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Issue 1243
Issue 1243: April 27, 2016

Ask the Experts
Ask the Experts—Question of the Week: I have read that HPV vaccine should not be administered to pregnant women…read more


TOP STORIES


IAC HANDOUTS


WORLD NEWS


FEATURED RESOURCES


EDUCATION AND TRAINING


CONFERENCES AND MEETINGS

 


TOP STORIES


FDA approves changes to vaccine administration schedule for Trumenba vaccine (MenB; Pfizer)  

On April 14, FDA approved a change for Trumenba MenB vaccine (Pfizer) to include a two-dose schedule (a dose administered at 0 and 6 months) according to the regulations for accelerated approval, and a modification of the three-dose schedule from administration at 0, 2, and 6 months to administration at 0, 1–2, and 6 months.

Trumenba is approved for use in individuals age 10 through 25 years for active immunization to prevent invasive disease caused by Neisseria meningitidis serogroup B.

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Visit the newly designed CDC immunization website for parents

During National Infant Immunization Week (April 16–23), CDC launched a redesigned website that offers a variety of resources for parents seeking to learn more about childhood immunization and the diseases that can be prevented with vaccines.

Parents can learn about vaccines needed for their child's age, how to make vaccine visits less stressful, immunization records and requirements, and the 16 diseases that vaccines prevent in children and teenagers. They can also download easy-to-read immunization schedules in both English and Spanish, use an interactive immunization scheduler, and view CDC educational resources. The new website also contains specialized immunization related to adoption, travel, and pregnancy.

Please visit the new website at www.cdc.gov/vaccines/parents and recommend it to the parents in your practice. 

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California Immunization Coalition's ShotByShot website has new look and functionality

The California Immunization Coalition's ShotByShot website offers a collection of videos and written stories about vaccine-preventable diseases. The website was recently redesigned to update its looks and functionality. Visitors will find it easier to:

  • Sort and select stories by disease, age group, story name, format, or language
  • Learn which stories are “most viewed"
  • Download story files immediately to use in an educational presentation or event
  • Read testimonials (“Community Voices”) of professionals who have used ShotByShot stories in their work
  • Provide feedback

ShotByShot stories can be used to educate parents, patients, medical and nursing students, healthcare professionals, child care workers, and communities. Visit the site at www.shotbyshot.org.

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IAC Spotlight! "Like" IAC on Facebook and "follow" IAC on Twitter!

IAC invites you to connect with us on Facebook and Twitter. IAC's Facebook page is designed to help parents and all interested Facebook users learn about vaccines and their importance. If you have a personal or organizational Facebook page, please take a minute to "like" IAC on Facebook. If you have an account on Twitter, please take a minute to "follow" @ImmunizeAction on Twitter. Also, you and your patients are invited to view and repost videos available from IAC's YouTube account.

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Now available! IAC's sturdy laminated versions of the 2016 U.S. child/teen immunization schedule and the 2016 U.S. adult immunization schedule—order a supply for your healthcare setting today!

IAC's laminated versions of the 2016 U.S. child/teen immunization schedule and the 2016 U.S. adult immunization schedule are covered with a tough, washable coating; they will stand up to a year's worth of use in every area of your healthcare setting where immunizations are given. Both schedules are eight pages (i.e., four double-sided pages) and are folded to measure 8.5" x 11"

Laminated Child and Teen Laminated Schedule

Adult Laminated 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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IAC’s “Take a Stand™” workshops are highly successful across the nation: Register NOW for a session in Boston, New York, Philadelphia, or Baltimore in June 

The Immunization Action Coalition (IAC), with support from Pfizer, has implemented Take a Stand™, a national effort designed to improve adult immunization rates by increasing the use of standing orders in medical practices.*
 
At the core of this project are free workshops led by national experts, including L.J Tan, MS, PhDWilliam Atkinson, MD, MPH; and Deborah Wexler, MD, from IAC; and Alexandra Stewart, JD, from George Washington University. These workshops already have been conducted in Louisville, KY; Chicago, IL; Portsmouth, VA; Nashville, TN; Little Rock, AR; San Francisco, Sacramento, Los Angeles and San Diego, CA; Fort Worth, San Antonio, and Houston, TX; Seattle, WA; Phoenix and Tucson, AZ; Orlando and Fort Lauderdale, FL; and Atlanta, GA. To illustrate how these have been going, here is a small sampling of comments received from attendees:
 
"The workshop was over and beyond what I expected...I recommend these workshops to anyone involved in immunizations." H.A.C.H., RN (California)
 
"Our workshop was…led by a deep field of nationally ranked authorities who literally wrote the book on vaccine-preventable diseases. Everyone was very knowledgeable, down to earth, and friendly. A well-paced, informal workshop with great audience participation. This is everything you need if starting from square one to implement standing orders for vaccines." 
S.P., MD (Pasadena, CA)
 
"As a new manager and nursing supervisor, this workshop was instrumental in helping me understand setting up standing orders and implementation."
T.B., BSN, MSN, APN, CNS, nursing supervisor (San Diego, CA)
 
"The information in this workshop was very timely. Increasing access to adult vaccination is challenging. These standing orders greatly simplify the process for clinicians."
J.D., PharmD, pharmacist (Sacramento, CA)
 
"The workshop was informative and made me feel motivated and ready to implement strategies to improve on our delivery service."
M.M.G., clinic supervisor (San Antonio, TX)
 
"The Take A Stand workshop will prepare you with everything you need to implement standing orders for vaccination and overcome any barriers that previously stood in your way."
G.B.K, RN, (Houston, TX)
 
Don’t miss your chance to join these satisfied attendees. The next workshops are scheduled in the following four cities:

Be sure to note that these are one-time-only events in each city. 

