Issue 1133: July 22, 2014

Ask the Experts–Question of the Week: Can you please guide me in finding storage containers and bins for vaccines?  …read more


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 November issue of Needle TipsDownload the November 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.

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Special August 13 ACIP meeting via webinar and phone on adult pneumococcal vaccination

ACIP has scheduled an extra meeting on August 13 to discuss the use of pneumococcal vaccines in adults. This meeting will be conducted via webinar and telephone. Those interested in participating can access the proposed agenda and call-in information here.

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PBS's NOVA program to air documentary on vaccines in September

NOVA, PBS's popular science series, has announced plans to premiere a film titled Vaccines—Calling the Shots on September 10. The one-hour film interviews many experts, explores the history and science behind vaccinations, and sheds light on the risks of opting out. The first two paragraphs of a related press release are reprinted below.

Measles. Mumps. Whooping cough. Diseases that were largely eradicated in the United States a generation ago are returning. Across America and around the globe, children are getting sick and dying from preventable diseases—in part, because some parents are choosing to skip their children’s shots. How and why do vaccines work? What are the biggest concerns and misconceptions, and what are the risks to the child and society when people decide to forego immunization? The award-winning science series NOVA helps viewers find the answers they need.
Misinformation about vaccines can spread quickly, creating confusion about the relative risks of vaccinating vs. not vaccinating. Vaccines—Calling the Shots is an important new film that encourages parents to ask questions and use the best available evidence to make decisions about how to protect their children.

According to PBS, NOVA is the most-watched prime time science series on American television, reaching an average of five million viewers weekly. This new documentary is a great opportunity to provide evidence-based information about the safety and efficacy of vaccines to a large audience. Spread the word!

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IAC Spotlight! Video Library offers extensive and searchable collection of more than 125 videos about vaccine-preventable diseases and the importance of immunization

IAC's “Vaccine Information You Need" website, www.vaccineinformation.orgfeatures an impressive Video Library. The collection of more than 125 videos is searchable by keyword and by a preset "Popular Searches" drop-down menu, which offers more than 10 choices. The results of a video search can be sorted by date of posting or by title of the video. Check back often as IAC adds to the collection frequently.

Some popular search options include: Videos in this curated collection include personal testimonies from parents who have suffered the tragic loss of a child, public service announcements about the importance of immunization, and videos about vaccine-preventable diseases, as well as animation to help illustrate the concepts of immunization. The featured videos are from many sources, including the following trusted organizations: CDC, PKIDs, California Immunization Coalition’s Shot-by-Shot project, Families Fighting Flu, state health departments, and local immunization coalitions.

We urge you to link to IAC’s website,, from your website, blog, and/or Facebook page.

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IAC enrolls four more birthing institutions into its Hepatitis B Birth Dose Honor Roll; four previously honored institutions qualify for a second year

The Immunization Action Coalition (IAC) is pleased to announce that four new institutions have been accepted into its Hepatitis B Birth Dose Honor Roll. The birthing institutions are listed below with their reported hepatitis B birth dose coverage rates in parentheses.
  • Hospital Bella Vista, Mayaguez, PR (99%)
  • Hospital Cayetano Coll y Toste, Arecibo, PR (95%)
  • Manchester Memorial Hospital, Manchester, KY (99%)
  • Saint Joseph London, London, KY (99%)
In addition, the following four institutions are being recognized for a second year.
  • Arnot Ogden Medical Center, Elmira, NY (97%)
  • Denver Health Medical Center, Denver, CO (90%)
  • Laughlin Memorial Hospital, Greeneville, TN (96%)
  • Wood County Hospital, Bowling Green, OH (91%)
The Honor Roll now includes 95 birthing institutions from 25 states and one U.S. territory.

The Honor Roll is a key part of IAC’s major initiative urging the nation’s hospitals to Give birth to the end of Hep B. Hospitals and birthing centers are recognized for attaining high coverage rates for administering hepatitis B vaccine at birth and meeting specific additional criteria. The initiative urges qualifying healthcare organizations to apply for the Hepatitis B Birth Dose Honor Roll online.

To be included in the Hepatitis B Birth Dose Honor Roll, a birthing institution must have: (1) reported a coverage rate of 90% or greater, over a 12-month period, for administering hepatitis B vaccine before hospital discharge to all newborns, including those whose parents refuse vaccination, and (2) implemented specific written policies, procedures, and protocols to protect all newborns from hepatitis B virus infection prior to hospital discharge.

Honorees are also awarded an 8.5" x 11" color certificate suitable for framing and their acceptance is announced to IAC Express’s approximately 50,000 readers.

Please visit the new Hepatitis B Birth Dose Honor Roll web page that lists these institutions and their exceptional efforts to protect infants from perinatal hepatitis B transmission.

