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Issue 1493
Issue 1493: May 6, 2020


TOP STORIES


IAC HANDOUTS


FEATURED RESOURCES


JOURNAL ARTICLES AND NEWSLETTERS


EDUCATION AND TRAINING


ON THE LIGHTER SIDE

 


TOP STORIES


IAC Commentary: Society wants a COVID-19 vaccine—it’s not just a matter of when, but also how much and for whom (part 1)

by John D. Grabenstein, RPh, PhD, IAC Express associate editor

News channels are full of stories about this or that SARS-CoV-2 (COVID-19) vaccine candidate advancing to this or that stage of clinical development. Some people are confident a vaccine will be available within X months, while others counsel that it could be Y months or longer.

IAC Express is not bringing stories of this slow-motion horse race to you, because it’s not information you can act on. Whichever vaccine candidate is first over the finish line, there won’t be enough of it at first, not for a country with 325+ million people, nor a planet with 7.8+ billion people.

Let’s be clear about that “finish line.” It is not a day when some big box arrives with enough vaccine for everybody served by your site. It will be the day when there is just enough evidence for efficacy and just enough evidence for safety to vaccinate somewhat more broadly.

On April 30, the New York Times ran an excellent article, How Long Will a Vaccine Really Take?, by Stuart Thompson, that graphically explains how typical vaccine-development timelines are being compressed to deliver one or more SARS-CoV-2 vaccines as soon as feasible. As can be seen on the graphic (click the graphic’s buttons to see which modifications yield time gains of what size), compressing the timeline largely comes from conducting various steps simultaneously. The pharmaceutical industry refers to this as doing things “at risk,” meaning at risk of waste or futility. Some dollars will be wasted, with an understanding that paying for several simultaneous efforts may help to get to at least one successful vaccine sooner, even if inefficiently.

Next week, in IAC Express issue #1494, we’ll consider “for whom” and how to get ready. 

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Immunize Colorado executive director discusses the urgent need for maintaining routine immunizations during the COVID-19 pandemic

Immunize Colorado published Maintaining Routine Immunizations during the Pandemic: An Urgent Growing Need, by the executive director, Stephanie Wasserman, on April 27.

Ms. Wasserman notes that shelter-in-place orders due to COVID-19 are keeping families in their homes, which have led to cancellations of well-care visits and an adverse effect on routine immunization rates. She writes:

Maintaining routine immunization during the pandemic is critical especially for children age 24 months or younger, pregnant women, seniors and people with chronic diseases. Many major health professional organizations such as the American Academy of Pediatrics, the American Academy of Family Physicians and World Health Organization have issued interim guidelines for maintaining immunizations…

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FDA licenses MenQuadfi (Sanofi Pasteur) for prevention of invasive meningococcal disease caused by serogroups A, C, W, and Y in individuals 2 years of age and older 

On April 23, the FDA issued an approval letter for MenQuadfi (Sanofi Pasteur), a vaccine for individuals 2 years of age and older to help prevent invasive meningococcal disease (including meningitis) caused by Neisseria meningitidis serogroups A, C, W, and Y. MenQuadfi does not prevent serogroup B disease. MenQuadfi is expected to be available to providers and pharmacies in the U.S. in 2021.

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IAC Spotlight! These IAC patient and staff educational materials were updated in March and April

IAC Express regularly provides readers with information about IAC’s new and updated educational materials for healthcare professionals and handouts for patients. All materials are free to download, print, and distribute.

In case you missed them during recent weeks, these helpful materials were announced:

Staff Education Materials

Handouts for Your Patients

Related Links

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Not-to-miss immunization articles in the news

These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.

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Stay up to date on the latest coronavirus information

CDC, NIH, WHO, and Johns Hopkins are closely monitoring the SARS- CoV-2 pandemic. Be sure to check the resources below for the latest information. Stay in touch with your local and state health departments.

