Issue 1476: February 5, 2020







2020 U.S. recommended immunization schedules for children and adolescents as well as for adults now available on CDC's website 

On February 3, CDC posted the 2020 recommended immunization schedules for children and adolescents, as well as for adults, on CDC's Immunization Schedules for Health Care Providers web page.

For children and adolescents

The immunization schedule information for children and adolescents is available on the CDC web page titled Table 1. Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger, United States, 2020.

Access the full-color 8-page PDF of the child/adolescent schedule.

View what has changed on the child schedule for 2020

For adults

The immunization schedule information for adults is available on the CDC web page titled Table 1. Recommended Adult Immunization Schedule for Ages 19 Years or Older, United States, 2020.

Access the full-color 6-page PDF of the adult schedule.

View what has changed on the adult schedule for 2020.  

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CDC and WHO have declared public health emergencies regarding 2019 novel coronavirus

On Feb. 1, CDC updated the information on its web page titled 2019 Novel Coronavirus (2019-nCoV) Situation Summary. The portion of the Background section containing the public health emergency information is reprinted below:

On January 30, 2020, the International Health Regulations Emergency Committee of the World Health Organization declared the outbreak a “public health emergency of international concern” (PHEIC). On January 31, 2020, Health and Human Services Secretary Alex M. Azar II declared a public health emergency (PHE) for the United States to aid the nation’s healthcare community in responding to 2019-nCoV. Also on January 31, the President of the United States signed a presidential “Proclamation on Suspension of Entry as Immigrants and Nonimmigrants of Persons Who Pose a Risk of Transmitting 2019 Novel Coronavirus." These measures were announced at a press briefing by members of the President’s Coronavirus Task Force.

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CDC reports influenza activity remains high and has increased over the last two weeks; please continue vaccinating this season to prevent flu from spreading further

According to CDC’s Weekly U.S. Influenza Surveillance Report, FluView for the week ending January 25, key indicators that track flu activity remain high and, after falling during the first two weeks of the year, increased over the last two weeks. Indicators that track severity (hospitalizations and deaths) are not high at this point in the season. 

Forty-nine states and Puerto Rico reported widespread activity, while Hawaii, the District of Columbia, and the U.S. Virgin Islands reported regional, local, or sporadic activity for this time period. 

A total of 68 influenza-associated pediatric deaths have been reported for the 2019–20 season, 45 associated with influenza B viruses. Fourteen influenza-associated pediatric deaths were reported to CDC between weeks ending November 9–January 25. 

Visit the CDC’s Weekly U.S. Influenza Surveillance Report, FluView, for details.

Influenza vaccination is recommended for everyone six months of age and older, so please continue to vaccinate all your patients in this age range. If you don't provide influenza vaccination in your clinic, please recommend vaccination to your patients and refer them to a clinic or pharmacy that provides vaccines or to the HealthMap Vaccine Finder to locate influenza vaccination services near them.

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IAC Spotlight! In case you missed them, these IAC materials and web pages on were updated during December and January

In almost every issue of IAC Express, we provide readers with information about new and updated educational materials for healthcare professionals and handouts for patients that have been made available during the past week on IAC’s website All these materials are available free for you to download, print, copy, and distribute in your healthcare settings. We also announce major updates to the web pages and sections on
Below you’ll find a listing of items we’ve announced in IAC Express during the past two months

Educational Materials for Healthcare Professionals

Staff Education Materials

Handouts for Your Patients

Updated PowerPoint Slide Set

New Web Pages                          

Updated VIS Web Pages

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Deadline extended to February 10 for submitting nominations for 2020 Immunization Excellence Awards for the National Adult and Influenza Summit

The deadline for submitting nominations for the 2020 Immunization Excellence Awards for the National Adult and Influenza Immunization Summit (NAIIS) has been extended until Feb 10.  

The 2020 awards recognize individuals and organizations that have made extraordinary contributions towards improving vaccination rates within their communities during 2019. Awardees exemplify the meaning of the "immunization neighborhood" (collaboration, coordination, and communication among immunization stakeholders dedicated to meeting the immunization needs of the patient and protecting the community from vaccine-preventable diseases). 

A National Winner will be selected for each award category, and where appropriate, an Honorable Mention recipient. The winners will be presented with their awards at the NAIIS meeting to be held May 18 in Atlanta; the awards ceremony will be May 18. The national winner in each category will be invited to present their programs at the meeting.  

The deadline for nominations has been extended to February 10. 

Access information on the award categories and the nomination form.

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Not-to-miss immunization articles in the news

Four articles that appeared in the media recently are particularly compelling in conveying the potential risks of vaccine-preventable diseases and the importance of vaccination.

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Families Fighting Flu announces launch of new blog titled Insights on Influenza

Families Fighting Flu launched their new blog, Insights on Influenza, in January. This blog features new articles twice a month to share in-depth influenza-related information in an effort to help others learn more about flu prevention and treatment, as well as to honor lost loved ones.

