IZ Express

Issue 1737: January 31, 2024

Top Stories
Immunize.org Website and Clinical Resources
Featured Resources
Notable Publications
Upcoming Events

Top Stories

Immunize.org launches "Ask the Experts: RSV" web section

Immunize.org recently launched a new section of its popular Ask the Experts resource, Ask the Experts: RSV, that covers RSV disease and use of RSV vaccines and preventive antibody product (nirsevimab).

The clinical questions and answers covered in this new section address issues such as the safety and effectiveness of vaccination and nirsevimab, explaining that older adults may benefit most from protection against RSV, and defining the time of year to administer RSV vaccine during pregnancy (hint: today is the last day for most of the United States!).

Immunize.org’s Ask the Experts main page leads you to 22 web pages on vaccines and 10 on broader immunization topics. Ask the Experts offers answers to more than 1,300 common or challenging questions. Immunize.org’s team of experts includes Kelly L. Moore, MD, MPH (team lead), Carolyn B. Bridges, MD, FACP, and Iyabode Beysolow, MD, MPH.

Related Links

A fresh, new look for Immunize.org’s VaccineInformation.org website for the general public

Following the redesign of our flagship Immunize.org website last fall, we welcome you to visit our updated educational website for the general public, www.vaccineinformation.org.

This website is suitable for anyone with questions about vaccines and vaccination. The updated site offers straightforward and accurate information including:

  • Basic facts about recommended vaccines and the diseases they prevent
  • Patient-oriented vaccine resources from Immunize.org
  • Links to resources from trusted partner organizations
  • Information available by age groups: infants and children, preteens, teens, and adults
  • Personal testimonies from people affected by vaccine-preventable diseases
  • Videos and historic public service announcements in our video library
  • Links to information to help people find where to get vaccinated

VaccineInformation.org now provides pages with basic information and key links on COVID-19, mpox, RSV, and dengue vaccines.

We encourage you to share www.vaccineinformation.org with your patients or with anyone interested in learning more about vaccines or vaccine-preventable diseases.

CDC reminds vaccine providers that seasonal administration of maternal RSV vaccine should cease January 31 in most of the continental United States

On January 26, CDC issued a Clinician Outreach and Communication Activity (COCA) Now message titled, Reminder of Recommendations for Seasonal Administration of Maternal RSV Vaccine. It reminds vaccine providers that CDC recommends RSV vaccination (Abrysvo, Pfizer) for pregnant people 32 through 36 weeks and 6 days gestation to protect infants against RSV-associated lower respiratory tract disease after birth. The recommended season for vaccination during pregnancy ends on January 31 in most of the continental United States. A portion of the message is shown below.

  • In most of the continental United States, administer the maternal RSV vaccine (Pfizer Abrysvo) from September 1 through January 31.
    • Healthcare providers who administer the RSV vaccine to pregnant people after January 31 should encourage patients to check with their insurance plans on coverage details, as coverage and cost-sharing by private insurance plans may vary after January 31. Providers should consider submitting an insurance test claim to estimate out-of-pocket costs.
  • In jurisdictions where seasonality differs from most of the continental United States, such as Alaska, southern Florida, Guam, Hawaii, Puerto Rico, the U.S.-affiliated Pacific Islands, and the U.S. Virgin Islands, healthcare providers should follow state, local, or territorial guidance on timing of administering the RSV vaccine (Pfizer Abrysvo) for pregnant people.
  • CDC recommends protecting all infants against RSV-associated LRTD through either the RSV vaccine for pregnant people (Pfizer Abrysvo) or infant receipt of nirsevimab. Administration of both products is not needed for most infants.
    • For infants age less than 8 months born to unvaccinated mothers, healthcare providers should administer nirsevimab from October 1 through March 31; however, healthcare providers can administer nirsevimab outside of this timeframe based on local epidemiology

Related Links

Immunize.org updates two one-page patient handouts on which vaccines are recommended for adults and why adult vaccination is important

Immunize.org staff recently updated two of its resources, Adult Immunization: Importance of Staying Up to Date with Vaccines and Vaccinations for Adults: You’re Never Too Old to Get Vaccinated! Changes are described below.

