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Issue 1369: June 6, 2018









Michigan experiencing biggest hepatitis A outbreak in U.S., with 838 cases and 27 deaths since August 2016

Michigan's hepatitis A outbreak, with 838 cases, 675 hospitalizations, and 27 deaths since August 2016, is the largest in the country and has spread through many counties. In addition, the Detroit Free Press reported that the strain affecting many in Detroit has led to a higher rate of hospitalizations than for strains detected previously, according to an epidemiologist with the Michigan Department of Health and Human Services. Restaurant workers are among those for whom the health department has recommended vaccination because the virus was detected in up to 35 restaurant workers in the metro Detroit area.

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Shots Immunizations app for 2018 from the American Academy of Family Physicians and the Society of Teachers of Family Medicine is now available free of charge

The American Academy of Family Physicians (AAFP) and the Society of Teachers of Family Medicine (STFM) combined forces and created one immunization app.

This new Shots Immunizations app, developed by vaccine experts at STFM and AAFP and released March 2018, is designed to serve as a point-of-care reference tool, covering every aspect of the current 2018 immunization schedules (adult, child/adolescent, and catch-up schedules). This easy-to-use, up-to-date app includes information on combination vaccine schedules, dosing schedules, contraindications, potential adverse reactions, CPT codes, and much more. 

This app is included in the AAFP mobile app as a stand-alone app. It's available free for iPhone, iPad, and Android devices.
Download Shots Immunizations on iTunes or Google Play.

IAC Spotlight! IAC’s ACIP web section on provides links to ACIP recommendations from 1991 to the present as well as other valuable information

IAC’s recently updated ACIP web section on provides links to almost all of the past ACIP recommendations from 1991 to the present as well as other valuable information. You can access the ACIP recommendations in two ways: sorted alphabetically by diseases and vaccines or chronologically.

View the ACIP recommendations chronologically if you are interested in seeing recommendations by date, divided into two web pages:
View the ACIP recommendations in the Vaccine Index, where they are sorted alphabetically by diseases and vaccines.

On the ACIP Additional Information web page in the ACIP web section, you will find the following list that will direct you to related CDC resources pages:
  • About ACIP, with descriptions of the committee and contact information
  • ACIP Recommendations, with a current listing of official ACIP recommendations on the CDC website
  • ACIP Meetings 
  • ACIP: U.S. Vaccine Abbreviations
  • ACIP & Vaccines For Children (VFC)—Vaccine Resolutions
  • MMWR Continuing Education: ACIP Recommendations
  • Vaccine Price List

Visit the ACIP web section on where you will access the information and resources you need related to ACIP recommendations.

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Voices for Vaccines releases new podcast, “Advocacy We Believe in with People We Like,” featuring healthcare professionals discussing what motivates them to be vaccine advocates

Voices for Vaccines (VFV) has posted the 18th entry in its Vax Talk podcast series: Advocacy We Believe in with People We Like.​ In this podcast, several healthcare professionals from various aspects of the healthcare field who attended the 2018 National Immunization Conference discuss what motivated them to become vaccine 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 revises its Q&A for healthcare professionals, “Hepatitis B and Healthcare Personnel," with answers from CDC

IAC recently revised its 5-page Q&A for healthcare professionals: Hepatitis B and Healthcare Personnel: CDC answers frequently asked questions about how to protect healthcare personnel. Revisions were made to incorporate recommendations for the recently licensed 2-dose Heplisav-B vaccine and to provide guidance on post-vaccination testing and post-exposure prophylaxis of healthcare personnel.

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​​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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CDC and WHO report on progress toward rubella and congenital rubella syndrome control in the southeast Asia region from 2000–16 in this week's MMWR and Weekly Epidemiological Record, respectively

CDC published Progress Toward Rubella and Congenital Rubella Syndrome Control—South-East Asia Region, 2000–2016 in the June 1 issue of MMWR (pages 602–606). On the same day, WHO's Weekly Epidemiological Record published a similar article titled Progress towards control of rubella and congenital rubella syndrome—South-East Asia Region, 2000–2016 (pages 321–328). A media summary of the MMWR article is reprinted below.

Substantial progress has been made towards rubella and congenital rubella syndrome (CRS) control in the South-East Asia Region since 2000, with a 37 percent decrease in reported regional rubella incidence following introduction of rubella containing vaccine (RCV) in six additional countries, achievement of high routine RCV coverage after introduction, and enhancement of laboratory-supported surveillance. In 2013, the 66th session of the Regional Committee of the World Health Organization (WHO) South-East Asia Region (SEAR) adopted the goal of measles elimination and rubella and CRS control by 2020. Rubella infection is the leading vaccine-preventable cause of birth defects. Infection during pregnancy, especially during the first trimester, can result in miscarriage, fetal death, or a constellation of congenital malformations known as CRS. Substantial progress has been made towards rubella and CRS control in SEAR since 2000. During 2010–2016, reported rubella incidence decreased by 37 percent across the region. This report summarizes progress toward rubella and CRS control in SEAR during 2000–2016.