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IAC's elegantly designed "Vaccines Save Lives" black enamel pins are a great way to show you value immunization!
IAC’s elegantly designed “Vaccines Save Lives” pin on hard black enamel with gold lettering and edges makes a meaningful gift for people who care about immunization.

The pin is a stick-through-post variety with the back end covered by a round rubber cap that holds the pin securely. A gold metal spring-lock clasp is also provided. The pin makes a refined statement, measuring 1.125" x 0.75". 

Wear these pins on clothing, uniforms, lab coats, tote bags, and backpacks to show that you value vaccines!

Click here for "Vaccines Save Lives" pins pricing and ordering information.

Visit Shop IAC for additional items, including "FLU VACCINE" buttons and stickers, patient record cards, and a vaccine administration training video.

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Flu season is ongoing, so make sure you have IAC's "FLU VACCINE" buttons for staff and patient stickers on hand!

IAC's “FLU VACCINE” buttons and stickers are ready to ship! Their bright red color helps broadcast your important message about the need for flu vaccination. And the cost is nominal.


The button measures 1.25" across and carries a bold message! Pin on lab coats, uniforms, other clothing, tote bags, or backpacks to show support for flu vaccine.
Buttons are delivered in bags of 10 buttons per bag.

Click here for pricing and ordering information for "FLU VACCINE" buttons.

Measuring 1.5" across and printed on Avery labels, theses stickers adhere well to clothing and have an easy-peel-off back.
Stickers are delivered to you cut individually (not on rolls)—available in bundles of 100. 

Click here for pricing and ordering information for “FLU VACCINE” stickers.

Visit Shop IAC for additional items, including "Vaccines Save Lives" enamel pins, patient record cards, and a vaccine administration training video.

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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 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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January issue of CDC’s Immunization Works newsletter now available; subscribe for monthly immunization resources and information

CDC recently released the January 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.

Subscribe to CDC's Immunization Works newsletter for monthly resources and information on vaccination sent straight to your inbox. 

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Vaccine Education Center at Children’s Hospital of Philadelphia publishes January issue of its newsletter Vaccine Update

The Vaccine Education Center (VEC) at Children's Hospital of Philadelphia publishes a monthly immunization-focused newsletter titled Vaccine Update. The January issue includes several articles, including the following:

Access the sign-up form to subscribe to Vaccine Update.

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New England Journal of Medicine publishes article titled "Choosing a Mass Immunization Program Against Meningococcal B"

New England Journal of Medicine published Choosing a Mass Immunization Program Against Meningococcal B (Ken Wu, et al.) on January 23. 

This interactive feature about an outbreak of meningitis caused by Neisseria meningitidis group B in a public university offers a case vignette accompanied by essays that either support or discourage a mass immunization program.

Subscribers can access the article from the NEJM website. If you are not a subscriber, you can fill out a form on the website to obtain three free articles per month at no charge.

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Clinical Infectious Diseases publishes a review of measles outbreak cost estimates in the U.S. between 2004–2017 

Clinical Infectious Diseases published A review of measles outbreak cost estimates from the U.S. in the post-elimination era (20042017): estimates by perspective and cost type in its January 22 issue. The abstract is reprinted below. 

Despite the elimination of measles in the U.S. in the year 2000, cases continue to occur with measles outbreaks having occurred in various jurisdictions in the U.S. in 2018 and 2019. Understanding the cost associated to measles outbreaks can inform cost-of-illness and cost-effectiveness studies of measles and measles prevention. We performed a literature review and identified 10 published studies from 20012018 that presented cost estimates from 11 measles outbreaks. Median total costs per measles outbreak were $152,308 (range, $9,862$1,063,936); median cost per case was $32,805 (range, $7,396$76,154) and median cost per contact was $223 (range, $81$746). There was limited data on direct and indirect costs associated with measles. These findings highlight how costly measles outbreaks can be, the value of this information for public health department budgeting, and the importance of more broadly documenting the cost of measles outbreaks.

Access the full article in PDF format.

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Reminder: The 49th National Immunization Conference will be held in Atlanta on May 19–21

The 49th National Immunization Conference (NIC) will be held May 19–21 at the Westin Peachtree Plaza Hotel in Atlanta, GA. NIC brings together more than 1,500 local, state, federal, and private-sector immunization stakeholders and partners to explore science, policy, education, and planning issues related to immunization and vaccine-preventable diseases.

Registration for the conference is now open

Visit the National Immunization Conference web page for more information about conference and hotel registration, fees, and more.

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American Public Health Association's 2020 Annual Meeting and Expo will be held in San Francisco, October 24–28

The American Public Health Association’s (APHA) 2020 Annual Meeting and Expo is inviting abstracts for its APHA 2020 Annual Meeting and Expo, which will be held October 24–28 in San Francisco. The deadline for submitting abstracts is February 20. Access additional information on the APHA 2020 Annual Meeting and Expo abstract submission web page. 

Visit the APHA 2020 Annual Meeting and Expo web page for information about conference and hotel registration, presentations, and more.

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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.

IAC Express Disclaimer
ISSN: 1526-1786
Our mailing address is
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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