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IAC HANDOUTS


New! IAC handout titled “Adult Immunization: Importance of Staying Up to Date with Vaccines”

IAC posted a new handout titled Adult Immunization: Importance of Staying Up to Date with Vaccines. This one-page handout was created to give an overview of the importance of adult vaccinations.



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IAC updates three patient sheets on vaccines needed by adults with high-risk conditions: heart disease, lung disease, and those without a spleen

IAC recently revised three of its one-page handouts describing vaccines needed by adults with high-risk conditions.

  

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IAC posts update to popular handout “Which Vaccines Do I Need Today?

IAC recently revised Which Vaccines Do I Need Today? Multiple changes were made to conform to revised ACIP recommendations for HPV, MenB, PPSV23, and Tdap.



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IAC revises handout “Vaccinations for Men Who Have Sex with Men”

IAC recently revised Vaccinations for Men Who Have Sex with Men. Changes were made to MenACWY information and to incorporate recently updated ACIP recommendations for MenB, PCV13, and Tdap.



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FEATURED RESOURCES


“Shop IAC” on immunize.org offers many resources for your practice. Order laminated 2020 U.S. immunization schedules for your exam rooms today!

On the Shop IAC web page you will find many resources such as laminated vaccination schedules, personal immunization record cards, pins for your lapel, and more! Your purchases will help IAC keep delivering free, educational materials to healthcare professionals and to the public. 

IAC's laminated versions of the 2020 U.S. child/adolescent immunization schedule and the 2020 U.S. adult immunization schedule are ideal for use in any busy healthcare setting where vaccinations are given.

  

The schedules' coating can be wiped down, and they’re durable enough to stand up to a year's worth of use. Visit the Shop IAC: Laminated Schedules web page for more information on the schedules.

IAC’s three personal immunization record cards—child & teen, adult, and lifetime—are printed on durable rip-, smudge-, and water- proof paper. Sized to fit in a wallet when folded, the cards are brightly colored to stand out. Give these nearly indestructible personal record cards to your patients. They're sold in boxes of 250.



You too can show your support for vaccination with IAC’s elegantly designed “Vaccines Save Lives” pin on your lapel. The pin makes a refined statement in hard black enamel with gold lettering and edges, measuring 1.125" x 0.75”. Order yours today to show how much you value immunizations!



NOTE: Our online shopping cart will continue to operate during Minnesota's reduction to essential services. The IAC office will make shipments once per week.  If your need for an item is urgent, please email us at admininfo@immunize.org.

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JOURNAL ARTICLES AND NEWSLETTERS


CDC publishes April issue of Immunization Works newsletter

CDC recently released the April issue of its monthly newsletter Immunization Works. The newsletter offers the immunization community information about current topics. The information is in the public domain and can be reproduced and circulated widely.

Related Links

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“State Policies on Access to Vaccination Services for Low- Income Adults” published in JAMA

In its April 27, 2020, issue, JAMA published State Policies on Access to Vaccination Services for Low-Income Adults, by Charleigh J. Granade, et al. The conclusions appear below.

CONCLUSIONS: ...In many jurisdictions, adult Medicaid beneficiaries lack access to the full slate of ACIP- recommended vaccines. Even in programs providing complete vaccination coverage benefits, reimbursement amounts to health care professionals for vaccine purchase and administration may not fully cover costs to provide vaccination, disincentivizing health care professionals to vaccinate low-income adults. Increased vaccination coverage benefits parity across Medicaid programs and between traditionally eligible and expansion adult populations could decrease income-based health disparities and reduce the proportion of limited program funds expended to treat vaccine-preventable diseases.

Related Link

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“Use of Standing Orders for Vaccination among Pediatricians” published in Pediatrics 

In the May 2020 issue, Pediatrics published Use of Standing Orders for Vaccination among Pediatricians, by Jessica Cataldi, et al. The conclusions appear below. 

CONCLUSIONS: Among pediatricians, use of standing orders for vaccination is far from universal. Interventions to increase use of standing orders should address physicians’ attitudinal barriers as well as organizational factors.

