Immunize.org supports evidence-based vaccination recommendations and schedules. Read more at About Us.
IZ Express

Our weekly email newsletter, IZ Express, has been in production since 1997 and currently has more than 50,000 subscribers. Each week, it provides up-to-date information about:

  • New vaccine recommendations
  • FDA vaccine approvals
  • Newly released Vaccine Information Statements
  • New immunization resources
  • Current events
  • Notable journal articles
  • Ask the Experts special editions
  • And more …
Results (1896)

Issue 1441: August 21, 2019

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Top Stories
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CDC releases new "interim" VISs for hepatitis B; influenza, inactivated or recombinant; influenza, live intranasal; MenACWY; MenB; MMR; MMRV; and varicella vaccines; as well as a "final" VIS for Japanese encephalitis vaccine
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CDC publishes "Human Papillomavirus Vaccination for Adults: Updated Recommendations of the Advisory Committee on Immunization Practices" in this week's MMWR
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Vaccinate Your Family and the entire immunization community mourn the loss of Rich Greenaway
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Award-winning documentary HILLEMAN—A Perilous Quest to Save the World's Children available for free streaming in honor of the August 30 birth centennial of Dr. Maurice Hilleman, "father of modern vaccines"
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August is National Immunization Awareness Month; promote vaccination with CDC resources
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New powerful tools, quick navigation, beautiful design: Visit Give2MenACWY.org to enhance your efforts at increasing MenACWY booster dose rates and other adolescent vaccines
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IAC Spotlight! IAC's "Adult Vaccination" web page is full of resources to help you vaccinate adults in your practice
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Total number of U.S. measles cases for 2019 climbs to 1,203 with 21 new cases reported since last week
IAC Handouts
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IAC updates "Current Dates of Vaccine Information Statements" and "You Must Provide Patients with Vaccine Information Statements (VISs)—It's Federal Law!"
World News
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WHO reports on yellow fever in Africa and the Americas in this week's Weekly Epidemiological Record
Featured Resources
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New! "FLU VACCINE" buttons and stickers now available for purchase from IAC
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ShotByShot.org adds new infographics and Instagram features to its collection of stories about people with vaccine-preventable diseases
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IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)
Journal Articles and Newsletters
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In this week's MMWR, CDC publishes two "Notes from the Field" articles on rabies outbreaks in the Dominican Republic and Haiti
Education and Training
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CDC webinar, "Strategies for Addressing Vaccine Misinformation in the Practice," to be offered August 28
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Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics runs through September 25; register now

Issue 1440: August 14, 2019

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Top Stories
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"Dear Colleague" letter stressing importance of 16-year-old immunization visit has been signed by AAFP, AAP, ACHA, ACOG, APhA, SAHM, and IAC
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Join us TODAY, August 14, at 1:00 p.m. (ET)! Dr. Sharon G. Humiston, IAC's associate director for research, will present a webinar on adolescent immunization and the 16-year platform
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New powerful tools, quick navigation, beautiful design: Visit Give2MenACWY.org to enhance your efforts at increasing MenACWY booster dose rates and other adolescent vaccines
•
August is National Immunization Awareness Month; promote vaccination with CDC resources
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Total number of U.S. measles cases for 2019 reaches 1,182 with 10 new cases reported since last week
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July's Technically Speaking column by IAC Executive Director Dr. Deborah Wexler is titled "ACIP updates its guidance on the use of HPV, PCV13, HepA, HPV, and MenB vaccines at June 26–27 meeting"
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IAC Spotlight! IAC's Clinic Tools: Documenting Vaccinations web page provides resources from IAC, CDC, and other organizations
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Register for the 2019 National Conference for Immunization Coalitions and Partnerships by August 31 to receive the discounted rate; conference to take place November 13–15 in Honolulu
Official Releases and Announcements
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State of Florida declares a public health emergency in response to hepatitis A outbreak
World News
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WHO summarizes the 2018–2019 influenza season in the northern hemisphere in this week's Weekly Epidemiological Record
Featured Resources
•
New! "FLU VACCINE" buttons and stickers now available for purchase from IAC
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CDC makes its web section for parents more user-friendly
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CDC shares its new "Basics of IISs" infographic
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IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)
Education and Training
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Immunize Nevada to offer August 20 webinar titled "MMR Recommendations During the 2019 U.S. Measles Outbreaks"
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American College of Physicians to offer webinar series about adult vaccination on August 23, September 12, and September 23
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Alliance for Aging Research's August 27 webinar will explore why vaccination has been a low priority item in Medicare Annual Wellness Visits, and ways to change this
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NACCHO to offer August 28 webinar about mumps in detention facilities
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CDC and Medscape offer new commentary on navigating difficult immunization conversations with parents; CE credit available
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Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics runs through September 25; register now
Conferences and Meetings
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Presentation slides and videos from June ACIP meeting are now available

Issue 1439: August 7, 2019

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IAC Express Issue 1439
August 7, 2019
Top Stories
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New powerful tools, quick navigation, beautiful design: Visit Give2MenACWY.org to enhance your efforts at increasing MenACWY booster dose rates and other adolescent vaccines
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Total number of U.S. measles cases for 2019 reaches 1,172 with 8 new cases reported since last week
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August is National Immunization Awareness Month!
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Register now! Dr. Sharon G. Humiston, IAC's associate director for research, will present a webinar on adolescent immunization and the 16-year platform on August 14 at 1:00 p.m. (ET)
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New law went into effect on July 28 in Washington State which eliminates personal and philosophical exemptions to MMR vaccination
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IAC Spotlight! Just in case you missed them—these IAC materials and web pages were updated during June and July
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New! 2020 edition of CDC Health Information for International Travel ("The Yellow Book") now available online
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Four healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination
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Voices for Vaccines releases new podcast episode titled "Stop the Presses! NIAM 2019"
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Ethan Lindenberger, a previously unvaccinated high school student who found out how to get vaccinated himself, presents a TED Talk titled "Why We Need to Fight Misinformation about Vaccines"
IAC Handouts
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IAC posts revised "Screening Checklist for Contraindications to Vaccines for Children and Teens" and "Screening Checklist for Contraindications to Vaccines for Adults"
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IAC updates parent handout by Dr. Ari Brown titled "Clear Answers and Smart Advice About Your Baby's Shots"
Featured Resources
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New! "FLU VACCINE" buttons and stickers now available for purchase from IAC
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CDC's "Measles Multimedia" web page features new videos to aid healthcare providers in diagnosing measles
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IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)
Journal Articles and Newsletters
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July issue of CDC's Immunization Works newsletter now available
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JAMA Psychiatry publishes "Association of Genetic and Environmental Factors with Autism in a 5-Country Cohort"
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Becker's Hospital Review publishes "A Roadmap to Better Population Health Management through Improved Adult Immunization"
Education and Training
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New Medscape CE program titled "Recommendations of the Advisory Committee on Immunization Practices for Use of Hepatitis A Vaccine for Persons Experiencing Homelessness" now available online
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Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics runs through September 25; register now

Issue 1438: July 31, 2019

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Top Stories
•
CDC releases "Interim Infection Prevention and Control Recommendations for Measles in Healthcare Settings"
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August is National Immunization Awareness Month!
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Total number of U.S. measles cases for 2019 climbs to 1,164 with 16 new cases reported since last week
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The David J. Sencer CDC Museum requests items related to the study, control, and prevention of influenza or items of historical significance relating to influenza for their new show
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Register now! Dr. Sharon G. Humiston, IAC's associate director for research, will present a webinar on adolescent immunization and the 16-year platform on August 14 at 1:00 p.m. (ET)
•
Nominations open for the 2019 HPV Vaccine Is Cancer Prevention Champion Award
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Help promote the legacy of Dr. Maurice Hilleman's work by nominating him for a Google Doodle
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New! "FLU VACCINE" buttons and stickers now available for purchase from IAC
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IAC Spotlight! IAC's Clinic Tools: Vaccine Recommendations web page provides resources from IAC and CDC to help you vaccinate your patients appropriately
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IAC enrolls 3 new birthing institutions into its Hepatitis B Birth Dose Honor Roll; 1 previously honored institution qualifies for additional years' honors
IAC Handouts
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IAC updates "Standing Orders for Administering Tdap/Td Vaccine to Children Age 7 Years and Older"
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IAC makes minor revision to "Tips for Locating Old Immunization Records"
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IAC revises "Quick Chart of Vaccine-Preventable Disease Terms in Multiple Languages"
Official Releases and Announcements
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CDC publishes "World Hepatitis Day—July 28, 2019" in this week's MMWR
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USPSTF publishes recommendation on "Hepatitis B Virus Infection in Pregnant Women: Screening"
World News
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CDC and WHO report on progress toward polio eradication in Nigeria in this week's MMWR and Weekly Epidemiological Record, respectively
Featured Resources
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CDC's new "Can I Ask You a Question?" video series for parents features pediatricians answering questions about HPV vaccination
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University of Michigan School of Public Health releases podcast about vaccines
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Still available! IAC's sturdy laminated 2019 U.S. child/adolescent immunization schedules—order some for your exam rooms today! Bulk purchase prices available.
•
IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)
Journal Articles and Newsletters
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Vaccine Education Center at Children's Hospital of Philadelphia publishes July issue of its newsletter Vaccine Update
Education and Training
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Vaccine Education Center plans Current Issues in Vaccines webinar on September 18
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NASTAD to sponsor August 8 webinar titled "Hepatitis A and B Vaccination for Gay and Bisexual Men: Innovative Practices and New Resources"
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Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics runs through September 25; register now

Issue 1437: July 24, 2019

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IAC Express Issue 1437
July 24, 2019
Top Stories
•
CDC publishes ACIP recommendations on use of Japanese encephalitis vaccine
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Total number of U.S. measles cases for 2019 climbs to 1,148 with 25 new cases reported since last week
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New! "FLU VACCINE" buttons and stickers now available for purchase from IAC
•
Mark your calendar! Dr. Sharon G. Humiston, IAC's associate director for research, will present a webinar on adolescent immunization and the 16-year platform on August 14 at 1:00 p.m. (ET)
•
IAC Spotlight! The Vaccine Manufacturers web page on immunize.org provides company contact information and more
IAC Handouts
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IAC's parent handout "Evidence Shows Vaccines Unrelated to Autism" is updated in collaboration with the Autism Science Foundation
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IAC revises its "Guide to Contraindications and Precautions to Commonly Used Vaccines"
Official Releases and Announcements
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July 28 is World Hepatitis Day
World News
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UNICEF reports that 20 million children missed receiving measles, diphtheria, and tetanus vaccines in 2018
Featured Resources
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Critically Speaking podcast features an interview with Dr. Walt Orenstein about vaccine safety and misinformation
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New nonprofit patient assistance program offers affordable hepatitis B medications for eligible U.S. patients
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Still available! IAC's sturdy laminated 2019 U.S. child/adolescent immunization schedules—order some for your exam rooms today! Bulk purchase prices available.
•
IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)
Journal Articles and Newsletters
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Columnist pens personal account of when diseases, not vaccines, were feared
Education and Training
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NACCHO to host August 1 webinar on "Talking About Vaccines: Lessons Learned from CDC Research with Parents and Healthcare Professionals"
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AAPCHO to sponsor July 30 webinar titled "Hepatitis B and the Opioid Epidemic: Opportunities to Increase Adult Vaccination"
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Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics runs through September 25; register now
Conferences and Meetings
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NFID Clinical Vaccinology Course scheduled for November 16–17 in Washington, DC

Issue 1436: July 17, 2019

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Top Stories
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CDC shares information about anticipated delayed delivery of Sanofi flu vaccine and AstraZeneca's limited supply of FluMist
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New! "FLU VACCINE" buttons and stickers now available for purchase from IAC
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NOTE: IAC Express summary article on the June ACIP meeting inadvertently omitted a change in the routine MenB vaccination guidance
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AAP News publishes letter to the editor from three medical experts posing the question: "When a parent requests a vaccine exemption, what will you do?"
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Mark your calendar! Dr. Sharon G. Humiston, IAC's associate director for research, will present a webinar on adolescent immunization and the 16-year platform on August 14 at 1:00 p.m. (ET)
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IAC Spotlight! IAC's "Talking about Vaccines: Adjuvants and Ingredients" web page features resources to help providers answer parents' questions
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CDC calls on medical professionals to recognize symptoms and report suspected cases of acute flaccid myelitis (AFM)
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Total number of U.S. measles cases for 2019 climbs to 1,123 with 14 new cases reported since last week
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Voices for Vaccines releases new podcast episode titled "Rotary's Polio Mission"
IAC Handouts
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IAC updates its two pieces on the medical management of vaccine reactions in community settings—one pertaining to children and teens, and the other to adults
World News
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WHO reports on June 2019 meeting of the Global Advisory Committee on Vaccine Safety in this week's Weekly Epidemiological Record
Featured Resources
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New "Why Take the Chance" video from the Meningitis B Action Project highlights need for MenB vaccine to protect teens and college students
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Still available! IAC's sturdy laminated 2019 U.S. child/adolescent immunization schedules—order some for your exam rooms today! Bulk purchase prices available.
•
IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)
Journal Articles and Newsletters
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Vaccine Education Center resources about fetal cells include new video and accompanying article
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Researchers find that providing parents with an educational handout before doctor's visit increases flu vaccination rates
Education and Training
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Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics runs through September 25; register now
Conferences and Meetings
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Reminder: 2019 Northwest Immunization Conference, sponsored by Immunize Oregon, will be held August 13–15 in Portland

Issue 1435: July 16, 2019

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Administering Vaccines
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Q: How many vaccines can be given during an office visit?
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Q: Some single dose vials contain more than the recommended dosage of the vaccine. Should we administer the recommended dose of the vaccine, or the entire contents of the vial even if it contains more than the recommended dose?
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Q: A child wiggled when we were injecting a dose of vaccine, and approximately half the dose was lost. Should we revaccinate the child? If so, when?
Meningococcal ACWY Vaccine
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Q: Who is recommended to be vaccinated against meningococcal ACWY disease?
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Q: Should college students be vaccinated against meningococcal ACWY disease?
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Q: Several healthy adult college students from outside the U.S. (ages 24 years and older) presented to our clinic. They will be living in a residence hall. None have a record of having received MenACWY. Should they receive a dose of MenACWY now?
MMR Vaccine
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Q: What are the current recommendations for the use of MMR vaccine?
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Q: For which adults are 0, 1, or 2 doses of MMR vaccine recommended to prevent measles?
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Q: Have recommendations for MMR vaccination of children or adults changed in light of the current measles outbreaks?
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Q: Do any adults need "booster" doses of MMR vaccine to prevent measles?
DTaP and Tdap Vaccines
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Q: If a dose of DTaP or Tdap is inadvertently given to a patient for whom the product is not indicated (e.g., wrong age group), how do we rectify the situation?
Pneumococcal Vaccines
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Q: For whom is PPSV23 recommended?
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Q: Rather than giving PCV13 first and waiting 8 weeks to give PPSV23 as recommended for an immunocompromised child (2 years or older) or adult patient, we inadvertently gave both vaccines at the same visit. We are looking for guidance.
Precautions and Contraindications
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Q: Do people who received chemotherapy need their vaccines repeated?
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Q: I have a healthy 5-year-old patient whose close household contact (her mother) is immunocompromised due to cancer chemotherapy. Can I administer live vaccines to the healthy child?
Travel Vaccines
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Q: When not given on the same day, is the interval between yellow fever and MMR vaccines 4 weeks (28 days) or 30 days? I have seen the yellow fever and live virus vaccine recommendations published both ways.
Vaccine Storage and Handling
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Q: What type of thermometers should be used for measuring temperatures in a vaccine storage unit? What type of thermometers should NOT be used for this purpose?
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Q: Please provide guidance for transporting our vaccine to an off-site location.
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Q: What should we do if a dose of expired vaccine is given to a patient?
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Q: Where can I get the most up-to-date information about vaccine storage and handling?
Zoster Vaccine
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Q: I am having trouble getting RZV (Shingrix) for my patients. What should I do during the shortage?
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Q: Should people who haven't had chickenpox be vaccinated with zoster vaccine?
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Q: If a person was exposed to shingles by a spouse within the last few days, is there a recommended waiting period before the exposed person can receive zoster vaccine?
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Q: Should healthcare personnel in long-term care facilities be tested to see if they have had chickenpox before taking care of someone who has received ZVL?
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Q: How should zoster vaccine be transported to an off-site clinic location?

