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Issue 1443: September 4, 2019








CDC releases its "HCP Fight Flu Toolkit" and the "Digital Media Toolkit" for the 2019–20 flu season to help partners communicate about the importance of vaccination; important dates and resources are posted online 

The CDC's HCP Fight Flu Toolkit provides primary care physicians, nurses, pharmacists, and other healthcare professionals (HCP) with the resources needed to fight the flu in their practices. The materials will equip HCP to make strong influenza vaccine recommendations, facilitate productive conversations with patients, and improve influenza vaccination rates.

The 2019–20 Digital Campaign Toolkit includes a listing of events, print-ready materials, sample social media and newsletter content, videos, web resources, and a flu vaccine finder. This material is downloadable and shareable, and some of the material is customizable. Important dates featured include the Seasonal Flu Kickoff Press Conference on September 26 and National Influenza Vaccination Week (NIVW), which runs from December 1–7.

Both toolkits can be viewed and downloaded in Spanish by choosing the "Español" link at the top of the page.

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The new edition of The Vaccine Handbook (The Purple Book) App is now available free of charge from the Pediatric Infectious Diseases Society 
The Pediatric Infectious Diseases Society (PIDS) is pleased to make available a new edition of The Vaccine Handbook app. This mobile app for iOS devices contains the 2019 (8th) edition of The Vaccine Handbook: A Practical Guide for Clinicians (also known as The Purple Book), by Dr. Gary S. Marshall, professor of pediatrics at the University of Louisville School of Medicine. This authoritative, practical tool is available free of charge from the Apple iTunes App Store (purchase of the print edition is not required). 

Please help PIDS spread the word to members of your organization, partner organizations, vaccine providers, trainees, and others.

The Vaccine Handbook is a readable, comprehensive source of up-to-date information for vaccine providers and educators. It draws together the latest vaccine science and guidance into a concise, user-friendly, practical resource for the private office, public health clinic, academic medical center, and hospital. The App is fully searchable, allows for bookmarking, highlighting and annotation, and contains hyperlinks to useful content on the Internet. It includes:

  • Scientific foundations of vaccinology
  • Information on every vaccine licensed in the United States
  • The rationale behind authoritative vaccine recommendations
  • Contingencies encountered in everyday practice
  • An entire chapter on addressing vaccine concerns
  • Background on vaccine infrastructure and policy-making
  • Standards and regulations
  • Office logistics, billing procedures, and much more

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

Paper copies of The Vaccine Handbook are available through the publisher, Professional Communications, Inc. (West Islip, NY) at   

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AAP News reports AAP will partner with Pinterest to fight vaccine misinformation

The American Academy of Pediatrics (AAP) reported that it will partner with Pinterest to fight vaccine misinformation. The first three paragraphs from the August 28 issue of the AAP News are reprinted below.

Pinterest is taking new steps to crack down on vaccine misinformation in partnership with the Academy.

When Pinterest users search for information about vaccines or vaccine-preventable diseases, they’ll only get search results from public health organizations like the AAP, World Health Organization, Centers for Disease Control and Prevention and the Vaccine Safety Net. These search results also will be free of recommendations, comments and ads.

“As we continue to tackle health misinformation, we remove it and the accounts that spread it from our service,” Pinterest Public Policy and Social Impact Manager Ifeoma Ozoma said in a statement. “But we also want to bring expert content onto Pinterest. We know we aren’t medical experts, which is why we’re working with professionals to inspire Pinners with reliable information about health.”

Read the complete article: AAP, Pinterest Partner to Fight Vaccine Misinformation.

Reprinted with permission of AAP News, August 2019.

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August webinar by Dr. Sharon G. Humiston presenting "Adolescent Immunization Update and the 16-Year-Old Platform" now available on IAC website; slide set and presenter's notes also available for your use

On August 14, Sharon G. Humiston, MD, MPH, FAAP, IAC's associate director for research, presented a 1-hour webinar titled Adolescent Immunization Update and the 16-Year-Old Platform.

During her presentation, Dr. Humiston reviewed the “need-to-know” facts of adolescent immunization, including the recommendations for adolescent vaccination at 11–12 years of age and those at age 16. 

To watch this webinar, click here or go to the home page of IAC’s main website and click on Dr. Humiston’s photo in the middle of the page. 

From IAC’s PowerPoint Slide Set web page, you can:

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Visit newly updated to enhance your efforts at increasing rates of the MenACWY booster and other adolescent vaccines

On August 7, IAC announced a major upgrade to its collaborative website promoting the importance of receiving a booster dose of meningococcal ACWY (MenACWY) vaccine.