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New! 2018 edition of Red Book now available 

The newly revised and updated Red Book: 2018–2021 Report of the Committee on Infectious Diseases, 31st Edition is now available on Red Book Online
It is also available for purchase as an e-book and in paperback format on the ShopAAP web page.
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Vaccine Education Center publishes new 4-page handout: “Logical Fallacies and Vaccines” 

The Vaccine Education Center (VEC) at the Children's Hospital of Philadelphia has published a new 4-page handout, Logical Fallacies and Vaccines: What You Should Know as part of its Special Topics Series—Online Q&A Sheets. This new handout describes common fallacies and how they have been used to argue that vaccines are not safe and provides "reality checks" responding to each logical fallacy.

An article titled News & Views—Facts, Myths and Fallacies by Paul A. Offit, MD, and Moser in VEC's May issue of its Vaccine Update for Healthcare Professionals newsletter also discusses this topic.

Access the 4-page handout: Logical Fallacies and Vaccines: What You Should Know.
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Still available! IAC's sturdy laminated versions of the 2018 U.S. child/teen immunization schedule and the 2018 U.S. adult immunization schedule—order a supply for your healthcare setting today!

IAC's laminated versions of the 2018 U.S. child/teen immunization schedule and the 2018 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".

Adult Laminated Immunization Schedules

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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IAC's new 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download

The Immunization Action Coalition (IAC) recently announced the publication of its new book, Vaccinating Adults: A Step-by-Step Guide (Guide).

This completely updated guide on adult immunization (originally published in 2004) provides easy-to-use, practical information covering important “how-to” activities to help providers enhance their existing adult immunization services or introduce them into any clinical setting, including:

  • setting up for vaccination services,
  • storing and handling vaccines,
  • deciding which people should receive which vaccines,
  • administering vaccines,
  • documenting vaccinations (including legal issues), and
  • understanding financial considerations and billing information.

In addition, the Guide is filled with hundreds of web addresses and references to help providers stay up to date on the latest immunization information, both now and in the future.

The entire Guide is available to download/print free of charge at The downloaded version is suitable for double-sided printing. Options are available online to download the entire book or selected chapters. The development of the Guide was supported by the National Vaccine Program Office (NVPO) and the Centers for Disease Control and Prevention (CDC). Expert staff from both agencies also provided early technical review of the content.

The Guide is a uniquely valuable resource to assist providers in increasing adult immunization rates. Be sure to get a copy today!

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May issue of CDC's Immunization Works newsletter now available

CDC recently released the May issue of its monthly newsletter Immunization Works. The newsletter offers the immunization community information about current topics. The information is in the public domain and can be reproduced and circulated widely.

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Vaccine Education Center publishes May issue of its newsletter for healthcare professionals

The Vaccine Education Center (VEC) at Children's Hospital of Philadelphia publishes a monthly immunization-focused newsletter titled Vaccine Update for Healthcare Professionals. The May issue includes the following articles:

Additional resources, including information booklets for patients, are available in the full newsletter.

Access the sign-up form to subscribe to Vaccine Update for Healthcare Professionals.

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Weekly CDC webinar series on "The Pink Book" chapter topics begins June 6 with "Principles of Vaccination"; register now for series running through September 26 

CDC is again 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"). The June 6 webinar will cover "Principles of Vaccination" and include a live Q&A session. This is a live series of weekly 1-hour webinars that will start June 6 and run through September 26. 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. 

Webinar titled "Immunizations among American Indian/Alaska Native People: Challenges and Successes" will be held on June 13

A webinar titled Immunizations among American Indian/Alaska Native People: Challenges and Successes will be held on June 13 from 12:00 to 1:00 p.m. MT (10:00 to 11:00 a.m. ET). The webinar is presented by HealthInsight New Mexico, the Indian Health Service, the New Mexico Immunization Coalition, and the New Mexico Department of Health.

The webinar's panel presentation will:
  • provide information on immunization coverage of American Indian/Alaska Native (AI/AN) people receiving care at Indian Health Service (IHS) and tribal facilities in New Mexico,
  • describe the changes IHS healthcare professionals face with immunizing AI/AN people, and
  • share best practices to overcome AI/AN immunization obstacles.

About IAC Express
The Immunization Action Coalition welcomes redistribution of this issue of IAC Express or selected articles. When you do so, please add a note that the Immunization Action Coalition is the source of the material and provide a link to this issue.

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IAC Express is supported in part by Grant No. 6NH23IP922550 from the National Center for Immunization and Respiratory Diseases, CDC. Its contents are solely the responsibility of IAC and do not necessarily represent the official views of CDC. IAC Express is also supported by educational grants from the following companies: AstraZeneca, Inc.; Merck Sharp & Dohme Corp.; Pfizer, Inc.; and Sanofi Pasteur.

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ISSN: 1526-1786
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Copyright (C) 2018 Immunization Action Coalition
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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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