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Issue 1267
Issue 1267: September 28, 2016

Ask the Experts
Ask the Experts—Question of the Week: Is it acceptable to write the expiration date (the “Beyond Use Date”) of an opened…read more


TOP STORIES


IAC HANDOUTS


VACCINE INFORMATION STATEMENTS


FEATURED RESOURCES


JOURNAL ARTICLES AND NEWSLETTERS


EDUCATION AND TRAINING

 


TOP STORIES


IAC Spotlight! IAC enrolls ten new birthing institutions into its Hepatitis B Birth Dose Honor Roll; two previously honored institutions qualify for additional periods

The Immunization Action Coalition (IAC) is pleased to announce that ten 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.

  • Baylor, Scott & White Medical Center–Lake Pointe, Rowlett, TX (93%)
  • Claxton-Hepburn Medical Center, Ogdensburg, NY (95%)
  • Delaware County Memorial Hospital, Drexel Hill, PA (98%)
  • Families Are First Birthing Center Bristol Hospital, Bristol, CT (99%)
  • Griffin Hospital, Derby, CT (95%)
  • Holy Cross Hospital, Nogales, AZ (98%)
  • Johnson Memorial Hospital, Franklin, IN (100%)
  • Maine Medical Center/Barbara Bush Children’s Hospital, Portland, ME (90%)
  • Wadley Regional Medical Center, Texarkana, TX (95%)
  • Warren General Hospital, Warren, PA (99%)

The following institution is being recognized for a second year:

  • Brooks Memorial Hospital, Dunkirk, NY (93%)

Finally, the following institution is being recognized for a third year:

  • Palo Pinto General Hospital, Mineral Wells, TX (97%)

The Honor Roll now includes 289 birthing institutions from 38 states, Puerto Rico, and Guam. Eighty-three institutions have qualified for two years, 26 institutions have qualified three times, one institution has qualified four times, and one institution has qualified five 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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CDC reports on death of a toddler from meningococcal disease in MMWR

CDC published Notes from the Field: Pediatric Death from Meningococcal Disease in a Family of Romani Travelers—Sarasota, Florida, 2015 in the September 23 issue of MMWR (page 1017). An excerpt from the article is reprinted below.

On January 31, 2015, the Sarasota County Office of the Medical Examiner notified the on-call epidemiologist at the Florida Department of Health, Bureau of Epidemiology of a possible death from meningococcal disease in a male child aged 17 months. The child was part of a large non–English-speaking Romani family (whose members self-identified as Gypsies), who arrived in Florida after traveling in Texas and Europe during the previous 2 months. The child had no history of prior meningococcal immunization. The family reported that the child had been sick for at least 7 days with an ear infection; however, this diagnosis was not confirmed by a physician. Because of increasing fever and onset of vomiting, emergency medical service (EMS) staff members were contacted and the child was transported to a local emergency department on January 29, 2015. Although he was reportedly interactive and alert during registration, he developed a rash while in the emergency department, his condition rapidly deteriorated, and he died within four hours. An autopsy was performed on January 30, and on January 31, the medical examiner reported Gram-negative diplococci in the cerebrospinal fluid (CSF).

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CDC and NFID to host a Thunderclap for flu prevention on September 29

CDC and NFID will host a Thunderclap that will go live on September 29 at 10:00 a.m. (ET) in conjunction with the seasonal flu kick-off. At the Thunderclap page, choose one of the red buttons to select which channel you want to use to support the campaign and authorize Thunderclap to use your account. Then watch #FightFlu on September 29 as Thunderclap supporters proclaim to #FightFlu together! Same tweets and status are available on the campaign web page.

Thunderclap is a social media tool that allows supporters to sign up in advance to share a unified message at a specific time via their individual social media accounts. The collective action creates a wave of support—or “thunderclap”—across social media.

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Medscape posts video about CDC's influenza vaccine recommendations for 2016–2017 season

Medscape recently posted CDC Provides Vaccine Recommendations for the 2016–2017 Influenza Season. The resource provides an overview of products and recommendations available for this season. There is no cost to view the report on Medscape, but you must register.

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IAC HANDOUTS


IAC posts revised “Vaccines with Diluents: How to Use Them”

IAC recently posted Vaccines with Diluents: How to Use Them. The resource was updated to reflect the new acceptable temperatures for refrigerated products of 36–46 degrees Fahrenheit.

Related Links

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IAC updates “Hepatitis A & B Vaccines: Be Sure Your Patients Get the Correct Dose!”

IAC recently posted an updated version of Hepatitis A & B Vaccines: Be Sure Your Patients Get the Correct Dose! Changes were made to remove the column that displayed the units of vaccine antigen that were to be administered, while retaining volume as a more meaningful measurement.

Find all recently updated resources on What's New at IAC at immunize.org.

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IAC posts revised “Handy Resources,” a handout about IAC's free publications

IAC recently posted an updated promotional flyer titled Handy Resources. This handout is an easy way to get people connected to IAC's top publication and website resources.