Aimed at healthcare professionals, the site has been revised to incorporate newly updated materials and to highlight the importance of all recommended vaccines for 16-year-olds. A simplified navigation structure makes locating information a breeze.
The colorful new website is divided into five easy-to-access sections: 

  • Vaccinate Teens – The tools included on this web page offer helpful information on teen vaccination schedules and tips for improving adolescent immunization rates.
  • Give 2 Doses – Fewer than half of teens have received the recommended second dose of MenACWY vaccine. This web page offers tools to help providers improve second dose coverage.
  • 16-Year-Old Visit – These resources help both providers and their patients remember the important vaccines recommended for 16-year-olds.
  • Tools for Providers – These tools from CDC, IAC, and other organizations explain meningococcal ACWY vaccine recommendations and assist in improving adolescent coverage for all recommended vaccines.
  • Resources – This section contains a wealth of information to assist provider efforts to improve adolescent immunization rates. The materials are subdivided into subsections for print materials, links to organizations involved in adolescent immunization, personal stories about the importance of vaccination, and additional resources of interest. 

Additional time savings are provided by the site’s single location where all website materials are listed according to whether they are primarily of interest to providers or to patients/parents. Other sections relate to general adolescent immunization, as well as meningococcal disease and vaccine information.
Visit and enjoy browsing (and hopefully deploying) its terrific resources, brought to you by our collaboration with Sanofi Pasteur.
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CDC publishes “Notes from the Field: Mumps in Detention Facilities that House Detained Migrants—United States, September 2018–August 2019” in this week’s MMWR 

In the August 30 issue of MMWR, CDC published Notes from the Field: Mumps in Detention Facilities that House Detained Migrants—United States, September 2018–August 2019. A media summary of the MMWR article is reprinted below.

The first known outbreaks of mumps in detention facilities have resulted in the spread of mumps to over 50 detention facilities in 19 states since September 2018. From September 1, 2018 to August 22, 2019, a total of 898 mumps cases in adult migrants in 57 detention facilities were reported in 19 states, with another 33 cases among detention facility staff. While more than 150 outbreaks have been reported in the U.S. since 2015—most often in close-contact settings such as universities—this is the first time mumps outbreaks have been reported in detention facilities. CDC was first notified about the outbreaks by the Texas Department of State Health Services (TDSHS) in December last year. Since that time, CDC has been working with state and local health departments, the Immigration and Customs Enforcement Health Service Corps (IHSC), and other federal agencies to assist detention facility health administrators to develop and implement mumps outbreak control measures. 

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Total number of U.S. measles cases for 2019 climbs to 1,234 with 19 new cases reported since last week

CDC has posted its latest update on 2019 measles cases in the U.S. on its Measles Cases and Outbreaks web page. The web page shows a preliminary estimate of 1,234 cases across 31 states as of August 29. This is the greatest number of cases reported in the U.S. since 1992 and since measles was declared eliminated from the U.S. in 2000.

The states that have reported cases to CDC are Alaska, Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Maine, Maryland, Massachusetts, Michigan, Missouri, New Mexico, Nevada, New Hampshire, New Jersey, New York, Ohio, Oklahoma, Oregon, Pennsylvania, Texas, Tennessee, Virginia, and Washington.

Access additional information about U.S. measles cases in 2019 on CDC's Measles Cases and Outbreaks web page.

Measles outbreaks (defined as three or more cases) are currently ongoing in 2019 in the following jurisdictions:

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IAC Spotlight!  IAC's Clinic Tools: Administering Vaccinations web page provides resources from IAC, CDC, and other organizations

IAC's Clinic Tools: Administering Vaccinations web page on is a collection of resources from IAC, CDC, and other organizations.

In the left-hand column of the page, you will find IAC's educational materials related to administering vaccines, such as Administering Vaccines: Dose, Route, Site, and Needle Size; Don’t Be Guilty of These Preventable Errors in Vaccine Administration; and Skills Checklist for Vaccine Administration, as well as other educational pieces for healthcare professionals and their patients.

The right-hand column of the page features resources from CDC, including links to vaccine administration guidelines, General Best Practice Guidelines for Immunization, and “The Pink Book,” as well as resources from other organizations.

The Clinic Tools: Administering Vaccinations web page can be found by starting on the home page, selecting the "Clinic Tools" tab (third from the left) in the blue banner across the top, and then selecting "Administering Vaccinations" in the drop-down menu.

