Issue 1362: May 2, 2018


TOP STORIES


WORLD NEWS


FEATURED RESOURCES

 
JOURNAL ARTICLES AND NEWSLETTERS


EDUCATION AND TRAINING

 


TOP STORIES


ACIP updates recommendations in its “General Best Practice Guidelines for Immunization”

ACIP has recently updated its General Best Practice Guidelines for Immunization with several changes. The page numbers correspond to the version in the PDF format.

  • Page 29 (Table 3-1): "RZV" and "ZVL" were added to the table.
  • Page 93, last paragraph: The first sentence now reads: “For infants and younger children, if more than 2 vaccines are injected in a single limb, the thigh is preferred because of the greater muscle mass; the injections should be sufficiently separated (separate anatomic sites [i.e. ≥ 1 inch] if possible) so that any local reactions can be differentiated.” This change clarifies that "separate sites" means two points separated by at least an inch.
  • Page 115 (Table 7-1): Now the Celsius storage temperatures are listed first, with Fahrenheit second and in parentheses.
  • Page 115 (Table 7-1): “RZV” was added to the table
  • Page 148, second paragraph: In the Special Situations section, language is clarified regarding the use of the IGRA test.

View the version in PDF format: General Best Practice Guidelines for Immunization: Best Practices Guidance of the Advisory Committee on Immunization Practices (ACIP).

The updated recommendations are also available in HTML format (accessible by subsections): General Best Practice Guidelines for Immunization: Best Practices Guidance of the Advisory Committee on Immunization Practices (ACIP).

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CDC releases comprehensive summary of previously published ACIP recommendations for prevention of tetanus, diphtheria, and pertussis in the U.S.

CDC published Prevention of Pertussis, Tetanus, and Diphtheria with Vaccines in the United States: Recommendations of the Advisory Committee on Immunization Practices (ACIP) in the April 27 issue of MMWR (pages 1–44). The Summary section is reprinted below.

This report compiles and summarizes all recommendations from CDC’s Advisory Committee on Immunization Practices (ACIP) regarding prevention and control of tetanus, diphtheria, and pertussis in the United States. As a comprehensive summary of previously published recommendations, this report does not contain any new recommendations and replaces all previously published reports and policy notes; it is intended for use by clinicians and public health providers as a resource. ACIP recommends routine vaccination for tetanus, diphtheria, and pertussis. Infants and young children are recommended to receive a 5-dose series of diphtheria and tetanus toxoids and acellular pertussis (DTaP) vaccines, with one adolescent booster dose of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine. Adults who have never received Tdap also are recommended to receive a booster dose of Tdap. Women are recommended to receive a dose of Tdap during each pregnancy, which should be administered from 27 through 36 weeks’ gestation, regardless of previous receipt of Tdap. After receipt of Tdap, adolescents and adults are recommended to receive a booster tetanus and diphtheria toxoids (Td) vaccine every 10 years to assure ongoing protection against tetanus and diphtheria.

Access the complete article: Prevention of Pertussis, Tetanus, and Diphtheria with Vaccines in the United States: Recommendations of the Advisory Committee on Immunization Practices (ACIP).

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Now available! IAC's sturdy laminated versions of the 2018 U.S. child/teen immunization schedule and the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today!

IAC's laminated versions of the 2018 U.S. child/teen immunization schedule and the 2018 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". 

Adult Laminated Immunization Schedules

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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CDC reports shortages of GlaxoSmithKline's Shingrix zoster vaccine will lead to ordering limits and intermittent shipping delays until the end of June 2018

CDC recently reported that due to high levels of demand for the GlaxoSmithKline (GSK) Shingrix vaccine, providers should anticipate ordering limits and intermittent shipping delays for Shingrix between now and the end of June 2018, whether the vaccine is ordered directly from GSK or through wholesalers and distributors. GSK is currently working to make more doses available in the near term for the U.S. market in order to meet the demand for this vaccine.

View the above notification regarding Shingrix on CDC's Current Vaccine Shortages & Delays web page, in note 4.