Who should attend? Clinicians, nurses, and practice managers in medical offices that serve adults, as well as pharmacists and quality improvement managers, will benefit from the workshops.
 
sample agenda and online registration information are available on the Take a Stand™ website at www.standingorders.org

Please “take a stand” with us and spread the word about this unique opportunity for medical practices to improve their adult immunization rates while empowering staff and streamlining facility operations.
 
* Standing orders are written protocols approved by a physician or other authorized practitioner that allow qualified healthcare professionals (who are eligible to do so under state law, such as registered nurses or pharmacists) to assess the need for vaccination and to vaccinate patients meeting certain criteria. 
 
Workshop Information

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National Conference for Immunization Coalitions and Partnerships is coming in May; register and reserve your room now

Don't forget that the 12th National Conference for Immunization Coalitions and Partnerships, Ready. Set. Vaccinate!, will be held in Indianapolis on May 25–27. May 2 is the cut-off date for the conference hotel room block rate. After this date, the rate at the hotel will go up substantially as it is Indy 500 race week in Indianapolis. 

The purpose of this conference is to discuss issues currently facing immunization-focused organizations and to consider solutions to these issues. After the conference, attendees will be able to speak more fluently on immunization topics and will leave the conference with practical projects that can be implemented on any budget to increase immunization rates and awareness.

Related Links 

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IAC HANDOUTS


IAC updates "It's Federal Law! You must give your patients current Vaccine Information Statements" to include new VIS dates 

IAC recently revised It's Federal Law! You must give your patients current Vaccine Information Statements to reflect the 3/31/2016 date of the recently updated HPV 9 and Meningococcal ACWY VISs.

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 posts recently revised handout, "Vaccinations for Preteens and Teens, Age 11–19 Years"

The February 24 issue of IAC Express included information about updated meningococcal B vaccination text in the handout "Vaccinations for Preteens and Teens, Age 11–19 Years." Unfortunately, the revised handout was actually not posted until recently. Please download it now. We apologize for any inconvenience.

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WORLD NEWS


Global switch to bivalent OPV from trivalent OPV occurring from April 17 to May 1

From April 17 to May 1, all countries currently using trivalent oral polio vaccine will be switching to bivalent oral polio vaccine. This change is intended to prevent future cases of paralytic polio caused by type 2 vaccine-derived poliovirus, provide greater immunity against the other strains of polio, and lay the foundation for the eventual global use of inactivated polio vaccine.

Access a related "Dear Colleague" letter from Thomas Frieden, MD, MPH, director, CDC; chairman, Polio Oversight Board, published on the Global Polio Eradication Initiative website.

Related Link

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FEATURED RESOURCES


The Vaccine Handbook: A Practical Guide for Clinicians, a.k.a. "The Purple Book," by Dr. Gary Marshall available for purchase from IAC 

The Vaccine Handbook: A Practical Guide for Clinicians (“The Purple Book,” 2015, 560 pages) is a uniquely comprehensive source of practical, up-to-date information for vaccine providers and educators. Its author, Gary S. Marshall, MD, has drawn together the latest vaccine science and guidance into a concise, user-friendly, practical resource for the private office, public health clinic, academic medical center, and hospital.
Order your copy of The Vaccine Handbook today!
IAC Executive Director Deborah Wexler, MD, is enthusiastic about helping get this book circulated as widely as possible. “During more than 20 years in the field of immunization education, I have not seen a book that is so brimming with state-of-the-science vaccine information,” she states. "This book belongs in the hands of every medical student, physician-in-training, doctor, nursing student, and nurse who provides vaccines to patients.”
 
The Vaccine Handbook provides:

  • Information on every licensed vaccine in the United States
  • Rationale behind authoritative vaccine recommendations
  • Contingencies encountered in everyday practice
  • A chapter dedicated to addressing vaccine concerns
  • Background on how vaccine policy is made
  • Standards and regulations
  • Office logistics, including billing procedures, and much more

About the Author
Gary Marshall, MD, is professor of pediatrics at the University of Louisville School of Medicine in Kentucky, where he serves as chief of the division of pediatric infectious diseases and director of the Pediatric Clinical Trials Unit. In addition to being a busy clinician, he is nationally known for his work in the areas of vaccine research, advocacy, and education.

