September 26



7:30-8:30        Continental Breakfast, Registration & Exhibits

8:30-9:00        Welcome, NHIP Staff Introductions & Awards

                          Elizabeth Daly, Chief, NH Bureau of Infectious Disease Control, and

                          Lisa Morris, Director of the NH Division of Public Health Services

                          will provide a brief update on the NH Immunization Program

                          (NHIP), will introduce the NHIP staff, and present the Excellence in

                          Immunization Awards to NH's champion providers, as well present

                          the 4th Annual Trisha McGuire Memorial Award to a deserving


9:00-10:00      Plenary Session: DETERMINING OUR STRATEGY - HISTORICAL

                          REVIEW OF THE 1918 PANDEMIC AND ITS LEGACY 

10:00-10:30   Break & Time for Exhibitors


                          During pre-registration you will be asked to select ONE session from

                          this Block. 


                           DELAYS AND REFUSALS 


                           VACCINE PREVENTABLE DISEASES 

                           A3. MAKE YOUR SHOT COUNT!


                           A5. WHEN YOU'RE ON THE VISITING TEAM: TRAVEL VACCINES &

                           GLOBAL HEALTH 


                           EMERGENCY RESPONSE 

11:45-1:00    Lunch Buffet and Time for Exhibitors


                        The following sessions are repeats of Block A. Please be sure you

                        choose a different session to attend in Block B.


                           DELAYS AND REFUSALS 


                           VACCINE PREVENTABLE DISEASES 

                           B3. MAKE YOUR SHOT COUNT!


                           B5. WHEN YOU'RE ON THE VISITING TEAM: TRAVEL VACCINES &

                           GLOBAL HEALTH 


                           EMERGENCY RESPONSE 

2:15-2:45       Refreshment Break & Last Chance to Visit with Exhibitors


                            C1. FILM REVIEW - HILLEMAN DOCUMENTARY 

                            C2. PRE-GAMING FOR YOUR VFC COMPLIANCE VISIT

                            C3. POST INTERVIEW WITH SUPERHUMANHPV - JASON'S


4:00 Evaluation & Adjourn

Ready to Register?

Have you reviewed the session descriptions and noted which concurrent sessions you'd like to attend in Blocks A, B, & C? Please review before proceeding. During the pre-registration process you will be asked which sessions you would like to attend during the conference.  



During this session, we will review epidemiologic, clinical, and social aspects of the 1918 pandemic, which currently serves as a “worst-case” scenario for pandemic planning. We will summarize the continuing effects of this pandemic through a cursory examination of subsequent pandemics. We will highlight current pandemic risks and capabilities, to identify key gaps in pandemic planning. Finally, we will illustrate how seasonal influenza activities serve as a warm base for pandemic capacity.


Following this presentation, participants will be able to: 

  • List factors that contributed to morbidity and mortality during the 1918 pandemic.
  • Compare and contrast the major clinical and epidemiologic parameters of the 1918 pandemic with subsequent pandemics.
  • Describe the current state of pandemic preparedness.

Presented by: Barbara Jester, RN, MSN, Preparedness Portfolio Manager, Battelle contractor at Centers for Disease Control and Prevention


BLOCK A 10:30-11:45 | BLOCK B 1:00-2:15

You will be asked during registration to select one session from each block to attend. Note that Block B sessions are repeats of Block A sessions. 

A1. / B1. Tackling Vaccine Hesitancy: Partnership with families to limit delays and refusals

Description TBD

Following this session, participants will be able to: 

  • Communicate key principles for vaccinating to hesitant individuals.
  • Listen and engage in conversations aimed at building trust in vaccines.
  • Respond to parental concern regarding vaccine safety and effectiveness using motivational interviewing strategies. 