Issue 1434: July 10, 2019

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IAC Express Issue 1434
July 10, 2019
Top Stories
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Total number of U.S. measles cases for 2019 climbs to 1,109 with 14 new cases reported since last week
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CDC publishes "Health-Related Workplace Absenteeism Among Full-Time Workers—United States, 2017–18 Influenza Season" in this week's MMWR
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New! "FLU VACCINE" buttons and stickers now available for purchase from IAC
•
Clarification: IAC adds more information to last week's article about change in storage temperature requirements for Vaxchora (Emergent Biosolutions) oral cholera vaccine; the product currently available still requires frozen storage
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CDC publishes new web page on MMR vaccination recommendations for international travelers and for people living in or traveling domestically to areas with ongoing measles outbreaks in the U.S.
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June's Technically Speaking column by IAC's executive director titled "Looking for New Tools and Resources to Help Increase Your Clinic's HPV Vaccination Rates? Here Are Some Great Ones!" now available on IAC's website
•
IAC Spotlight! Just in case you missed them—these IAC materials and web pages were updated during May and June
World News
•
CDC and WHO publish "Genetic Characterization of Measles and Rubella Viruses Detected Through Global Measles and Rubella Elimination Surveillance, 2016–2018" in this week's MMWR and Weekly Epidemiological Record, respectively
•
New study identifies causes of severe pneumonia in children from Africa and Asia
Featured Resources
•
Still available! IAC's sturdy laminated 2019 U.S. child/adolescent immunization schedules—order some for your exam rooms today! Bulk purchase prices available.
•
IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)
Journal Articles and Newsletters
•
June issue of CDC's Immunization Works newsletter now available
•
The Lancet publishes study showing remarkable effectiveness of HPV vaccine
Education and Training
•
Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics runs through September 25; register now
Conferences and Meetings
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Reminder: 2019 National Conference for Immunization Coalitions and Partnerships scheduled for November 13–15 in Honolulu; register by August 31 to receive early bird rate

Issue 1433: July 3, 2019

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Top Stories
•
Total number of U.S. measles cases for 2019 climbs to 1,095 with 18 new cases reported since last week
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IAC provides a summary article about votes taken at June 26–27 ACIP meeting
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New! "FLU VACCINE" buttons and stickers now available for purchase from IAC
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IAC Spotlight! IAC's "Talking about Vaccines: Importance of Vaccines" web page features resources to help providers communicate with parents and patients about how vaccines save lives
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FDA approves change in storage temperature requirements for Vaxchora (Emergent Biosolutions) oral cholera vaccine
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Two healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination
IAC Handouts
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IAC updates its two standing orders templates for administering meningococcal ACWY vaccine—one for children and teens and the other for adults
•
IAC posts updated handout for the public titled "Meningococcal: Questions and Answers"
Vaccine Information Statements
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New and updated Bengali-language VIS translations now available
World News
•
WHO reports on validation of elimination of maternal and neonatal tetanus in Chad
Featured Resources
•
Still available! IAC's sturdy laminated 2019 U.S. child/adolescent immunization schedules—order some for your exam rooms today! Bulk purchase prices available.
•
IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)
Journal Articles and Newsletters
•
New international study collects opinions from people in 140 countries about science and health, with a focus on vaccines
Education and Training
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NFID to summarize the June ACIP meeting in July 18 webinar
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Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics runs through September 25; register now
•
Want to learn more about immunization and improve your clinical skills? Check out these archived webinars and training modules from CDC and other organizations!
Conferences and Meetings
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American Immunization Registry Association annual meeting to be held August 13–15; early registration ends July 14
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2019 Arkansas Immunization Summit to be held August 16; early registration ends July 15
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Texas Immunization Conference scheduled for October 23–25; early registration ends September 13

Issue 1432: June 26, 2019

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Top Stories
•
Total number of U.S. measles cases for 2019 climbs to 1,077 with 33 new cases reported since last week
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CDC notifies partners and providers of MMR vaccination recommendations for international travelers and for people living in or traveling domestically to areas with ongoing measles outbreaks in the U.S.
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FDA issues Public Health Alert concerning hepatitis A virus contamination of Kroger brand frozen blackberries and Costco Kirkland Signature Brand Three Berry Blend
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CDC publishes report on influenza activity in the U.S. during the 2018–19 season and the composition of the 2019–20 influenza vaccine in this week's MMWR
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IAC Spotlight! Explore IAC's "Ask the Experts" web section for answers to more than 1,000 Q&As from CDC experts about vaccine recommendations, administration, storage and handling, scheduling, and more
•
Washington Post reports on a foundation that has contributed more than 3 million dollars to anti-vaccine groups in recent years
Featured Resources
•
Still available! IAC's sturdy laminated 2019 U.S. child/adolescent immunization schedules—order some for your exam rooms today! Bulk purchase prices available.
•
IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)
Journal Articles and Newsletters
•
Vaccine Education Center at Children's Hospital of Philadelphia publishes June issue of its newsletter Vaccine Update for Healthcare Professionals
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Two studies find rotavirus vaccine administration may be linked to reduction in type 1 diabetes in children
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CDC publishes "Trends in the Laboratory Detection of Rotavirus before and after Implementation of Routine Rotavirus Vaccination—United States, 2000–2018" in this week's MMWR
Education and Training
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Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics runs through September 25; register now
Conferences and Meetings
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Washington State Immunization Summit, hosted by WithinReach and WA State Department of Health, to take place on October 8

Issue 1431: June 19, 2019

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Top Stories
•
New York State eliminates non-medical exemptions for vaccination
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Total number of U.S. measles cases for 2019 climbs to 1,044 with 22 new cases reported since last week
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CDC reports on trends in human rabies deaths and exposures in the United States
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It's Pride Month: CDC reminds providers to vaccinate men who have sex with men against hepatitis A
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CDC publishes report about administration of expired injectable influenza vaccine
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IAC Spotlight! IAC's "Talking about Vaccines: Vaccine Safety" web page features information from many organizations to help providers communicate with parents and patients
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Digital marketing email service MailChimp curtails promotion of anti-vaccine misinformation
•
IAC enrolls 7 new birthing institutions into its Hepatitis B Birth Dose Honor Roll;13 previously honored institutions qualify for additional years' honors
IAC Handouts
•
IAC updates Spanish-language version of "Questions Parents Ask about Vaccinations for Babies"
Official Releases and Announcements
•
CDC reflects on the 10-year anniversary of the H1N1 influenza pandemic
World News
•
WHO reports on progress toward measles eradication in Pakistan in this week's Weekly Epidemiological Record
Featured Resources
•
Still available! IAC's sturdy laminated 2019 U.S. child/adolescent immunization schedules—order some for your exam rooms today! Bulk purchase prices available.
•
IAC's 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
Journal Articles and Newsletters
•
New England Journal of Medicine publishes article about allowing adolescents to independently consent to vaccination
•
Pediatrics publishes study about the decline in pediatric herpes zoster cases and the relationship to varicella vaccination
Education and Training
•
Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics runs through September 25; register now

Issue 1430: June 12, 2019

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Top Stories
•
Total number of U.S. measles cases for 2019 climbs to 1,022 with 41 new cases reported since last week
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As measles cases surpass 1,000, HHS Secretary Alex Azar issues statement reinforcing commitment to vaccination as part of HHS news release
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May's Technically Speaking column by IAC executive director titled "How to Protect Children, Adults, and Healthcare Personnel from Measles" now available on IAC's website
•
New York Times publishes opinion piece titled "When Defending Vaccines Gets Ugly"
•
2019 National Conference for Immunization Coalitions and Partnerships scheduled for November 13–15 in Honolulu; abstract deadline has been extended to June 30
•
IAC Spotlight! IAC's Immunization Partners web page features organizations that work with IAC
•
Nominations for the 2020 NFID Awards to recognize leaders and heroes of public health are due July 1
World News
•
CDC publishes "Progress Toward Measles Elimination—Pakistan, 2000–2018" in this week's MMWR
Featured Resources
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CDC's Resources for Health Care Providers web section offers a variety of tools on vaccine administration, safety, and more
•
Hepatitis B Foundation releases "Randy's Story" to raise awareness about discrimination in the U.S. armed forces against those living with chronic hepatitis B
•
Still available! IAC's sturdy laminated 2019 U.S. child/adolescent immunization schedules—order some for your exam rooms today! Bulk purchase prices available.
•
IAC's 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
Education and Training
•
CDC offers webinar archive for clinicians titled "Most Measles Cases in 25 Years: Is This the End of Measles Elimination in the United States?"
•
Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics runs June 5 through September 25; register now
•
NFID offers June 19 webinar on managing outbreaks of vaccine-preventable diseases
•
NACCHO to offer 5-part webinar series on public health communications; first session on "Principles to Address Vaccine Resistance and Hesitancy" scheduled for June 13
Conferences and Meetings
•
Tune in to CDC's ACIP meeting June 26–27 (Wednesday and Thursday) via live webcast

Issue 1429: June 5, 2019

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Top Stories
•
AAP invites state and national organizations to sign on to a joint letter in support of the VACCINES Act of 2019
•
Total number of U.S. measles cases for 2019 climbs to 981 with 41 new cases reported since last week
•
IAC Spotlight! Just in case you missed them—these IAC materials and web pages were updated during April and May
•
2019 National Adult and Influenza Immunization Summit (NAIIS) presentations, posters, and award winners now available online
•
Five healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination
•
Voices for Vaccines releases new podcast episode that features Dr. Paul Offit discussing the current measles outbreaks
IAC Handouts
•
IAC posts updated handout for the public titled "Pneumococcus: Questions and Answers"
•
IAC updates "Standing Orders for Administering Rotavirus Vaccine to Infants"
World News
•
WHO reports on the April meeting of the Strategic Advisory Group of Experts on Immunization
Featured Resources
•
AAP's website offers guidance for preparing for the 2019–20 influenza season
•
AAP releases new guide about using immunization information systems and two-dimensional barcode scanning
•
CDC updates the diphtheria and lab support chapters of its Manual for the Surveillance of Vaccine-Preventable Diseases
•
Still available! IAC's sturdy laminated 2019 U.S. child/adolescent immunization schedules—order them for your exam rooms today! Bulk purchase prices available.
•
IAC's 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
Journal Articles and Newsletters
•
May issue of CDC's Immunization Works newsletter now available
Education and Training
•
Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics runs June 5 through September 25; register now

Issue 1428: May 30, 2019

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Measles and MMR Vaccination
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Q: What is the current situation with measles in the U.S.?
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Q: What are the current recommendations for the use of MMR vaccine?
•
Q: What are the signs and symptoms healthcare providers should look for in diagnosing measles?
•
Q: What should our clinic do if we suspect a patient has measles?
•
Q: When is it appropriate to use MMR vaccine for post-exposure prophylaxis?
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Q: What is considered acceptable evidence of immunity?
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Q: For which adults are 0, 1, or 2 doses of MMR vaccine recommended to prevent measles?
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Q: Given the outbreaks of measles in the U.S., should all healthcare personnel, including those born before 1957, have 2 doses of MMR vaccine?
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Q: Would you consider healthcare personnel with 2 documented doses of MMR vaccine to be immune even if their serology for 1 or more of the antigens comes back negative?
•
Q: Have recommendations for MMR vaccination of children or adults changed in light of the current outbreak?
•
Q: How soon can we give the second dose of MMR vaccine to a child vaccinated at 12 months old?
•
Q: If there is an outbreak in my area, can we vaccinate children younger than 12 months?
•
Q: If we give a child a dose of MMR vaccine at 6 months of age because they are in a community with cases of measles, when should we give the next dose?
•
Q: Do any adults need "booster" doses of MMR vaccine to prevent measles?
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Q: A patient who was born before 1957 and is not a healthcare worker wants to get the MMR vaccine before international travel. Does he need a dose of MMR?
•
Q: Under what circumstances should adults be considered for testing for measles-specific antibody prior to getting vaccinated?
•
Q: What are the contraindications and precautions for MMR vaccine?
•
Q: We have many patients who are immunocompromised and cannot get the MMR vaccine. How should we advise our patients?
•
Q: What is the recommended length of time a woman should wait after receiving rubella (MMR) vaccine before becoming pregnant?
•
Q: How soon after delivery can MMR be given to the mother?
•
Q: How should teenage girls and women of child-bearing age be screened for pregnancy before MMR vaccination?
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Q: If a pregnant woman inadvertently receives MMR vaccine, how should she be advised?

Issue 1427: May 29, 2019

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Top Stories
•
Maine eliminates non-medical exemptions to vaccination
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Washington State passes law to eliminate philosophical exemptions to MMR vaccination
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Total number of U.S. measles cases for 2019 climbs to 940 in 26 states, with 60 new cases reported since last week
•
IAC enrolls 9 new birthing institutions into its Hepatitis B Birth Dose Honor Roll; 21 previously honored institutions qualify for additional years' honors
•
IAC Spotlight: Check out the unsolicited feedback IAC receives about its work every week
•
Deadline for abstracts for the National Conference for Immunization Coalitions and Partnerships extended until June 30; presentations especially requested for the coalitions track
IAC Handouts
•
IAC updates "Need Help Responding to Vaccine-Hesitant Parents?"
•
IAC revises "Standing Orders for Administering Pneumococcal Vaccines (PCV13 and PPSV23) to Adults" and "Standing Orders for Administering Pneumococcal Polysaccharide Vaccine to Children and Teens"
•
IAC revises "Standing Orders for Administering Human Papillomavirus Vaccine to Children and Teens"
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Spanish-language version of "Vaccinations for Adults without a Spleen" was updated to match the English-language version
Vaccine Information Statements
•
IAC posts updated Japanese-language translations of the hepatitis B and DTaP VISs
Official Releases and Announcements
•
WHO requests feedback from healthcare professionals for Draft Zero of its "Immunization Agenda 2030"
World News
•
Vaccine Confidence Project provides links to news articles about the consequences of vaccine hesitancy around the world
•
CDC and WHO report on progress toward polio eradication worldwide in this week's MMWR and Weekly Epidemiological Record, respectively
Featured Resources
•
CDC updates the measles chapter of its Manual for the Surveillance of Vaccine-Preventable Diseases
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WHO has updated its online library of vaccine safety resources contributed by organizations around the world
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Shot by Shot offers "Scotty's Story," a compelling video to promote meningococcal vaccination
•
CDC offers guidance for people visiting pigs during fair season
•
Still available! IAC's sturdy laminated versions of the 2019 U.S. child/adolescent immunization schedule and the 2019 U.S. adult immunization schedule—order them for your exam rooms today! Bulk purchase prices available.
•
IAC's 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
Journal Articles and Newsletters
•
Vaccine Education Center at Children's Hospital of Philadelphia publishes May issue of its newsletter Vaccine Update for Healthcare Professionals
•
Bioethicist publishes 10 steps to consider to protect communities from further vaccine-preventable disease outbreaks
Education and Training
•
Webinar titled "HPV Vaccination: Tools for Training Your Staff" scheduled for June 13
•
Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics runs June 5 through September 25; register now

