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Issue 1,600: November 17, 2021
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Top Stories
Register now for upcoming IAC webinar! December 9 at 1:00 p.m. (ET): “Fight the Flu and COVID-19 Too: Influenza Vaccination in December and beyond and Practical Approaches to Coadministration of Vaccines in Adults”

In recognition of National Influenza Vaccination Week (NIVW), (IAC) will hold an interactive webinar addressing flu vaccination in December and beyond on Thursday, December 9, from 1:00 to 2:00 p.m. (ET).

The objectives of the webinar are to:

  • Discuss CDC’s new influenza surveillance tool, the Weekly National Influenza (Flu) Vaccination Dashboard and review this season’s vaccination coverage to date
  • Describe the science of the safety and effectiveness of co-administering vaccines, featuring basic immunology you should understand to answer recipients’ questions confidently
  • Detail practical techniques for administering multiple shots to an adult, including how to deliver two vaccines in one deltoid, which vaccines should be given in separate limbs if possible, and use of the anterolateral thigh as an injection site

Registration is open now! More details available shortly. 

This webinar is hosted by IAC with support from Sanofi Pasteur. 

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New VIS translations to print now: IAC posts translations in five languages of Vaccine Information Statements released by CDC on October 15, 2021

On October 15th, CDC released updated final versions of the Hepatitis A, Hepatitis B, Multi-vaccine Pediatric, and Rotavirus VISs. These have been translated and the new languages available are Arabic, Chinese (both Simplified and Traditional), French, Pashto, and Spanish. All translations are available in PDF.

VIS translations in Arabic:

VIS translations in Simplified Chinese and Traditional Chinese:

Simplified Chinese is preferred by people from China, Singapore, and Malaysia. Traditional Chinese is preferred by people from Hong Kong, Macau, and Taiwan.

VIS translations in French:

VIS translation in Pashto:

Pashto is spoken by some people from Afghanistan, Iran, and Pakistan.

VIS translation in Spanish:

The translations are available in PDF and Rich Text Format (RTF). RTF is used by electronic health record systems that cannot accept PDFs. 

Translations of previous VIS versions may be used until new translations become available. CDC states that the corresponding up-to-date English-language VIS must also be supplied when providing an out-of-date translation.

Related Links

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14th edition of the "Pink Book," CDC’s Epidemiology and Prevention of Vaccine-Preventable Diseases, now available to pre-order or download

CDC has just released the 14th edition of its book, Epidemiology and Prevention of Vaccine-Preventable Diseases (also known as the "Pink Book"). The previous edition was published in 2015. This edition provides updated disease and vaccination information useful to public health practitioners, healthcare providers, health educators, pharmacists, nurses, and others involved in vaccination. 

The 14th edition of the "Pink Book" includes: 
  • General immunization recommendations 
  • Vaccine safety, storage and handling, and administration information 
  • Information about vaccine-preventable diseases, including pathogenesis, clinical features, epidemiology, and secular trends in the United States 
  • Information about vaccines, including characteristics, schedule and use, efficacy, safety, and contraindications and precautions 

Download the "Pink Book"
Pre-order the "Pink Book"
  • Pre-order your copy from the Public Health Foundation for $50 (plus shipping and handling); the new print edition will be released later in November 2021
  • Save 20% on your order when you order 250+ copies and ship to one location

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Institute for Safe Medication Practices highlights potential mix-ups between adult and pediatric COVID-19 vaccines, offers strategies to avoid errors

The Institute for Safe Medication Practices (ISMP) published a featured article titled Adult and Pediatric Coronavirus Disease 2019 (COVID-19) Vaccine Mix-Ups Are Predictable in the November 4 issue of Medication Safety Alert. A portion of the article appears below.

Based on previous mix-ups at locations where the influenza (flu) vaccine and COVID-19 vaccines are both being administered, ISMP is concerned about the potential for similar mix-ups between the pediatric and adult formulations of the COVID-19 vaccine since both will be available in most vaccination sites. Unfortunately, age-related errors have been linked to more than 1 in 3 vaccine errors reported to the ISMP National Vaccine Errors Reporting Program (VERP)....

If clinics, physician practices, and/or pharmacies in your health system will be administering adult and pediatric COVID-19 vaccines, develop a plan for segregating and storing these in refrigerators and freezers that are organized and properly labeled. Store the adult (12 years and older) and pediatric COVID-19 vaccines apart from one another, such as in separate labeled plastic bins....

Access the full article and use their safe-practice recommendations for staff training: Adult and Pediatric Coronavirus Disease 2019 (COVID-19) Vaccine Mix-Ups Are Predictable

Related Links

Use IAC's refreshed "Repository of Resources for Maintaining Immunization during the COVID-19 Pandemic" to help you catch up children on all recommended vaccines

IAC now offers 250 items in its Repository of Resources for Maintaining Immunization during the COVID-19 Pandemic main page. Located on the website of the National Network of Immunization Coalitions, a project of IAC, this repository includes links to both national and state-level policies and guidance; advocacy materials, including talking points, webinars, press releases, articles, and social media posts; and telehealth resources.

