Issue 1104: February 11, 2014

CDC publishes details about the 2014 immunization schedules for children/teens and adults in the February 7 issue of MMWR 

CDC published Advisory Committee on Immunization Practices Recommended Immunization Schedules for Persons Aged 0 Through 18 Years—United States, 2014 in the February 7 issue of MMWR (pages 108–109). 

CDC published Advisory Committee on Immunization Practices Recommended Immunization Schedule for Adults Aged 19 Years or Older—United States, 2014 in the February 7 issue of MMWR (pages 110–112).

Both reports were previously published online as MMWR Early Releases on February 3. 

For 2014, the figures, footnotes, and tables are not being published in MMWR; instead, a link to the CDC immunization schedule website is provided ( This provides readers electronic access to the most current version of the schedules and footnotes on the CDC website. Healthcare providers are advised to use both schedules and the combined footnotes together.

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IAC Spotlight! Immunization Schedules web section offers quick access to child, teen, and adult guidance for 2014

Looking for an easy way to find the 2014 recommended immunization schedules for children and adolescents, as well as adults? It's all in one place on! Visit the Immunization Schedules web section on for one-stop access to all the official schedules. 

In addition to the CDC schedules, this section offers links to purchase IAC's laminated versions of the immunization schedules (including tables of contraindications and precautions), which are based on CDC's schedules. IAC's 2014 laminated immunization schedules are currently in production and will be available for sale in March. IAC Express will notify readers as soon as they are available for purchase.

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CDC releases updated VISs for Hib and Td vaccines

On February 4, CDC released updated Vaccine Information Statements (VISs) for Haemophilus influenza type B (Hib) and Td vaccines. The updated Hib VIS replaces the 1998 version. The new Td VIS replaces the older Td/Tdap VIS, which had been temporarily pressed into service for Td alone. Because both VISs contain a change in the adverse events section (“problems that can happen after any vaccine”), it is advisable to begin using the updated VISs immediately.

CDC will post accompanying provider information sheets soon; IAC Express will notify readers when this is done.

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CDC publishes report on noninfluenza vaccination coverage among adults

CDC published Noninfluenza Vaccination Coverage Among Adults—United States, 2012 in the February 7 issue of MMWR (pages 95–102). The first paragraph is reprinted below.

Vaccinations are recommended throughout life to prevent vaccine-preventable diseases and their sequelae. Adult vaccination coverage, however, remains low for most routinely recommended vaccines and well below Healthy People 2020 targets. In October 2013, the Advisory Committee on Immunization Practices (ACIP) approved the adult immunization schedule for 2014. With the exception of influenza vaccination, which is recommended for all adults each year, vaccinations recommended for adults target different populations based on age, health conditions, behavioral risk factors (e.g., injection drug use), occupation, travel, and other indications. To assess vaccination coverage among adults aged ≥19 years for selected vaccines, CDC analyzed data from the 2012 National Health Interview Survey (NHIS). This report summarizes the results of that analysis for pneumococcal, tetanus toxoid–containing (tetanus and diphtheria vaccine [Td] or tetanus and diphtheria with acellular pertussis vaccine [Tdap]), hepatitis A, hepatitis B, herpes zoster (shingles), and human papillomavirus (HPV) vaccines by selected characteristics (age, race/ethnicity, and vaccination target criteria). Influenza vaccination coverage estimates for the 2012–13 influenza season have been published separately. Compared with 2011, only modest increases occurred in Tdap vaccination among adults aged 19–64 years, herpes zoster vaccination among adults aged ≥60 years, and HPV vaccination among women aged 19–26 years; coverage among adults in the United States for the other vaccines did not improve. Racial/ethnic gaps in coverage persisted for all six vaccines and widened for Tdap, herpes zoster, and HPV vaccination. Increases in vaccination coverage are needed to reduce the occurrence of vaccine-preventable diseases among adults. The Community Preventive Services Task Force and other authorities have recommended that health-care providers incorporate vaccination needs assessment, recommendation, and offer of vaccination into routine clinical practice for adult patients.

Access the complete report

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CDC offers website content syndication to immunization partners

CDC recently reminded partners of its content syndication benefit. This service allows organizations to place code on their website pages that allows automatic updates to the official immunization schedules. While the schedules are published annually, revisions and/or corrections might be made at any time, and syndicating the schedules ensures that your organization's website always displays the most current version.