Issue 1426: May 22, 2019

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Top Stories
•
CDC issues "Dear Provider" letter with recommendations regarding adult immunization against measles in response to increase in measles cases
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Total number of U.S. measles cases for 2019 climbs to 880 with 41 new cases reported since last week
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CDC publishes "Notes from the Field: Measles Outbreaks from Imported Cases in Orthodox Jewish Communities—New York and New Jersey," 2018–2019 in this week's MMWR
•
CDC publishes "Notes from the Field: Community Outbreak of Measles—Clark County, Washington, 2019–2019" in this week's MMWR
•
IAC Spotlight! IAC's newly updated "Talking about Vaccines: Autism" web page on immunize.org provides an extensive range of resources to help you respond to concerns about vaccines and autism
Vaccine Information Statements
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IAC posts revised translation of MMR VIS in Simplified Chinese
Featured Resources
•
Video on vaccines from Bill & Melinda Gates Foundation has generated over 4 million views since May 12
•
National Public Health Information Coalition publishes article titled "These Moms Warn What Measles May Do to Your Baby"
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Immunization Techniques video on vaccine administration from the California Department of Public Health remains available online for free and as DVD
•
Still available! IAC's sturdy laminated versions of the 2019 U.S. child/adolescent immunization schedule and the 2019 U.S. adult immunization schedule—order them for your exam rooms today! Bulk purchase prices available.
•
IAC's 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
Journal Articles and Newsletters
•
May's Parents PACK newsletter from Vaccine Education Center features video discussing limitations of blood tests in determining immunity
Education and Training
•
Webinar on strategies for building school immunization rates, hosted by state of Washington organizations, scheduled for June 4
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Weekly CDC webinar series on "The Pink Book" chapter topics runs June 5 through September 25; register now
Conferences and Meetings
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Immunize Oregon to hold 2019 Northwest Immunization Conference on August 13–15 in Portland; early registration open

Issue 1425: May 15, 2019

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Top Stories
•
Total number of U.S. measles cases for 2019 climbs to 839 with 75 new cases reported since last week
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Three close family members of Robert F. Kennedy Jr. publish an editorial decrying his promotion of vaccine misinformation
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IAC Spotlight: IAC's "Talking about Vaccines" web page about MMR vaccination has been updated
•
CDC reports that hepatitis A cases have increased almost 300% from 2016–18, mostly related to widespread nationwide outbreaks among people reporting drug use or homelessness
•
"Ask the Experts: Zoster (shingles)" web page recently updated
 
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New podcast series from NPR radio affiliate explores the history of vaccine innovation and success alongside the spread of vaccine misinformation
•
Influenza activity continues to decrease but 5 additional pediatric deaths still reported
•
April's Technically Speaking column by IAC executive director Dr. Deborah Wexler is titled "Refresher! Use of Pneumococcal Vaccines in Infants and Children, as Well as in Children with Health Conditions"
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Voices for Vaccines releases new podcast episode about National Infant Immunization Week and the measles outbreak
IAC Handouts
•
IAC updates "MMR Vaccine Does Not Cause Autism. Examine the evidence!" with additional study
•
IAC revises "Reliable Sources of Immunization Information: Where Parents Can Go to Find Answers!"
•
IAC revises resource for healthcare professionals titled "Meningococcal ACWY Vaccine Recommendations by Age and Risk Factor"
Official Releases and Announcements
•
CDC publishes announcement about Hepatitis Awareness Month and Testing Day
World News
•
WHO reports that 34,300 cases of measles were recorded in European region in the first two months of 2019, triple the number of cases in the same period last year
•
Gavi announces that inactivated polio vaccine has been introduced in all countries worldwide
Featured Resources
•
AAFP and STFM offer free Shots Immunizations app updated with the 2019 schedules
•
Hepatitis B Foundation publishes report on the need to increase hepatitis B awareness and prevention in the nail salon workforce
•
Still available! IAC's sturdy laminated versions of the 2019 U.S. child/adolescent immunization schedule and the 2019 U.S. adult immunization schedule—order them for your exam rooms today! Bulk purchase prices available.
•
IAC's 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
Education and Training
•
Reminder: "A Strategic Response to Hepatitis A Outbreak: From the Big Picture to the Nitty Gritty" webinar to be held May 22
•
CDC to host webinar on May 29 titled "Adolescent Vaccines: How Pharmacists Can Make Strong Recommendations and Referrals"
Conferences and Meetings
•
Draft agenda for June ACIP meeting now available
•
Reminder: Abstracts for National Conference for Immunization Coalitions and Partnerships due by May 20

Issue 1424: May 8, 2019

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Top Stories
•
Following the MMWR Early Release last week of an article on the increase in U.S. measles cases, CDC published the same article in the current issue of MMWR
•
Total measles cases in the U.S. for 2019 climb to 764 with 60 new cases reported since last week
•
CDC's measles outbreak digital toolkits with resources for healthcare providers and local/state health departments now available
•
May is Hepatitis Awareness Month; promote hepatitis awareness and prepare for May 19, national Hepatitis Testing Day
•
FDA announces approval of Dengvaxia (Sanofi Pasteur) for prevention of dengue disease in endemic regions
•
IAC Spotlight! Just in case you missed them—these IAC materials and web pages were updated during March and April
•
"Ask the Experts: Meningococcal ACWY" web page recently updated
•
Influenza activity has continued to decrease but remains elevated; 5 additional pediatric deaths reported
IAC Handouts
•
IAC updates its resource for healthcare professionals titled "Don't Be Guilty of These Preventable Errors in Vaccine Administration!"
•
IAC updates its handout for patients titled "Vaccination for Adults without a Spleen"
•
IAC revises its handout for adults titled "Vaccinations for Adults with Chronic Liver Disease or Infection"
•
IAC revises its resource for healthcare professionals titled "Quick Chart of Vaccine-Preventable Disease Terms in Multiple Languages"
Vaccine Information Statements
•
IAC posts new Hindi translations of the DTaP, pneumococcal conjugate (PCV13), and typhoid VISs
•
IAC posts updated Nepali and Oromo translations of the hepatitis B VIS
•
Updated Amharic, Karen, Kinyarwanda, Kiswahili, and Oromo translations of the MenACWY VIS now available
•
IAC posts new or updated Karen, Oromo, and Tigrinya translations of the DTaP VIS
World News
•
UNICEF press release states 20 million children annually missed first dose of measles vaccine in past 8 years, contributing to global outbreaks
•
CDC and WHO report on progress toward measles elimination in the European region, 2009–2018, in this week's MMWR and Weekly Epidemiological Record, respectively
Featured Resources
•
National Public Health Information Coalition releases new Measles Communication Resources website
•
Still available! IAC's sturdy laminated versions of the 2019 U.S. child/adolescent immunization schedule and the 2019 U.S. adult immunization schedule—order them for your exam rooms today! Bulk purchase prices available.
•
Check out CDC's "#HowIRecommend HPV Vaccination Video Series" web page with peer-to-peer advice from nurse practitioners and other practicing clinicians on effectively recommending HPV vaccines
•
IAC's 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
Journal Articles and Newsletters
•
April issue of CDC's Immunization Works newsletter now available
•
CDC publishes "University-Based Outbreaks of Meningococcal Disease Caused by Serogroup B, United States, 2013–2018" in the March issue of Emerging Infectious Diseases
•
Viewpoint article titled "The Physician-Scientist: Defending Vaccines and Combating Antiscience" by Dr. Peter Hotez published by The Journal of Clinical Investigation
Education and Training
•
NACCHO webinar on strategic responses to hepatitis A outbreaks scheduled for May 22

Issue 1423: May 1, 2019

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Top Stories
•
CDC issues an MMWR Early Release on measles cases and holds a media briefing on multi-state measles outbreak as number of cases increases
•
Measles cases in the U.S. hit a new record; CDC and HHS issue statements that measles cases are now the highest since the disease was eliminated in 2000
•
AAP urges tougher vaccination laws as measles cases hit new high
•
FDA issues statement about MMR vaccine safety and efficacy; urges public to get timely vaccinations
•
Opinion piece by former first lady Rosalynn Carter about disinformation as the new barrier to measles vaccination published in USA Today
•
It's National Infant Immunization Week; CDC names Childhood Immunization Champion Award winners
•
CDC states current flu season is the longest in a decade; influenza activity decreased again this week but remains elevated
•
IAC Spotlight! Visit IAC's updated "Vaccines" web section for information about vaccines and the diseases they prevent
•
Vaccine Education Center at Children's Hospital of Philadelphia creates new web section on the human immune system
•
WHO issues report on vaccine safety communication
•
ShotByShot.org adds "Dash's Story" to its collection of stories about people with vaccine-preventable diseases
IAC Handouts
•
IAC updates its popular "Summary of Recommendations for Child/Teen Immunization" and "Summary of Recommendations for Adult Immunization"
World News
•
UNICEF launches #VaccinesWork campaign to inspire support for vaccines and highlight social norms
•
WHO issues press release about landmark malaria vaccine campaign to be launched in Malawi
•
UNICEF publishes article about the power of vaccines and unified efforts of doctors and parents to address the measles outbreak in Ukraine
Featured Resources
•
Still available! IAC's sturdy laminated versions of the 2019 U.S. child/adolescent immunization schedule and the 2019 U.S. adult immunization schedule—order them for your exam rooms today! Bulk purchase prices available.
•
Families Fighting Flu launches expanded website to inform different audiences about flu and flu vaccines
•
IAC's 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
Journal Articles and Newsletters
•
Vaccine Education Center at Children's Hospital of Philadelphia publishes April issue of its newsletter Vaccine Update for Healthcare Professionals
•
Dr. Anthony Fauci and colleagues issue perspective article titled "Measles in 2019—Going Backward" in the New England Journal of Medicine
Education and Training
•
CDC offers archived webinar titled "#HowIRecommend Flu Vaccine: How to Make Recommendations that Matter to Patients"
•
Register now: Dr. L.J Tan, IAC's chief strategy officer, will present a webinar on the standards of adult immunization practice on May 7
•
CDC offers May 29 webinar on how pharmacists can promote HPV vaccination

Issue 1422: April 24, 2019

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Top Stories
•
Total number of U.S. measles cases for 2019 climbs to 626 with 71 new cases reported since last week
•
Dr. Paul Offit discusses measles and MMR vaccination in CNN interview
•
Reminder! National Infant Immunization Week is April 27–May 4; many resources available to help you plan activities
•
CDC publishes report on the number of cases of high-grade cervical lesions diagnosed among women; reduction in cases demonstrates impact of the HPV vaccination program
•
Influenza activity decreased again this week but remains elevated; CDC reports an estimate of up to 57,300 influenza-related deaths so far this season
•
IAC Spotlight! The "Favorites" tab at the top of every page on immunize.org brings you to 18 of the most popular web sections on IAC's website
•
IAC enrolls 6 new birthing institutions into its Hepatitis B Birth Dose Honor Roll; 11 previously honored institutions qualify for additional years' honors
•
Available now! IAC's sturdy laminated versions of the 2019 U.S. child/adolescent immunization schedule and the 2019 U.S. adult immunization schedule—order them for your exam rooms today! Bulk purchase prices available.
World News
•
WHO reports that measles cases increased 300% in the first three months of 2019 compared to the first three months of 2018
•
World Immunization Week is the last week of April; read about heroic efforts around the world to protect people from vaccine-preventable diseases
Featured Resources
•
Vaccine Education Center updates its "Vaccines and Autism: What You Should Know" Q&A sheet
•
IAC's 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
Education and Training
•
"There's an App for That: Increasing HPV Vaccination Rates" webinar scheduled for May 21

Issue 1421: April 17, 2019

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Top Stories
•
Total U.S. measles cases for 2019 climb to 555 this week with 90 new cases reported since last week; CDC issues important measles outbreak information to its partners
•
New York City's health commissioner declares measles emergency, requiring vaccinations in parts of Brooklyn
•
IAC Spotlight! IAC's "Talking About Vaccines: Religious Concerns" web page contains a wide variety of resources to help you answer questions from parents and patients who have religious concerns about immunization
•
Vaxopedia website releases new post titled "Which Measles Records Will We Break This Year?"
•
Reminder! National Infant Immunization Week is April 27–May 4; many resources available to help you plan activities
•
Influenza activity decreased this week but remains elevated; CDC reports an estimate of up to 50,900 influenza-related deaths so far this season
•
Five healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination
•
May is Hepatitis Awareness Month; promote hepatitis awareness by using #HepAware19
•
Join the Meningitis B Action Project in a Day of Action against Meningitis B on April 24
•
Voices for Vaccines releases new podcast episode titled "Ethan Lindenberger, the Internet, and Teen Advocacy"
•
Polio worker killed in Mohmand, Pakistan; reports of other workers killed
•
Available now! IAC's sturdy laminated versions of the 2019 U.S. child/adolescent immunization schedule and the 2019 U.S. adult immunization schedule—order them for your exam rooms today! Bulk purchase prices available.
IAC Handouts
•
IAC updates "Haemophilus influenzae type b (Hib): Questions and Answers" handout
•
IAC updates its patient handout, "Vaccines Work!"
Official Releases and Announcements
•
NIH issues news release announcing the first-in-human trial of a universal influenza vaccine candidate
World News
•
Sudan launches large-scale vaccination campaign to immunize over 11 million children against measles and polio
Featured Resources
•
IAC's 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
Journal Articles and Newsletters
•
CDC publishes "Notes from the Field: Acute Hepatitis A Virus Infection Among Previously Vaccinated Persons with HIV Infection: Implications for Postexposure Prophylaxis—Tennessee, 2018" in this week's MMWR
•
CDC publishes "Notes from the Field: Hepatitis A Outbreak Associated with Drug Use and Homelessness—West Virginia, 2018" in this week's MMWR
Education and Training
•
NACCHO and partner organizations offer May 1 webinar on perinatal hepatitis B prevention
Conferences and Meetings
•
Registration open for June 26–27, 2019 ACIP meeting
•
2019 National Conference for Immunization Coalitions and Partnerships scheduled for November 13–15 in Honolulu; presentation and poster abstract deadline is May 20

Issue 1420: April 10, 2019

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Top Stories
•
Total U.S. measles cases for 2019 climb to 555 this week with 90 new cases reported since last week; CDC issues important measles outbreak information to its partners
•
New York City's health commissioner declares measles emergency, requiring vaccinations in parts of Brooklyn
•
IAC Spotlight! IAC's "Talking About Vaccines: Religious Concerns" web page contains a wide variety of resources to help you answer questions from parents and patients who have religious concerns about immunization
•
Vaxopedia website releases new post titled "Which Measles Records Will We Break This Year?"
•
Reminder! National Infant Immunization Week is April 27–May 4; many resources available to help you plan activities
•
Influenza activity decreased this week but remains elevated; CDC reports an estimate of up to 50,900 influenza-related deaths so far this season
•
Five healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination
•
May is Hepatitis Awareness Month; promote hepatitis awareness by using #HepAware19
•
Join the Meningitis B Action Project in a Day of Action against Meningitis B on April 24
•
Voices for Vaccines releases new podcast episode titled "Ethan Lindenberger, the Internet, and Teen Advocacy"
•
Polio worker killed in Mohmand, Pakistan; reports of other workers killed
•
Available now! IAC's sturdy laminated versions of the 2019 U.S. child/adolescent immunization schedule and the 2019 U.S. adult immunization schedule—order them for your exam rooms today! Bulk purchase prices available.
IAC Handouts
•
IAC updates "Haemophilus influenzae type b (Hib): Questions and Answers" handout
•
IAC updates its patient handout, "Vaccines Work!"
Official Releases and Announcements
•
NIH issues news release announcing the first-in-human trial of a universal influenza vaccine candidate
World News
•
Sudan launches large-scale vaccination campaign to immunize over 11 million children against measles and polio
Featured Resources
•
IAC's 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
Journal Articles and Newsletters
•
CDC publishes "Notes from the Field: Acute Hepatitis A Virus Infection Among Previously Vaccinated Persons with HIV Infection: Implications for Postexposure Prophylaxis—Tennessee, 2018" in this week's MMWR
•
CDC publishes "Notes from the Field: Hepatitis A Outbreak Associated with Drug Use and Homelessness—West Virginia, 2018" in this week's MMWR
Education and Training
•
NACCHO and partner organizations offer May 1 webinar on perinatal hepatitis B prevention
Conferences and Meetings
•
Registration open for June 26–27, 2019 ACIP meeting
•
2019 National Conference for Immunization Coalitions and Partnerships scheduled for November 13–15 in Honolulu; presentation and poster abstract deadline is May 20