Related Links

January is Cervical Health Awareness Month; use Immunize.org’s recently updated “HPV Vaccine: A Guide for Adults Ages 18–26 Years” to educate patients on the importance of HPV vaccine

January is Cervical Health Awareness Month, a great time to share the importance of human papillomavirus (HPV) vaccination. This month and all year, offer your patients Immunize.org's HPV Vaccine: A Guide for Adults Ages 18–26 Years resource, updated this month, to help them understand HPV disease and the value of vaccination.

CDC recommends HPV vaccination for everyone age 26 years or younger, beginning as early as age 9 years. Adults age 27 through 45 years who are not already vaccinated may decide to get the HPV vaccine after speaking with their clinician.

Protect your patients from cervical cancer, and the many other HPV-related cancers affecting men and women, by recommending and offering the HPV vaccine.

Related Links

CDC expands V-safe program to monitor current COVID-19 vaccines

V-safe, CDC’s voluntary smartphone-based vaccine safety monitoring system, monitors COVID-19 and RSV vaccine safety. Recently, V-safe was updated to collect data for the current COVID-19 vaccines. To see the list of vaccines being monitored in V-safe, visit CDC’s V-safe website.

Everyone who offers COVID-19 vaccination is encouraged to post a sign in your vaccination area encouraging eligible vaccine recipients or their guardians to enroll. It takes just a few minutes for them to register using a computer, tablet, or smartphone. After enrolling in V-safe, eligible people will receive periodic brief, confidential surveys via text messages or emails.

Related Links

Influenza-like illness remains high in many parts of the country; continue to promote influenza, COVID-19, and RSV vaccination

CDC’s Weekly U.S. Influenza Surveillance Report, FluView, provides a valuable picture of laboratory-confirmed influenza and influenza-like-illness (ILI) activity state by state. ILI activity is caused by a variety of respiratory illnesses, including three vaccine-preventable infections: influenza, COVID-19, and RSV.

Influenza Surveillance
For week 3, ending January 20, CDC’s Weekly U.S. Influenza Surveillance Report, FluView shows that 22 jurisdictions experienced high or very high activity. Nationwide, 4.3% of patient visits reported through the Outpatient Influenza-Like Illness Surveillance Network (ILINet) were due to respiratory illness that included fever plus a cough or sore throat (i.e., ILI). The national baseline is 2.5%. Ten pediatric influenza-associated deaths were reported this week, bringing the total to 57 pediatric deaths thus far during the 2023–24 season.

Visit the CDC Respiratory Virus Hospitalization Surveillance Network (RESP-NET) for weekly reports of hospitalizations across the United States due to three vaccine-preventable seasonal respiratory viruses: COVID-19, influenza, and RSV.

Influenza Vaccination Dashboard
CDC's Weekly Flu Vaccination Dashboard shows that as of January 13, 156 million doses of flu vaccine have been distributed in the United States. As of January 13, national vaccination coverage estimates for all adults for the 2023–24 season is 46.7%, and coverage among states and DC ranges from 36.8% to 61.8%. It is important to continue to vaccinate people as long as influenza remains active.

CDC recommends everyone age 6 months and older get annual influenza vaccination. Influenza and other vaccines (including COVID-19 and RSV vaccines) may be given at the same visit, if indicated. Infants 6 months of age and older may receive influenza and COVID-19 vaccines at the same visit when they receive the RSV preventive antibody, nirsevimab.

Locate influenza and COVID-19 vaccines in your area by entering your zip code in the VaccineFinder on Vaccines.gov or Vacunas.gov. To be listed as a provider by VaccineFinder, see the information on this website.

Related Links

"Which People Who Work in Healthcare Settings Need Hepatitis B Vaccine?" Watch the 1-minute answer, part of the Ask the Experts Video Series on YouTube.

This week, our featured question from the Ask the Experts Video Series is Which People Who Work in Healthcare Settings Need Hepatitis B Vaccine? The video briefly describes the Occupational Safety and Health Administration's requirement to offer HepB vaccine to healthcare personnel who have a reasonable expectation of being exposed to blood and body fluids on the job.