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“Improving Birth Dose Hepatitis B Vaccination Rates: A Quality Improvement Intervention” published in Hospital Pediatrics

In its May 2020 issue, Hospital Pediatrics published Improving Birth Dose Hepatitis B Vaccination Rates: A Quality Improvement Intervention by Jessica Cataldi, et al. The conclusions appear below. 

CONCLUSIONS: Multidisciplinary collaboration, scripting, and provider and staff education regarding the risks of hepatitis B virus, benefits of HepB vaccine, and strategies to discuss HepB vaccination with parents significantly increased vaccination rates. Further efforts to improve vaccination rates to within 12 hours are preferable.

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“Effect of State Immunization Information System Centralized Reminder and Recall on HPV Vaccination Rates” published in Pediatrics

In its May 2020 issue, Pediatrics published Effect of State Immunization Information System Centralized Reminder and Recall on HPV Vaccination Rates, by Peter Szilagyi, et al. The background and conclusions appear below.

BACKGROUND: Although autodialer centralized reminder and recall (C-R/R) from state immunization information systems (IISs) has been shown to raise childhood vaccination rates, its impact on human papillomavirus (HPV) vaccination rates is unclear.

CONCLUSIONS: IIS-based C-R/R for HPV vaccination did not improve HPV vaccination rates in New York and increased vaccination rates slightly in Colorado.

Related Link

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“Vaccines Are Integral Part of Chronic Disease Management” published in Becker’s Hospital Review

In its April 30, 2020, issue, Becker's Hospital Review, in collaboration with Immunization Action Coalition, published Vaccines Are Integral Part of Chronic Disease Management. The call to action appears below.

Multiple resources are available to assist healthcare professionals with implementing CDC’s immunization recommendations, including a CDC immunization app and CDC patient and provider communications, tools at www.immunize.org and the National Adult and Influenza Immunization (www.izsummitpartners.org), and through each state's immunization program (www.immunizationmanagers.org/page/mempage.) Additionally, previous Becker publications exist to support the implementation of adult immunization programs within healthcare systems….

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EDUCATION AND TRAINING

This week's "Video of the Week" explains the updated pneumococcal vaccine recommendations for older adults

Dr. Miwako Kobayashi, medical epidemiologist at CDC, reviews revised recommendations for PCV13 and PPSV23. Medscape login is required.



Visit the VOTW archive.

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CDC and Public Health Foundation will host webinar on vaccinating adults with chronic conditions on May 28

The Public Health Foundation is hosting a CDC webinar, Vaccinating Adults with Chronic Conditions: Recommendations and Lessons Learned, on May 28 at 3:00 p.m. (ET). Three physicians will discuss vaccine recommendations and strategies for increasing immunization among adults with heart disease, lung disease, and diabetes. Speakers will include Sarah Coles, MD, Sandra Adamson Fryhofer, MD, MACP, FRCP, and Lt. Cmdr. Tara Jatlaoui, MD, MPH (USPHS).

Register for the webinar.

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ON THE LIGHTER SIDE

Animated music video, “The Vaccine Song,” promotes childhood vaccination with wit

The Vaccine Song, a witty, animated video from 2010, part of a collection curated by vaccine expert William Atkinson, MD, MPH, offers a look at childhood vaccine advocacy.


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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.

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.

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Updated Pneumococcal Vaccine Recommendations for Older Adults: Dr. Kobayashi, medical epidemiologist at CDC, says that for adults 65 and older, PCV13 is now recommended on the basis of shared clinical decision-making by provider and patient rather than routinely. PCV13 is still recommended routinely for older adults with certain medical conditions, and PPSV23 is still a routine recommendation for adults 65 and older. Medscape login is required.
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Deborah L. Wexler, MD
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Carolyn Bridges, MD, MPH
John D. Grabenstein, RPh, PhD
Sharon Humiston, MD, MPH
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Taryn Chapman, MS
Marian Deegan, JD
Courtnay Londo, MA
Jane Myers, MA, EdM
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