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Issue 1250
Issue 1250: June 8, 2016

Ask the Experts
Ask the Experts—Question of the Week: My 7-year-old patient has had only 1 dose of tetanus toxoid-containing vaccine…read more


TOP STORIES


IAC HANDOUTS


VACCINE INFORMATION STATEMENTS


WORLD NEWS


FEATURED RESOURCES


EDUCATION AND TRAINING

 


TOP STORIES


Reminder: May issues of Needle Tips and Vaccinate Adults are available online

The May issues of Needle Tips and Vaccinate Adults are now available online. Vaccinate Adults is an abbreviated version of Needle Tips with the pediatric content removed. Both publications feature the importance of using standing orders for improving immunization coverage, the 2016 U.S. recommended immunization schedules, how to order laminated pocket guides, and many ready-to-copy educational materials. Also featured is the ever-popular column "Ask the Experts" from CDC medical officer Andrew T. Kroger, MD, MPH, and nurse educator Donna L. Weaver, RN, MN, both with the National Center for Immunization and Respiratory Diseases.

Click on the images below to download the May issues (PDF) of Needle Tips and/or Vaccinate Adults.

Download the November issue of Needle TipsDownload the November issue of Vaccinate Adults

Needle Tips: View the Table of Contents, Ask the Experts section, magazine viewer, and back issues.

Vaccinate Adults: View the Table of Contents, Ask the Experts section, magazine viewer, and back issues.

If you would like to receive immediate email notification whenever new issues of Needle Tips or Vaccinate Adults are released, visit IAC's subscribe page to sign up.

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Nineteen cases of measles in nine states confirmed by CDC so far in 2016

According to CDC outbreak reporting, from January 2 through May 21, 19 cases of measles have been confirmed across nine states (Arizona, California, Georgia, Hawaii, Illinois, Massachusetts, Minnesota, Tennessee, and Texas). Since then, additional cases have been reported in Arizona on May 30 and June 2. There are updates from local health departments regarding the most recent cases in Arizona (May 30 and June 2), Minnesota, and Tennessee available.

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MMWR reports on a case of human rabies contracted in Wyoming

CDC published Human RabiesWyoming and Utah, 2015 in the June 3 issue of MMWR (pages 529–533). A CDC news summary of the article is reprinted below.

Any person who has direct contact with a bat should be evaluated for potential rabies exposure and receive post-exposure prophylaxis if indicated. Rabies is preventable if exposed people receive post-exposure prophylaxis. Most domestically acquired human rabies cases are associated with bat exposures; however, no bite is reported in most of these cases. In 2015, a Wyoming woman died from infection with a bat-associated rabies virus variant. She had contact with a bat while sleeping, but was unaware of the risk of rabies in the absence of a visible bite wound. The patient’s family is reported to have had contacted several local authorities about bats near their home over multiple years, but had not been informed about rabies risk. The public needs a better understanding of rabies risk from bat contact. Cooperation among public health and other agencies can help ensure people with exposure to bats are assessed for rabies risk.

Related Links

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IAC enrolls 10 new birthing institutions into its Hepatitis B Birth Dose Honor Roll; two previously honored institutions qualify for additional years

The Immunization Action Coalition (IAC) is pleased to announce that 10 new institutions have been accepted into its Hepatitis B Birth Dose Honor Roll. The birthing institutions are listed below with their reported hepatitis B birth dose coverage rates in parentheses.

  • CHI St. Luke's Health-Memorial, Lufkin, TX (97%)
  • Childress Regional Medical Center, Childress, TX (99%)
  • Columbus Community Hospital, Columbus, TX (99%)
  • Las Palmas Medical Center, El Paso, TX (99%)
  • Midland Memorial Hospital, Midland, TX (90%)
  • Missouri Delta Medical Center, Sikeston, MO (97%)
  • Nacogdoches Medical Center, Nacogdoches, TX (98%)
  • Nemaha Valley Community Hospital, Seneca, KS (95%)
  • Ochiltree General Hospital, Perryton, TX (99%)
  • The Hospitals of Providence–East Campus, El Paso, TX (99%)

In addition, the following two institutions are being recognized for a second year:

  • Down East Community Hospital, Machias, ME (93%)
  • St. Mary-Corwin Medical Center, Pueblo, CO (92%)

The Honor Roll now includes 262 birthing institutions from 34 states and Puerto Rico. Seventy-five institutions have qualified for two years, 22 institutions have qualified three times, and one institution has qualified four times.