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Sabin Vaccine Institute awards Dr. Paul Offit the 2018 Albert B. Sabin Gold Medal for his contributions to the immunization field 

Dr. Paul Offit, the leader of the Vaccine Education Center at the Children's Hospital of Philadelphia, has been awarded the 2018 Albert B. Sabin Gold Medal. Among his achievements, Dr. Offit was recognized by the Sabin Vaccine Institute as co-inventor of an oral rotavirus vaccine and for his leadership as an advocate for immunization. Selections from the April 24 press release are reprinted below.

Dr. Offit's contributions to protecting human health extend beyond the laboratory and for many years he has been a strong public advocate for childhood immunizations. Dr. Offit drives efforts to improve public understanding of vaccines through speaking engagements, media appearances and his books. Dr. Offit's many books make science accessible to lay audiences worldwide, highlighting the history of immunization, tackling vaccine myths and reinforcing the message that science is not a matter of faith but a matter of fact.

"Paul's contributions as a vaccinologist and advocate have improved the health of children in every corner of the world," said Amy Finan, chief executive officer of the Sabin Vaccine Institute. "His scientific accomplishments are rivaled only by his impact as a dedicated advocate for immunization. Paul truly exemplifies Albert Sabin's commitment to ensuring every child is protected from preventable disease. It is an honor to present Paul with this year's Albert B. Sabin Gold Medal." ...


View the announcement on the Sabin Institute website.

Read more about the presentation of this award to Dr. Offit:

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CDC reports on three rotavirus outbreaks in California in 2017

CDC published Three Rotavirus Outbreaks in the Postvaccine Era—California, 2017 in the April 27 issue of MMWR (pages 470–2). An excerpt from the opening paragraph is reprinted below.

...This report describes three rotavirus outbreaks that occurred in California in 2017. One death was reported; however, the majority of cases were associated with mild to moderate illness, and illness occurred across the age spectrum as well as among vaccinated children. Rotavirus vaccines are designed to mimic the protective effects of natural infection and are most effective against severe rotavirus illness. Even in populations with high vaccination coverage, some rotavirus infections and mild to moderate illnesses will occur. Rotavirus vaccination should continue to be emphasized as the best means of reducing disease prevalence in the United States.

Access the complete article: Three Rotavirus Outbreaks in the Postvaccine Era—California, 2017

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CDC publishes article on identification of Swiss tourists exposed to rabies while visiting the U.S.

CDC published Notes from the Field: Identification of Tourists from Switzerland Exposed to Rabies Virus While Visiting the United States—January 2018 in the April 27 issue of MMWR (pages 477–8). The first paragraph of the article is reprinted below.

On January 16, 2018, CDC was notified by the Florida Department of Health of potential rabies virus exposure in two persons believed to be residents of Switzerland. Rabies virus infections cause a fatal encephalitis, and persons exposed to the virus are advised to receive postexposure prophylaxis (PEP) as soon as possible. On January 10, 2018, a married couple found a bat in a Naples, Florida, shopping mall parking lot and took it to a local veterinary clinic. The woman, estimated to be aged 50–60 years, stated that they were Swiss tourists. No other identifying information was obtained. On January 15, 2018, the bat tested positive for rabies by the direct fluorescent antibody test at the Florida Department of Health public health laboratory. After repeated efforts to identify the couple were unsuccessful, CDC was able to locate the couple by using the national focal point network maintained by World Health Organization (WHO) International Health Regulations (IHR); the two were promptly administered PEP.

Access the complete article: Identification of Tourists from Switzerland Exposed to Rabies Virus While Visiting the United States—January 2018

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CDC publishes Quick Stats report on employed adults in U.S. receiving influenza vaccine in past 12 months

CDC published QuickStats: Percentage of Currently Employed Adults Aged ≥18 Years Who Received Influenza Vaccine in the Past 12 Months, by Employment Category—National Health Interview Survey, United States, 2012 and 2016 in the April 27 issue of MMWR (page 480). The summary paragraph is reprinted below.

