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Issue 1074
IAC Express: Weekly immunization news and information
Issue 1074: September 4, 2013

TOP STORIES

IAC WEB SECTIONS

IAC HANDOUTS

VACCINE INFORMATION STATEMENTS

OFFICIAL RELEASES AND ANNOUNCEMENTS

FEATURED RESOURCES
EDUCATION AND TRAINING


TOP STORIES

New! September 2013 issue of Needle Tips now online

The September issue of Needle Tips is now online.
Download the September issue of Needle Tips

This issue of Needle Tips presents information about IAC’s new campaign, Give birth to the end of Hep B, which gives birthing institutions the tools they need to establish, implement, and optimize a birth dose policy. As always, the issue features the "Ask the Experts" column from CDC medical officer Andrew T. Kroger, MD, MPH; nurse educator Donna L. Weaver, RN, MN; and medical officer Iyabode Akinsanya-Beysolow, MD, MPH.

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Dr. Anne Schuchat’s "Dear Colleague" letter urges healthcare professionals to discuss benefits of annual influenza vaccination with patients

CDC recently posted a "Dear Colleague" letter written by Anne Schuchat, MD, director, National Center for Immunization and Respiratory Diseases. In the letter, Dr. Schuchat urges healthcare professionals to talk with patients and the parents of children about the benefits of yearly influenza vaccination—for people of all ages. The letter also encourages providers to begin vaccinating as soon as vaccine is available and to educate themselves about the influenza vaccine options currently available.

Related Links
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IAC Spotlight! Reminder to use IAC’s 27 new educational materials for patients and staff; 20 are available in Spanish translation

IAC wants to remind you that during the past year we have created 27 new patient handouts and staff-education materials. Twenty of them are available in Spanish translation. Please review them to see if they might be of help to you in your work setting.

  1. Vaccinations for Pregnant Women
  2. Vaccine Storage Troubleshooting Record (fillable form) This document accompanies IAC's newly updated temperature logs for refrigerators and freezers, which are available at IAC's Clinic Resources: Vaccine Storage and Handling web section.
  3. Chickenpox is a serious disease...Make sure your child is protected! — also available in Spanish
  4. Hepatitis A is a serious disease...Make sure your child is protected! — also available in Spanish
  5. Hepatitis B is a serious disease...Make sure your child is protected! — also available in Spanish
  6. Hib is a serious disease...Make sure your child is protected! — also available in Spanish
  7. HPV is a serious disease...Make sure your child is protected! — also available in Spanish
  8. Influenza is a serious disease...Make sure your child is protected! — also available in Spanish
  9. Measles, mumps, and rubella are serious diseases...Make sure your child is protected! — also available in Spanish
  10. Meningococcal disease is serious...Make sure your child is protected! — also available in Spanish
  11. Pneumococcal disease is serious...Make sure your child is protected! — also available in Spanish
  12. Polio is a serious disease...Make sure your child is protected! — also available in Spanish
  13. Rotavirus is a serious disease...Make sure your child is protected! — also available in Spanish
  14. Whooping cough, tetanus, and diphtheria are serious diseases...Make sure your child is protected! — also available in Spanish
  15. Protect yourself from hepatitis A. . . Get vaccinated! — also available in Spanish
  16. Protect yourself from hepatitis B. . . Get vaccinated! — also available in Spanish
  17. Protect yourself from HPV. . . Get vaccinated! in Spanish
  18. Protect yourself from influenza. . . Get vaccinated! — also available in Spanish
  19. Protect yourself from meningococcal disease. . . Get vaccinated! — also available in Spanish
  20. Protect yourself from pneumococcal disease. . . Get vaccinated! — also available in Spanish
  21. Protect yourself from shingles. . . Get vaccinated! — also available in Spanish
  22. Protect yourself from whooping cough. . . Get vaccinated! — also available in Spanish
  23. Pneumococcal Vaccination Recommendations for Children and Adults by Age and/or Risk Factor
  24. Vaccinations for Adults with Diabetes
  25. Vaccinations for Infants and Children, Age 0–10 Years
  26. Vaccinations for Preteens and Teens, Age 11–19 Years
  27. Cocooning Protects Babies
Related Links
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CDC publishes report on 2012 national and state vaccination coverage among adolescents age 13–17

CDC published National and State Vaccination Coverage Among Adolescents Aged 13–17 Years—United States, 2012 in the August 30 issue of MMWR (pages 685–693). The report includes information on vaccination coverage by age (Table 1); race, ethnicity, and poverty status (Table 2), and state and area (Table 3). The first paragraph of the article is reprinted below. 