The 1-minute video is available on our YouTube channel, along with our full collection of quick video answers to popular Ask the Experts questions.

Like, follow, and share Immunize.org’s social media accounts and encourage colleagues and others interested in vaccination to do likewise:

Immunize.org's Influenza Vaccination Honor Roll for healthcare worker vaccination requirements welcomes two new facilities

Immunize.org's Influenza Vaccination Honor Roll recognizes facilities that take a stand for patient safety by implementing policies requiring healthcare personnel influenza vaccination. Immunize.org recently welcomed two additional healthcare organizations.

  • Newman Regional Health, Emporia, KS
  • Boulder Post Acute, Boulder, CO

  • Eligible organizations: hospitals, long-term care facilities, medical practices, pharmacies, professional organizations, health departments, and other government entities
  • Requirements:
    • Your policy must require influenza vaccination for all staff
    • The application must describe measures to prevent transmission of influenza from unvaccinated personnel to patients (e.g., masking for the entire work shift)
Related Links
Vaccines in the news

These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.

Immunize.org Website and Clinical Resources

Recap: Immunize.org posts updated standing orders template and quick reference for pneumococcal vaccination of children and teens

Immunize.org made important updates to two clinical resources important to anyone who administers pneumococcal vaccines to children. These updates incorporate the latest CDC recommendations for use of pneumococcal conjugate vaccines (PCV15 or PCV20), as well as indications for pneumococcal polysaccharide vaccine (PPSV23) in certain high-risk children when PCV20 is unavailable.

The two resources, Recommendations for Pneumococcal Vaccines Use in Children and Teens and Standing Orders for Pneumococcal Vaccine to Children and Teens, address what pneumococcal vaccination is needed in every scenario, in children from age 6 weeks through 18 years. They include risk-based recommendations, divided into immunocompromising and non-immunocompromising conditions, and further divided by the pneumococcal vaccination history of the child. A QR code links to the online version of each document.


Related Links

Spotlight on the website

This week we spotlight two pages with important information for clinicians, public health authorities, vaccination advocates, and families: State Vaccine-Specific Requirements and State Exemptions. These can be found by choosing the Official Guidance tab at the top of every page, then selecting States from the lefthand list.

Vaccine-Specific Requirements contains links to vaccine-specific requirements state by state for daycare, school, and post-secondary education settings. Each vaccine listed on the page can be expanded to view links to each state’s requirements in a data table and as a downloadable map. Requirement information was collected from state immunization program managers in March 2023.

The State Exemptions page links to a data table showing which states accept medical, religious, and personal vaccination exemptions and a map of exemptions permitted for school and childcare. In addition, it includes Clinical Resources and links to policy statements from medical organizations endorsing strong school and childcare vaccination requirements.

Featured Resources

Use CDC’s job aids to help staff prevent errors in RSV vaccine and preventive antibody administration

In response to recent reports of infants being mistakenly administered RSV vaccines intended for adults and pregnant people being erroneously given Arexvy (GSK) vaccine not licensed for use during pregnancy, CDC released simple job aids to reduce the risk of administration errors.

It’s important to note:

  • Pregnant people should only receive the RSV vaccine Abrysvo (Pfizer), never Arexvy (GSK) or the RSV preventive antibody, nirsevimab (Beyfortus, Sanofi)
  • Infants should only receive Beyfortus (“B” is for “baby”!)
  • Arexvy and Abrysvo RSV vaccines are only for adults (“A” is for “adult”!)

Practices that carry both RSV vaccine and Beyfortus should review their immunization administration safety procedures to ensure only the correct product is administered to recipients.

CDC encourages vaccinators to promptly report all vaccine administration errors to VAERS. In the event that a vaccine administration error involving RSV vaccine occurs and further clinical guidance is needed, contact your state or local immunization program, or contact CDC experts email at NIPINFO@cdc.gov.

Related Links

Place your order! Sturdy, laminated versions of the 2024 U.S. immunization schedules from Immunize.org ship in a few days.