Issue 1419: April 3, 2019

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Top Stories
•
Available now! IAC's sturdy laminated versions of the 2019 U.S. child/adolescent immunization schedule and the 2019 U.S. adult immunization schedule—order them for your exam rooms today! Bulk purchase prices available.
•
CDC issues Health Alert Network (HAN) advisory due to the widespread continuation of influenza along with an increase in influenza A(H3N2) activity
•
Influenza remains widespread; CDC reports an estimate of up to 46,800 influenza-related deaths so far this season
•
National Infant Immunization Week, celebrating its 25th anniversary, to be held April 27–May 4; newly launched 2019 digital media toolkit available now
•
73 more cases of measles reported by CDC this week, bringing the reported total of U.S. measles cases this year to 387, which surpasses the 12-month total for 2018
•
New York's Rockland County declares state of emergency for measles and bars unvaccinated children and teens from public places
•
Philadelphia Department of Public Health issues health alert following mumps outbreak of 106 cases at Temple University; Temple holds large-scale campaign to vaccinate students
•
IAC Spotlight! Visit IAC's newly updated Vaccine Information Statement (VIS) web section for VISs in up to 50 languages, as well as information about their use
IAC Handouts
•
IAC posts revised "Screening Checklist for Contraindications to Vaccines for Children and Teens" and "Screening Checklist for Contraindications to Vaccines for Adults"
•
IAC updates "Guide to Contraindications and Precautions to Commonly Used Vaccines" and "Guide to Contraindications and Precautions to Commonly Used Vaccines in Adults"
Vaccine Information Statements
•
IAC updates Thai translation of the DTaP VIS
•
IAC posts new Punjabi translation of the PPSV VIS
World News
•
WHO publishes "Addendum to the 'Recommended Composition of Influenza Virus Vaccines for Use in the 2019–2020 Northern Hemisphere Influenza Season'" in this week's Weekly Epidemiological Record
Featured Resources
•
Vaxopedia website releases new post titled "Who's Who in the Anti-Vaccine Movement—2019 Edition"
•
GW Public Health Online posts resources with visuals on the history of measles in the U.S. and on the development of vaccines
•
IAC's 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
Journal Articles and Newsletters
•
March issue of CDC's Immunization Works newsletter now available
•
Vaccine Education Center at Children's Hospital of Philadelphia publishes March issue of its newsletter Vaccine Update for Healthcare Professionals
•
CDC publishes "Imported Toxin-Producing Cutaneous Diphtheria—Minnesota, Washington, and New Mexico, 2015–2018" in this week's MMWR
•
The journal Vaccine publishes "It's Not All about Autism: The Emerging Landscape of Anti-Vaccination Sentiment on Facebook"

Issue 1418: March 27, 2019

Read full issue
Top Stories
•
Available now! IAC's sturdy laminated versions of the 2019 U.S. child/adolescent immunization schedule and the 2019 U.S. adult immunization schedule—order them for your exam rooms today! Bulk purchase prices available.
•
CDC issues a Health Alert Network (HAN) advisory due to widespread outbreaks of hepatitis A among people who use drugs and people experiencing homelessness
•
Elimination of non-medical vaccine exemptions ranked the top priority at AAP's Annual Leadership Forum
•
CDC director and other officials write New York Times opinion piece titled "This Is the Truth About Vaccines"
•
New York Times Opinion releases a short video titled "Fool House Rock: How Measles Is Making a Comeback"
•
AMA writes Facebook, Pinterest, Amazon, Google, YouTube, and Twitter executives about their management of misleading anti-vaccine content
•
Influenza remains widespread; CDC reports 8 additional pediatric deaths from influenza in the U.S.
•
AAP News reports AAP will have no flu vaccine preference in 2019–20 season
•
Ask the Experts Q&A web page titled Storage and Handling recently updated
•
IAC Spotlight! Three healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination
•
IAC enrolls 5 new birthing institutions into its Hepatitis B Birth Dose Honor Roll; 13 honored institutions qualify for additional years' honors
Official Releases and Announcements
•
WHO publishes final recommendations for the composition of influenza virus vaccines for the 2019–20 northern hemisphere influenza season
World News
•
Italy reinstates law for mandatory vaccination for schoolchildren; parents who don't vaccinate are subject to fines and many children not allowed to attend school
Featured Resources
•
CDC launches third video in its new animated video series for parents, "How Vaccines Work"
•
ACOG offers new toolkit: Optimizing Immunization Programs in Obstetric-Gynecologic Practices
•
Jimmy Kimmel Live segment from 2015 on the anti-vaccine movement still packs a punch
•
IAC's 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
Journal Articles and Newsletters
•
Jezebel investigates questionable financial practices of autism "charity" Generation Rescue
•
Policies for Action publishes article on the recent measles outbreaks and state exemption rates and policies
Education and Training
•
Reminder: Vaccine Education Center's Current Issues in Vaccines webinar scheduled for April 3
•
"Preventing HPV Cancers through Health Systems: A Tale from Three Systems" webinar scheduled for April 10
•
NFID offers April 25 webinar on improving healthcare personnel immunization rates
•
Webinar about affordable ways to improve HPV vaccination quality set for April 30

Issue 1417: March 21, 2019

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CHECK OUT THESE ITEMS FROM SHOP IAC
•
New! IAC's sturdy laminated versions of the 2019 U.S. child/adolescent immunization schedule and the 2019 U.S. adult immunization schedule—order them for your exam rooms today! Bulk purchase prices available.
•
Now's a great time to place an order for IAC's personal patient record cards and the Immunization Techniques DVD. For greater discounts, make bulk purchases!

Issue 1416: March 20, 2019

Read full issue
Top Stories
•
Available now! IAC's sturdy laminated versions of the 2019 U.S. child/adolescent immunization schedule and the 2019 U.S. adult immunization schedule—order them for your exam rooms today!
•
CDC's latest update on 2019 U.S. measles cases shows preliminary estimate of 228 cases across 12 states as of March 7
•
Influenza remains widespread; CDC reports an estimate of up to 35,500 influenza-related deaths so far this season
•
Voices for Vaccines releases new podcast episode on updates from the February ACIP meeting and March 5 U.S. Senate HELP committee hearing on vaccine-preventable outbreaks
IAC Handouts
•
IAC revises handout for parents titled "Questions Parents Ask about Vaccinations for Babies"
Vaccine Information Statements
•
IAC posts new Hindi translations of the Hib, polio, and rotavirus VISs
•
IAC updates Burmese translations of the DTaP and MenACWY VISs
•
IAC posts corrected Nepali translations of seven VISs
World News
•
WHO releases "Global Influenza Strategy for 2019–2030"
•
WHO publishes report on the International Coordinating Group on Vaccine Provision and its impact in 2018 in this week's Weekly Epidemiological Record
Featured Resources
•
Vaccine Education Center at Children's Hospital of Philadelphia "Vaccine Safety References" web section now easier to find
•
IAC's 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
Journal Articles and Newsletters
•
Journal of Pediatrics publishes assessment of state-specific HPV vaccination among male adolescents in relation to provider recommendation
•
March's Parents PACK newsletter from Vaccine Education Center includes tips for talking about vaccines when you disagree with a relative
•
CDC publishes "Resurgence of Vaccine-Preventable Diseases in Venezuela as a Regional Public Health Threat in the Americas" in the April issue of Emerging Infectious Diseases
Education and Training
•
CDC offers webinar titled "HPV Vaccine: What You Need to Know" on Thursday, March 21 as part of its Prevention Works webinar series
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APHA Men's Health Caucus to host webinar titled "Perceptions of HPV Prevention in Men and Boys" on March 28

Issue 1415: March 13, 2019

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Top Stories
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U.S. Senate Committee on Health, Education, Labor, and Pensions (HELP) holds hearing: "Vaccines Save Lives: What Is Driving Preventable Disease Outbreaks?"
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U.S. Representative Adam Schiff (California) receives official responses from Facebook and Google regarding his letter about anti-vaccine misinformation
•
AAP president urges tech companies to combat vaccine misinformation online
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Facebook taking steps to stop vaccine misinformation
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Dr. Paul Offit responds to measles outbreaks with opinion piece titled "Facebook, Twitter are blocking dangerous antivaccine posts. It's about time."
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A nationwide cohort study published in Annals of Internal Medicine finds MMR vaccine is not linked to autism; adds to body of evidence confirming MMR vaccine safety
•
IAC Spotlight! Find a comprehensive range of valuable measles information and ready-to-print materials for patients and staff on IAC's website
•
National Academies of Sciences, Engineering, and Medicine's presidents highlight facts on vaccine safety in light of measles outbreaks
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February's Technically Speaking column by IAC executive director Dr. Deborah Wexler is titled "Questions about Proper Vaccine Storage and Handling? CDC's Redesigned Toolkit Has Answers!"
•
CDC publishes "Notes from the Field: Tetanus in an Unvaccinated Child—Oregon, 2017" in this week's MMWR
•
Influenza remains widespread; CDC reports 8 additional pediatric deaths from influenza in the U.S.
IAC Handouts
•
IAC updates "Standing Orders for Administering Hepatitis A Vaccine to Adults"
•
IAC updates "Supplies You May Need at an Immunization Clinic"
World News
•
UNICEF warns that global surge of measles cases is a growing threat to children
•
CDC and WHO publish "Update on Vaccine-Derived Poliovirus Outbreaks—Democratic Republic of the Congo and Horn of Africa, 2017–2018" in this week's MMWR and Weekly Epidemiological Record, respectively
Featured Resources
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IAC's 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
Education and Training
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Colorado Children's Immunization Coalition to offer March 20 webinar on hepatitis B in immigrant populations

Issue 1414: March 6, 2019

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Top Stories
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CDC requests healthcare providers' help in containing measles outbreaks; 159 measles cases from 10 states reported
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CDC's Travelers' Health Update publishes information for clinicians and the public about measles prevention during international travel
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CDC publishes report on measles outbreak in era of stricter immunization requirements in California
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Influenza remains widespread; CDC reports 15 additional pediatric deaths from influenza in the U.S.
•
IAC provides a summary article about votes taken at February 26–27 ACIP meeting
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IAC Spotlight! IAC creates separate web page for its print materials related to vaccine contraindications and precautions
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Ask the Experts Q&A web page titled Vaccine Administration recently updated
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Pinterest, YouTube, and Amazon make changes to counter vaccine misinformation
Vaccine Information Statements
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New or updated Bengali, Haitian Creole, Italian, Polish, Urdu, and Yiddish translations of the DTaP and MenACWY VISs now available
•
IAC posts Simplified Chinese, Traditional Chinese, and Korean translations of the rotavirus VIS
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IAC posts Indonesian-language version of the hepatitis B VIS
World News
•
CDC and WHO report on progress toward hepatitis B control, including perinatal transmission, in the Western Pacific Region
Featured Resources
•
CDC updates its job aids that help providers properly catch up children who are behind schedule with PCV13, Hib, DTaP, and Tdap
•
Reminder: "65+ Flu Defense" website features information and resources for healthcare professionals serving adults age 65 and older
•
IAC's 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
Journal Articles and Newsletters
•
February issue of CDC's Immunization Works newsletter now available
•
Vaccine Education Center at Children's Hospital of Philadelphia publishes February issue of its newsletter Vaccine Update for Healthcare Professionals
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Clinical Infectious Diseases publishes article titled "Principal Controversies in Vaccine Safety in the United States"
Education and Training
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CDC to offer March 13 webinar about the changes in the 2019 child/teen and adult immunization schedules
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National Infant Immunization Week scheduled for April 27–May 4; CDC to offer related planning webinar on March 12
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Vaccine Education Center plans Current Issues in Vaccines webinar on April 3
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NACCHO and Hep B United to offer 3-part webinar series on local strategies to eliminate hepatitis B; first session scheduled for March 20

Issue 1413: February 27, 2019

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Top Stories
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Measles outbreak continues in five states; 64 cases confirmed in Washington State
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Influenza remains widespread across the nation; CDC reports 19,100 deaths so far this season so keep vaccinating your patients
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IAC Spotlight! IAC's "Clinic Tools: Vaccine Storage and Handling" web page provides resources from IAC and CDC to help ensure you're doing everything you can to safeguard your vaccine supply
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The 16 Vaccine campaign from the National Meningitis Association highlights the importance of the second dose of MenACWY at the 16-year-old checkup
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CDC issues clinical guidance for providers during the Recombivax HB vaccine shortage
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February is American Heart Month; patients with heart disease are at high risk of influenza complications
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Six healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination
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National Adult and Influenza Immunization Summit soliciting nominations for its 2019 Immunization Excellence Awards; deadline extended to March 1
IAC Handouts
•
IAC updates "After the Shots…What to Do if Your Child Has Discomfort"
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IAC updates its Spanish translation of "Keep Your Kids Safe—Get Them Vaccinated Every Fall or Winter!"
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IAC updates its Spanish translation of "Should You Be Vaccinated Against Hepatitis A?"
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IAC updates its Spanish translation of "Protect Yourself from Whooping Cough...Get Vaccinated!"
Official Releases and Announcements
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WHO publishes "Recommended Composition of Influenza Virus Vaccines for Use in the 2019–2020 Northern Hemisphere Influenza Season"
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WHO publishes position paper on pneumococcal conjugate vaccines in infants and children in this week's Weekly Epidemiological Record
Featured Resources
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National Academies of Sciences, Engineering, and Medicine creates new web page titled "Vaccines Are Safe"
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CDC launches second video in its new animated video series for parents, "How Vaccines Work"
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Vaxopedia website releases new post titled "A Legislative Guide to Advocating for Stronger Vaccine Laws"
•
Hepatitis B Foundation releases new #justB video titled "Heng's Story" to empower people affected by hepatitis B, raise awareness, and end stigma
•
IAC's 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
Journal Articles and Newsletters
•
Vaccine publishes study about Medicare fee-for-service beneficiaries and predictors of vaccine receipt
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Vaccine publishes study about provider time and costs to vaccinate adult patients
Education and Training
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NFID offers webinar on March 19 at noon on updates from the February ACIP meeting
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AAP hosts webinar titled "Spring 2019 HPV Vaccination Update: Supporting Your Office Efforts" scheduled for March 26
Conferences and Meetings
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Wyoming Immunization Conference to be held May 21–22 in Casper
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2019 Iowa Immunization Summit to be held June 19–20 in Altoona; "Pink Book" training scheduled for the first day