At ages 11 through 12 years, the Advisory Committee on Immunization Practices (ACIP) recommends that preteens receive 1 dose of tetanus, diphtheria, and acellular pertussis (Tdap) vaccine, 1 dose of meningococcal conjugate (MenACWY) vaccine, and 3 doses of human papillomavirus (HPV) vaccine. ACIP recommends administration of all age-appropriate vaccines during a single visit. ACIP also recommends that pre-teens and older adolescents receive an annual influenza vaccine as well as any overdue vaccines (e.g., varicella). To monitor vaccination coverage among persons aged 13–17 years, CDC analyzed data from the National Immunization Survey–Teen (NIS-Teen). This report highlights findings of that analysis. From 2011 to 2012, coverage increased for ≥1 Tdap vaccine dose (from 78.2% to 84.6%), ≥1 MenACWY vaccine dose (from 70.5% to 74.0%) and, among males, ≥1 HPV vaccine dose (from 8.3% to 20.8%). Among females, vaccination coverage estimates for each HPV vaccine series dose were similar in 2012 compared with 2011. Coverage varied substantially among states. Regarding Healthy People 2020 targets for adolescents, 36 states achieved targets for Tdap, 12 for MenACWY, and nine for varicella vaccine coverage. Large and increasing coverage differences between Tdap and other vaccines recommended for adolescents indicate that substantial missed opportunities remain for vaccinating teens, especially against HPV infection. Health-care providers should administer recommended HPV and meningococcal vaccinations to boys and girls during the same visits when Tdap vaccine is given. In addition, whether for health problems or well-checks, providers, parents, and adolescents should use every health-care visit as an opportunity to review adolescents' immunization histories and ensure that every adolescent is fully vaccinated.

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Wild poliovirus detected in sewers in Israel; CDC posts clinical update on polio vaccine guidance for travelers

The World Health Organization reported that as of August 15, wild poliovirus type 1 (WPV1) had been detected in 67 sewage samples taken from sites in Israel’s southern and central districts. WPV1 has also been isolated in stool samples from one adult and 27 healthy children (all younger than age nine) who had been fully immunized for their age. No polio cases have been identified.

On August 30, CDC posted Clinical Update: Polio Vaccine Guidance for Travelers and Note on Travel to Israel—Changes in CDC Polio Vaccine Recommendations. Key points from the clinical update are reprinted below.

  • Changes in CDC polio vaccine guidance for travelers now harmonize CDC recommendations with World Health Organization recommendations.
     
  • CDC recommends that all international travelers be fully vaccinated against polio.
     
  • An additional, one-time adult polio vaccine booster dose is recommended for travelers to certain countries.
     
  • Although no human polio cases have been identified, environmental surveillance indicates that Israel has active poliovirus circulation. CDC is now recommending an adult polio vaccine booster dose for travelers to Israel.
Related Links
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IAC WEB SECTIONS

IAC updates online Ask the Experts Q&A web sections on hepatitis B, rabies, and rotavirus

Based on content review by vaccine experts at CDC, IAC recently updated the hepatitis B, rabies, and rotavirus sections of Ask the Experts.

To access Ask the Experts sections for other vaccines and diseases, see the Ask the Experts index page.

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IAC HANDOUTS

IAC updates four popular influenza staff resources: its two checklists for influenza vaccination contraindications and its two influenza standing orders templates

IAC has updated the following influenza-related staff resources for the 2013–14 influenza vaccination season.
  1. Screening Checklist for Contraindications to Inactivated Injectable Influenza Vaccination
  2. Screening Checklist for Contraindications to Live Attenuated Intranasal Influenza Vaccination
  3. Standing Orders for Administering Influenza Vaccines to Children and Adolescents
  4. Standing Orders for Administering Influenza Vaccine to Adults
Related Links IAC's Handouts for Patients & Staff web section offers healthcare professionals and the public more than 250 FREE English-language handouts (many also available in translation), which we encourage website users to print out, copy, and distribute widely.

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IAC updates its staff education materials "Current Dates of Vaccine Information Statements" and "It's Federal Law! You must give your patients current Vaccine Information Statements (VISs)"

IAC recently revised Current Dates of Vaccine Information Statements (VISs) and It's Federal Law! You must give your patients current Vaccine Information Statements (VISs). Both now include the issue date of the most recent version of the VIS for rotavirus vaccine. CDC posted this VIS to its website on August 26. For information on the VIS for rotavirus vaccine, see the IAC Express article titled CDC releases updated rotavirus VIS, which was published on August 27.

Related Links
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IAC updates Q&As for the public on three vaccine-preventable diseases: hepatitis B, rabies, and rotavirus

 IAC recently revised the following three patient-and-parent handouts:
  1. Hepatitis B: Questions and Answers: Information about the disease and vaccines
  2. Rabies: Questions and Answers: Information about the disease and vaccines
  3. Rotavirus: Questions and Answers: Information about the disease and vaccines
Related Links
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Dr. Ari Brown's "Clear Answers & Smart Advice About Your Baby's Shots" newly updated

Written by pediatrician and author Ari Brown, MD, the 6-page handout Clear Answers & Smart Advice About Your Baby's Shots addresses the concerns of vaccine-hesitant parents. Dr. Brown recently revised the content of the question and answer about antifreeze in vaccines.

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VACCINE INFORMATION STATEMENTS

IAC posts four additional influenza VIS translations

IAC recently posted translations of both the inactivated influenza vaccine (IIV) VIS and the live attenuated influenza vaccine (LAIV) VIS in Ilokano, Marshallese, and Turkish. In addition, the VIS for IIV is available in Indonesian.

IAC thanks the Hawaii State Department of Health for the Ilokano and Marshallese translations, Dr. Mustafa Kozanoglu for the Turkish translations, and DT Interpreting for the Indonesian translation.

Related Links
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OFFICIAL RELEASES AND ANNOUNCEMENTS

American Academy of Pediatrics releases 2013–14 influenza policy statement

On September 2, the American Academy of Pediatrics (AAP) published Policy Statement: Recommendations for Prevention and Control of Influenza in Children, 2013–2014 in the September issue of the journal Pediatrics. Highlights include details about vaccine strains for the 2013–2014 influenza season, newly licensed quadrivalent influenza vaccines with an additional B virus, annual universal influenza immunization with either a trivalent or quadrivalent vaccine (no preference), and the 2013–2014 dosing algorithm (unchanged from 2012–2013).

Related Links
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FEATURED RESOURCES

Order IAC's popular full-size laminated versions of the 2013 U.S. immunization schedules today!

IAC's laminated versions of the 2013 U.S. child/teen and adult immunization schedules are covered with a tough, washable coating that lets them stand up to a year's worth of use in every area of your healthcare setting where immunizations are given. Each has six pages (i.e., three double-sided pages) and is folded to measure 8.5" by 11".

IAC's Laminated Child and Teen Immunization SchedulesIAC's Laminated Adult Immunization Schedules
Laminated schedules are printed in color for easy reading, come complete with essential tables and footnotes, and include contraindications and precautions—a feature that will help you make an on-the-spot determination about the safety of vaccinating patients of any age.

PRICING
1–4 copies: $7.50 each
5–19 copies: $5.50 each
20-99 copies: $4.50 each
100–499 copies: $4.00 each
500–999 copies: $3.50 each

For quotes on customizing or placing orders for 1,000 copies or more, call (651) 647-9009 or email admininfo@immunize.org

You can access specific information on both schedules, view images of both, order online, or download an order form at the Shop IAC: Laminated Schedules web page.

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EDUCATION AND TRAINING

October 28–30 Nevada Health Conference includes CDC's Epidemiology & Prevention of Vaccine-Preventable Diseases course

The 2013 Nevada Health Conference will be held October 28–30 in Henderson, NV. The conference will include presentations by regional and national experts on chronic disease prevention, health promotion, and maternal, child, and adolescent health. Note: The deadline for advance registration has been extended to September 20.

CDC's live two-day course Epidemiology & Prevention of Vaccine-Preventable Diseases is scheduled for October 29–30. The course provides a comprehensive review of immunizations and the diseases they prevent. Continuing education credits are available.

Related Links
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About IAC Express
The Immunization Action Coalition welcomes redistribution of this issue of IAC Express or selected articles. When you do so, please add a note that the Immunization Action Coalition is the source of the material and provide a link to this issue.
If you have trouble receiving or displaying IAC Express messages, visit our online help section.
IAC Express is supported in part by Grant No. U38IP000589 from the National Center for Immunization and Respiratory Diseases, CDC. Its contents are solely the responsibility of IAC and do not necessarily represent the official views of CDC. IAC Express is also supported by educational grants from the following companies: CSL Biotherapies; GlaxoSmithKline; MedImmune, Inc.; Merck Sharp & Dohme Corp.; Novartis Vaccines; Ortho Clinical Diagnostics, Inc.; Pfizer, Inc.; and sanofi pasteur.
IAC Express Disclaimer
ISSN: 1526-1786

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Video of the Week
Importance of Maternal Immunization
Importance of Maternal Immunization: Carol J. Baker, MD, professor of pediatrics, molecular virology and microbiology at Baylor College of Medicine in Houston, Texas, discusses maternal immunization to prevent maternal and infant morbidity and mortality. In particular, Baker addresses critical public health strategies and health outcomes related to influenza and pertussis vaccinations. Baker presented an overview of maternal immunizations at the 16th Annual Conference on Vaccine Research.
IAC's New Patient Handout: Vaccinations for Pregnant Women
Visit the VOTW archive
Issue Abbreviations
AAFP, American Academy of Family Physicians; AAP, American Academy of Pediatrics; ACIP, Advisory Committee on Immunization Practices; AMA, American Medical Association; CDC, Centers for Disease Control and Prevention; FDA, Food and Drug Administration; IAC, Immunization Action Coalition; MMWR, Morbidity and Mortality Weekly Report; NCIRD, National Center for Immunization and Respiratory Diseases; NIVS, National Influenza Vaccine Summit; VIS, Vaccine Information Statement; VPD, vaccine-preventable disease; WHO, World Health Organization.
Publication Staff
Editor: Deborah L. Wexler, MD
Managing Editor: Dale Thompson, MA
Associate Editor: Teresa Anderson, DDS, MPH
Editorial Assistant: Janelle Tangonan Anderson
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Media coverage about vaccines and vaccine-preventable diseases
Calendar of Events
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This website is supported in part by a cooperative agreement from the National Center for Immunization and Respiratory Diseases (Grant No. 5U38IP000290) at the Centers for Disease Control and Prevention (CDC) in Atlanta, GA. The website content is the sole responsibility of IAC and does not necessarily represent the official views of CDC.