The Honor Roll is a key part of IAC’s major initiative urging the nation’s hospitals to Give birth to the end of Hep B. Hospitals and birthing centers are recognized for attaining high coverage rates for administering hepatitis B vaccine at birth and meeting specific additional criteria. The initiative urges qualifying healthcare organizations to apply for the Hepatitis B Birth Dose Honor Roll online.

To be included in the Hepatitis B Birth Dose Honor Roll, a birthing institution must have: (1) reported a coverage rate of 90 percent or greater, over a 12-month period, for administering hepatitis B vaccine before hospital discharge to all newborns, including those whose parents refuse vaccination, and (2) implemented specific written policies, procedures, and protocols to protect all newborns from hepatitis B virus infection prior to hospital discharge.

Honorees are also awarded an 8.5" x 11" color certificate suitable for framing and their acceptance is announced to IAC Express’s approximately 50,000 readers.

Please visit the Hepatitis B Birth Dose Honor Roll web page that lists these institutions and their exceptional efforts to protect infants from perinatal hepatitis B transmission.

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Free bulk quantities of pneumococcal and zoster vaccination laminated pocket guides available from IAC for distribution within your organization

IAC is pleased to announce the availability of bulk quantities of two newly updated laminated pocket guides for use by healthcare professionals, yours free for the ordering! The guides address issues related to the administration of (1) pneumococcal conjugate (PCV13) and polysaccharide (PPSV23) vaccines and (2) zoster vaccine. 
 
These concise pocket guides provide front-line healthcare personnel with quick reference information highlighting: 

  • Indications and contraindications for each vaccine
  • Targeted populations to be vaccinated
  • Details on how to administer the vaccines
  • Talking points for discussions with patients 

Each guide is laminated for durability, and the compact size (3¾" x 6¾") is designed to fit in a shirt or lab coat pocket.
 
The pocket guides are available at no cost to your organization. However, to assist us in controlling our mailing costs, we ask that you order in bulk (with a minimum order of 25) and that you manage the distribution of the guides (e.g., through internal networks, educational forums, member meetings, mass mailings) to your constituents.
 
To view the pocket guides and place your order, please visit www.immunize.org/pocketguides or click on either image below. These cards are for healthcare professional use only, not for distribution to patients.

Laminated Child and Teen Laminated Schedule     


 Laminated Child and Teen Laminated Schedule
 
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Register now for an IAC “Take a Stand™" workshop on the use of standing orders in Philadelphia or Baltimore in June; related workshop to be offered at the Iowa Immunization Coalition Conference on June 15

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; Atlanta, GA; Boston, MA; and New York, NY. To illustrate how these have been going, here is a small recent sampling of comments received from attendees:

"Take a Stand Workshop was excellent. It provided my organization with the resources and tools needed for a successful implementation." T.B., registered nurse, SD

"Phenomenal! Helped us learn what next steps to take for our organization and how to obtain buy-in from front line staff!" A.P., BSN, RN, CCP, clinical services coordinator, Sanford Health, SD

"It is interesting to know preventative care of adults is just as important as that of children, so 'take a stand' to get adults immunized. Standing orders are a smart/easy way to capture non-immunized adults. The workshop is very informative and engaging." L.S., clinical manager, GA

"All the speakers are extremely knowledgeable and engaging. It is among the top 3 BEST conference/workshops I've ever attended." S.B., immunization program coordinator, FL

Don’t miss your chance to join these satisfied attendees. The next workshops are scheduled in the following two cities:

In addition, a Take a Stand™ mini-workshop has been added to the Iowa Immunization Coalition Conference on June 15. For more information go to Mini-Session Take A Stand™ Davenport, Iowa. Note: attendees of the mini-workshop will need to register for the conference itself. The non-member registration fee is $100.

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.

