Welcome to PittVax and the 4 Pillars Toolkit Program

Welcome to the 4 Pillars Toolkit online dashboard! This online dashboard research project was developed by the University of Pittsburgh's PittVax group, which is part of the Department of Family Medicine, School of Medicine.

The 4 Pillars Toolkit is an evidence-based strategic program that is easily adaptable to the culture and workflow of clinical practices and aims to increase adult Influenza, Pneumococcal, and Tdap/Td vaccination rates.

2013-2014 Flu Vaccine Strains

CDC Flu View

The Centers for Disease Control and Prevention has posted which strains of Influenza are in the vaccine this year (2013-2014). For all of your patients who ask you what's in the vaccine, you can tell them!! ...

Trivalent Vaccines contain A/California/7/2009 (H1N1)-like, an H3N2 virus antigenically like the virus A/Victoria/361/2011, and a B/Massachusetts/2/2012-like virus. 

Quadrivalent Vaccines contain an additional vaccine virus, a B/Brisbane/60/2008-like virus. 

Hot off the press! IAC updates four popular influenza staff resources: 2 checklists for flu vaccination contraindications and 2 flu standing orders templates

These are great resources which you may want to check out!

Immunization Action Coalition (IAC) has updated the following influenza-related staff resources for the 2013–14 influenza vaccination season.


New: CDC issues VISs for the 2013–14 influenza vaccines

ACIP redesigns its vaccine recommendations web page and discontinues issuing provisional recommendations

The Advisory Committee on Immunization Practices (ACIP) recently posted a redesigned web page titled Vaccine Recommendations of the ACIP. Recommendations are grouped into those for specific vaccines, such as measles-mumps-rubella and pneumococcal, and comprehensive recommendations, such as those for healthcare personnel.

In addition, ACIP recently issued this announcement regarding provisional recommendations:

NEW: AAP's new Storage and Handling Tip Sheets can help practitioners keep their vaccine supply safe

The American Academy of Pediatrics (AAP) Childhood Immunization Support Program recently developed a new series of print resources intended to help providers practice safe vaccine storage and handling. Titled "Storage and Handling Tip Sheets," the new resource series is located on AAP's Practice Management—Storage & Handling web page, along with other related resources.

FDA approves Fluzone (sanofi pasteur) as the third quadrivalent influenza vaccine licensed for U.S. use

From IAC Express Issue 1061: June 18, 2013: On June 7, FDA approved a request by sanofi pasteur to supplement its biologics license application for Fluzone influenza virus vaccine to include a quadrivalent formulation for use in people age 6 months and older. Fluzone quadrivalent is the third quadrivalent influenza vaccine to receive FDA approval. FDA approved MedImmune's FluMist quadrivalent on February 29, 2012, and GlaxoSmithKline's Fluarix quadrivalent on December 14, 2012.

Whooping cough declared an epidemic

The below link on pertussis features a tragic story from a new parent who just joined the Sounds of Pertussis Campaign. It is reminder of how important prevention is and the reasons “why we do what we do” in educating about the importance of vaccination. Feel free to share if you wish. 


Hot off the press - Immunization patient handouts and staff-education materials from IAC

Check out the great clinical staff educational materials and patient handsouts on a variety of immunization recommendations from the Immunization Action Coalition (IAC):

Vaccinations for Adults with Diabetes

Pnemococcal Vaccination Recommendation for Children and Adults by Age and/or Risk Factor

Are Tdap vaccinations covered?

hundred dollar bills

Practices have expressed concerns about offering Tdap vaccine to adults whose insurance may not cover the vaccine and then having to charge the patient a significant fee.  To clarify, we offer the information below.

Under the Affordable Care Act of 2010, health insurers MUST COVER ALL ACIP standard recommended immunizations (including influenza, pneumococcal, and Td/Tdap) with 2 notable exceptions: