has been refreshed! Take a tour.

Issue 1132: July 15, 2014

Ask the Experts–Question of the Week: We have an adult who was diagnosed with polio as a child with some residual effects. This …read more


The Immunization Action Coalition is relocating!

Location, location, location!

After twenty years at 1573 Selby Avenue in Saint Paul, we are excited about moving our offices across town to newly designed quarters at the dynamic Court International building.
Here’s our shiny new address after July 18:

Immunization Action Coalition
2550 University Avenue West
Suite 415 North
Saint Paul, MN 55114

Our phone and fax numbers will not change. We plan to continue to serve the immunization community without any noticeable disruption of service during our move, which will take place the weekend of July 18–20.

Back to top

Reminder: July issues of Needle Tips and Vaccinate Adults available online

The July 2014 issues of Needle Tips and Vaccinate Adults are available online. Vaccinate Adults is an abbreviated version of Needle Tips with the pediatric content removed.

Click on the images below to download the entire July issues (PDF) of Needle Tips and/or Vaccinate Adults.
Download the July issue of Needle TipsDownload the July issue of Vaccinate Adults
Needle Tips: View the table of contentsmagazine viewer, and back issues.

Vaccinate Adults: View the table of contentsmagazine viewer, and back issues.

If you would like to receive immediate email notification whenever new issues of Needle Tips or Vaccinate Adults are released, visit IAC's subscribe page to sign up.

Back to top

Measles count continues to rise in Washington state 

On July 10, the Washington State Department of Health issued a press release about outbreaks of measles in the state. The first four paragraphs are reprinted below.

Washington has had more measles cases so far this year than in the past five years combined. State health officials are sounding the alarm to remind people that vaccination is the best protection against the spread of this serious and preventable disease.

So far in 2014 there have been 27 measles cases in Washington, up from the five reported in 2013. The most recent cases reported in the past month have been in King County (11 confirmed cases) and Pierce County (two confirmed cases). This is the third measles outbreak in our state this year and the number of cases so far is the highest reported in any year since 1996. People can check the Tacoma-Pierce County Health Department and Multicare websites for a list of places visited by cases while they were contagious. Anyone who visited places at the listed dates and times should find out if they’ve been vaccinated for measles or have had the disease.

Washington’s trend reflects the national trend. From Jan. 1 to July 3 of this year, the U.S. has experienced the highest number of cases since elimination of ongoing measles virus circulation in the U.S. was documented in 2000. Almost all of these cases are attributed to 17 outbreaks.

The resurgence is linked to several factors—people not being vaccinated, and the fact that measles is still common in many parts of the world including parts of Europe, Asia, the Pacific, and Africa. Travelers with the measles continue to bring the disease to the U.S. and it spreads when it reaches communities where groups of people aren’t vaccinated.

Related Links Back to top

CDC publishes interim guidance for polio vaccination and travel

CDC published Interim CDC Guidance for Polio Vaccination for Travel to and from Countries Affected by Wild Poliovirus in the July 11 issue of MMWR (pages 591–594). This report was previously published as an MMWR Early Release on July 7, and was covered in IAC Express on July 8. This report provides an update on CDC policy for polio vaccination of travelers for health protection. The "Vaccine Recommendations and Requirements" and "Vaccine Recommendations for Travelers to Countries with WPV [wild poliovirus] Circulation" sections are reprinted below.

Vaccine Recommendations and Requirements
Advisory Committee on Immunization Practices (ACIP) and CDC recommendations are evidence-based and provide public health recommendations to the general public on the basis of the best available epidemiological and scientific data to prevent poliovirus infection. This includes recommendations for travelers visiting countries with WPV circulation in the last 12 months or countries and provinces where they will be in situations with a high risk for exposure to persons with imported poliovirus infection.

Three countries are still endemic for polio (Afghanistan, Nigeria, and Pakistan). Countries where WPV has circulated during the previous 12 months include those endemic countries and those with polio outbreaks or environmental evidence of active WPV circulation during this time (Cameroon, Ethiopia, Equatorial Guinea, Iraq, Israel, Somalia, and Syria). Travelers working in health-care settings, refugee camps, or other humanitarian aid settings in these and neighboring countries might be at particular risk for exposure to WPV.

Recommendations for vaccination under the International Health Regulations differ from ACIP and CDC recommendations and include exit requirements for proof of polio vaccination when leaving the country at borders or through airports. If implemented by a country, these requirements could be mandatory and are intended to prevent exportation of WPV.

Vaccine Recommendations for Travelers to Countries with WPV Circulation
Persons at greatest risk for acquiring polio are unvaccinated persons. In the United States, infants and children should be vaccinated against polio as part of a routine immunization series. Before traveling to areas with WPV circulation, all travelers should ensure that they have completed the recommended age-appropriate polio vaccine series and have received a booster dose, if necessary.

Related Links Back to top

Ideas to help you celebrate National Immunization Awareness Month in August

Every year in August, National Immunization Awareness Month (NIAM) provides an opportunity to raise awareness of the importance of immunization and the need for improving national vaccination coverage levels. The National Public Health Information Coalition, in collaboration with CDC, has developed a National Immunization Awareness Month Communication Toolkit that includes key messages, vaccine information, sample news releases and articles, sample social media messages, and links to web resources from CDC and other organizations.