Issue 1412: February 20, 2019

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Top Stories
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ACIP publishes recommendations for the use of hepatitis A vaccine for people experiencing homelessness
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CDC provides update on influenza activity in the United States through February 2; influenza remains widespread so keep vaccinating your patients
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CDC publishes interim estimates of the 2018–19 influenza vaccine effectiveness
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The 25th anniversary of National Infant Immunization Week is in April
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IAC Spotlight! Invite your colleagues to sign up for IAC Express with the new easy-to-access link on the top of every web page
•
CDC publishes study about university-based outbreaks of meningococcal disease caused by serogroup B
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IAC enrolls 13 new birthing institutions into its Hepatitis B Birth Dose Honor Roll; 19 previously honored institutions qualify for additional years' honors
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Voices for Vaccines releases two podcasts: one about HPV vaccination and a second about a new conspiracy theory
Official Releases and Announcements
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HHS proposes new rules to improve the interoperability of health information
World News
•
Measles killed 72 children and adults in WHO's European Region in 2018
•
WHO reports on meetings of two influenza working groups in this week's Weekly Epidemiological Record
Featured Resources
•
Reminder: New "65+ Flu Defense" website features information and resources for healthcare professionals serving adults age 65 and older
•
IAC's 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
Journal Articles and Newsletters
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February's Parents PACK newsletter from the Vaccine Education Center includes article on the importance of understanding the latest scientific information in its historical context
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CDC publishes study of the 2017–18 influenza season severity in Minnesota and Utah
Conferences and Meetings
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Tune in to CDC's ACIP meeting February 27–28 (Wednesday and Thursday) via live webcast
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American Immunization Registry Association 2019 meeting to be held August 13–15 in Indianapolis

Issue 1411: February 13, 2019

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IAC Express Issue 1411
February 13, 2019
Top Stories
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MMWR publishes "ACIP Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger—U.S., 2019"
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MMWR publishes "ACIP Recommended Immunization Schedule for Adults Aged 19 Years or Older—U.S., 2019"
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CDC redesigns its "Immunization Schedules" web section to provide easier access to information and schedule-related resources
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Measles outbreak continues in Washington State; 53 cases confirmed
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U.S. Surgeon General featured in video on the importance of getting vaccinated to protect yourself and others against measles
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Dr. Paul Offit responds to measles outbreaks with Medscape commentary titled "Measles: Will It Take a Death to Get Kids Vaccinated?"
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Influenza remains widespread; CDC reports 4 additional pediatric deaths from influenza in the U.S.
•
IAC Spotlight! Six new "Handouts" categories developed, making IAC's ready-to-print educational materials even easier to locate
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Vaccinate Your Family releases special report on the state of our nation's "ImmUnion" and shares it with members of Congress
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January's Technically Speaking column by IAC executive director Dr. Deborah Wexler is titled "Want to Avoid Vaccination Errors? These Print Materials and Slide Sets Will Help You!"
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Nominations deadline for the National Adult and Influenza Immunization Summit Excellence Awards is February 15
IAC Handouts
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IAC updates its patient handout titled "Vaccines Work: CDC Statistics Demonstrate Dramatic Declines in Vaccine-Preventable Diseases"
Official Releases and Announcements
•
American Pharmacists Association issues revised guidelines for pharmacy-based immunization advocacy and administration
Featured Resources
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American College of Physicians presents videos providing an overview of the 2019 adult vaccine recommendations
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IAC's 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
Journal Articles and Newsletters
•
CDC and WHO report on vaccine-derived poliovirus in Papua, New Guinea, in this week's MMWR and Weekly Epidemiological Record, respectively
Education and Training
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CDC web page provides recent updates to "The Pink Book" chapters and appendices
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MMWR and Medscape offer free continuing education activity titled "Update: Recommendations of the ACIP for Use of Hepatitis A Vaccine for Postexposure Prophylaxis and for Preexposure Prophylaxis for International Travel"
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Immunize Nevada hosts webinar titled "Social Networking for Disease Prevention" scheduled for February 20; CEU available
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HepB United offers webinar on February 21 titled "Hepatitis B: Dispelling Myths and Misconceptions—Focus on Transmission and Prevention"
Conferences and Meetings
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Reminder: 2019 Annual Conference on Vaccinology Research, April 3–5 in Baltimore; agenda and schedule available

Issue 1410: February 6, 2019

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Top Stories
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2019 U.S. recommended immunization schedules for children and adolescents as well as for adults now available on CDC's website
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Influenza now widespread in 45 states; CDC reports 2 additional pediatric deaths from influenza in the U.S., bringing total to 24
•
State of Washington measles outbreak grows, with 49 cases confirmed; number of measles cases rises to 130 in Rockland County, New York
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CDC publishes report on postlicensure safety surveillance of recombinant zoster vaccine
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IAC Spotlight! IAC's "Clinic Tools: Screening for Vaccine Contraindications and Precautions" web page provides resources from IAC and CDC to help you assess if it is safe to vaccinate your patient at that day's visit
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AAP invites all immunizers to join its Community of Immunizers Listserv and to subscribe to the AAP Immunization Initiatives Newsletter
IAC Handouts
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IAC updates its popular handout for parents titled "After the Shots: What to Do If Your Child Has Discomfort"
Vaccine Information Statements
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IAC posts updated Japanese translation of the Meningococcal ACWY VIS
Featured Resources
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New AAP video promotes "HPV Vaccine: Same Way, Same Day," its role-play simulation app that helps providers introduce HPV vaccine and address parents' concerns
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IAC's 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
Journal Articles and Newsletters
•
January issue of CDC's Immunization Works newsletter now available
•
CDC publishes "Notes from the Field: Mumps Outbreak in a Recently Vaccinated Population—Kosrae, Federated States of Micronesia, August–December, 2017" in this week's MMWR
Education and Training
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Today! NFID offers webinar on February 6 at noon on strategies for increasing adult vaccination rates
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New email course for learning about immunization information systems available from Public Health Informatics Institute
Conferences and Meetings
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Draft agenda for February ACIP meeting now available

Issue 1409: February 4, 2019

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HPV Vaccine
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Q: Please describe the HPV vaccines available in the United States.
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Q: What are the recommendations for use of HPV vaccine?
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Q: If a 30-year-old female patient insists that she wants to receive HPV vaccine, can I give it to her?
Hepatitis A Vaccines
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Q: Who is recommended to receive hepatitis A vaccine?
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Q: For hepatitis A vaccination, the recommended interval between the 2-dose series is at least 6 months. Is this the same as 24 weeks?
•
Q: What are the recommendations for postexposure prophylaxis (PEP) for hepatitis A?
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Q: ACIP now recommends routine hepatitis A vaccination for people experiencing homelessness. Can you provide a definition of "experiencing homelessness"?
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Q: To complete a 21-year-old patient's hepatitis A vaccine series, how many adult doses should I give if the patient received a single dose of pediatric hepatitis A vaccine 5 years ago?
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Q: Which travelers are recommended to receive hepatitis A vaccine?
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Q: What are the hepatitis A vaccination recommendations for vaccination of travelers to protect them from HAV infection?
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Q: Can Twinrix (HepA-HepB; GSK) be used for people planning international travel?
•
Q: How should hepatitis A vaccine be stored?
Varicella Vaccine
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Q: Can varicella vaccine be used as postexposure prophylaxis for a 9-month-old who was exposed to herpes zoster?
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Q: A 10-year-old girl came to our immunization clinic, and the nurse noted crusted lesions on her arms and legs. The parent said the child had chickenpox a week earlier. The girl was not ill, so we administered the vaccines she needed. But now I wonder if her recent case of chickenpox might interfere with her immune response to vaccines.
•
Q: How should varicella vaccine be stored in my clinic?
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Q: I was told by a coworker that varicella vaccine can be stored at refrigerator temperature for up to three days and still be used. Is this true?
Varicella Zoster Immune Globulin
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Q: What is varicella zoster immune globulin (VZIG)?
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Q: In what circumstances should I consider giving VZIG?
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Q: Which groups of patients are eligible for VZIG?
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Q: What is the recommended dosage of VZIG?
Zoster Vaccines
•
Q: How are zoster vaccines administered?
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Q: A patient was inadvertently given RZV by the subcutaneous rather than the intramuscular route. Does the dose need to be repeated?
•
Q: When reconstituted, the volume of ZVL is 0.65 mL. Should 0.65 mL or 0.5 mL be administered to the patient?
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Q: When reconstituted, the volume of RZV is more than 0.5 mL. Should the entire volume of reconstituted vaccine be administered or just 0.5 mL as indicated in the package insert?
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Q: We inadvertently gave ZVL rather than RZV. Can the dose of ZVL be counted as the first dose of the RZV series?
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Q: While giving a dose of RZV (Shingrix), the syringe came loose from the needle and part of the dose was lost. Will the patient be protected with this partial dose or does it need to be repeated?
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Q: My medical assistant inadvertently administered a 0.5 mL dose of the RZV (Shingrix) diluent only. The dose did not contain any antigen. When can we administer a properly reconstituted dose?
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Q: Several doses (antigen and diluent) of RZV were mistakenly stored in our office freezer. One of these doses was administered to a patient. Is this dose valid and if not, when can it be repeated?

Issue 1408: January 30, 2019

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Top Stories
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State of Washington health officials and governor declare public health emergency due to measles outbreak in Vancouver, WA, and Portland, OR, area; 35 cases confirmed
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CDC releases updated version of its Vaccine Storage and Handling Toolkit
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FDA approves use of the 0.5 mL dose of Sanofi's Fluzone Quadrivalent influenza vaccine to include children age 6 through 35 months
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IAC Spotlight! IAC's ACIP web section on immunize.org provides links to ACIP recommendations from 1991 to the present as well as other valuable information
•
IAC enrolls 3 new birthing institutions into its Hepatitis B Birth Dose Honor Roll; 22 previously honored institutions qualify for additional years' honors
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Reminder: Nominations for CDC's Childhood Immunization Champion Awards due by February 8
•
Reminder: Watch this unique series of six online training sessions to help you implement standing orders protocols for adult immunization in your healthcare setting
Official Releases and Announcements
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WHO publishes list of "Ten Threats to Global Health in 2019": vaccine hesitancy makes the list
World News
•
WHO publishes report from the December meeting of the Global Advisory Committee on Vaccine Safety in this week's Weekly Epidemiological Record
Featured Resources
•
Influenza remains widespread; CDC reports 3 additional pediatric deaths from influenza in the U.S.
•
AAP posts information to guide providers in prebooking pediatric influenza vaccine for the 2019–20 flu season
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IAC's 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
Journal Articles and Newsletters
•
Vaccine Education Center at Children's Hospital of Philadelphia publishes January issue of its newsletter Vaccine Update for Healthcare Professionals
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New York Times publishes opinion piece titled "How to Inoculate Against Anti-Vaxxers"
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Vaccine publishes study about parents' lack of awareness of meningococcal B vaccines and impact on vaccine use
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Pediatrics publishes study of HPV vaccine effectiveness and herd protection in young women
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MMWR publishes graph of the percentage of adults who had an influenza vaccination in the past 12 months, by gender and asthma status
Education and Training
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CDC to offer February 7 webinar on cholera vaccines and travelers
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CDC to offer webinar titled "Perspectives on Oropharyngeal Cancer" on February 13; discussion includes importance of HPV vaccination to prevent this cancer

Issue 1407: January 23, 2019

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Top Stories
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FDA has approved expanded use of Sanofi's Adacel Tdap vaccine for repeat dose
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CDC reports 3 additional pediatric deaths from influenza in the U.S., bringing total to 19; keep vaccinating your patients
•
IAC Spotlight! Discover how to find what's new and updated on immunize.org
•
Eleven healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination
•
CDC requests nominations for its Childhood Immunization Champion Awards; submissions due by February 8
•
National Adult and Influenza Immunization Summit soliciting nominations for its 2019 Immunization Excellence Awards
IAC Handouts
•
IAC updates "Which Vaccines Do I Need Today?," a checklist for adult patients to help with assessing their immunization needs
•
IAC revises its easy-to-read Q&A handout for adult patients titled "Protect Yourself from Whooping Cough ... Get Vaccinated!"
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IAC updates parent piece, "Hepatitis B Shots Are Recommended for All New Babies"
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IAC reformats "Rotavirus: Questions and Answers"
World News
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CDC reports on typhoid fever outbreak in Zimbabwe
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Drones start delivering vaccines to remote areas in the world
Featured Resources
•
CDC launches first video in its new animated video series for parents, "How Vaccines Work"
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NFID shares 30-second video, "Don't Be a Dreaded Spreader," that encourages influenza vaccination
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Washington State Department of Health releases second edition of its educational manual for health promoters and community health workers, The Importance of Adult Immunizations; available in English and Spanish
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IAC's 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
Education and Training
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CDC to sponsor January 29 webinar for clinicians about the 2018–19 influenza season and recommendations

Issue 1406: January 16, 2019

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Top Stories
•
CDC releases preliminary estimates of the cumulative numbers of flu illnesses, medical visits, and hospitalizations so far this season in the U.S.—between 6 to 7 million people have been sick with flu
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January is Cervical Cancer Awareness Month; many resources are available for you and your patients
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ZDoggMD explains the urgency of hepatitis B vaccination for newborns in online presentation titled "Why Vaccinate So Early?"; CME/CEU available
•
American College of Obstetricians and Gynecologists posts "Strategies for Integrating Immunizations into Routine Obstetric-Gynecologic Care" tip sheet and final report from its adult immunization project
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O, The Oprah Magazine publishes article titled "5 Myths about the Flu Shot, Debunked"
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IAC Spotlight! On the "View All Materials" pages on IAC's website you can find links to more than 300 IAC patient handouts, staff education materials, and slide sets available on immunize.org
•
December's Technically Speaking column by IAC executive director Dr. Deborah Wexler is titled "Looking Back Over 2018 Can Help Ensure Optimal Vaccination Practices in 2019"
IAC Handouts
•
IAC revises "Hepatitis A and Hepatitis B Vaccines: Be Sure Your Patients Get the Correct Dose"
•
IAC updates its standing orders templates for administering hepatitis A vaccine to children/teens as well as to adults
•
IAC updates its 4-page handout for patients and healthcare professionals titled "Hepatitis A: Questions and Answers"
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IAC revises its hepatitis A questionnaire for adults: "Should You Be Vaccinated Against Hepatitis A?"
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IAC updates its handout for patients: "Hepatitis A Is a Serious Liver Disease…Vaccination Can Protect You"
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IAC revises "Standing Orders for Administering Pneumococcal Conjugate Vaccine to Children"
World News
•
The Journal of Infectious Diseases releases "Eradicating Measles—A Call for an Exceptional Coordinated Global Effort"
Featured Resources
•
January's Parent's PACK newsletter from the Vaccine Education Center includes video about viral infections and why shingles and HPV can remain in host long-term
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The VaccinesWork.org community blogging platform from Gavi, the Vaccine Alliance, posts interactive map of vaccine-preventable disease outbreaks
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IAC's 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
Journal Articles and Newsletters
•
Nature publishes analysis of the research and development of new vaccines and the outlook for the future
•
CDC publishes report on establishing a baseline for 2015–2016 cervical cancer screening coverage in India in this week's MMWR
Education and Training
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Us vs. HPV, a free webinar series on HPV prevention, is scheduled for January 22–28
Conferences and Meetings
•
Reminder: Registration open for February 27–28 ACIP meeting

Issue 1405: January 9, 2019

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Top Stories
•
CDC reports that influenza is increasing across the U.S. and 13 children have died this season; please keep vaccinating your patients
•
IAC Spotlight! Find a comprehensive range of valuable influenza educational materials you need on IAC's "Influenza Handouts" web page
•
Pediatrics publishes study by CDC authors finding that college students are more likely than their nonstudent peers to contract meningococcal disease
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CDC launches new pneumococcal vaccination mobile app for vaccine providers
Featured Resources
•
Vaxopedia website provides immunization information to help educate parents about vaccines
•
Reminder: New "65+ Flu Defense" website features information and resources for healthcare professionals serving adults age 65 and older
•
Hepatitis B Foundation releases six new #justB stories to empower people affected by hepatitis B, raise awareness, and end stigma
•
IAC's 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
Journal Articles and Newsletters
•
Obstetrics & Gynecology journal publishes "Obstetrician-Gynecologists' Strategies to Address Vaccine Refusal among Pregnant Women"
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CDC publishes report on death of Virginia resident from rabies contracted in India
Education and Training
•
New Medscape CME/CE program titled "Preventing Meningococcal B Disease: Challenges and Opportunities" now online

Issue 1404: January 2, 2019

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Top Stories
•
CDC reports that flu activity is elevated and 11 children have died of influenza; please keep vaccinating your patients
•
FDA licenses pediatric hexavalent vaccine developed by Sanofi and Merck; not available in the U.S. until 2020 or later
•
IAC Spotlight! Package Inserts & FDA Product Approvals web page on immunize.org is a popular destination for website visitors
•
CDC announces 2018 HPV Vaccine Is Cancer Prevention Champion award winners
IAC Handouts
•
IAC revises "Using Standing Orders for Administering Vaccines: What You Should Know"
Official Releases and Announcements
•
U.S. Department of Health and Human Services soliciting comments regarding the Healthy People 2030 objectives through January 17
World News
•
WHO publishes a review of the 2018 influenza season in the southern hemisphere
Featured Resources
•
Vaccine Education Center at Children's Hospital of Philadelphia updates two of its resources
•
IAC's 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
Journal Articles and Newsletters
•
Vaccine Education Center at Children's Hospital of Philadelphia publishes December issue of its newsletter Vaccine Update for Healthcare Professionals
•
December issue of CDC's Immunization Works newsletter now available
•
CDC reports on rabies in a dog imported from Egypt in MMWR
Education and Training
•
CDC's Public Health Grand Rounds to present "Preventing Cervical Cancer in the 21st Century" on January 15
•
New CDC Medscape commentary available about rotavirus outbreaks in the post-vaccine era
•
Reminder: CDC's 15-part webinar series about "The Pink Book" available online; continuing education credit is available

Issue 1403: December 27, 2018

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Special Edition: Year-End Reminder: Please Donate to IAC!

