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Issue 1310: June 14, 2017

Ask the Experts
Ask the Experts—Question of the Week: The package insert for VaxChora oral cholera vaccine states that effectiveness . . . read more








Germany and Italy pass mandatory vaccination laws

In response to a spike in the number of cases of measles, Germany is tightening its legislation mandating vaccination for children entering kindergarten. Italy already made vaccination mandatory this month because of a measles epidemic. Vaccination rules are being tightened across Europe, where spikes in diseases such as measles, varicella, and mumps have been attributed to a decline in immunization, according to the European Centre for Disease Prevention and Control.

The following is a sample of the recent coverage of this issue:

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Mark your calendar! Dr. William L. Atkinson, IAC's associate director for immunization education, will present a webinar on adolescent immunization on July 10. 

William L. Atkinson, MD, MPH, IAC's associate director for immunization education, will present a one-hour webinar on adolescent immunization on July 10 at 1:00 p.m. (ET). During his presentation, Dr. Atkinson will review the recommendations for adolescent vaccines, including those recommended at 11–12 years of age and those at age 16.

Registration information for the webinar will be provided in a future issue of IAC Express. In the meantime, be sure to reserve July 10 from 1:00 p.m.–2:00 p.m. (ET) on your calendar.

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ASTHO creates guide to assist in identifying and vaccinating uninsured and underinsured adults

The Association of State and Territorial Health Officials (ASTHO) has created the 88-page guide Identifying and Vaccinating Uninsured Adults: Strategies and Practices (11.6 MB) to assist state and local immunization programs and their partners in identifying and vaccinating uninsured and underinsured adults. This guide includes strategies, practices, and resources from 13 selected state immunization programs and their partners that have implemented activities or programs to improve access to vaccines for vulnerable adult populations.

Topics addressed in the guide include how to identify and reach uninsured populations, tools and activities to incorporate into adult immunization programs, clinic operation practices to facilitate successful incorporation of adult vaccination services, and ways to maximize limited resources. 

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Voices for Vaccines releases new podcast on the topic of Andrew Wakefield

Voices for Vaccines (VFV) has posted the sixth entry in its Vax Talk podcast series—"Andrew Wakefield." VFV describes this session as follows: 

Everyone knows Andrew Wakefield as the author of “that paper” [1998 study about MMR and autism retracted by The Lancet], but few know the full extent of his dealings in the anti-vaccine community. We talk to Ken Reibel and Matt Carey, two fathers of autistic children and active writers and autism advocates . . .

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 values vaccines to become a member. Please spread the word to your friends and colleagues to join VFV!
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IAC Spotlight! Five healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination

There are 630 organizations now enrolled in IAC's Influenza Vaccination Honor Roll. The honor roll recognizes hospitals, medical practices, professional organizations, health departments, and government entities that have taken a stand for patient safety by implementing mandatory influenza vaccination policies for healthcare personnel.

Since May 3, when IAC Express last reported on the Influenza Vaccination Honor Roll, five additional healthcare organizations have been enrolled.

IAC urges qualifying healthcare organizations to apply.

Newly added healthcare organizations, hospitals, government agencies, and medical practices

  • Cape Regional Health System, Cape May Court House, NJ
  • Greene County General Hospital, Linton, IN
  • McDonough District Hospital, Macomb, IL
  • New York Presbyterian Hudson Valley Hospital, Cortlandt Manor, NY
  • Whiteside County Health Department, Rock Falls, IL

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IAC posts new and updated Japanese-language VIS translations 

IAC recently posted new Japanese-language translations of the VISs for the following vaccines:

IAC also posted updated Japanese translations of the VISs for the following vaccines:

IAC thanks Oregon Health Authority for the translations.

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CDC and WHO report on Japanese encephalitis surveillance and immunization in Asia and Western Pacific Regions in this week's MMWR and Weekly Epidemiological Report, respectively

CDC published Japanese Encephalitis Surveillance and Immunization—Asia and Western Pacific Regions, 2016 in the June 9 issue of MMWR. On the same day, WHO's Weekly Epidemiological Record published a similar article titled Japanese encephalitis: surveillance and immunization in Asia and the Western Pacific, 2016. A summary made available to the press from CDC is reprinted below.

Japanese encephalitis (JE) virus is the most important vaccine-preventable cause of encephalitis in Asia. The World Health Organization recommends integration of JE vaccination into national immunization schedules in all areas where the disease is a public health priority. A review of surveillance and immunization program data in the 24 countries with JE virus transmission risk showed that in 2016, 22 countries conducted at least some surveillance for JE, and 12 had implemented a JE immunization program. This represents substantial progress in JE prevention and control efforts, but challenges remain.

