Issue 1072: August 20, 2013







New! Spanish-language translations of the 2013–14 influenza vaccine VISs now available

IAC recently posted Spanish translations of the 2013–14 inactivated influenza vaccine (IIV) VIS, as well as the 2013–14 live, intranasal influenza vaccine (LAIV) VIS on its website.

Please note: The 2013–14 influenza vaccine VISs will be available in several additional languages in the weeks ahead. IAC Express will announce the availability of translations as soon as they are ready.

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IAC Spotlight! “Technically Speaking” column from IAC’s executive director covers practical topics in delivering vaccination services

IAC is pleased to remind readers of its new web section on The web section is called Technically Speaking, and it features a monthly column about practical vaccine topics written by IAC’s executive director, Deborah L. Wexler, MD. The columns cover subject matter in vaccine delivery such as needle length, vaccine administration, cold chain, and immunization schedules. Dr. Wexler’s column made its debut in 2010 in Vaccine Update for Healthcare Providers, a monthly e-newsletter of the Children's Hospital of Philadelphia Vaccine Education Center (VEC), and is a regular feature.
Check out the recent issue of VEC’s Vaccine Update for Healthcare Providers. This e-newsletter keeps providers up to date on vaccine-related issues. To subscribe to the VEC e-newsletter, send your request by email to the Vaccine Education Center. Please include your title, name, practice name, practice address, and email address.

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CDC publishes report on human rabies case in South Carolina

CDC published Human Rabies—South Carolina, 2011 in the August 16 issue of MMWR (pages 642–644). Two paragraphs from the article's editorial note are reprinted below.

Bat exposure in the home was the likely source of infection in this case. Over 90% of domestically acquired human rabies cases reported in United States since 1995 have been linked epidemiologically to bats. Cryptogenic human rabies (i.e., cases where a definitive history of animal exposure is lacking) constitutes an increasing proportion of these bat-associated cases. Rabies virus transmission can occur from seemingly minor or unrecognized bites. A complete rabies virus exposure risk assessment is recommended for any person reporting potential exposure to a bat, even in the absence of a documented bite.

The patient in this case sought information on bat removal but was not advised of the health risks associated with bat exposures. Lack of referral to guidance concerning health risks associated with bats living in the home was possibly a missed opportunity to prevent rabies infection. Because authority over wildlife management and animal bite reporting varies among states, citizens might reach out to diverse entities, including public health, animal control, law enforcement, or wildlife agencies, as initial points of contact for bat concerns. Provision of training, educational resources, and expert consultation to agencies, institutions, and organizations that provide assistance with wildlife concerns is a valuable public health service. Such service requires strong partnerships and clear communication among public health officials and diverse community partners.

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WHO reports on new case of avian influenza A(H7N9) virus infection in China

On August 11, China's National Health and Family Planning Commission notified WHO of a new laboratory-confirmed case of human infection with avian influenza A(H7N9) virus. This is the first new confirmed case of human infection with avian influenza A(H7N9) virus since July 20, 2013.

WHO has been informed of a total of 135 laboratory-confirmed human cases with the virus, including 44 deaths.

WHO does not a currently recommend any travel or trade restrictions.

Full WHO report

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New! All of IAC’s easy-to-read handouts on child, teen, and adult vaccination are now available in Spanish

IAC’s recently developed easy-to-read handouts for parents and patients are now available in Spanish. The handouts promote vaccination against chickenpox, hepatitis A, hepatitis B, Hib, HPV, influenza, measles-mumps-rubella, meningococcal disease, pneumococcal disease, polio, rotavirus, shingles, and whooping cough-tetanus-diphtheria. They feature simple, friendly illustrations. Specifically developed to be short and non-medical, the handouts emphasize the dangers of the vaccine-preventable diseases listed above and the importance of vaccination.

Download these new resources and give copies to parents and adult patients. These positive, succinct handouts will also be great for the back-to-school season!

Handouts for parents of children
  1. Chickenpox is a serious disease...Make sure your child is protected! is available in Spanish
  2. Hepatitis A is a serious disease...Make sure your child is protected! is available in Spanish
  3. Hepatitis B is a serious disease...Make sure your child is protected! is available in Spanish
  4. Hib is a serious disease...Make sure your child is protected! is available in Spanish
  5. HPV is a serious disease...Make sure your child is protected! is available in Spanish
  6. Influenza is a serious disease...Make sure your child is protected! is available in Spanish
  7. Measles, mumps, and rubella are serious diseases...Make sure your child is protected! is available in Spanish
  8. Meningococcal disease is serious...Make sure your child is protected! is available in Spanish
  9. Pneumococcal disease is serious...Make sure your child is protected! is available in Spanish
  10. Polio is a serious disease...Make sure your child is protected! is available in Spanish
  11. Rotavirus is a serious disease...Make sure your child is protected! is available in Spanish
  12. Whooping cough, tetanus, and diphtheria are serious diseases...Make sure your child is protected! is available in Spanish
Handouts for teen and adult patients
  1. Protect yourself from hepatitis A. . . Get vaccinated! is available in Spanish
  2. Protect yourself from hepatitis B. . . Get vaccinated! is available in Spanish
  3. Protect yourself from HPV. . . Get vaccinated! is available in Spanish
  4. Protect yourself from influenza. . . Get vaccinated! is available in Spanish
  5. Protect yourself from meningococcal disease. . . Get vaccinated! is available in Spanish
  6. Protect yourself from pneumococcal disease. . . Get vaccinated! is available in Spanish
  7. Protect yourself from shingles. . . Get vaccinated! is available in Spanish
  8. Protect yourself from whooping cough. . . Get vaccinated! is available in Spanish
All these handouts—in English and Spanish—can be accessed from IAC's new Vaccine Summaries web page. Scroll down to see all the selections.