From 2012 to 2016, the percentage of employed adults who had received an influenza vaccine in the past 12 months increased overall (32.4% versus 37.0%), among government employees (42.0% versus 45.6%), and private-sector employees (31.1% versus 36.0%), but there was no significant increase among the self-employed (26.5% versus 29.8%). In both years, a higher percentage of government employees had received an influenza vaccine compared with private-sector employees, who had higher percentages than the self-employed.

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IAC Spotlight! IAC’s Email News Services web page on immunize.org presents many ways to get news, updates, and other resources about vaccines from immunization-related organizations

IAC’s Email News Services web page on immunize.org offers many ways to get news, updates, and other resources about vaccines from several immunization-related organizations. Each of the 13 news services listed alphabetically on this web page is accompanied by a description of its focus area as well as the link to subscribe to it. Here are just a few of these email news services:

  • the AAP Immunization Initiatives Newsletter 
  • CDC's Email Subscription Service 
  • Every Child By Two (ECBT) Daily Clips 
  • the Morbidity and Mortality Weekly Report (MMWR) 
  • the Vaccine Education Center's Vaccine Update for Healthcare Professionals

While viewing the Email News Services web page, which is contained within the Resources web section of immunize.org, you will also see the links to the other valuable resource pages in the Resources web section: Apps, Vaccine Manufacturers, Package Inserts, PowerPoint Slide Sets, IAC's Immunization Partners, as well as web pages with CDC schedules, CDC Information, and CDC contacts. 

Take a look at  IAC's Email News Services web page and sign up today to get periodic updates from any of the immunization-related organizations that interest you!

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Voices for Vaccines releases a new Vax Talk podcast episode, "Mama, Don’t Let Your Baby Grow Up without Vaccines," about vaccine advocacy—its history, accomplishments, and thoughts on its future

Voices for Vaccines (VFV) has posted the 17th episode in its Vax Talk podcast series: Mama, Don't Let Your Baby Grow Up without Vaccines. In this podcast, Karen Ernst, Voices for Vaccines, and Dr. Nathan Boonstra, Blank Children's Hospital, talk to Amy Pisani, Every Child By Two, about how immunization challenges have changed over past decades and what the future challenges are that we face in collaborating to combat vaccine-preventable diseases.

Voices for Vaccines is a national organization of parents and others who are dedicated to raising the level of the voices of immunization supporters. VFV invites everyone who values vaccines to become a member. 
 
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WORLD NEWS


ECDC issues press release on measles vaccination gaps among European teenagers and young adults

The European Centre for Disease Control (ECDC) issued a press release on April 23 for a report regarding measles vaccination gaps among European teenagers and young adults. Along with a map of Europe indicating the measles notification rate per million people during 2017, the press release includes a statement by the EU Commissioner for Health and Food Safety, Dr. Vytenis Andiukaitis:

We must all sit up and pay attention to ECDC's data and analysis on the spread of measles in Europe. Measles is gaining pace in an increasing number of EU countries. This demonstrates that vaccine-preventable infectious diseases do not respect borders and one country's immunisation weakness puts the whole Union at risk. Cooperating in this area is in all our interests. The Commission will this week put forward an initiative for strengthened cooperation against vaccine preventable diseases, calling for joint action to increase vaccination coverage and ensure that everyone in the EU has access to vaccination, thus bridging inequalities and gaps in immunisation.

View the full press release: Measles vaccination gaps in teenagers and young adults highlighted in ECDC’s report.
 
Access the full report: Measles and Rubella Surveillance—2017.

View the executive summary for the ECDC report.

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FEATURED RESOURCES


IAC's new 142-page book, 
Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download

The Immunization Action Coalition (IAC) recently announced the publication of its new book, Vaccinating Adults: A Step-by-Step Guide (Guide).



This completely updated guide on adult immunization (originally published in 2004) provides easy-to-use, practical information covering important “how-to” activities to help providers enhance their existing adult immunization services or introduce them into any clinical setting, including:

  • setting up for vaccination services,
  • storing and handling vaccines,
  • deciding which people should receive which vaccines,
  • administering vaccines,
  • documenting vaccinations (including legal issues), and
  • understanding financial considerations and billing information. 

In addition, the Guide is filled with hundreds of web addresses and references to help providers stay up to date on the latest immunization information, both now and in the future.