Presented by: Lisa DiBrigida, MD, Associate Medical Director – Pediatrics, Amoskeag Health

A2. / B2. Staying on the defense: Clinical Recognition of Vaccine Preventable Diseases

The success of immunizations in children and adults as was ranked in the top ten public health achievements from 2001-2010. The success of these programs was the result of adequate investment by society in ending these diseases and was driven by parental and clinician fear of the diseases and their outcomes. As with many effective prevention programs, a program’s success comes with risks: risk of forgetting their misery, risk of no longer fearing their consequences, risk of increasing resistance to vaccines, but far worse risk of parents and clinicians not even able to recognize these diseases. Time, maybe, to put these preventable diseases back on everyone’s radar, clinician and parent alike.

Following this session, participants will be able to: 

  • Recognize the major features in the presentation of the diseases for which NH children are routinely vaccinated.
  • Explain the changing epidemiology of the current vaccine preventable diseases and impact of immunization or lack thereof.
  • Communicate the prevalence of vaccine preventable diseases, the success of vaccinations and risks of vaccine refusal in their patients and parent counselling.

Presented by: David C. Fredenburg, MD, MPH, MA, Pediatrician, NH Pediatric Society, CDC Liaison for Immunizations

A3. / B3. Make Your Shot Count!

We have all been new in our healthcare careers. We can all likely remember that anxiety ridden moment of drawing up your first vaccine and walking into that patient’s room. For some of us, we can also remember that first vaccine error or have been on the other end - having to report the error to a parent. You may have been that parent yourself. It's a terrible feeling! What sometimes goes under the radar are vaccine errors related to administration. SIRVA, or shoulder injury related to vaccine administration has made headlines and in 2016; 202 cases were given compensation for such an injury. In this session, we will get down to the important fundamentals of needle lengths, site placement, angles, and administration techniques. This session will provide a great introduction if you are new to clinical practice and vaccines and will also be a great refresher to those who have spent time in the vaccine world.”Make Your Shot Count” Let's have fun discussing vaccine administration with live quizzes, hands-on demonstrations, and open discussion. 

Following this session, participants will be able to: 

  • Identify the appropriate site placement of vaccines for children and adults.
  • Describe the differences between IM, SC, and ID vaccines and their respective angles.
  • Explain the Rights to Safe Vaccine Administration and their importance.

Presented by: Janice Houston, RN, BSN, Public Health Nurse Coordinator, New Hampshire Immunization Program

A4. / B4. Immunization Update: Stepping Up to the Plate

Make sure you have the most current knowledge when stepping up to the immunization plate! This session will describe the most recent recommendations of the Advisory Committee on Immunization Practices. The session will also discuss current immunization rates, recent vaccine preventable disease outbreaks, and influenza vaccine considerations for the 2019-2020 influenza season.

Following this session, participants will be able to: 

  • Describe at least 2 recent recommendations of the Advisory Committee on Immunization Practices (ACIP).
  • Identify at least 1 emerging or recent issues related to vaccine preventable diseases.
  • Locate resources relevant to immunization practice.

Presented by: Candice L. Robinson, MD, MPH, Medical Officer, Centers for Disease Control and Prevention

A5. / B5. When you’re on the visiting team: Travel Vaccines & Global Health

Review of travel vaccine guidelines, with discussion of emerging issues.

Following this session, participants will be able to:

  • Apply recommendations and guidelines regarding vaccination for travelers.
  • Describe the role of vaccination in travelers with complex co-morbid medical conditions, including contra-indications to certain vaccines.
  • Discuss emerging issues in travel vaccinations, including uncommonly used vaccines for special categories of travelers at higher risk for certain diseases.


Presented by: Mark A. Abel, MD, Infectious Disease Fellow, Dartmouth-Hitchcock Medical Center

A6. / B6. Practicing to be a Champion in Public Health Emergency Response

In the event of a public health emergency it will be a true ‘all hands on deck’ approach to protecting the health of the public. In the health care delivery sector, routine procedures will likely be postponed and you may be asked (or volunteer) to participate in the community dispensing of medical countermeasures, which may include antibiotics, vaccine, and/or other pharmaceuticals to prevent/treat citizen who were exposed to a known threat. While you may be familiar with the concepts, providing this service outside of a typical clinical setting can be uncomfortable. This session will give you the knowledge to succeed and will give you the opportunity to practice to help make an already stressful situation less so.