Issue 1402: December 19, 2018

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IAC Express Issue 1402
December 19, 2018
Top Stories
•
Happy holidays from all of us at IAC! We'll be back on January 2.
•
IAC updates its popular Ask the Experts section on hepatitis A
•
CDC publishes "Influenza Activity—United States, September 30–December 1, 2018" in this week’s MMWR
•
CDC publishes "Quick Stats" report in this week’s MMWR based on 2017 National Health Interview Survey of percentage of U.S. adults 18 and over who received flu vaccination by diagnosed diabetes status and age group
•
IAC Spotlight! Looking for easy-to-read Q&A handouts on diseases and vaccines? IAC has a collection of 20 of them in both English and Spanish
•
Voices for Vaccines releases new Vax Talk podcast featuring IAC’s own Dr. L.J Tan on "What You Need to Know About Flu"
Featured Resources
•
Reminder: New 65+ Flu Defense website features information and resources for healthcare professionals serving adults age 65 and older
•
Influenza is spreading and serious; please keep vaccinating your patients
•
NACCHO releases new podcast featuring Dr. Melinda Wharton on the history of National Influenza Vaccination Week and how important vaccinations are at all stages of life
•
IAC's 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
Journal Articles and Newsletters
•
Nationwide Danish study finds the flu shot is tied to heart failure survival
Conferences and Meetings
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NFID inviting abstracts by January 10 for presentations at 2019 Annual Conference on Vaccinology Research, April 3–5 in Baltimore

Issue 1400: December 12, 2018

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Top Stories
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Inaugural IAC Becky Payne Award presented to Vaccinate Your Family
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CDC director releases statement on the life of Betty Bumpers
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Three lots of infant ibuprofen recalled due to potentially high concentrations of the drug
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Rescheduled to take place today! CDC webinar about how to make an influenza vaccination recommendation that matters to patients to be held this afternoon, December 12
•
IAC Spotlight! IAC's Clinic Tools: Administering Vaccines web page is the "go-to" place for accessing a wide variety of useful resources
•
American College of Physicians develops Adult Immunization Resource Hub as part of an initiative to raise adult immunization rates
•
November's Technically Speaking column by IAC executive director Dr. Deborah Wexler describes CDC's collection of four-minute videos and web-based training programs related to vaccine administration
•
IAC enrolls one new birthing institution into its Hepatitis B Birth Dose Honor Roll; six previously honored institutions qualify for additional years' honors
World News
•
WHO reports on the October meeting of the Strategic Advisory Group of Experts on Immunization in Weekly Epidemiological Record
Featured Resources
•
NFID releases new online toolkit developed to increase awareness about the dangers of influenza in adults with chronic health conditions
•
Influenza is spreading and serious; please keep vaccinating your patients
•
Reminder: Check out CDC's "Keys to Storing and Handling Your Vaccine Supply" video
•
IAC's 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
Journal Articles and Newsletters
•
CDC publishes report on an avian influenza H7N8 outbreak in an Indiana turkey flock

Issue 1398: December 5, 2018

Read full issue
IAC Express Issue 1398
December 5, 2018
Top Stories
•
It's National Influenza Vaccination Week; make sure all your patients are protected against flu!
•
IAC Spotlight! Explore IAC’s "Ask the Experts" web section for answers to more than 1,000 Q&As about vaccines and their administration
•
New Jersey and New York experiencing ongoing outbreaks of measles
•
CDC and WHO report on worldwide progress toward regional measles elimination in this week’s MMWR and Weekly Epidemiological Record, respectively; continuing education credit available for reading MMWR article
•
CDC publishes "Quick Stats" report in this week’s MMWR based on 2017 National Health Interview Survey of percentage of U.S. adults 18 and over who received flu vaccination
•
Nine healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination
•
U.S. Preventive Services Task Force issues draft recommendations for hepatitis B virus screening in non-pregnant adolescents and adults; public comment requested
Vaccine Information Statements
•
IAC posts seven revised translations of the MenACWY VIS
•
IAC posts seven new and updated translations of the DTaP VIS
•
IAC posts five updated and new translations of the Hepatitis B VIS
Featured Resources
•
Reminder: New 65+ Flu Defense website features information and resources for healthcare professionals serving adults age 65 and older
•
IAC's 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
Journal Articles and Newsletters
•
Pediatrics study examines impact on medical exemptions of California’s 2015 policy eliminating personal belief exemptions for vaccination
•
American Journal of Public Health publishes "Trends and Characteristics of Proposed and Enacted State Legislation on Childhood Vaccination Exemption, 2011–2017"
•
November issue of CDC's Immunization Works newsletter now available
Conferences and Meetings
•
2019 California Immunization Coalition Summit scheduled for April 8–9 in Riverside; submissions for abstracts due by December 14

Issue 1396: November 28, 2018

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Top Stories
•
The entire immunization community mourns our loss of Betty Bumpers, immunization champion and co-founder of Every Child By Two
•
Influenza is spreading and serious; use National Influenza Vaccination Week to remind your patients they need to be protected
•
IAC Spotlight! September 26 webinar by Dr. Sharon G. Humiston presenting "Adolescent Immunization Update and the 16-Year-Old Platform" now archived on IAC website; slide set and presenter's notes also available for your use
•
Worst chickenpox outbreak in two decades in North Carolina may be linked to vaccine exemptions
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Children's Hospital of Philadelphia publishes November issue of its e-newsletter Vaccine Update for Healthcare Professionals
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CDC establishes Acute Flaccid Myelitis Task Force as confirmed cases rise
IAC Handouts
•
IAC updates its standing orders template for administering inactivated poliovirus vaccine to children and teens
World News
•
The Global Polio Eradication Initiative issues an update on the frontlines of Pakistan’s battle against polio; door-to-door immunization campaigns being used to ensure no child is left behind
•
WHO releases world malaria report showing that after an unprecedented period of success in global malaria control, progress has stalled
Featured Resources
•
Mott Poll Report explores whether parents have selective hearing about flu vaccine
•
IAC's 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

Issue 1395: November 21, 2018

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Top Stories
•
National Influenza Vaccination Week will be observed December 2–8; use this week to remind your patients they need to be protected from flu
•
CDC publishes report on increase in acute flaccid myelitis in the U.S.
•
Fourteen cases of measles confirmed in Ocean County, New Jersey
•
CDC publishes updated framework for the development of ACIP recommendations
•
IAC Spotlight! AIM and IAC partner on new handout, "Communicating the Benefits of Seasonal Influenza Vaccine"
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Every Child By Two announces new name to reflect its expanded mission
•
Vaccinate Your Family blog post discusses disruption at recent ACIP meeting by vaccine critics
•
Institute for Safe Medication Practices publishes information about possible mix-up of rabies immune globulin dosage due to similar packaging of 1 mL and 5 mL vials
•
IAC enrolls one new birthing institution into its Hepatitis B Birth Dose Honor Roll; five previously honored institutions qualify for additional years' honors
Vaccine Information Statements
•
IAC posts 18 translations of the updated Hepatitis B VIS
Official Releases and Announcements
•
NACCHO releases 2018 Forces of Change report
•
American Dermatological Association co-sponsors American Cancer Society's HPV vaccination policy
World News
•
CDC and WHO report on global routine vaccination coverage in this week's MMWR and Weekly Epidemiological Record, respectively; continuing education credit available for reading MMWR article
•
UNICEF delivers humanitarian aid, including vaccines, to 50,000 people in refugee camp in Syria
•
WHO reports on progress toward polio eradication in Pakistan
Featured Resources
•
Reminder: New 65+ Flu Defense website features information and resources for healthcare professionals serving adults age 65 and older
•
AAP's "A Guide to Adolescent Immunizations: Flip Chart for Pediatric Offices and Parents" now available in Simplified Chinese and Spanish, as well as English
•
New book, The Clinician’s Vaccine Safety Resource Guide, available for purchase
•
IAC's 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
Journal Articles and Newsletters
•
October issue of CDC's Immunization Works newsletter now available
Education and Training
•
CDC to offer December 5 webinar about how to make an influenza vaccination recommendation that matters to patients
•
CDC to sponsor November 29 webinar for clinicians about the current hepatitis A outbreaks in multiple states
•
Meningitis B Action Project to sponsor November 26 webinar for colleges and universities
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NFID to offer December 13 webinar about travel vaccination
Conferences and Meetings
•
Registration open for February ACIP meeting

Issue 1394: November 14, 2018

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IAC Express Issue 1394
November 14, 2018
Top Stories
•
IAC Spotlight! Four states, CT, NJ, OH, and RI—plus NYC, require annual vaccination in child care facilities against influenza. Visit IAC's "State Laws and Mandates" web section to find more information on state vaccination requirements
•
October's Technically Speaking column by IAC executive director Dr. Deborah Wexler is titled "Let's Get It Right! How to Avoid Shoulder Injury with Deltoid Intramuscular Injections"
•
New! CDC video for parents explains a vaccine's journey from development through post-licensure monitoring
•
CDC publishes special issue on U.S. health disparities titled "Disparities in Prevention and Treatment of HIV, Viral Hepatitis, Sexually Transmitted Diseases, and Tuberculosis"
•
Reminder: Watch this unique series of six online training sessions to help you implement standing orders protocols for adult immunization in your healthcare setting
•
Voices for Vaccines releases new podcast episode titled "Vaccines Did Not Cause Rachel's Autism"
IAC Handouts
•
IAC updates four of its in-depth "Q&A: Diseases and Vaccines" handouts for the public—for measles, mumps, rubella, and rabies
Official Releases and Announcements
•
WHO releases "2018 Assessment Report of the Global Vaccine Action Plan"
World News
•
CDC reports on progress on polio eradication in Pakistan in this week's MMWR
•
WHO reports on progress towards global malaria elimination in this week's Weekly Epidemiological Record
Featured Resources
•
New! NFID adult hepatitis B awareness toolkit includes free CME trainings, infographics, and social media posts
•
Influenza is spreading and serious; please keep vaccinating your patients
•
IAC's 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
Education and Training
•
Gerontological Society of America and mdBriefCase offer webinar on targeting older populations to improve influenza outcomes; free CME available

Issue 1393: November 7, 2018

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Top Stories
•
CDC publishes ACIP recommendations on use of hepatitis A vaccine for pre- and post-exposure prophylaxis for international travel in MMWR
•
American Dental Association adopts policy to support the use and administration of HPV vaccine for the prevention of oral HPV infection
•
CDC reports on hepatitis A outbreaks in four states related to drug use and homelessness
•
IAC Spotlight! IAC's Vaccinating Adults: A Step-by-Step Guide is available free of charge to help you enhance your adult vaccination services
•
Six healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination
•
Just for fun! Two-minute video parody of the Broadway musical Hamilton song titled “My Shot” to share with patients, colleagues, and friends
IAC Handouts
•
IAC updates its standing orders templates for administering pneumococcal conjugate vaccine to children and inactivated polio vaccine to children and teens
Official Releases and Announcements
•
CDC releases national progress report on hepatitis elimination
•
Federal panel reports that HPV vaccination rates are too low to achieve full cancer prevention potential
Featured Resources
•
Reminder: New 65+ Flu Defense website features information and resources for healthcare professionals serving adults age 65 and older
•
Influenza season has begun; many resources available to help you vaccinate your patients
•
Check out CDC's #HowIRecommend Twitter page for short videos about how to effectively recommend influenza and HPV vaccines
•
ZDoggMD interviews Dr. Paul Offit about the dangers of celebrity health advice
Education and Training
•
CDC's Current Issues in Immunization NetConference to address hepatitis A guidelines for homelessness, post-exposure prophylaxis, and international travel scheduled for November 28
•
CDC to offer November 13 webinar about what healthcare professionals need to know about acute flaccid myelitis
•
New! Free continuing education from MMWR and Medscape: "Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices—United States, 2018–19 Influenza Season"
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Reminder: Vaccine Education Center’s "Current Issues in Vaccines" webinar with Dr. Paul Offit to be held November 14

Issue 1392: October 31, 2018

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Top Stories
•
IAC provides a summary article about votes taken at October 24–25 ACIP meeting
•
Association of State and Territorial Health Officials issues press release expressing alarm that declining vaccination rates are putting Americans at risk for flu and other potentially deadly diseases
•
CDC publishes "Update: Influenza Activity—United States and Worldwide, May 20–October 13, 2018" in this week's MMWR
•
CDC reports on 40 cases of influenza A (H3N2) variant virus infection from swine exposure at agricultural fairs in 2017 in this week's MMWR
•
IAC Spotlight! The "Favorites" tab at the top of every page on immunize.org brings you to 18 of the most popular web sections on IAC's content-rich website
•
Children's Hospital of Philadelphia publishes October issue of its e-newsletter Vaccine Update for Healthcare Professionals
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FDA approves new drug to treat influenza for people age 12 and older
IAC Handouts
•
IAC updates its 1-page educational sheet for patients and staff: "Hepatitis A, B, C: Learn the Differences"
•
IAC revises three of its staff education materials: "Administering Vaccines: Dose, Route, Site, and Needle Size"; "Administering Vaccines to Adults: Dose, Route, Site, and Needle Size"; and "How to Administer Intranasal and Oral Vaccinations"
•
IAC revises "Recommendations for Pneumococcal Vaccines Use in Children and Teens"
•
IAC updates "Standing Orders for Administering Meningococcal ACWY Vaccine to Children and Teens"
•
IAC updates its 1-page guidance for healthcare professionals titled "DTaP, Tdap, and Td Catch-up Vaccination Recommendations by Prior Vaccine History and Age"
World News
•
CDC and WHO publish "Update on Vaccine-Derived Polioviruses—Worldwide, January 2017–June 2018" in this week's MMWR and Weekly Epidemiological Record, respectively
Featured Resources
•
Influenza season has begun; be sure all your patients are getting vaccinated!
•
The latest edition of The Vaccine Handbook (The Purple Book) App is now available from the Pediatric Infectious Diseases Society
•
Medscape video commentary discusses the ethical question: Do children have vaccination rights?
•
IAC's 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
Journal Articles and Newsletters
•
CDC report examines public health implications of rabid animals crossing state lines
•
CDC publishes "Measles Outbreak in a Highly Vaccinated Population—Israel, July–August 2017"
Education and Training
•
Registration open for Vaccine Education Center's November 14 "Current Issues in Vaccines" webinar with Dr. Paul Offit

