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Issue 1282
Issue 1282: December 21, 2016

Ask the Experts
Ask the Experts—Question of the Week: Can the meningococcal serogroup B (MenB) vaccine and meningococcal conjugate…read more


TOP STORIES


IAC HANDOUTS


VACCINE INFORMATION STATEMENTS


WORLD NEWS


FEATURED RESOURCES


CONFERENCES AND MEETINGS

 


TOP STORIES


Happy holidays from all of us at IAC!

All of us at the Immunization Action Coalition (IAC) wish you, our readers, a safe, happy, and relaxing holiday season. Because of the holiday schedule, we will not publish another issue of IAC Express until January 4.

Happy holidays!

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New! December 2016 issue of Vaccinate Adults is now available online

The December 2016 issue of Vaccinate Adults is now online. Vaccinate Adults is an abbreviated version of Needle Tips with the pediatric content removed.

Click on the image below to download the entire December issue of Vaccinate Adults (20-page, 8.51 MB PDF).

Access the Table of Contents to download individual sections or pages.

Download the November issue of Vaccinate Adults

The issue focuses on ACIP recommendations for MenB and MenACWY vaccination, and also includes information on the new 2-dose HPV recommendation. A number of related resources for healthcare providers, patients, and parents are provided, including updated standing orders templates and recommendation summaries for MenB and MenACWY.

The issue also features new "Ask the Experts" Q&As from medical officer Andrew T. Kroger, MD, MPH, and nurse educator Donna L. Weaver, RN, MN, both from CDC.

Related Links

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

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Reminder: December 2016 issue of Needle Tips is available online

The December 2016 issue of Needle Tips is now online.

Click on the image below to download the entire December issue of Needle Tips (22-page, 8.47 MB PDF).

Access the Table of Contents (HTML) to download individual sections or pages.

Download the November issue of Vaccinate Adults

Related Links

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

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ACIP publishes new recommendations on 2-dose HPV vaccination schedule

CDC published Use of a 2-Dose Schedule for Human Papillomavirus Vaccination—Updated Recommendations of the Advisory Committee on Immunization Practices in the December 16 issue of MMWR (pages 1405–08). A media summary of the MMWR article is reprinted below.

In a policy statement issued today, CDC reduced the number of HPV vaccine doses recommended for younger adolescents. CDC now recommends two doses of HPV vaccine for girls and boys who start the vaccine series at age 9 through 14 years. The two doses should be given 6 to 12 months apart, increasing flexibility for patients, parents, and health care providers. The change was based on scientific evidence that two doses work just as well as three doses in girls and boys in this age group. Three doses are still recommended for older teens and young adults. CDC continues to recommend routine HPV vaccination at age 11 or 12 years; the series can be started at age 9 years. HPV vaccines are highly safe and effective and are routinely recommended for both girls and boys to prevent cancer-causing HPV infections.

Related Links

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CDC releases report about the impact of influenza vaccination and burden of the disease during 2015–16 season

CDC recently updated its web section Estimated Influenza Illnesses, Medical Visits, Hospitalizations, and Deaths Averted by Vaccination in the United States to reflect the burden of the 2015–16 season. An excerpt from the web page is reprinted below.

For the 2015–2016 influenza season, CDC estimates that influenza vaccination prevented approximately 5.1 million influenza illnesses, 2.5 million influenza-associated medical visits, and 71,000 influenza-associated hospitalizations. These estimates of averted disease burden are comparable to some previous seasons. During the 20152016 influenza season, CDC estimates that influenza vaccination prevented 3,000 P&I deaths. This estimate is similar to estimates of averted P&I deaths during previous seasons. Past comparative data suggest that for the 20152016 season the total number of influenza-associated R&C deaths prevented by vaccination may be between two and four times greater than estimates using only P&I deaths.

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IAC HANDOUTS


IAC revises its standing orders templates for administering HPV vaccine to children/teens and adults

IAC recently updated both its standing orders templates for HPV vaccination.

Standing Orders for Administering Human Papillomavirus Vaccine to Children and Teens was updated to incorporate the recent ACIP recommendation to administer a 2-dose schedule of HPV vaccine in children and teens who begin their vaccination series before age 15 years. The template also has been expanded to display key information (e.g., needle gauge and length by patient gender and weight, schedule for vaccination) in more user-friendly chart format. IAC also reformatted Standing Orders for Administering Human Papillomavirus Vaccine to Adults in the same manner.