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Faculty members: Be sure to tell incoming residents in all specialties about the free SHOTS app that covers child, teen, and adult immunization 

The Group on Immunization Education (GIE), through the Society of Teachers of Family Medicine (STFM), produces a free and user-friendly mobile app called Shots Immunizations, a downloadable application for iPhones and Android devices that was developed to serve as a point-of-care tool. It is available at no cost on the iTunes App Store and the Google Play Store.

Shots Immunizations includes the unified CDC childhood and adolescent schedule, the catch-up schedule, the adult schedule, and the adult medical indications schedule. Each vaccine is covered in sections on the basics, special indications, catch-up vaccination, possible side effects, contraindications, and precautions, with additional sections on epidemiologic information about each disease. This app has a proven history as a reliable and useful source of information about all routine vaccines.

Besides this mobile app, STFM also offers a Shots Online version for PCs and Macs, which can be viewed from desktop and laptop computers, as well as from other devices with an Internet connection.

For more information, contact Ms. Judy Troy, project coordinator for STFM’s Group on Immunization Education.

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Also for new residents! Download Dr. Gary Marshall's The Vaccine Handbook: A Practical Guide for Clinicians (“The Purple Book") as a new app for iOS devices

A new app of The Vaccine Handbook: A Practical Guide for Clinicians ("The Purple Book") is available from the Immunization Action Coalition. The free app, which is available for Apple iPhones and iPads only, contains the complete 2017 (6th) edition of The Vaccine Handbook by Dr. Gary Marshall, professor of pediatrics and chief of the Division of Pediatric Infectious Diseases at the University of Louisville. The app is fully searchable, with functionality that includes bookmarking, highlighting, user annotation, and links to important vaccination resources.
"The Purple Book" is a comprehensive source of vaccine information, drawing together vaccine science, guidance, and practice into a user-friendly resource for the private office, public health clinic, academic medical center, classroom, and hospital. The first section provides background on vaccine immunology, development, infrastructure, policy, standards, implementation, special circumstances, and—perhaps most importantly—addressing concerns. The second section contains details about every vaccine currently licensed in the U.S., including the burden and epidemiology of the respective disease, history of the immunization program, vaccine constituents, efficacy, safety, and recommendations.

The free app may be found by searching the iTunes App Store for “The Vaccine Handbook App” or clicking on the following link or image:

Print copies of The Vaccine Handbook ($34.95 each; bulk discounts are available from the publisher) can be ordered from the Immunization Action Coalition website at

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Hepatitis B Foundation releases new video in its storytelling project: #justB

In January, the Hepatitis B Foundation launched a new storytelling campaign: #justB: Real People Sharing their Stories of Hepatitis B. The volunteers sharing their stories do so to put a human face on this serious disease, decrease stigma and discrimination, and promote the importance of testing and treatment for hepatitis B. A new story will be featured each month throughout 2017. 

Watch the May story about a father-to-be who found out he was chronically infected with the hepatitis B virus when he applied for life insurance: William #justB Dad.

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Still available! IAC's sturdy laminated versions of the 2017 U.S. child/teen immunization schedule and the 2017 U.S. adult immunization schedule—order a supply for your healthcare setting today!

IAC's laminated versions of the 2017 U.S. child/teen immunization schedule and the 2017 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. Both schedules are eight pages (i.e., four double-sided pages) and are folded to measure 8.5" x 11". 

Laminated Child and Teen Laminated Schedule

Adult Laminated 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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Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics runs through October 11; register now 

CDC is presenting a 15-part webinar series to provide a chapter-by-chapter overview of the 13th edition of Epidemiology and Prevention of Vaccine-Preventable Diseases (also known as "The Pink Book"). This is a live series of weekly 1-hour webinars that started June 14 and will run through October 11. Recordings of sessions will be available online within 2 weeks after each webinar. All sessions begin at 12:00 p.m. (ET). Continuing education will be available for each event.

The webinar series will provide an overview of vaccines and the diseases they prevent, general recommendations for vaccines, vaccination principles, and immunization strategies for providers. 

Registration and more information is available on CDC's Pink Book Webinar Series web page.

All the sections of "The Pink Book" (i.e., chapters, appendices, 2017 supplement) are available to download at no charge at

You can also order this resource from the Public Health Foundation for $40 plus shipping and handling. This print version does not include the 2017 supplement.

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Question of the Week

The package insert for VaxChora oral cholera vaccine states that effectiveness and safety have not been established for revaccination or for individuals with previous immunity. Does the CDC have any recommendations on revaccination or is one dose considered lifetime immunity at this time? 

At this time, CDC does not have any recommendation related to revaccination with oral cholera vaccine. The duration of immunity following one dose is unknown. As more information becomes available, CDC will update its recommendations accordingly.

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 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
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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