A 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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Applications to host 2017 National Conference for Immunization Coalitions and Partnerships due July 15

The 12th National Conference for Immunization Coalitions and Partnerships (NCICP) was held in Indianapolis on May 25–27. The goal of NCICP is to improve community health by enhancing the effectiveness of health coalitions by offering training in relevant coalition management and health promotion topics, as well as networking and professional development opportunities, including the bi-annual conference. The conference has traditionally occurred just before Memorial Day weekend in even years; however, recently CDC announced that the National Immunization Conference would also be held every even year, prompting the NCICP steering committee and coalition directors to change its conference to the odd years, starting in 2017.

Please consider hosting the next National Conference for Immunization Coalitions and Partnerships! The conference is usually hosted by a state immunization coalition, with help from a national volunteer planning committee. Applications must be submitted on or before July 15, 2016. More details, including the application form, can be found on the Immunization Coalitions Network website. Due to the switch from 2018 to 2017, time is of the essence, so please look over the application form soon if your coalition might be interested in hosting.

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IAC HANDOUTS


IAC updates “Administering Vaccines: Dose, Route, Site, and Needle Size”

IAC recently revised Administering Vaccines: Dose, Route, Site, and Needle Size with a very minor modification.

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 revises “Notification of Vaccination Letter Template”

IAC recently revised Notification of Vaccination Letter Template. The notification letter was reformatted and now includes Quadracel, Gardasil 9, MenACWY, MPSV4, and MenB vaccines.

Related Links

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VACCINE INFORMATION STATEMENTS


IAC posts translations of the meningococcal (MCV4/MPSV4) VIS in Bengali, Haitian Creole, Polish, and Urdu languages

IAC recently posted four translations of the meningococcal (MCV4/MPSV4) VIS. IAC thanks the New York City Department of Health and Mental Hygiene for the translations.

Related Links

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IAC posts translations of the HPV9 VIS in Bengali, Haitian Creole, Polish, and Urdu languages

IAC recently posted four translations of the HPV9 VIS. IAC thanks the New York City Department of Health and Mental Hygiene for the translations.

Related Links

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WORLD NEWS


WHO reports on outbreaks of influenza in the southern hemisphere in this week's Weekly Epidemiological Report

The World Health Organization (WHO) published Epidemic Focus: Influenza in the June 3 issue of its Weekly Epidemiological Report. A selection from the article is reprinted below.
 
In the southern hemisphere the season for influenza (‘flu) is now beginning, and although seasonal ‘flu is often regarded as mild, in the northern hemisphere there have been unexpectedly severe cases caused by one of the circulating viruses: influenza A (H1N1pdm). 

In Kenya, the town of Nakuru recently experienced a large outbreak of severe acute respiratory illness in children, starting in March and reporting, to date, 512 cases and 70 deaths (a case-fatality rate of 13.7%). Laboratory testing revealed the cause as a mix of influenza and respiratory syncytial viruses.

Fiji, in a short period of time, experienced 2 cyclones which left many people displaced and living in overcrowded conditions. Disasters often initiate epidemics and Fiji reported a surge in severe acute respiratory illness—mostly affecting adults aged 20–30 years (including 4 fatal cases in pregnant women)—as well as an escalation in cases of acute diarrhoea. 


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FEATURED RESOURCES


CDC’s Vaccines and Immunizations web page updated to be mobile friendly

CDC's Vaccines and Immunizations web page has been updated to be easier to navigate from a mobile device. As part of this update, the website's home page was redesigned and simplified. If you have saved bookmarks on your computer or have embedded CDC vaccine links within your web content, you may need to revise the links.

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CDC Health Information for International Travel (“The Yellow Book”) now available for download as an app for iOS or Android mobile devices

CDC Health Information for International Travel ("The Yellow Book") is now available to download as an app for iOS or Android mobile devices. The book is published every two years by CDC as a reference for those who advise international travelers about health risks. The Yellow Book is written primarily for healthcare professionals, although others may find it useful. The app is found in the iTunes stores for iOS devices and the Google Play store for Android devices. Please note that the Android version includes the full, searchable text for $10.74. The iOS version is a preview with limited content with the option of an in-app purchase of the full text for $9.99.

Related Links

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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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Download Dr. Gary Marshall's The Vaccine Handbook: A Practical Guide for Clinicians (“The Purple Book") as a new app for iOS devices or purchase as a print book

The Vaccine Handbook: A Practical Guide for Clinicians (“The Purple Book,” 2015) is a 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. This book is now available as a new app for iOS devices.