The newly released fifth edition of this invaluable guide is now available on IAC’s website at www.immunize.org/vaccine-handbook.

The price of the handbook is $29.95 each, plus shipping charges. Discount pricing is available for more than 10 copies. Order copies for your staff or for distribution at an upcoming conference.

Quantity Discount Pricing

  • 1–10 books: no discount + shipping
  • 11–50 books: 5% + shipping
  • 51–100 books: 10% + shipping
  • 101–500 books: 15% + shipping
  • 501–1000 books: 20% + shipping

For quotes on larger quantities, email admininfo@immunize.org.

Order your copy today!

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EDUCATION AND TRAINING


CDC adds a video for providers as part of their "You are the key to HPV cancer prevention" campaign; continuing education credit available
 
CDC has added a new video for healthcare professionals to its HPV web section. The 40-minute You Are the Key to HPV Prevention video provides up-to-date information on HPV infection, HPV vaccines, and ways to successfully communicate with patients and their parents about HPV vaccination. The video stresses recommending HPV vaccine the same way and same day as other vaccines. Continuing education credit will be available through April 21, 2018.

CDC's "You are the key to HPV cancer prevention" campaign also includes tips for providers, a slide set, fact sheets, Medscape commentaries for provider education, and handouts for parents and patients in English and Spanish. The goal is to help healthcare professionals talk to parents and young adults about HPV vaccination. Access all these resources from CDC's Human Papillomavirus (HPV) web section.

Related Links

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CDC to sponsor a #PreteenVaxScene webinar on improving HPV vaccination rates on May 19

On May 19 at 1:00 p.m. (ET), CDC will sponsor a #PreTeenVaxScene webinar on improving HPV vaccination rates. This webinar will be geared toward AFIX coordinators, AFIX program field staff, trainers of field staff, and immunization managers. 

More information on Research Project Update: AFIX Program Strategies for Improving HPV Vaccination Rates in the Field

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CONFERENCES AND MEETINGS


Video footage of presentations from the February 2016 ACIP now available; register now for June ACIP meeting

ACIP recently posted the video footage from the ACIP meeting held on February 24. 

ACIP will hold its next meeting on June 22–23 in Atlanta. To attend the meeting, ACIP attendees (participants and visitors) must register online. The registration deadline for non-U.S. citizens is May 18; for U.S. citizens, it's June 6. Registration is not required to watch the live webcast of the meeting.

Related Links

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Minnesota's immunization conference scheduled for September 8–9

The Minnesota Department of Health's "Got Your Shots?" state immunization conference will be held in Minneapolis on September 8–9. Access more information on the conference web page

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ASK THE EXPERTS

Question of the Week

I have read that HPV vaccine should not be administered to pregnant women. Do we need to perform a pregnancy test prior to administering this vaccine to our patients? Currently, we ask about pregnancy prior to providing the vaccine. 

HPV vaccines are not recommended for use in pregnant women. The vaccines have not been associated causally with adverse outcomes of pregnancy or adverse events in the developing fetus. However, if a woman is found to be pregnant after initiating the vaccination series, the remainder of the three-dose series should be delayed until completion of pregnancy. Pregnancy testing is not needed before vaccination. If a vaccine dose has been administered during pregnancy, no intervention is needed.


About IAC's Question of the Week

Each week, IAC Express highlights a new, topical, or important-to-reiterate Q&A. This feature is a cooperative venture between IAC and CDC. William L. Atkinson, MD, MPH, IAC's associate director for immunization education, chooses a new Q&A to feature every week from a set of Q&As prepared by experts at CDC’s National Center for Immunization and Respiratory Diseases.

We hope you enjoy this new feature and find it helpful when dealing with difficult real-life scenarios in your vaccination practice. Please encourage your healthcare professional colleagues to sign up to receive IAC Express at www.immunize.org/subscribe.

If you have a question for the CDC immunization experts, you can email them directly at nipinfo@cdc.gov. There is no charge for this service.

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: AstraZeneca, Inc.; bioCSL Inc.; Merck Sharp & Dohme Corp.; Pfizer, Inc.; and Sanofi Pasteur.
IAC Express Disclaimer
ISSN: 1526-1786

Our mailing address is
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Copyright (C) 2016 Immunization Action Coalition
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Shot of Confusion: In this CBC "Marketplace" special report, two moms go undercover with hidden cameras visiting five homeopaths in Toronto and Vancouver. They are told vaccines cause autism and that vaccine-preventable diseases are unusual and harmless. The moms are encouraged not to vaccinate their infants. (Canadian Broadcasting Corp.)
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Editor: Deborah L. Wexler, MD
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Consulting Editor: Marian Deegan, JD
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Issue Abbreviations
AAFP: American Academy of Family Physicians
AAP: American Academy of Pediatrics
ACIP: Advisory Committee on Immunization Practices
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FDA: Food and Drug Administration
IAC: Immunization Action Coalition
MMWR: Morbidity and Mortality Weekly Report
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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. 6NH23IP22550) 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.