Related Link

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 “Meningococcal Vaccine Recommendations by Age and Risk Factor for Serogroup B Protection”

IAC recently updated Meningococcal Vaccine Recommendations by Age and Risk Factor for Serogroup B Protection. The piece now includes taking eculizumab (Soliris) for people with persistent complement component deficiencies as a risk factor for receiving meningococcal serogroup B vaccine.

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VACCINE INFORMATION STATEMENTS


IAC posts Spanish translation of new HPV VIS

IAC recently posted a Spanish translation of the newly released VIS for HPV vaccine (dated 12/2/2016).

Related Links

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WORLD NEWS


WHO reports on global influenza activity

WHO published Review of global influenza activity, October 2015–October 2016 in the December 16 issue of the Weekly Epidemiological Record. The article summarizes the timing of the circulating virus and morbidity and mortality by region.

Related Link

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CDC reports on Avian influenza A in China

CDC published Assessing Change in Avian Influenza A(H7N9) Virus Infections During the Fourth Epidemic China, September 2015–August 2016 in the December 16 issue of MMWR (pages 1390–94). A media summary of the MMWR article is reprinted below.

Since human infections with avian influenza A (H7N9) virus were first reported by the Chinese Center for Disease Control and Prevention (China CDC) in March 2013, China has experienced four influenza A (H7N9) virus epidemics. As of August 31, 2016, mainland China had reported a total of 775 laboratory-confirmed human infections with A (H7N9) virus from 16 provinces and three municipalities during the four epidemics. Whereas age and sex distribution and exposure history in the fourth epidemic (September 2015–August 2016) were similar to those in the first three epidemics, the fourth epidemic demonstrated a greater proportion of infected persons living in rural areas, a continued geographic spread of the virus, and a longer epidemic period. The genetic markers of mammalian adaptation and antiviral resistance remained similar across each epidemic, and viruses from the fourth epidemic remained antigenically well matched to current candidate vaccine viruses. There is no evidence of increased human-to-human transmissibility of A (H7N9) viruses.

Related Links

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FEATURED RESOURCES


Influenza is spreading and serious; please keep vaccinating your patients

Influenza vaccination is recommended for everyone six months of age and older. If you don't provide influenza vaccination in your clinic, please recommend vaccination to your patients and refer them to a clinic or pharmacy that provides vaccines or to the HealthMap Vaccine Finder to locate sites near their workplaces or homes that offer influenza vaccination services.

Following is a list of resources related to influenza disease and vaccination for healthcare professionals and the public:

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CONFERENCES AND MEETINGS


Register now for California Immunization Coalition Summit to be held April 3–4

Registration is now available for the 2017 California Immunization Coalition (CIC) Summit. The two-day event will be at the historic Mission Inn in Riverside, April 3–4. The 2017 theme is "Delivering on the Promise of Vaccines." The program brings together national and local immunization advocates, health professionals, and community leaders. General sessions and workshops cover effective communication strategies, outreach efforts, successful local coalition projects, and immunization registry updates.

This year's summit features Elena Conis, PhD, author of Vaccine Nation; Peter Szilagyi, MD, MPH, pediatric health services and clinical researcher; and Sarah Royce, MD, MPH, chief, CDPH Immunization Branch. There will also be a special screening of the film Hilleman: A Perilous Quest to Save the World's Children and a discussion by writer and director Don Mitchell.

The summit has limited space, so register soon! Visit CIC’s website for information about pricing, agenda updates, and other important information.

Related Link

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Video presentations from the October 2016 ACIP meeting now available online; register now for February 2017 ACIP meeting

ACIP recently posted the video presentations and slide sets from the ACIP meeting held October 19–20.

ACIP will hold its next meeting February 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 February 1; for U.S. citizens, it's February 13. Registration is not required to watch the live webcast of the meeting. More information available on ACIP's website.

Related Links

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ASK THE EXPERTS

Question of the Week

Can the meningococcal serogroup B (MenB) vaccine and meningococcal conjugate (MenACWY) vaccine be given at the same visit?

MenB and MenACWY vaccines can be administered at the same visit or at any interval before or after each other. There is no need for spacing between these two vaccines.


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.

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. 6NH23IP922550 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.
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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
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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.