Information about the iOS app version of The Vaccine Handbook: A Practical Guide for Clinicians

The Vaccine Handbook App contains the 5th edition of the book, updated with the latest immunization schedules and recommendations. The app enhances the utility of an already valuable print resource by including functions like keyword search, internal links, bookmarking, quick access to schedules and tables, hyperlinks to external sources, and the ability for real-time updates. A resources section provides ready access to authoritative immunization-related websites.  Available through a collaboration between the publisher and Sanofi Pasteur, registration as well as reporting under Open Payments is required. (Offer void in Minnesota.) Click on the image below to visit the relevant App Store page to download this resource today.
Download new app!
Information about the print version of The Vaccine Handbook: A Practical Guide for Clinicians

The fifth edition of this valuable guide (560 pages) is 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! Click on the image below to visit the "Shop IAC: The Vaccine Handbook" web page.
Order your copy of The Vaccine Handbook today!
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.

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EDUCATION AND TRAINING


NFID offers free online educational program about seasonal influenza in older adults
 
The National Foundation for Infectious Diseases (NFID), in partnership with the International Center for Infectious Diseases, and mdBriefCase Group Inc., have developed a resource called the Influenza Knowledge Transfer Series to promote, educate, and share information about the burden of seasonal influenza in the United States. This program was designed for healthcare professionals and is accredited for 1.5 AMA PRA Category 1 Credits™. Registration (free) required to access the program.

Related Link

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Weekly CDC webinar series on "The Pink Book" chapter topics continues through September 21; register now

CDC is presenting a 15-part webinar series to provide a chapter-by-chapter overview of the 13th edition of Epidemiology and Prevention of Vaccine-Preventable Diseases (also known as "The Pink Book"). This is a live series of one-hour webinars that started June 1. Recordings of sessions will be available online after each webinar. All sessions begin at 12:00 p.m. (ET). Information about receiving continuing education credit will be available for each session after it is archived. CE credit may be available for up to a year after the date it was live.

Registration and more information is available on CDC's Pink Book Webinar Series web page.

Download Epidemiology and Prevention of Vaccine-Preventable Diseases

Order Epidemiology and Prevention of Vaccine-Preventable Diseases

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ASK THE EXPERTS

Question of the Week

My 7-year-old patient has had only 1 dose of tetanus toxoid-containing vaccine at 11 months of age (a dose of DTaP). The catch-up schedule says he needs 3 additional doses of tetanus toxoid-containing vaccine (4 total). Why 4? If he were completely unvaccinated on the seventh birthday, he would only need a total of 3 doses.  

If the first dose of a tetanus toxoid-containing vaccine is administered before the first birthday, 4 doses are necessary before beginning the 10-year cycle of booster doses. If the first dose is administered after the first birthday, 3 doses are necessary. The final dose should be spaced 6 months from the previous dose. 

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
Immunization Action Coalition
2550 University Avenue West, Suite 415 North
Saint Paul, MN 55114

Copyright (C) 2016 Immunization Action Coalition
All rights reserved.
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Video of the Week
Shingles Vaccine Information: Cleveland Clinic geriatric specialist Dr. Ronan Factora discusses how zoster (shingles) vaccine reduces the risk of developing shingles disease as well as the risk of post-herpetic neuralgia in individuals who do develop shingles. The video also includes the ACIP recommendation to vaccinate for everyone 60 years of age and older.
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Record cards for patients -- child & teen, adult, and lifetime -- are printed on durable paper and sized to fit in a wallet when folded
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Editorial Information
Editor: Deborah L. Wexler, MD
Managing Editor: Teresa Anderson, DDS, MPH
Consulting Editor: Marian Deegan, JD
Production Editor: Janelle T. Anderson, MA
Issue Abbreviations
AAFP: American Academy of Family Physicians
AAP: American Academy of Pediatrics
ACIP: Advisory Committee on Immunization Practices
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
VIS: Vaccine Information Statement
WHO: World Health Organization
 
 
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Immunization Action Coalition  •  2550 University Avenue West  •  Suite 415 North  •  Saint Paul, Minnesota  •  55114
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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.