Issue 1391: October 24, 2018

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Top Stories
•
New! 65+ Flu Defense website features tools and resources for healthcare professionals serving adults age 65 and older
•
CDC presents information about the 386 confirmed cases of acute flaccid myelitis in the U.S. in 2018
•
CDC publishes "Mumps Outbreak in a Marshallese Community—Denver Metropolitan Area, Colorado, 2016–2017" in this week's MMWR
•
Ask the Experts Q&As on rotavirus, varicella, and rabies recently updated
•
September's Technically Speaking column by IAC executive director Dr. Deborah Wexler is titled "What's New for Flu This Season?"
•
IAC Spotlight! IAC's PowerPoint Slide Sets web page contains 13 presentations on a wide variety of immunization topics; available by request for your use
•
109 healthcare settings join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination, including People's Community Clinic, St. Catherine's Village, and 107 Essentia healthcare facilities
•
Voices for Vaccines releases new podcast episode titled "Measles Eradication and Elimination"
IAC Handouts
•
“Practical Resources from the Immunization Action Coalition” is a descriptive 1-page handout about IAC resources; make copies and hand out at staff meetings or at state and local immunization conferences
•
IAC updates its PowerPoint slide set "Quick Answers to Tough Questions"; use it "as is" or modify it to fit your needs
•
IAC updates its parent handout "Keep your kids safe—get them vaccinated every fall or winter!"
Vaccine Information Statements
•
IAC posts eight new translations of the recently updated DTaP VIS
Official Releases and Announcements
•
Weekly Epidemiological Record publishes recommendations for the composition of influenza vaccines for the southern hemisphere's 2019 flu season
Featured Resources
•
CDC updates its Manual for the Surveillance of Vaccine-Preventable Diseases
•
IAC's 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
Journal Articles and Newsletters
•
New population-level study determines HPV vaccine doesn't encourage risky sexual behaviors among teen girls

Issue 1390: October 17, 2018

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Top Stories
•
CDC publishes report on vaccination rates among children age 19–35 months of age in 2017
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CDC reports on vaccination coverage of kindergarten students during 2017–18 in MMWR
•
CDC releases updated VIS for hepatitis B vaccine
•
New 65+ Flu Defense website features tools and resources for healthcare professionals serving adults age 65 and older
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FDA approves expanded age indication for Afluria
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CDC study shows that during the last six influenza seasons, getting a flu shot reduced a pregnant woman’s risk of being hospitalized from flu by an average of 40%
•
CDC reports on rubella infection in an unvaccinated pregnant woman in Kansas
•
CDC experts update information on Ask the Experts sections about Meningococcal ACWY and Meningococcal B vaccines
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IAC Spotlight! Get a copy of "Immunization Techniques: Best Practices with Infants, Children, and Adults" DVD for staff training
IAC Handouts
•
IAC updates "Current Dates of Vaccine Information Statements" and "You Must Give Your Patients Vaccine Information Statements (VISs)—It’s Federal Law!"
•
IAC posts nine updated translations of its "Screening Checklist for Contraindications to Vaccines for Adults" and seven translations of its "Screening Checklist for Contraindications to Vaccines for Children and Teens"
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IAC revises the Spanish-language translations of its screening checklists for contraindications to inactivated injectable influenza and live attenuated intranasal influenza vaccines
•
IAC posts updated Spanish-language translation of "Questions Frequently Asked about Hepatitis B"
Vaccine Information Statements
•
IAC posts eight new translations of the Meningococcal ACWY VIS
World News
•
WHO publishes guidance for evaluating progress towards elimination of measles and rubella in this week's Weekly Epidemiological Record
Featured Resources
•
American Immunization Registry Association releases resource about how to use small area analysis to find pockets of vaccination need, as well as suggestions about
responding to the need
•
IAC's 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
Journal Articles and Newsletters
•
JAMA publishes study on optimal timing of Tdap vaccination during pregnancy
•
BuzzFeed provides good overview of the importance of influenza vaccination—share with patients and parents!
Education and Training
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NFID to offer October 30 webinar about pneumococcal vaccination of adults
Conferences and Meetings
•
Tune in to ACIP's October 24–25 meeting via live webcast

Issue 1389: October 10, 2018

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Top Stories
•
FDA announces approval of expanded use of Gardasil 9 to include adults 27 through 45 years old
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IAC updates two of its popular Ask the Experts sections: one on vaccine administration and the second on vaccine storage and handling
•
IAC Spotlight! IAC’s Standing Orders Templates for Administering Vaccines web page contains standing orders templates and related resources that can help healthcare settings improve vaccination rates for patients of all ages
•
CDC releases Digital Media Toolkit for the 2018–19 flu season to assist partners in communicating about the importance of vaccination
•
Just launched! "The 16 Vaccine" educational awareness website advocating CDC’s recommended second dose of MenACWY vaccine at age 16
•
Available online: six-part series of online training sessions on implementing standing orders protocols for adult immunization in your healthcare setting
IAC Handouts
•
IAC updates "How to Administer Intramuscular and Intranasal Influenza Vaccines" to remove intradermal vaccine
•
IAC posts updated 6-page handout for the public titled "Influenza: Questions and Answers"
Vaccine Information Statements
•
IAC posts updated Spanish translations of VISs for DTaP and MenACWY vaccines
World News
•
WHO supports Zimbabwe in effort to vaccinate 1.4 million people against cholera as outbreak spreads
Featured Resources
•
IAC's 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
Journal Articles and Newsletters
•
September issue of CDC's Immunization Works newsletter now available
•
The Lancet Public Health publishes study projecting elimination of cervical cancer in Australia within two decades because of government program to vaccinate children against HPV
Education and Training
•
NFID offers webinar on protecting adults with chronic health conditions against influenza on Thursday, October 11 (tomorrow)
•
National AHEC webinar on November 1 presents recommendations and tools for persuading parents that HPV vaccine is safe and effective
Conferences and Meetings
•
NFID Clinical Vaccinology Course scheduled for November 9–10 in Bethesda; submissions for poster presentations due by October 18

Issue 1388: October 9, 2018

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Influenza Vaccines
•
Q: What's new in the 2018–19 influenza vaccine recommendations?
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Q: Which influenza vaccines will be available during the 2018–2019 influenza season?
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Q: What are the differences between trivalent and quadrivalent influenza vaccines?
•
Q: If quadrivalent vaccine includes one additional strain, why isn't it preferred for use over trivalent vaccine?
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Q: Which formulations of influenza vaccines (i.e., nasal spray, injectable high-dose, and injectable standard-dose) are licensed for various age groups?
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Q: We are having trouble getting a supply of Fluzone Intradermal (Sanofi Pasteur). Is there a shortage of this vaccine?
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Q: We have noticed that ACIP recommends that we begin vaccinating with seasonal influenza vaccine in September or even earlier. Does protection from seasonal influenza vaccine decline or wane within 3 or 4 months of vaccination? Should I wait until later in the year to vaccinate my elderly or medically frail patients?
•
Q: Which influenza vaccines can we give to children?
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Q: Please provide details about the use of FluLaval and Fluarix influenza vaccine in children younger than 3 years.
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Q: Which children younger than age 9 years will need 2 doses of influenza vaccine in this influenza season?
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Q: Can a child 6 through 35 months of age who needs 2 doses of influenza vaccine this season receive a combination of Fluzone, FluLaval, or Fluarix vaccine?
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Q: If a child receives Fluzone vaccine (0.25 mL) at age 34 or 35 months for the first time and then returns for the second dose at age 37 months, should we give another 0.25 mL dose of Fluzone or should we give the 0.5 mL dose that is indicated for ages 3 and older?
•
Q: Is influenza vaccine recommended for pregnant women?
•
Q: I have a patient who is now 12 weeks pregnant. She received a dose of quadrivalent inactivated influenza vaccine earlier this season, before she was pregnant. Should we give her another dose of this year’s influenza vaccine since she was not pregnant at the time of her first dose?
•
Q: Please tell me about Fluad, one of the influenza vaccines for people age 65 years and older.
•
Q: Sometimes patients age 65 years and older who have received the standard-dose influenza vaccine hear about the high-dose (Fluzone High-Dose) or adjuvanted vaccine (Fluad) and want to receive that, too. Is this okay to administer?
•
Q: Which healthcare personnel should be vaccinated against influenza?
•
Q: What is the preferred anatomic site for administration of inactivated influenza vaccine (IIV) and recombinant influenza vaccine?
•
Q: For whom is inactivated influenza vaccine contraindicated?
•
Q: What are the contraindications for live attenuated influenza vaccine (LAIV)?
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Q: What is the latest ACIP guidance on influenza vaccination and egg allergy?
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Q: Is there any plan to change the Influenza Vaccine Information Statement (VIS) for the 2018–19 influenza season?
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Q: When administering influenza vaccine, is giving patients a VIS mandatory or is it only "recommended"?

Issue 1387: October 3, 2018

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Top Stories
•
CDC reports on influenza vaccination coverage of healthcare professionals in 2017–18
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CDC publishes report on influenza vaccination coverage of pregnant women in 2017–18
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CDC reports on barriers to Tdap receipt among mothers of infants with pertussis
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Available online: six-part series of online training sessions on implementing standing orders protocols for adult immunization in your healthcare setting
•
IAC updates two of its popular Ask the Experts sections: one on MMR and the second on HPV vaccine
•
San Diego County reports on third meningococcal B case at San Diego State University
•
IAC Spotlight! IAC’s recently updated Partners web page is a great way to learn about organizations and professional societies that work in the immunization field
•
IAC enrolls five new birthing institutions into its Hepatitis B Birth Dose Honor Roll; 13 previously honored institutions qualify for additional years' honors
•
Adult primary care providers: Help the National Task Force on Hepatitis B Focus on Asian and Pacific Islander Americans to understand the challenges of providing hepatitis B care in the primary care setting by completing a survey
IAC Handouts
•
IAC makes small correction to its recently updated "Summary of Recommendations for Adult Immunization"
Official Releases and Announcements
•
FDA Commissioner Scott Gottlieb releases statement on preparations for the upcoming influenza season
World News
•
WHO reports on progress toward polio containment worldwide in this week's Weekly Epidemiological Record
Featured Resources
•
CDC reminds providers about its e-Learn course on proper vaccine administration, as well as other related resources
•
Vaccine Education Center updates two Q&A sheets, one about hepatitis B and one about logical fallacies and vaccines
•
IAC's 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
Journal Articles and Newsletters
•
Vaccine Education Center at Children's Hospital of Philadelphia publishes September issue of its newsletter Vaccine Update for Healthcare Professionals
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CDC publishes report about meningococcal disease surveillance for men who have sex with men

Issue 1386: September 26, 2018

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Top Stories
•
Plotkin's Vaccines textbook wins first prize in public health category for the 2018 British Medical Association’s Medical Book Award
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The immunization community mourns our loss of Lynn Bozof, president and cofounder of the National Meningitis Association
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Annual NFID influenza and pneumococcal news conference will be held on September 27; listen to the event and join the Twitterstorm
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IAC Spotlight: IAC’s recently updated Adult Vaccination web page is full of resources to help you vaccinate adults this fall and beyond
•
CDC issues clinical guidance for providers during the Shingrix vaccine shortage
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CDC issues bulletin on tetanus in areas affected by a hurricane, including clinical guidance for providers
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IAC updates two of its popular Ask the Experts sections: one on diphtheria, pertussis, and tetanus and the second on Hib vaccines
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Three healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination; 681 now enrolled
•
Beware of B campaign urges Big Ten universities to require the meningitis B vaccination for incoming students; Indiana University and Purdue University on board
IAC Handouts
•
IAC makes correction to newly updated standing orders template for influenza vaccination of children/teens
World News
•
WHO reports on cholera and poliomyelitis in this week's Weekly Epidemiological Record
Featured Resources
•
Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
•
IAC's 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
Education and Training
•
CDC webinar, "2018–2019 Recommendations for Influenza Prevention and Treatment in Children: An Update for Pediatric Providers," scheduled for September 27
Conferences and Meetings
•
CDC Current Issues in Immunization NetConference about DTaP/Tdap and hepatitis vaccine recommendations scheduled for September 25

Issue 1385: September 19, 2018

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Top Stories
•
IAC updates two of its most popular Ask the Experts sections: one on influenza and the second on pneumococcal vaccines
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Register now: Dr. Sharon G. Humiston, IAC's associate director for research, will present a webinar on adolescent immunization and the 16-year-old platform on September 26
•
IAC Spotlight! Easily find what you're looking for on immunize.org by using the new blue-gray tabs that run across the top of every web page
•
Voices for Vaccines releases new podcast episode titled "Anti-Vaccine Nurses"
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New CDC data found that adolescents in rural areas are less likely to be vaccinated against HPV cancers and meningitis than adolescents in urban areas; learn about new related resources
IAC Handouts
•
IAC updates "Screening Checklist for Contraindications to Inactivated Injectable Influenza Vaccination" and "Screening Checklist for Contraindications to Live Attenuated Intranasal Influenza Vaccination"
•
IAC posts updated Spanish-language version of "Should You Be Vaccinated Against Hepatitis A?"
World News
•
WHO reports on transmission of circulating vaccine-derived poliovirus in the Horn of Africa
•
CDC reports on surveillance for congenital rubella syndrome in India
•
Refugee children in Germany found to be at greater risk of contracting invasive pneumococcal disease
Featured Resources
•
ACOG posts new resource online: "Seasonal Influenza Vaccination Programs: Tips for Optimizing Practice Management"
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CDC develops new online resource to share with parents about why it's important to vaccinate babies on time
•
Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
•
IAC's 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
Journal Articles and Newsletters
•
CDC publishes information about a mumps outbreak associated with a cheerleading competition in Texas
Education and Training
•
CDC Current Issues in Immunization NetConference about DTaP/Tdap and hepatitis vaccine recommendations scheduled for September 25
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Weekly CDC webinar series on "The Pink Book" chapter topics will conclude on September 26; register now for the "Influenza" session

Issue 1384: September 12, 2018

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Top Stories
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CDC offers guidance to travelers as influenza season nears
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Register now! Dr. Sharon G. Humiston, IAC's associate director for research, will present a webinar on adolescent immunization and the 16-year-old platform on September 26
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AAP publishes its vaccination recommendations for 2018–19 influenza season
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IAC Spotlight! The Vaccine Manufacturers web page on immunize.org provides company contact information and more
IAC Handouts
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IAC updates its popular "Summary of Recommendations for Child/Teen Immunization" and "Summary of Recommendations for Adult Immunization"
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IAC posts revised standing orders templates for influenza vaccination of adults and children/teens
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IAC updates "Guide to Contraindications and Precautions to Commonly Used Vaccines" and "Guide to Contraindications and Precautions to Commonly Used Vaccines in Adults"
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IAC posts revised "Screening Checklist for Contraindications to Vaccines for Children and Teens" and "Screening Checklist for Contraindications to Vaccines for Adults"
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IAC posts "Guide for Determining the Number of Doses of Influenza Vaccine to Give to Children Age 6 Months Through 8 Years"
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IAC updates "Influenza Vaccination of People with a History of Egg Allergy"
Vaccine Information Statements
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IAC posts new German-language translation of the Inactivated Influenza Vaccine VIS
Official Releases and Announcements
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WHO issues updated position paper on dengue vaccine
World News
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Campaign launched to vaccinate almost 14 million children in Afghanistan against measles
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CDC reports on progress toward polio containment worldwide
Featured Resources
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Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
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IAC's 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
Education and Training
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VICNetwork webinar, "2018–19 Seasonal Flu Recommendations and Communications Messaging," scheduled for September 17
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Center for HIV Law and Policy, Harm Reduction Coalition, and the National Viral Hepatitis Roundtable will host an October 4 webinar about the relationship between criminalization, viral hepatitis, and harm reduction
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Weekly CDC webinar series on "The Pink Book" chapter topics continues September 19 with "Pneumococcal Vaccines"; register now for series running through September 26
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CDC updates "You Call the Shots" modules on zoster and vaccine administration; free CE credit available
Conferences and Meetings
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NFID Clinical Vaccinology Course scheduled for November 9–10 in Bethesda
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State of Michigan's 2018 fall regional immunization conferences to take place in eight cities on different dates
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Presentation slides from June ACIP meeting are now available; next meeting scheduled for October 24–25