The entire Guide is available to download/print free of charge at www.immunize.org/guide. The downloaded version is suitable for double-sided printing. Options are available online to download the entire book or selected chapters. The development of the Guide was supported by the National Vaccine Program Office (NVPO) and the Centers for Disease Control and Prevention (CDC). Expert staff from both agencies also provided early technical review of the content.

The Guide is a uniquely valuable resource to assist providers in increasing adult immunization rates. Be sure to get a copy today!

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CDC releases new infographic for the VFC program titled “Vaccines For Children: Protecting America’s Children Every Day”

CDC has released a new infographic for the Vaccines For Children (VFC) program titled Vaccines For Children: Protecting America’s Children Every Day. This new infographic, which incorporates data through 2016, replaces the infographic titled "VFC: 20 Years of Protection," posted in 2014.





The VFC program helps provide vaccines to children whose parents or guardians may not be able to afford them. This helps ensure that all children have a better chance of getting their recommended vaccinations on schedule. Vaccines available through the VFC Program are those recommended by the Advisory Committee on Immunization Practices. These vaccines protect babies, young children, and adolescents from 16 diseases.

For more information about the VFC program, visit CDC's main page for Vaccines For Children, with links that include information on eligibility, cost, providers, and the program's history.

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Vaccine Education Center updates its 2-page, downloadable fact sheet on vaccines and allergies

The Vaccine Education Center (VEC) at the Children's Hospital of Philadelphia has recently updated its 2-page, downloadable fact sheet for parents in its Special Topics Series—Online Q&A Sheets, titled Vaccines and Allergies: What You Should Know. The introduction is reprinted below.

When children are diagnosed with allergies, parents try to identify potential exposures in the hopes of avoiding future reactions. Anything that goes into the child’s body may warrant consideration—even vaccines. The good news is that for the majority of children with allergies, vaccines are not the problem.

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JOURNAL ARTICLES AND NEWSLETTERS


Vaccine Education Center publishes April issue of its newsletter for healthcare professionals 

The Vaccine Education Center (VEC) at Children's Hospital of Philadelphia publishes a monthly immunization-focused newsletter titled Vaccine Update for Healthcare Professionals. The April issue includes the following articles:

Additional news items and resources are available in the full newsletter.

Access the sign-up form to subscribe to Vaccine Update for Healthcare Professionals.

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EDUCATION AND TRAINING


Hepatitis B Foundation's Hepatitis Delta Connect program sponsors May 24 webinar on hepatitis delta, a prevalent disease in Romania affecting people with hepatitis B

Hepatitis B Foundation's Hepatitis Delta Connect program will sponsor a webinar on May 24 at 9:00 a.m. (ET) on hepatitis delta, a disease that is largely unknown to the medical community but that affects hundreds of thousands of people in Romania with hepatitis B. The webinar will feature Dr. Florin Caruntu, associate professor at the University of Medicine and Pharmacy in Bucharest, who will discuss the state of hepatitis delta in Romania, challenges for managing it, and ways to promote earlier diagnosis and prevention.

Register for the webinar.

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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.

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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.; Merck Sharp & Dohme Corp.; Pfizer, Inc.; and Sanofi Pasteur.

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About IZ Express

IZ Express is supported in part by Grant No. 1NH23IP922654 from CDC’s National Center for Immunization and Respiratory Diseases. Its contents are solely the responsibility of Immunize.org and do not necessarily represent the official views of CDC.

IZ Express Disclaimer
ISSN 2771-8085

Editorial Information

  • Editor-in-Chief
    Kelly L. Moore, MD, MPH
  • Managing Editor
    John D. Grabenstein, RPh, PhD
  • Associate Editor
    Sharon G. Humiston, MD, MPH
  • Writer/Publication Coordinator
    Taryn Chapman, MS
    Courtnay Londo, MA
  • Style and Copy Editor
    Marian Deegan, JD
  • Web Edition Managers
    Arkady Shakhnovich
    Jermaine Royes
  • Contributing Writer
    Laurel H. Wood, MPA
  • Technical Reviewer
    Kayla Ohlde

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