Visit the Clinic Tools: Administering Vaccinations page on

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Extended deadline for early bird registration! 2019 National Conference for Immunization Coalitions and Partnerships scheduled for November 13–15 in Honolulu; register by September 15 for discount

Register now to get your early bird discount to the exciting 14th National Conference for Immunization Coalitions and Partnerships (NCICP), which will take place in Honolulu from November 13–15. This is a great opportunity for coalition members and others to learn from expert speakers and network with members of immunization coalitions from around the nation.

Keynote speakers will include Nancy Messonnier, MD, director, National Center for Immunization and Respiratory Diseases, CDC, and Erica DeWald, directory of advocacy, Vaccinate Your Family. The conference will also include 40 breakout sessions, as well as research and coalition posters.

Please register for the conference by September 15 to receive the early bird rate.

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Two healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination

There are now 843 organizations enrolled in IAC's Influenza Vaccination Honor Roll. The honor roll recognizes hospitals, long-term care facilities (LTCFs), medical practices, pharmacies, professional organizations, health departments, and other government entities that have taken a stand for patient safety by implementing mandatory influenza vaccination policies for healthcare personnel.

Since August 7, when IAC Express last reported on the Influenza Vaccination Honor Roll, two additional healthcare organizations have been enrolled.

IAC urges qualifying healthcare organizations to apply by visiting the Application page.

Newly added healthcare organizations, hospitals, government agencies, medical practices, long-term care facilities, and pharmacies

  • Taylor Hardin Secure Medical Facility, Tuscaloosa, AL
  • Vanderbilt University Medical Center, Nashville, TN

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Voices for Vaccines releases several new podcasts in recognition of National Immunization Awareness Month; most recent episode titled "The Trivia Show!"

Voices for Vaccines (VFV) has posted a new entry in its Vax Talk podcast series: The Trivia Show! Melody Butler, of Nurses Who Vaccinate, challenged staff to a game of Vaccine Trivia.

In recognition of National Immunization Awareness Month (NIAM) 2019, VFV celebrated with Game Show Month. Recent podcasts include Vaccines, Baseball, and DaVinci, Troll or Be Trolled, and Stop the Presses. 

If you or your organization would like information about how to become a sponsor of a VFV "Vax Talk" podcast, please contact VFV's executive director Karen Ernst, at

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 updates "Administering Vaccines: Dose, Route, Site, and Needle Size"

IAC recently revised Administering Vaccines: Dose, Route, Site, and Needle Size. Changes were made to add a 0.5 mL dose of Fluzone and also 0.25 mL dose of Afluria to the influenza vaccine options for children beginning at age 6 months.

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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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IAC and the American College of Obstetricians and Gynecologists update their patient handout "Vaccinations for Pregnant Women" 

IAC and the American College of Obstetricians and Gynecologists (ACOG) recently revised Vaccinations for Pregnant Women. This very popular handout was edited to incorporate information on zoster vaccine, MenACWY, and HPV vaccine.

IAC offers an array of handouts for pregnant women as well as education materials for staff. 

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New! “FLU VACCINE” buttons and stickers now available for purchase from IAC

Start your preparations for the 2019–20 influenza season by ordering IAC's new “FLU VACCINE” buttons and stickers from SHOP IAC. These new resources are modeled after “I Voted” stickers, which are given to voters in many states as they leave the polls on Election Day. The flu vaccine buttons and stickers are bright red to help broadcast your important vaccination message. And the cost is low!


Demonstrate your clinic-wide support for protecting everyone from influenza by purchasing buttons for all staff to wear. Measuring 1.25" across, the button is understated in size but carries a bold message! Brightly colored red, round button with white text and a metal pin that clasps on the back.

Pin on your lab coat, uniform, other clothing, tote bag, or backpack to show support for influenza vaccination. Wear it when flu vaccine is available in your clinic to remind patients and the public to protect themselves from influenza.
Buttons are delivered in bags of 10 buttons per bag. Click here for pricing and ordering information.

These brightly colored red, round stickers measure 1.5" across. Printed on Avery labels, they adhere well to clothing and have an easy-peel-off back.
Wearing these brightly colored stickers, your patients will be letting their communities know that influenza vaccination is important.

Suitable for clinic staff, too! Urge all staff to wear them at work during flu vaccination season. This sends a powerful reminder to patients to get vaccinated.
Stickers are delivered to you cut individually (not on rolls)—available in bundles of 100. Click here for pricing and ordering information.