Issue 1383: September 5, 2018

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Top Stories
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Twitter bots and Russian Internet trolls amplify mistrust and discord about immunization in the U.S.
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IAC Spotlight! IAC’s Influenza Honor Roll now highlights long-term care/assisted living facility honorees
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September is National Preparedness Month; CDC posts "Partner Toolkit" for messaging, pandemic planning, and other resources
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Voices for Vaccines releases new podcast episode, "Superman, Cancer, and Vaccines," with Jason Mendelsohn, HPV cancer survivor; he tells his story and urges parents to vaccinate their sons and daughters
IAC Handouts
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IAC updates "Current Dates of Vaccine Information Statements" and "You Must Give Your Patients Vaccine Information Statements (VISs)—It’s Federal Law!"
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IAC updates "Influenza Vaccine Products for the 2018–2019 Influenza Season"
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IAC revises "Standing Order for Administering Diphtheria, Tetanus, and Acellular Pertussis (DTaP) Vaccine to Children Younger Than Age 7 Years"
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IAC makes a small correction to its popular 4-page handout for patients: "Questions Frequently Asked about Hepatitis B"
Featured Resources
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AAP releases several videos, including one featuring pediatricians sharing why they vaccinate and another addressing the importance of the hepatitis B vaccine birth dose
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Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
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IAC's 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
Journal Articles and Newsletters
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August issue of CDC's Immunization Works newsletter now available
Education and Training
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Weekly CDC webinar series on "The Pink Book" chapter topics continues September 12 with "HPV"; register now for series running through September 26
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Opportunity to participate in Gerontological Society of America's "Immunization Champions, Advocates & Mentors Program" (ICAMP) training in Boston on November 13
Conferences and Meetings
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European Scientific Working Group on Influenza Flu Summit to be held in Belgium on September 28; registration open and free of charge

Issue 1382: August 29, 2018

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IAC Express Issue 1382
August 29, 2018
Top Stories
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CDC publishes ACIP's 2018–19 influenza vaccination recommendations
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CDC releases updated VISs for DTaP and MenACWY vaccines
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CDC issues report on vaccination coverage among adolescents age 13–17 years in the U.S. in 2017; more adolescents up to date on HPV vaccination
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CDC reports on trends in HPV-associated cancers in the United States
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FDA works to mitigate shortages of EpiPen by extending expiration date for specific lots of medication
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IAC Spotlight! Visit IAC's immunizationcoalitions.org website for information about immunization coalitions and nonprofits
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IAC enrolls five new birthing institutions into its Hepatitis B Birth Dose Honor Roll; fourteen previously honored institutions qualify for additional years' honors
IAC Handouts
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IAC posts seven updated translations of its 1-page vaccination schedule for patients titled "Vaccinations for Adults—You're never too old to get vaccinated!"
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IAC posts seven updated Spanish translations of its 1-page adult vaccination schedules for patients with HIV or hepatitis C infection; with heart or lung disease, diabetes, or anatomic or functional asplenia; and for men who have sex with men
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Reader alert: IAC's Spanish translations of "Questions Frequently Asked about Hepatitis B" and "Protect Yourself Against Hepatitis A and Hepatitis B: A Guide for Gay and Bisexual Men" were delayed in posting following last week's IAC Express
Official Releases and Announcements
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World Health Organization reports that more than 41,000 people in European region have been infected with measles in the first half of 2018
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WHO summarizes the 2017–18 influenza season in the northern hemisphere in this week's Weekly Epidemiological Record
World News
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New partnership to bring 8 million vaccines to remote areas of Liberia, Uganda, and Kenya
Featured Resources
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IAC's 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
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Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
Journal Articles and Newsletters
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Study found that physicians have significant gaps in knowledge about MenB disease and MenB vaccine
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Study in Pediatrics did not find increased risk of primary ovarian insufficiency after HPV, Tdap, inactivated influenza, or MenACWY vaccination
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CDC reports on mumps outbreak in Alaska
Education and Training
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CDC offers new Medscape CME activity: "Making the Case: Championing for HPV Cancer Prevention in Your Practice"
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Reminder: Vaccine Education Center's "Current Issues in Vaccines" webinar with Dr. Paul Offit to be held September 5
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Weekly CDC webinar series on "The Pink Book" chapter topics continues September 5 with "Hepatitis B"; register now for series running through September 26

Issue 1381: August 22, 2018

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Top Stories
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National Immunization Awareness Month is coming to a close; the final week will focus on protecting adults
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FDA announces approval of first generic version of EpiPen and EpiPen Jr auto-injectors for emergency treatment of allergic reactions
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CDC publishes "Emergence of Localized Serogroup W Meningococcal Disease in the United States—Georgia, 2006–2016" in this week’s MMWR; authors advise vigilance regarding potential atypical clinical presentations of meningococcal disease
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CDC responds to numerous media reports by stating there has not been any multi-state measles outbreak in the U.S. this year
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IAC Spotlight: Reminder! IAC’s recently updated Adult Vaccination web page is full of resources to help you vaccinate adults this fall and beyond
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In a Medscape commentary, Dr. Paul Offit responds to recent New York Times article titled "Anti-Vaccine Activists Have Taken Vaccine Science Hostage"
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Voices for Vaccines releases August series of new Vax Talk podcast mini-episodes on immunization for pregnant women and children younger than age two
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Join NFID and the Washington Nationals for the 7th Annual Flu Awareness Night in Washington, DC, on September 21
IAC Handouts
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IAC updates three of its Q&A series of patient handouts about diseases and vaccines on the topics of diphtheria, tetanus, and pertussis
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IAC posts updated Spanish translation of its very popular 4-page handout for patients: "Questions Frequently Asked about Hepatitis B"
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IAC posts Spanish translation of "Protect Yourself Against Hepatitis A and Hepatitis B: A Guide for Gay and Bisexual Men"
Featured Resources
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CDC posts teacher-created classroom educational activities for its free 60-page graphic novel titled "The Junior Disease Detectives: Operation Outbreak"
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Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
•
IAC's 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
Journal Articles and Newsletters
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Pediatrics publishes study showing no association between tetanus, diphtheria, and pertussis (Tdap) vaccination of pregnant women and autism
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Pediatrics publishes study finding that legislation for increasing HPV vaccination did not lead to increase in risky adolescent sexual behaviors in the U.S.
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Vaccine Education Center at Children's Hospital of Philadelphia publishes August updates for its July/August issue of its newsletter Vaccine Update for Healthcare Professionals
Education and Training
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Register now for AHEC webinar: "Evidence-Based Communication Strategies for Improving Child and Adolescent Vaccine Uptake" on September 19
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Weekly CDC webinar series on "The Pink Book" chapter topics continues August 29 with "Measles, Mumps, Rubella"; register now for series running through September 26

Issue 1380: August 15, 2018

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Top Stories
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National Immunization Awareness Month continues; upcoming week will focus on protecting preteens and teens
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Available online: six-part series of online training sessions on implementing standing orders protocols for adult immunization in your healthcare setting
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In case you missed this! CDC, AAFP, AAP, and ACOG all recommend that newborns receive hepatitis B vaccine within 24 hours of birth
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IAC Spotlight! Find whatever you're looking for on immunize.org by using the Google search engine located on all IAC web pages
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IAC posts its newest PowerPoint slide set, "What Are Standing Orders Protocols?"; use it "as is" or modify it to fit your needs
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Just released! Dr. Paul Offit's latest book: Bad Advice: Or Why Celebrities, Politicians, and Activists Aren't Your Best Source of Health Information
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Three healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination; 677 now enrolled
IAC Handouts
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IAC posts updated temperature logs for refrigerators and freezers in both Celsius and Fahrenheit formats
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IAC updates "Vaccine Storage Troubleshooting Record" in fillable and non-fillable formats
World News
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WHO reports on yellow fever in Africa and the Americas in this week's Weekly Epidemiological Record
Featured Resources
•
Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
•
IAC's 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
Journal Articles and Newsletters
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"Mortality among Patients with Chronic Hepatitis B Infection: The Chronic Hepatitis Cohort Study" published in July issue of Clinical Infectious Diseases
Education and Training
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Register for CDC’s #PreteenVaxScene webinar, "National Immunization Awareness Month: Effectively Recommending Vaccines Across the Lifespan," on August 17
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Weekly CDC webinar series on "The Pink Book" chapter topics continues August 22 with "Polio and Hib"; register now for series running through September 26

Issue 1379: August 8, 2018

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Top Stories
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CDC releases clinical guidance for providers during the Shingrix shortage
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National Immunization Awareness Month is here; upcoming week will focus on protecting babies and young children
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Available online: six-part series of online training sessions on implementing standing orders protocols for adult immunization in your healthcare setting
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IAC's Video of the Week presents personal stories, news, animations, and other video clips every Monday
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IAC enrolls ten new birthing institutions into its Hepatitis B Birth Dose Honor Roll; ten previously honored institutions qualify for additional years' honors
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Voices for Vaccines releases new podcast: "Hashtag Vaccines–The Social Media Episode"
IAC Handouts
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IAC updates "Don't Be Guilty of These Preventable Errors in Vaccine Storage and Handling!" and "Checklist for Safe Vaccine Storage and Handling"
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IAC revises "Vaccines with Diluents: How to Use Them"
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IAC updates its vaccine storage and handling "Emergency Response Worksheet" for addressing power failures and temperature excursions
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IAC updates its vaccination record for medical charts, "Vaccine Administration Record for Adults"
World News
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CDC and WHO report on progress toward polio eradication in Afghanistan in this week's MMWR and Weekly Epidemiological Record, respectively
Featured Resources
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CDC, U.S. Department of Agriculture, and 4-H develop free 60-page comic book-style story called "The Junior Disease Detectives: Operation Outbreak"
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Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
•
IAC's 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
Journal Articles and Newsletters
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July issue of CDC's Immunization Works newsletter now available
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Report highlights gaps in adult vaccination that could be improved by implementing Standards for Adult Immunization Practice
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New CDC study conducted over multiple influenza seasons found that getting a flu shot lessened the risk of severe influenza among adults
Education and Training
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Weekly CDC webinar series on "The Pink Book" chapter topics continues August 15 with "Varicella/Zoster"; register now for series running through September 26
Conferences and Meetings
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2018 World Influenza Conference to take place in Beijing on September 7–10

Issue 1378: August 3, 2018

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Hepatitis B Vaccines
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Q: A physician ordered a 40-mcg dose of hepatitis B vaccine for a hemodialysis patient. The clinic does not stock the Recombivax HB 40-mcg dose dialysis formulation (Merck) and would like to give 2 doses of Engerix-B 20-mcg dose (GSK) for each dose in the series. Is this acceptable?
Hepatitis A Vaccines
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Q: How does immune globulin (IG) work?
DTaP/Td/Tdap Vaccines
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Q: If a teen or adult patient never received Tdap but received a dose of Td vaccine 2 years ago, should I wait 8 more years before administering a dose of Tdap to the patient?
Polio Vaccines
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Q: We frequently see children (mostly from certain foreign countries) who have received 6 or more doses of polio vaccine, all administered before 4 years of age. How do we handle this when assessing the child’s immunization history?
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Q: How do I determine if doses of polio vaccine administered outside the United States were trivalent OPV?
Rotavirus Vaccines
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Q: Which infants should not receive rotavirus vaccine?
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Q: A woman in our practice received infliximab (Remicade, Janssen Pharmaceuticals) for treatment of Crohn's disease while she was pregnant. Should we modify her infant's rotavirus vaccination schedule because of this treatment?
Meningococcal ACWY Vaccines
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Q: What is the schedule for MenACWY vaccine?
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Q: If someone received MPSV4 or MenACWY vaccine at age 10 years and a dose of MenACWY before the 16th birthday, will they still need a booster dose at age 16?
Zoster Vaccines
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Q: Should a person who received 2 doses of varicella vaccine be vaccinated with zoster vaccine when they turn 50?
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Q: What is the minimum interval between doses of RZV (Shingrix)?
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Q: What is the minimum age for administering RZV?
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Q: I have ZVL in my freezer but I do not have recombinant zoster vaccine. The manufacturer told us to anticipate ordering limits and intermittent shipping delays for RZV during 2018 so I don’t know when I will get RZV doses. In this situation, what is the appropriate approach to patients who come to my practice for shingles vaccine?
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Q: How should zoster vaccine be stored?
Administering Vaccines
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Q: Are vaccine diluents interchangeable?
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Q: One of our staff gave a dose of pediatric hepatitis A vaccine to an adult patient by mistake. How do we remedy this error?
Documenting Vaccines
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Q: Where can I find a list of vaccines currently licensed for use in the U.S.?
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Q: We frequently see patients, such as immigrants, who do not have records of past vaccination or who insist they or their children are up to date. Should we accept their undocumented vaccination history?
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Q: We sometimes encounter patients with foreign vaccination records. We suspect that some of these records are not valid. What should we do?
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Q: How can I find out if our state or locality has an Immunization Information System (IIS), or registry, in which I might participate?
Billing and Reimbursement
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Q: What vaccines are covered by Medicare?
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Q: I want to begin providing vaccines for my adult patients but reimbursement for these vaccines is confusing. Can you provide guidance?

Issue 1377: August 1, 2018

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Top Stories
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CDC publishes "Mumps Outbreaks at Four Universities—Indiana, 2016" in this week's MMWR
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National Immunization Awareness Month is here; week 2 will focus on protecting pregnant women and their babies
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IAC Spotlight! Looking for an easy way to find what you need on IAC's website for healthcare professionals? Scroll down to the "Guide to Immunize.org" located at the bottom of every web page
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New "MenB in 90 Seconds" video highlighting need for MenB vaccine to protect college students and teens posted by Meningitis B Action Project
World News
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France 2018 measles outbreak: 2,500 cases, 22% hospitalized, 3 dead; vaccination mandate expanded January 2018
Featured Resources
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WHO's 106th Global Health Histories seminar: "Vaccine Hesitancy—Why Do Some People Not Vaccinate?" now available for viewing
•
Still available! IAC's sturdy laminated version of the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today! Child/teen schedules sold out.
•
IAC's 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
Journal Articles and Newsletters
•
Vaccine Education Center at Children's Hospital of Philadelphia publishes July/August issue of its newsletter Vaccine Update for Healthcare Professionals
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The journal Vaccine publishes study examining racial and ethnic differences in HPV vaccine initiation and recommendations by providers for teen-age boys
Education and Training
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NFID webinar addressing measles outbreaks and lessons learned scheduled for August 7
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Registration open for Vaccine Education Center's September 5 "Current Issues in Vaccines" webinar with Dr. Paul Offit
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Weekly CDC webinar series on "The Pink Book" chapter topics continues August 8 with "Meningococcal Vaccines"; register now for series running through September 26

This page was updated on .

Our Affiliated Sites

For the Public: VaccineInformation.org
For Coalitions: ImmunizationCoalitions.org
Let's Get Real
Information about pediatric vaccines for parents and providers.
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Protect vulnerable, older adult patients from influenza.
Give2MenACWY.org
Improve protection from meningococcal serogroups ACWY.
NAIIS
Home of the National Adult and Influenza Immunization Summit.