If you have a resource to suggest for the repository, please send a message to

Related Link

IAC Spotlight! Review of resources at focused on vaccine-preventable diseases, one disease at a time

In this week's IAC Spotlight, we summarize resources at that focus on specific preventable diseases. 

Our Ask the Experts main page offers over a thousand timely questions on vaccines and vaccine administration answered by IAC experts. Topics include specific diseases and their vaccines as well as vaccine delivery guidance (e.g., administration, billing, documenting). 

Our ACIP main page links to all current ACIP vaccine recommendations as well as most documents dating back to 1991. You can access the ACIP recommendations in two ways: sorted alphabetically by diseases or chronologically by publication date.

Our Handouts for Patients and Staff main page leads to hundreds of free patient handouts and fact sheets for healthcare professionals. All items are ready to print, copy, and distribute widely.

Our Image Library main page offers hundreds of photos of people affected by vaccine-preventable diseases; micrographs of viruses, bacteria, and pathology specimens; and pictures of children, teens, and adults being vaccinated. Please follow any copyright requirements noted.

Our Unprotected People Stories main page features 109 real-life accounts of people who have suffered or died from vaccine-preventable diseases: compelling personal testimonies, remembrances, case reports, and newspaper articles.

U.S. Surgeon General issues new toolkit for addressing health misinformation as COVID-19 vaccines roll out to school-age children

On November 9, the U.S. Surgeon General released a Community Toolkit for Addressing Health Misinformation (PDF) to help Americans navigate the serious threat of health misinformation. Portions of the press release announcing the toolkit appear below. 

“With the authorization of COVID-19 vaccines for children 5 to11 years old, it is more important than ever that families have access to accurate, science-based information. Health misinformation is spreading fast and far online and throughout our communities,” said Dr. Vivek Murthy. “The good news is that we all have the power to help stop the spread of health misinformation during this pandemic and beyond….

The Surgeon General’s Community Toolkit for Addressing Health Misinformation provides specific guidance to individuals, health care professionals and administrators, teachers, school administrators, librarians, and faith leaders to understand, identify, and stop the spread of health misinformation in their communities. The toolkit comes at a critical time when Americans are learning more about the role technology companies play in the spread of health misinformation.

Related Links

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Public Health Communications Collaborative updates toolkit with information on COVID-19 vaccination for children

Public Health Communications Collaborative has updated its Toolkit: Children and COVID-19 Vaccination with topline messages, sample posts, and shareable graphics to promote vaccination in your community. The toolkit also includes Answers to Tough Questions about Public Health for additional messaging guidance.


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Bird is the word! Sesame Street offers interactive web page with videos, ready-to-print handouts, and other engaging, kid-focused content on vaccines.

Sesame Street in Communities has developed a web page with resources for parents, teachers, and caregivers to help children understand the basics about vaccines.

Even Big Bird himself got vaccinated, announcing on Twitter, "I got the COVID-19 vaccine today! My wing is feeling a little sore, but it'll give my body an extra protective boost that keeps me and others healthy." 

Visit Sesame Street's Vaccines web page to discover ready-to-print handouts, videos, and more on topics to help the families you serve.

Vaccines in the news

Featured Resources

IAC’s Hepatitis B Birth Dose Honor Roll recognizes 544 institutions, including four new honorees. Four previously honored institutions qualify for additional years' honors.

The Immunization Action Coalition (IAC) is pleased to announce that four new institutions have been accepted into its Hepatitis B Birth Dose Honor Roll, for a total of 544 honorees. The birthing institutions are listed below with their reported hepatitis B birth dose coverage rates in parentheses.
  • Einstein Medical Center Montgomery, East Norriton, PA (90%)
  • Howard University Hospital, Washington, DC (91%)
  • Kendall Regional Medical Center, Miami, FL (93%)
  • St. Joseph’s Hospital, Buckhannon, WV (91%)
One institution is being recognized for a second year:
  • Manatee Memorial Hospital, Bradenton, FL (95%)
One institution is being recognized for a third year:
  • Northside Hospital at Gwinnett, Lawrenceville, GA (95%)
One institution is being recognized for a fourth year:
  • Samaritan Medical Center, Watertown, NY (90%)
Finally, one institution is being recognized for a sixth year:
  • Platte Valley Medical Center, Brighton, CO (95%)
The Honor Roll now includes 544 birthing institutions from 44 states, the District of Columbia, Puerto Rico, Guam, Saipan, and a U.S. military base in England. One hundred twenty-two institutions have qualified for two years, 73 institutions have qualified three times, 43 institutions have qualified four times, 24 institutions have qualified five times, 24 institutions have qualified six times, eight institutions have qualified seven times, two institutions have qualified eight times and one institution has qualified nine times.

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 before 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 53,000+ readers.

