Program

Besides the routine pediatric pneumococcal conjugate vaccine (PCV15/PCV20) schedule, there are special circumstances when additional PCV15/PCV20 and/or pneumococcal polysaccharide (PPSV23) vaccines are recommended.

Age 2–5 years of age

Children with chronic heart disease, chronic kidney disease, maintenance dialysis or nephrotic syndrome, chronic liver disease, chronic lung disease (includes moderate persistent or severe persistent asthma), an immunocompromising condition, diabetes mellitus, cerebrospinal fluid leaks, and cochlear implant(s):

Unvaccinated or <3 PCV doses before age 2 years

  • Give 2 doses of PCV15 or PCV20. Give the second dose at least 8 weeks after the first.
  • Determine if they have ever received a dose of PCV20
    • Received PCV20:Their pneumococcal vaccinations are complete.
    • Never received PCV20: See “Complete PCV series that did not include PCV20” guidance below.

3 PCV doses before age 12 months but no booster dose at or after age 12 months

  • Give 1 dose of PCV15 or PCV20.
  • Determine if they have ever received a dose of PCV20
    • Received PCV20: Their pneumococcal vaccinations are complete.
    • Never received PCV20: See “Complete PCV series that did not include PCV20” guidance below.

Complete PCV series that included PCV20

  • Their pneumococcal vaccines are complete.

Complete PCV series that didn’t include PCV20

Immunocompromising condition

  • Determine if they have ever received a dose of PPSV23
    • Received PPSV23: No pneumococcal vaccines are recommended at this time; wait until at least 5 years have passed since they received their first PPSV23 dose; then give 1 dose of PCV20 or PPSV23.  Their pneumococcal vaccinations are complete regardless of the vaccine used (PCV20 or PPSV23).
  • Never received PPSV23
    • Give 1 dose of PCV20 or PPSV23 at least 8 weeks after the last PCV dose.
    • When PCV20 is used, their pneumococcal vaccinations are then complete.
    • When PPSV23 is used, they need another pneumococcal vaccine at least 5 years later. At that time, give 1 dose of PCV20 or PPSV23. Their pneumococcal vaccinations are complete regardless of the vaccine used (PCV20 or PPSV23).

Not an immunocompromising condition

  • Determine if they have ever received a dose of PPSV23
    • Received PPSV23: Their pneumococcal vaccinations are complete.
    • Never received PPSV23: Give 1 dose of PCV20 or PPSV23 at least 8 weeks after last PCV dose.  Their pneumococcal vaccinations are complete regardless of the vaccine used (PCV20 or PPSV23).
Children 6 through 18 years old

The following guidance applies to children in this age group who have a risk condition.

Never received PCV13, PCV15, or PCV20

  • Give 1 dose of PCV15 or PCV20 at least 8 weeks after the most recent pneumococcal vaccine dose. Give it regardless of whether the child has previously received PPSV23 or PCV7.
    • When PCV15 is used, it should be followed by a dose of PPSV23 if not previously given.
    • When PCV20 is used, it does not need to be followed by a dose of PPSV23. Their pneumococcal vaccinations are complete.

Received PCV13 or PCV15 before age 6 years, never received PCV20

Immunocompromising condition

  • Determine if they have already received PPSV23
  • Received PPSV23: No pneumococcal vaccines are recommended at this time.
    • Wait until at least 5 years have passed since they received their first PPSV23 dose.
    • Then give 1 dose of PCV20 or PPSV23. Their pneumococcal vaccinations are complete regardless of the vaccine used (PCV20 or PPSV23).
  • Never received PPSV23
    • Give 1 dose of PCV20 or PPSV23 at least 8 weeks after the last PCV dose.
    • When PCV20 is used, their pneumococcal vaccinations are complete.
    • When PPSV23 is used, they need another pneumococcal vaccine at least 5 years later. At that time, give either 1 dose of PCV20 or PPSV23.  Their pneumococcal vaccinations are complete regardless of the vaccine used (PCV20 or PPSV23).

Not an immunocompromising condition

  • Determine if they already received PPSV23
  • Received PPSV23: Their pneumococcal vaccinations are complete.
  • Never received PPSV23
    • Give 1 dose of PCV20 or PPSV23 at least 8 weeks after the most recent pneumococcal vaccine dose.  Their pneumococcal vaccinations are complete regardless of the vaccine used (PCV20 or PPSV23).
Clinical resource

CDC offers PneumoRecs VaxAdvisor as a free app to quickly and easily provide patient-specific pneumococcal vaccine guidance. It’s available for download for iOS and Android mobile devices. There is also a web-based version that does not require a download.

The Bureau of Immunization Services (BIZS) has clinical staff available to assist with your immunization questions. Contact the following individuals (or your county health department) for assistance:

Kate Whitman, MSE, BSN, Kathleen.Whitman@azdhs.gov, 480-259-5342

Sharon Sweeney, MPH, BSN, Sharon.Sweeney@azdhs.gov, 480-261-5557