Laminated versions of the 2024 U.S. child and adolescent immunization schedule and the 2024 U.S. adult immunization schedule are now available for order in the Immunize.org shop. The schedules are being printed now and will begin shipping in the next few days.

While the schedules are available online from CDC at no cost, Immunize.org’s printed, laminated booklets are ideal for use in any busy healthcare setting where vaccinations are given.

  • Durable: their tough coating can be wiped down, and they’re durable enough to stand up to a year's worth of use
  • Format: each schedule is produced in a 16-page, 8.5” X 11” booklet format; with color coding for easy reading, our laminated schedules replicate the original CDC formatting, including all tables and notes
  • Easy access to CDC updates: CDC added an online addendum page to the schedule, where new recommendations from ACIP made during 2024 can be posted. The laminated schedule addendum pages include custom QR codes you can scan to view or print the current CDC addendum from CDC's website, as needed.
  • Adult schedule bonus: the adult schedule includes a bonus page with Immunize.org’s popular 1-page handout summarizing the dose, route, and needle size recommendations for all adult vaccines and recipients



  • 1 copy: $10.00
  • 2–4 copies: $9.50 each
  • 5–19 copies: $8.50 each
  • 20–99 copies: $7.50 each
  • 100–499 copies: $6.00 each
  • 500–999 copies: $5.00 each
  • 1,000–1,999 copies: $4.00 each
  • 2,000+ copies: $3.25 each

Visit the Shop Immunize.org: Laminated Schedules web page to view images of all the pages, to download the order form, and to order today!

For additional information, call 651-647-9009 or email admininfo@immunize.org.

Related Links

Updated 65+ Flu Defense website offers resources for healthcare professionals serving older adults

Confident recommendations for influenza vaccine from healthcare providers are powerfully persuasive. To assist you in maximizing protection for your patients, Immunize.org, in collaboration with CSL Seqirus, updated the 65+ Flu Defense website.

Older adults are at increased risk of severe influenza and COVID-19 illness, including hospitalization and death, especially if they are not up to date on these vaccinations. An updated fact sheet on the website, The Importance of Preventing Influenza and COVID-19, offers responses to help guide discussions with patients on the importance of preventing influenza and COVID-19.

This helpful site includes information, tools, and tips for communicating with adults age 65 and older about the scope and severity of influenza. Resources include:

Check out the updated 65+ Flu Defense website at www.influenza-defense.org to assist your ongoing efforts in protecting this vulnerable population.

Notable Publications

"Invasive Cervical Cancer Incidence following Bivalent Human Papillomavirus Vaccination: A Population-Based Observational Study of Age at Immunization, Dose, and Deprivation" published in Journal of the National Cancer Institute

In the January 22 issue, Journal of the National Cancer Institute published Invasive Cervical Cancer Incidence following Bivalent Human Papillomavirus Vaccination: A Population-Based Observational Study of Age at Immunization, Dose, and Deprivation. Most notably, no cases of invasive cancer were recorded in women immunized at age 12 or 13, whether they received 1, 2, or 3 doses of vaccine. The conclusion appears below.

Our findings confirm that the bivalent vaccine prevents the development of invasive cervical cancer and that even 1 or 2 doses 1 month apart confer benefit if given at 12–13 years of age. At older ages, 3 doses are required for statistically significant vaccine effectiveness. Women from more deprived areas benefit more from vaccination than those from less deprived areas.

Related Links

Upcoming Events

Virtual: Watch February 28–29 ACIP meeting. Topics include discussion on 14 vaccine-preventable diseases.

CDC will convene a 2-day meeting of the Advisory Committee on Immunization Practices, February 28–29, starting at 8:00 a.m. (ET). ACIP will discuss influenza; chikungunya; COVID–19; polio; HPV; meningococcal; pneumococcal; RSV; diphtheria, tetanus, and pertussis; Hib; and hepatitis B vaccines.

No registration is required to watch webcasts of live ACIP meetings or listen via telephone. Opportunities for public comment are described on the website.

The detailed agenda has not yet been posted, but will appear on the ACIP main page listed below.

Related Links

For more upcoming events, visit our Calendar of Events.

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 Immunize.org and do not necessarily represent the official views of CDC.

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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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