Following this session, participants will be able to: 

  • List at least 3 scenarios for which we might be called to stand up ‘open and closed POD (points of dispensing). 
  • List the key roles for clinicians and the responsibilities required to fulfill the mission of dispensing medical countermeasures.
  • Properly dispense medical countermeasures using a ‘standing order’ and dispensing algorithm through ‘hand on’ simulated clinical decision-making. 

Presented by: 

Philip J. Alexakos, MPH, REHS, Chief Operations Officer, City of Manchester Health Department

Sarah Morris, MPH, Senior Public Health Specialist, City of Manchester Health Department


BLOCK C 2:45-4:00

You will be asked during registration to select one session for Block C.

C1. Film Review - Hilleman Documentary

The greatest scientist of the 20th century and no one knows his name. This documentary tells the inspiring story of Dr. Maurice Hilleman, a man with a singular, unwavering focus: to eliminate the diseases of children. From his poverty-stricken youth on the plains of Montana, he came to prevent pandemic flu, invent the measles-mumps-rubella (MMR) vaccine, and develop the first-ever vaccine against human cancer. Responsible for more than half of the vaccines children receive today, he is credited with saving more than eight million lives every year. Now through exclusive interviews with Dr. Hilleman and his peers, rare archival footage, and 3-D animation, this film puts a human face to vaccine science, revealing the character that drove this bold, complex, and heroic man. 

This session will be a showing of the documentary providing a historical perspective of a scientist who was driven to eliminate diseases. A question and answer period will follow the film.

Following this session, participants will be able to: 

  • Articulate the history and science of vaccines.
  • Explain the history of vaccines.
  • Describe Hilleman's role related to vaccine development.

Question & Answer Session Moderated by:
Anne Lucey, RN, Public Health Nurse Coordinator, NH Immunization Program

C2. Pre-gaming for Your VFC Compliance Visit

As an enrolled vaccine provider with New Hampshire Immunization Program (NHIP), you know it is a federal requirement to participate in a Vaccine for Children (VFC) Program compliance site visit at least once every 24 months. These visits provide education and technical assistance as well as assess for any potential issues with vaccines accountability, storage/handling, and administration of publicly supplied vaccine. This session will provide you will the tools you need be ready when “the state” calls to arrange a visit or when they arrive unannounced to assess your storage and handling. This session promises to be a fun and interactive way to review state and federal requirements and always be prepared for a site visit.

Following this session, participants will be able to: 

  • Prepare for mandatory VFC compliance site visits performed by the NH Immunization Program. 
  • Prepare and manage verifiable processes and documents that will be requested during VFC compliance visits.
  • Explain patient eligibility screening, billing practices, and required vaccine documentation.
  • Recognize the value of and the importance of proper storage, handling and accountability of vaccine.

Presented by: 

Suzanne Allison, RN, BSN, Quality Assurance Program Manager, NH Immunization Program

Lori Johnson, Vaccine Quality Specialist, NH Immunization Program 

Xan Gallup, RN, RRT, Public Health Nurse Coordinator, NH Immunization Program

Sheryl Proulx, Assistant Vaccine Accountability Coordinator, NH Immunization Program

Lena Boulanger, MBA, Vaccine Accountability Coordinator, NH Immunization Program

C3. Post interview with SupermanHPV - Jason’s personal story surviving HPV tonsil cancer

My hope is that through sharing my story, regarding HPV oropharyngeal cancer, you will connect with your patients and their families more deeply. What you do is so important, and by increasing HPV vaccination rates, you can save your patients from HPV preventable cancers.

Following this session, participants will be able to: 

  • Describe HPV-related oropharyngeal cancer and its prevalence today.
  • Explain treatment options of HPV-associated oropharyngeal cancer and the side effects and challenges.
  • Advocate for the importance of increasing HPV vaccination rates in order to prevent cancer and save lives.

Presented by: Jason T. Mendelsohn, HPV-related Tonsil Cancer Survivor

Moderated by: Benjamin Chan, MD, State Epidemiologist, NH Department of Health and Human Services