IAC's Handouts for Patients & Staff web section offers healthcare professionals and the public more than 250 FREE English-language handouts (many also available in translation), which we encourage website users to print out, copy, and distribute widely.

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IAC posts new VIS translations in simplified Chinese, Burmese, Armenian, and Korean

IAC recently posted a number of new translations to its VIS web section.

New VIS translations in simplified Chinese View all simplified and traditional Chinese VIS translations

New VIS translations in Burmese View all Burmese VIS translations

New VIS translation in Armenian View all Armenian VIS translations

New VIS translation in Korean View all Korean VIS translations

Related Links

Visit IAC's VIS web section for VISs in more than 35 languages

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Word of Mom campaign promotes vaccination

In honor of the March of Dimes' 75th anniversary, the March of Dimes and sanofi pasteur have launched a new campaign titled Word of Mom: Celebrating 75 Years of Health Advice. The campaign aims to reach across generations to motivate mothers and caregivers to advocate for childhood, adolescent, and adult vaccinations.

The Word of Mom campaign provides resources and advice, including health tips from moms across generations collected through a national survey. The website also offers a public service announcement and sample tweets and Facebook posts for organizations to share.

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Order IAC's popular full-size laminated versions of the 2013 U.S. immunization schedules today!

IAC's laminated versions of the 2013 U.S. child/teen and adult immunization schedules are covered with a tough, washable coating that lets them stand up to a year's worth of use in every area of your healthcare setting where immunizations are given. Each has six pages (i.e., three double-sided pages) and is folded to measure 8.5" by 11".

IAC's Laminated Child and Teen Immunization SchedulesIAC's Laminated Adult Immunization Schedules

Laminated schedules are printed in color for easy reading, come complete with essential tables and footnotes, and include contraindications and precautions—a feature that will help you make an on-the-spot determination about the safety of vaccinating patients of any age.

1-4 copies: $7.50 each
5-19 copies: $5.50 each
20-99 copies: $4.50 each
100-499 copies: $4.00 each
500-999 copies: $3.50 each

For quotes on customizing or placing orders for 1,000 copies or more, call (651) 647-9009 or email

You can access specific information on both schedules, view images of both, order online, or download an order form at the Shop IAC: Laminated Schedules web page.

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CDC publishes report on testing for chronic hepatitis C infection 

CDC published Locations and Reasons for Initial Testing for Hepatitis C Infection—Chronic Hepatitis Cohort Study, United States, 2006–2010 in the August 16 issue of MMWR (pages 645–648). The first paragraph of the article is reprinted below.

Chronic hepatitis C virus (HCV) infection causes substantial morbidity and mortality in the United States. Testing and treatment of asymptomatic persons might avert progression to more advanced disease. In 1998, CDC published guidelines for HCV testing based on risk factors for infection; however, recent studies indicate that at least one half of all persons living with HCV infection in the United States are unaware of their infection status. To increase testing rates, in 2012 CDC recommended one-time testing of all persons born during 1945–1965. To better understand where and why persons with chronic HCV infection sought their initial testing, 2006–2010 data were analyzed from a survey conducted as part of the ongoing Chronic Hepatitis Cohort Study. Of 4,689 patients with HCV infection who responded to the survey, 60.4% reported that their initial HCV test occurred in a physician's office. CDC's risk-based indications (e.g., injection drug use and hemodialysis) were cited by 1,045 (22.3%) of the patients as reasons for testing, whereas clinical indications (e.g., abnormal liver function tests or liver-related symptoms such as jaundice) were cited by 2,121 (45.2%), suggesting that many HCV infections were identified only after the patient had become symptomatic. Promoting U.S. Preventive Services Task Force and CDC recommendations for testing and identifying strategies that help physicians implement HCV testing in their offices might help facilitate timely identification of HCV infection and reduce morbidity and mortality.

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New Jersey Immunization Network to offer August 28 webinar on perinatal hepatitis B prevention

The New Jersey Immunization Network will present a 30-minute webinar about perinatal hepatitis B prevention, beginning at 1:00 p.m. (ET) on August 28. The webinar will feature Dr. Deborah L. Wexler, executive director, Immunization Action Coalition (IAC), talking about IAC's hepatitis birth dose initiative, Give birth to the end of Hep B, and related online guide, Hepatitis B: What Hospitals Need to Do to Protect Newborns.

Access additional information on webinar content, as well as the registration form

Do you have a hepatitis B birth dose question for Dr. Wexler? Submit your question with your webinar registration, or email it to Mary Jo Garofoli, program coordinator.

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Vaccine Education Center plans September 11 webinar on rotavirus and intussusception

The Vaccine Education Center (VEC) at Children's Hospital of Philadelphia will present a free one-hour webinar, beginning at noon (ET) on September 11. Part of its Current Issues in Vaccines series, Rotavirus and Intussusception: What Do We Know Now? will feature Paul Offit, MD, director of VEC.

Registration (required) is open now.

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About IZ Express

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

IZ Express Disclaimer
ISSN 2771-8085

Editorial Information

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

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