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Hepatitis B Foundation releases new #justB video titled "Sura's Story" to empower people affected by hepatitis B, raise awareness, and end stigma; video available in English and Arabic

The Hepatitis B Foundation continues its storytelling campaign: #justB: Real People Sharing Their Stories of Hepatitis B.

Watch Sura's Story, about a young woman whose brother tragically and very suddenly passed away due to fulminant hepatitis B at age 21. He contracted the virus while they were both in medical school in Syria. Sura is now living in the U.S., finishing her medical training, and has become a vocal advocate for hepatitis B prevention and vaccination. In memory of her brother, she shares her family’s story to help raise awareness about hepatitis B and encourages everyone to get vaccinated if they have not already. Her story is available in English and Arabic

Watch any of the following new videos by going to the web section: #justB: Real People Sharing Their Stories of Hepatitis B

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IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)

In late 2017, the Immunization Action Coalition (IAC) announced the publication of its new book, Vaccinating Adults: A Step-by-Step Guide (Guide).

This completely updated "how to" guide on adult immunization provides easy-to-use, practical information covering essential adult immunization activities. It helps vaccine providers enhance their existing adult immunization services or introduce them into any clinical setting. Topics include:

  • 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 Guide is available to download/print either by chapter or in its entirety free of charge at The downloaded version is suitable for double-sided printing. The National Vaccine Program Office and CDC both supported the development of the Guide and provided early technical review.

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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Vaccine Education Center at Children's Hospital of Philadelphia publishes August issue of its newsletter Vaccine Update 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 August issue includes the following articles:

Additional resources, including information about upcoming webinars, are available in the full newsletter.

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

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August issue of CDC's Immunization Works newsletter now available

CDC recently released the August 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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Harvard T.H. Chan School of Public Health presents upcoming forum titled “The Measles Outbreak: Why Vaccines Matter” through free live stream on September 12

The Dr. Lawrence H. and Roberta Cohn Forums at the Harvard T.H Chan School of Public Health will offer a forum titled The Measles Outbreak: Why Vaccines Matter on September 12 from 12:00–1:00 p.m. (ET). Presented jointly with Public Radio International’s The World and WGBH, there will be multiple ways to participate, including a live webcast and an on-demand video after the event. The following is excerpted from the webcast’s web page:

This Forum looks at the drivers of the 2019 outbreaks and, more generally, the challenges of vaccine acceptance. Why do some parents delay or decline vaccinating their children? How might their concerns be addressed? What about exemptions? Why does the global picture matter? And what can be done once an outbreak begins? New polling data will frame this discussion, providing a uniquely current picture of vaccine acceptance in the U.S.

Access more information about this forum, including how to register: The Measles Outbreak: Why Vaccines Matter.

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NFID offers September 12 webinar on protecting young adults from meningococcal disease

The National Foundation for Infectious Diseases (NFID) will present a webinar titled Protecting Young Adults from Meningococcal Disease on September 12 from 2:00–3:00 p.m. (ET). NFID medical director William Schaffner, MD will moderate the webinar with presentations by Sarah A. Mbaeyi, MD, MPH, medical officer at the Centers for Disease Control and Prevention (CDC), and Christine Amidon, BSN, RN, nurse at the Wabash College Student Health Center in Crawfordsville, Indiana.
Registration information

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Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics runs through September 25; register now

Register for CDC's 15-part, live CE-accredited series of 1-hour webinars designed 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"). Topics include specific vaccines and the diseases they prevent, general recommendations for vaccines, vaccination principles, and immunization strategies for providers.  
All sessions begin at 12:00 p.m. (ET). This series began on June 5 and will run through September 25, 2019. The next two webinars are scheduled as follows:
  • September 18: Pneumococcal Vaccines
  • September 25: Influenza
Recordings of sessions will be available online within 2 weeks after each webinar.

Information on registration and program details are 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.

The American Dental Association offers September 25 webinar for dentists titled “Say What? Science and Skills for Talking about the HPV Vaccine”

The American Dental Association will offer a webinar titled Say What? Science and Skills for Talking about the HPV Vaccine on September 25 at 12:00 p.m. (CT). Targeted to dentists, participants will learn the basics of the HPV vaccine, how to initiate conversation with their patients, answer difficult questions, and get comfortable developing effective messaging techniques. The presenters include Robin Wright, PhD, director, Research and Policy Center, American Academy of Pediatric Dentistry, and Reva Bhushan MA, PhD, evidence-based dentistry manager, American Academy of Pediatric Dentistry. CE credits are available.

Registration information
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) 2019 Immunization Action Coalition
All rights reserved.

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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