The observance features a different population each week:
  • A Healthy Start (babies from birth to age 2 and pregnant women), August 3–9
  • Back to School (children, pre-teens, and teens to age 18), August 10–16
  • Off to the Future (young adults age 19–26), August 17–23
  • Not Just for Kids (adults age 26+), August 24–30
CDC has provided the following suggestions to help you promote vaccination during each week of NIAM.
  1. Update your materials with the latest information and key messages that are provided in the toolkit.
  2. Place matte articles (i.e.,formatted, ready-to-print articles that are free to use in any publication) in newsletters, on your website, or in local news outlets. The articles provided in the toolkit assist in educating and motivating consumers to talk to their healthcare professional and get vaccinated, and also encourage healthcare professionals to strongly recommend the vaccines patients need. You can tailor the articles to your particular audience(s) to maximize their impact.
  3. Place NIAM logos and banners on your website and/or social media platforms to highlight your participation in NIAM.
  4. Create buzz for NIAM by using the social media messages in the toolkit. The messages are crafted in a way that enables you to use them as they are—or tailor them as you see fit for your audience(s).
  5. Share your plans for NIAM by completing this online form.
Please download National Immunization Awareness Month Communication Toolkit and join your immunization colleagues across the nation in celebrating NIAM!

Back to top

Dr. L.J Tan, IAC's chief strategy officer, moderates Medscape video on improving adult immunization rates

Medscape recently posted a 30-minute video titled A Practical Guide to Improving Adult Vaccination Rates in Your Practice. In this session, Litjen (L.J) Tan, PhD, chief strategy officer, IAC, and Ruth Carrico, RN, PhD, University of Louisville, both experts in adult immunization practices, offer a step-by-step guide to improving adult vaccination rates.

Continuing medical education credit is available for completing a course and taking a test afterward. Login (free) is required to access the online courses. You can also search Medscape's CME & Education section for topics of interest.

Back to top

IAC offers several immunization schedules designed for patients across the age span

IAC wants to remind you that during the last year we created a new selection of patient- and parent-friendly schedules. Please review them to see if they might be of help to you in your work setting.

Patient- and Parent-Friendly Schedules

Visit IAC's Patient Schedules web page to access all handouts in this series, as well as available translations.

IAC's Handouts for Patients & Staff web section offers healthcare professionals and the public more than 300 handouts, including translations, which we encourage website users to print out, copy, and distribute widely.

Back to top

San Diego partnership creates new immunization handout for pregnant women and their prenatal care providers

"Immunizations for San Diego Kids," a grant-funded project in San Diego that works to increase childhood immunizations and decrease personal belief exemptions, has developed a new handout for pregnant women based on focus group feedback and a literature review. The goal is to move the discussion about childhood immunizations to pregnancy instead of the busy time after birth. The prenatal care provider can initiate the discussion, give the pregnant woman the brochure at the time of her Tdap or influenza vaccination, and suggest that she schedule an appointment with the baby’s healthcare provider to further discuss immunization. The brochure and other resources can be accessed from the project's website at

"Immunizations for San Diego Kids" is a partnership of Rady Children's Hospital–San Diego, Children's Physicians Medical Group, Children's Primary Care Medical Group, California Chapter 3 of the American Academy of Pediatrics, and First 5 San Diego.

Related Links Back to top

IAC's sturdy laminated versions of the 2014 U.S. child/teen immunization schedule and the 2014 U.S. adult immunization schedule—order a supply for your healthcare setting today!

IAC's laminated versions of the 2014 U.S. child/teen immunization schedule and the 2014 U.S. adult immunization schedule are covered with a tough, washable coating; they will stand up to a year's worth of use in every area of your healthcare setting where immunizations are given.

The child and adolescent schedule has eight pages (i.e., four double-sided pages) and is folded to measure 8.5" x 11". The adult immunization schedule has six pages (i.e., three double-sided pages) and is folded to measure 8.5" x 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

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.

Related Link Back to top

Ask the Experts
Question of the Week

We have an adult who was diagnosed with polio as a child with some residual effects.  This adult will be traveling overseas and the CDC travel website recommends a dose of polio vaccine. Should he be vaccinated with polio vaccine even though he had polio in the past?  
Answer:  Immunity to one of the serotypes of polio does not produce significant immunity to the other serotypes. A history of having recovered from polio disease should not be considered evidence of immunity to polio. It would be appropriate to vaccinate this adult if he will be traveling to an area for which polio vaccination is recommended. 

About IAC's Question of the Week

Each week, IAC Express highlights a new, topical, or important-to-reiterate Q&A. This feature is a cooperative venture between IAC and CDC. William L. Atkinson, MD, MPH, IAC's associate director for immunization education, chooses a new Q&A to feature every week from a set of Q&As prepared by experts at CDC’s National Center for Immunization and Respiratory Diseases.

We hope you enjoy this new feature and find it helpful when dealing with difficult real-life scenarios in your vaccination practice. Please encourage your healthcare professional colleagues to sign up to receive IAC Express at

If you have a question for the CDC immunization experts, you can email them directly at There is no charge for this service.

Related Links Back to top

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

This page was updated on .