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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VACCINE INFORMATION STATEMENTS


IAC posts four translations of the Haemophilus influenzae type b (Hib) VIS

IAC recently posted the following translations of the Haemophilus influenzae type b (Hib) VIS, dated 4/2/2015:

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IAC posts three translations of the Meningococcal (MCV4/MPSV4) VIS

IAC recently posted the following translations of the Meningococcal (MCV4/MPSV4) VIS, dated 3/31/2016:

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IAC posts four translations of the Pneumococcal Conjugate (PCV13) VIS

IAC recently posted the following translations of the Pneumococcal Conjugate (PCV13) VIS, dated 11/5/2015:

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IAC posts eight translations of the Td VIS

IAC recently posted the following translations of the Td VIS, dated 2/24/2015:

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FEATURED RESOURCES


Download Dr. Gary Marshall's The Vaccine Handbook: A Practical Guide for Clinicians (“The Purple Book") as an 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 an 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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JOURNAL ARTICLES AND NEWSLETTERS


The Lancet publishes article about trends in vaccine coverage

The Lancet recently published Global trends in vaccination coverage. The "Summary" section is reprinted below.

Universal vaccination programmes have greatly reduced the burden of infectious diseases in both developing and developed countries. In the 1960s and 1970s, these reductions led to optimism that a victory in the battle against infectious diseases could be within reach. Unfortunately, even though the benefits of most childhood vaccinations are scientifically unquestioned, vaccination coverage rates are far from 100% in many countries, and show substantial variation. Early detection of trends and an improved understanding of underlying mechanisms are paramount to be able to improve vaccination policies.

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CDC reports about influenza activity in the United States from May 22 to September 10, 2016

CDC published Update: Influenza Activity—United States and Worldwide, May 22–September 10, 2016 in the September 23 issue of MMWR (pages 1008–1014). A summary made available to the press is reprinted below.

The U.S. experienced typical low levels of seasonal influenza activity overall from May 22 to September 10, 2016; however, since late August, CDC received reports of a small number of localized influenza A (H3N2) outbreaks. Influenza A (H1N1) pdm09, influenza A (H3N2), and influenza B viruses were detected during May–September worldwide and in the U.S. It is not possible to predict which influenza virus strains will predominate nor the timing or severity of the 2016–17 season. It is also not possible to predict how effective influenza vaccine will be this season because many factors can influence effectiveness. However, CDC does not anticipate the low level of vaccine effectiveness caused by antigenic drift that was seen during the 201415 influenza season; this is because most of the circulating viruses characterized in CDC laboratories since February 2016 do not show significant antigenic changes.


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EDUCATION AND TRAINING


Hepatitis B Foundation and AAPCHO to present “Bring it Home! Strategies to Work with Your Local Policymakers on Hepatitis B” webinar on September 29

In the United States, up to 2.2 million Americans are living with chronic hepatitis B, a disease that is silent and largely undiagnosed. It is important that advocates, including community organizations, health professionals, and individuals, know about current issues impacting hepatitis B policy and educate their policymakers about hepatitis B-related health disparities.

Join the Hepatitis B Foundation and Association of Asian Pacific Community Health Organizations on September 29, beginning at 2:00 p.m. (CT), for an interactive session about advocacy strategies at the city and state levels on policies that impact hepatitis B, including best practices from New York City's hepatitis B advocacy initiatives. Registration is required.

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NFID to offer webinar, “Influenza Prevention in U.S. Adults Age 65 Years and Older,” on October 5
 

The National Foundation for Infectious Diseases (NFID) will present a one-hour webinar, beginning at 12:00 p.m. (ET) on October 5. Titled Influenza Prevention in U.S. Adults Age 65 Years and Older, the webinar will feature William Schaffner, MD, medical director, NFID; H. Keipp Talbot, MD, MPH, assistant professor of Medicine at Vanderbilt University School of Medicine; and Robert H. Hopkins, Jr., MD, professor of Internal Medicine and Pediatrics and director of the Division of General Internal Medicine at the University of Arkansas for Medical Sciences.

Registration (required) is open now.

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CDC updates its "You Call the Shots" module on varicella; free CE credit available

CDC recently updated the varicella module of its web-based training course You Call the Shots. The nurse education training program has 11 modules on a variety of immunization topics (e.g., DTaP, Hepatitis A, Influenza, Vaccine Storage and Handling, Vaccines for Children). Continuing education credit is available for viewing a module and completing an evaluation. The training course is supported by CDC through a cooperative agreement with the Association for Prevention Teaching and Research.

The varicella module was updated in September. Participants can access information about obtaining CE credit from the You Call the Shots main page.

Related Links

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ASK THE EXPERTS

Question of the Week

Is it acceptable to write the expiration date (the “Beyond Use Date”) of an opened vaccine multi-dose vial on the box rather than the vial or must it be written on the vial?

It is acceptable to put the Beyond Use Date (BUD) on the packaging; this may help when reviewing inventory. But a provider should always read the label on the vial before administering a vaccine. It is possible for a vial to be placed in the wrong box. So the vial label is the safest place to put the BUD. Vial labels are small and it may require putting an extra sticky label on the vial.


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 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.

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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

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Influenza Vaccination - Infant: This short video featuring infant vaccination is part of an effort to increase influenza immunization in American Indian and Alaska Native populations. The Association of American Indian Physicians partnered with the Association of State and Territorial Health Officials to produce its Influenza Media Kit, which includes five short videos.
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Editorial Information
Editor: Deborah L. Wexler, MD
Managing Editor: Teresa Anderson, DDS, MPH
Consulting Editor: Marian Deegan, JD
Assistant Managing Editor: Liv Augusta Anderson, MPP
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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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.