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CDC NetConference on current topics of interest scheduled for July 30 

CDC will present a Current Issues in Immunization NetConference on July 30 from 12:00 to 1:00 p.m. (ET).

Topics and Speakers:
  • "Update on Pertussis Epidemiology and Vaccination in the United States," presented by Tami H. Skoff, MS
  • "Update on Adolescent Vaccination Coverage in the United States," presented by Shannon Stokley, MPH
  • "HPV Communication Campaign," presented by Christina P. Williams, MA, MBA
Andrew Kroger, MD, MPH, will moderate the conference.

This is a limited registration event. Registration (required) will close on July 29 or earlier if the course is full.

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CDC Twitter chat on vaccinating preteens and teens scheduled for July 28 

On July 28 from 3:00–4:00 p.m. (ET), CDC will host a Twitter chat with healthcare professionals, state and local health departments, health organizations, and medical associations on vaccinating teens and preteens. In this peer-to-peer conversation, participants will identify barriers, relay strategies, and share resources to better serve families.
The chat will follow CDC’s scheduled July 24 release of new data on vaccine coverage for U.S. teens.

For more information about joining this conversation, go to

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IAC develops two new handouts for patients: "Hepatitis A Vaccine: Reasons to Consider Vaccination" and "Foodborne Hepatitis A Outbreaks in the U.S. Are Well-documented; Vaccine Provides Lifetime Protection"

IAC recently developed two new handouts that demonstrate how easy it is to get infected with the hepatitis A virus (HAV) through contaminated food or drink. These pieces clearly make the case that such outbreaks are unpredictable, potentially serious, and preventable by vaccination.
  1. Hepatitis A Vaccine: Reasons to Consider Vaccination provides numerous compelling examples of hepatitis A outbreaks related to eating at restaurants, consuming contaminated fresh produce, and well/sewage system failure.
  2. Foodborne Hepatitis A Outbreaks in the U.S. Are Well-documented; Vaccine Provides Lifetime Protection lists summaries of foodborne hepatitis A outbreaks in the United States from 1997 through 2011.
According to the 2006 ACIP recommendations on the prevention of hepatitis A: "Hepatitis A vaccination is recommended routinely for children, for persons who are at increased risk for infection, and for any person wishing to obtain immunity."

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IAC updates patient handout: "Hepatitis A Is a Serious Liver Disease"

IAC recently updated and reformated Hepatitis A Is a Serious Liver Disease. This two-page handout features basic Q&As for patients and parents about hepatitis A virus infection and recommended vaccination.

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New translation: "HPV: A Parent's Guide to Preteen and Teen HPV Vaccination" now available in Spanish

In November 2013, IAC adapted a parent handout about HPV vaccination, developed by the Michigan Department of Community Services, to make it available to all U.S. healthcare providers. Human Papillomavirus: A Parent's Guide to Preteen and Teen HPV Vaccination is a two-page resource that answers common questions parents have about the safety, effectiveness, and necessity of HPV vaccination for their preteen or teen. In response to requests, IAC has just released a new translation of this handout for Spanish-speaking parents.

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IAC updates Spanish translation of "Questions Frequently Asked about Hepatitis B"

IAC recently updated the Spanish translation of Questions Frequently Asked about Hepatitis B. This four-page handout was updated in English in May 2014; the Spanish-language version now matches the English version.

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IAC posts multiple updated translations of VISs for rabies, Japanese encephalitis, typhoid, and yellow fever vaccines

IAC recently posted seven rabies VIS translations, six Japanese encephalitis VIS translations, six typhoid VIS translations, and four yellow fever VIS translations. Most of these translations are updates; a few are new offerings. Links to each are provided below. IAC thanks the California Department of Public Health for all of these translations.

Rabies VIS Access all rabies VISs, including English

Japanese encephalitis VIS Access all Japanese encephalitis VISs, including English

Typhoid VIS Access all typhoid VISs, including English

Yellow fever VIS Access all yellow fever VISs, including English

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New German Tdap VIS and updated German Td VIS translations now available

IAC recently posted an updated German translation of the Td VIS and a new German translation of the Tdap VIS. IAC thanks Don Shuwarger, MD, for providing financial support for the Tdap translation.

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CDC discontinues distribution of free print copies of MMWR Weekly; free electronic copies and paid subscriptions remain available

CDC published Notice to Readers: Discontinuation of Routine Distribution of Printed Copies of MMWR Weekly in the July 18 issue of MMWR (page 608). The complete notice is reprinted below.

Effective August 1, 2014, subscribers who currently receive printed copies of MMWR at no cost directly from CDC each week will no longer receive them. This decision was reached after careful consideration of the costs of printing and mailing. Distribution of printed copies of MMWR serial publications (i.e., Recommendations and Reports, Surveillance Summaries, Supplements, and Summaries of Notifiable Diseases) was discontinued in 2011.