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

Related IAC Resources

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Get them while they last! IAC offers FREE "I Got My COVID-19 Vaccine" buttons and stickers. Buttons available in English, buttons and stickers available in Spanish.

Anyone promoting COVID-19 vaccination can order IAC’s FREE “I Got My COVID-19 Vaccine” buttons and stickers, provided with support from CDC. English stickers are no longer available. However, Spanish stickers and buttons in both English and Spanish remain available. Share them with patients, colleagues, and friends to show confidence in COVID-19 vaccination.  

Click the picture below to go directly to the order form.

Related Links

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Organizing a new vaccination program? Use IAC's Vaccinating Adults: A Step-by-Step Guide—free to download by chapter or in its entirety

Download IAC's free 142-page book on adult vaccination, to help build your program and train your team: Vaccinating Adults: A Step-by-Step Guide (Guide).


This thorough "how to" guide on adult vaccination provides easy-to-use, practical information covering all essential activities. It helps vaccine providers enhance their existing adult vaccination services or introduce them into any clinical setting.

The Guide is available to download/print either by chapter or in its entirety free at The National Vaccine Program Office and CDC both supported the development of the Guide and provided early technical review.

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

Please note: this guide was produced in 2017, before the COVID-19 era, and reflects the recommendations of that time.

Related Links

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Notable Publications
CDC publishes “Influenza Vaccinations during the COVID-19 Pandemic—11 U.S. Jurisdictions, September–December 2020” in MMWR

CDC published Influenza Vaccinations during the COVID-19 Pandemic—11 U.S. Jurisdictions, September–December 2020 in the November 12 issue of MMWR. A portion of the summary appears below.

During September–December 2020, overall influenza vaccine administration was 9.0% higher than the average during September–December in 2018 and 2019; however, the number of administered doses declined among children aged 6–23 months (13.9%) and 2–4 years (11.9%).…

Continued strategic efforts are needed to ensure high influenza vaccination coverage among all eligible persons aged ≥6 months, especially children aged ≤4 years.

Access the MMWR article in HTML or PDF.

Related Link

MMWR Recap: “The Advisory Committee on Immunization Practices’ Interim Recommendation for Use of Pfizer-BioNTech COVID-19 Vaccine in Children Aged 5–11 Years—United States, November 2021”

CDC recently published the following article as an MMWR Early Release:
  • The Advisory Committee on Immunization Practices’ Interim Recommendation for Use of Pfizer-BioNTech COVID-19 Vaccine in Children Aged 5–11 Years—United States, November 2021 (MMWR, November 12, HTML or PDF)
Related Link
  • MMWR main page provides access to MMWR Weekly and its companion publications

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Global News
CDC publishes “Progress toward Regional Measles Elimination—Worldwide, 2000–2020” in MMWR

CDC published Progress toward Regional Measles Elimination—Worldwide, 2000–2020 in the November 12 issue of MMWR. A portion of the summary appears below.

Annual reported measles incidence decreased globally during 2000–2016, increased in all regions during 2017–2019, then decreased in 2020. Measles surveillance, already suboptimal, worsened in 2020. Since 2000, estimated measles deaths decreased 94%. Measles vaccination has prevented an estimated 31.7 million deaths worldwide. No WHO region has achieved and maintained measles elimination.…

To achieve regional measles elimination targets, enhanced efforts are needed to reach all children with 2 doses of measles-containing vaccine, implement robust surveillance, and identify and close immunity gaps.

Access the MMWR article in HTML or PDF.

Related Link

Upcoming Events
Virtual: Today! Duke Margolis Center for Health Policy hosts webinar titled "Children and COVID-19: Strategies and Partnerships for Vaccination"

Tune in this afternoon! Duke Margolis Center for Health Policy will present a webinar titled Children and COVID-19: Strategies and Partnerships for Vaccination today, November 17 from 4:30–5:30 p.m. (ET).

White House officials as well as a panel of state leaders, pediatric providers, school officials, and leaders from community health centers will discuss how they have approached planning and partnerships, and how they address logistical challenges to vaccinating children.

Access more information about this webinar, including how to register: Children and COVID-19: Strategies and Partnerships for Vaccination. The webinar will be archived for later viewing, after the event.

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Virtual: Nevada Immunization Learning Exchange offers webinar titled “The Basics of mRNA Vaccines and Effectiveness” on November 18

Nevada Immunization Learning Exchange (NILE) will offer a webinar titled The Basics of mRNA Vaccines and Effectiveness on November 18 at 3:00 p.m. (ET). During this program, Deborah E. Keil, PhD, who currently serves as the Chief Science Officer for Health Life Sciences at Montana State University, will introduce the basic principles in immunology and cell biology relevant to understanding the mRNA COVID-19 vaccines. The mechanism of action for mRNA vaccines will be described and their safety discussed.

Register for the webinar.

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For more upcoming events, visit our Calendar of Events.
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.

IAC Express is supported in part by Grant No. 1NH23IP922654 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 Disclaimer
ISSN: 1526-1786

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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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