Advantages in syndicating the schedules within your website:
  • Replicate CDC’s schedules within an existing page on your website
  • Get automatic updates whenever changes and updates are made to the schedules
  • Maintain all of your branding, design, layout, and website navigation
  • Keep visitors on your website
  • Offer interactive features within the chart and footnotes
For more information, visit Once you save the code, you're done; no additional maintenance is needed. CDC invites you to consider syndication for 2014.

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CDC publishes article about global control and regional elimination of measles

In the February 7 issue of MMWR (pages 103–107), CDC published Global Control and Regional Elimination of Measles, 2000–2012. The last four sentences of the first paragraph are reprinted below.

This report updates the previous report for 2000–2011 and describes progress toward global control and regional elimination of measles during 2000–2012. During this period, increases in routine MCV [measles-containing vaccine] coverage, plus supplementary immunization activities (SIAs) reaching 145 million children in 2012, led to a 77% decrease worldwide in reported measles annual incidence, from 146 to 33 per million population, and a 78% decline in estimated annual measles deaths, from 562,400 to 122,000. Compared with a scenario of no vaccination, an estimated 13.8 million deaths were prevented by measles vaccination during 2000–2012. Achieving the 2015 targets and elimination goals will require countries and their partners to raise the visibility of measles elimination and make substantial and sustained additional investments in strengthening health systems.

Access the complete article

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New! IAC releases two new handouts for patients with health conditions: "Vaccinations for Adults with Heart Disease" and "Vaccinations for Adults with Lung Disease"

IAC recently developed two new handouts to better help patients and healthcare professionals determine what vaccines might be recommended for the many adults with heart and lung disease.  These new handouts are part of a suite of handouts that focuses on adults in risk groups for vaccination.

Here are the five other handouts currently in the suite: 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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New! IAC develops a standing orders template for Tdap vaccination of pregnant women

To help clinicians follow ACIP recommendations for Tdap vaccination of pregnant women during every pregnancy, IAC has developed a new standing order template. Using Standing Orders for Administering Tdap to Pregnant Women can help reduce morbidity and mortality from tetanus, diphtheria, and pertussis by vaccinating all pregnant women who meet the criteria established by ACIP.

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IAC updates "Meningococcal Vaccination Recommendations by Age and/or Risk Factors"

IAC updated its staff-education piece Meningococcal Vaccination Recommendations by Age and/or Risk Factors to take into account 2013 ACIP recommendations and changes in vaccine licensures.

Related Link

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IAC revises its standing orders templates for administering rotavirus and PPSV vaccines to children

IAC revised the following standing orders templates for providers:

Related Link

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CDC updates its interactive childhood immunization scheduler

CDC has updated its online interactive immunization scheduler for infants and children through age six years to reflect the 2014 immunization schedule. This tool can be used by patients, parents, or healthcare professionals to help determine what vaccines are indicated.

Access the Instant Childhood Immunization Schedule

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Influenza is serious; vaccination is recommended for nearly everyone, so please keep vaccinating your patients

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

Following is a list of resources related to influenza disease and vaccination for healthcare professionals and the public: Back to top
Bulk quantities of laminated pocket guides for pneumococcal vaccine are available—free—from the National Adult and Influenza Immunization Summit and IAC

Although IAC has distributed all available Influenza Vaccine Pocket Guides, healthcare providers can still order bulk quantities of the Pneumococcal Vaccine Pocket Guide. This guide was developed with IAC in collaboration with the National Adult and Influenza Immunization Summit (NAIIS).

The laminated, 3.75" x 6.75", two-color card serves as a convenient reference for front-line healthcare professionals who vaccinate patients against pneumococcal disease. Place a bulk order now, and hand them out to healthcare professionals at your workplace or at conferences.

These pocket guides are designed to be used by healthcare professionals only; they are NOT patient handouts.

Related Link How to Order

Place your order today using IAC's online order form. There is no cost for the pocket guide, shipping, or handling within the U.S.

If you have questions, email

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Program for National Conference on Immunization and Health Coalitions now available; early bird registration ends February 14

The program agenda is now available for the 11th National Conference on Immunization and Health Coalitions, which will be held in Seattle, May 21–23. This conference is a unique opportunity to network with colleagues and learn up-to-date immunization and coalition building skills.

Register by February 14 to get the early bird discount rate!

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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.

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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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