MMWR publications are available at no cost online at Readers desiring to have electronic copies of MMWR publications emailed to them automatically can subscribe online at Printed copies of the MMWR Weekly and serial publications are available by subscription from the Massachusetts Medical Society and from the U.S. Government Printing Office at

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Voices for Vaccines creates new handouts to help vaccine advocates make their case

Voices for Vaccines (VFV) has featured a number of stories and articles to help parents feel comfortable vaccinating and advocating for immunization. Now, due to requests, VFV has created handouts out of the most popular of these articles to print out and distribute in clinics, waiting rooms, and other places where parents seek vaccine information.

Access VFV's Immunization Handouts for Offices and Schools.

Voices for Vaccines is a national organization of parents and others who are dedicated to raising the level of the voices of immunization supporters. VFV invites everyone who appreciates vaccines to become a member of their organization. Please spread the word to your friends and colleagues to register for the conference call and to join VFV!
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IAC's sturdy laminated version of the 2014 U.S. adult immunization schedule is still available for purchase—order a supply for your healthcare setting today!

IAC's laminated version of the 2014 U.S. child/teen immunization schedule is sold out for 2014. Limited quantities of the 2014 U.S. adult immunization schedule are still available for purchase. IAC's laminated schedules 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 adult immunization schedule has six pages (i.e., three double-sided pages) and is folded to measure 8.5" x 11".
IAC'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, order online, or download an order form at the Shop IAC: Laminated Schedules web page. Check back in early 2015 to order supplies of IAC's laminated version of the 2015 U.S. child/teen immunization schedule.

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The Joint Commission releases report on preventing infection from the misuse of vials

On June 16, the Joint Commission released Sentinel Event Alert Issue 52: Preventing infection from the misuse of vials. The first paragraph is reprinted below.

Thousands of patients have been adversely affected by the misuse of single-dose/single-use and multiple-dose vials. The misuse of these vials has caused harm to individual patients through occurrences and outbreaks of bloodborne pathogens and associated infections, including hepatitis B and C virus, meningitis, and epidural abscesses. Adverse events caused by this misuse have occurred in both inpatient and outpatient settings, according to the Centers for Disease Control and Prevention (CDC).

The Joint Commission is an independent, not-for-profit organization that accredits and certifies more than 20,500 health care organizations and programs in the United States. The Joint Commission's work includes the review of organizations' activities in response to sentinel events in its accreditation process. A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.  Back to top

Dr. Peter Hotez's article provides information on the history and future of vaccine diplomacy

On July 26, the journal PLOS Neglected Tropical Diseases published an article by Peter J. Hotez, MD, PhD, titled “Vaccine Diplomacy”: Historical Perspectives and Future Directions. Vaccine diplomacy is defined in the introduction as follows.

Vaccine diplomacy is the branch of global health diplomacy that relies on the use or delivery of vaccines, while vaccine science diplomacy is a unique hybrid of global health and science diplomacy. Both offer innovative opportunities to promote United States (U.S.) foreign policy and diplomatic relations between adversarial nations. Vaccine science diplomacy could also lead to the development and testing of some highly innovative neglected disease vaccines.

Access the complete article.

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Registration deadline for October 29–30 ACIP meeting is October 6 for non-U.S. citizens and October 13 for citizens

CDC's Advisory Committee on Immunization Practices (ACIP) will hold its next meeting on October 29–30 in Atlanta at CDC's Clifton Road campus. To attend the meeting, ACIP attendees (participants and visitors) must register online. The registration deadline for non-U.S. citizens is October 6; it's October 13 for citizens. Registration is not required to watch the live webcast of the meeting.

The ACIP meeting web section will be updated with detailed information about the meeting, including live webcast instructions and the meeting agenda. Be sure to check back often.

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Archived slide sets from the June ACIP meeting now available

ACIP recently posted the archived slide sets presented at the ACIP meeting held on June 25–26.

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Ask the Experts
Question of the Week

Can you please guide me in finding storage containers and bins for vaccines?  
Answer: CDC recommends the use of bins, baskets, or some other type of uncovered containers that allow for organization and air circulation for vaccines and diluents within the storage unit. Storage in any boxes or bins can help maintain temperature longer, especially if power is lost. Perforated bins may allow for better air circulation around the vaccine, thus helping to maintain correct temperature. 

CDC does not have a specific recommendation for brands of containers or bins for storage of vaccine. We recommend that you contact your state immunization program, as they may find resources for purchasing this equipment. If you are a Vaccines for Children (VFC) program provider, you should contact your immunization program to ensure that you are in compliance with VFC policy.

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.

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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
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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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