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Technically Speaking
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January 2020
Technically Speaking
Monthly Column by Deborah Wexler, MD
Deborah Wexler MD
IAC Executive Director Dr. Deborah Wexler writes Technically Speaking, a column featured in each issue of Vaccine Update for Healthcare Professionals, the monthly e-newsletter from the Vaccine Education Center (VEC) at the Children's Hospital of Philadelphia. Technically Speaking columns cover practical topics in immunization delivery such as vaccine administration techniques, storage and handling, contraindications and precautions, and scheduling.
Subscribe to VEC's Vaccine Update for Healthcare Professionals to stay up to date on vaccine-related issues, including reviews of recently published journal articles, media recaps, and announcements about new resources and webinars. To subscribe, visit the Vaccine Update Newsletter Sign-up Form
The archive of past Technically Speaking columns is also available through links on the right side of this web page.
TECHNICALLY SPEAKING
CDC releases 2020 version of its Vaccine Storage and Handling Toolkit
Published January 2020
CDC's Vaccine Storage and Handling Toolkit has just been updated for 2020. This 48-page guide reflects the best practices for vaccine storage and handling compiled from ACIP recommendations, product information from vaccine manufacturers, and scientific studies.

Changes in the 2020 Toolkit provide clarifying language and new definitions only, i.e., no new recommendations have been implemented. Updated language may be found on the following topic areas:

  • Frequency of checking temperatures in vaccine storage units – Language has been added to clarify a recommendation first included in the 2018 Toolkit, when CDC recommended that storage units being monitored by a temperature monitoring device (TMD) that records min/max* temperatures needed to have the temperature checked only once each day. The 2020 update clarifies that TMDs that do not read min/max temperatures should be checked 2 times a day, at the start and end of the workday.

*A "min/max" TMD provides readings for the coolest (minimum) and warmest (maximum) temperature readings in a storage unit over a set period of time. After the readings are reviewed, the TMD is reset and the process is repeated until the next reading.

  • Defrosting manual-defrost freezers – The Toolkit provides guidance that defrosting of manual-defrost freezers should take place "when the frost exceeds either 1 cm or the manufacturer's suggested limit."
     
  • Adjustment of storage unit temperatures – CDC inserted language noting that storage unit temperatures should be stabilized "between 2°C and 8°C (36°F and 46°F) for a refrigerator…" Previous language also provided a suggested midpoint target of "around 5°C (40°F)." IAC has confirmed with CDC that, although the vaccine may be correctly stored anywhere within the stated temperature range, it is still appropriate to aim for the midpoint, i.e., "aim for 5°C." Therefore, this wording will be retained on IAC's temperature monitoring logs.
     
  • Beyond Use Date – The 2020 Toolkit clarifies that, if a vaccine has no Beyond Use Date (BUD), the expiration date provided by the manufacturer should be used.
     
  • New/updated definitions – A new definition is now included for "portable vaccine storage unit," and the definition for "qualified container and packout" has been clarified.

Related Links

From CDC

From IAC

The archive of past Technically Speaking columns is also available through links on the right side of this web page.
 
This page was updated on January 27, 2020.
This page was reviewed on January 27, 2020.
2020 ISSUES >> view all issues
SEPTEMBER 2020
Is It 0.25 mL or 0.5 mL? What Is the Correct Dose of Injectable Flu Vaccine for Children Younger Than 3?
JULY 2020
Choosing Proper Needle Length for Vaccination of Children and Adults: What Should You Consider?
JUNE 2020
Preventing Preventable Vaccine Administration Errors in Your Medical Setting
MAY 2020
IAC Launches New MenB Vaccination Honor Roll Recognizing Colleges and Universities That Require or Recommend the Vaccine to Protect Their Students
APRIL 2020
Our Society Deserves Vaccination: Two New Educational Pieces from IAC Explain the Science Supporting Vaccines and the Value of the Vaccine Injury Compensation Program
MARCH 2020
Now Available to Order! IAC's Laminated Versions of CDC's 2020 Immunization Schedules
FEBRUARY 2020
Sign up for IAC Express—the Best Way to Stay Current with Weekly U.S. Immunization News, Information, and Resources
JANUARY 2020
CDC Releases 2020 Version of Its Vaccine Storage and Handling Toolkit
    >> view all issues
2019 ISSUES >> view all issues
DECEMBER 2019
ACIP Updates Its Pneumococcal Vaccine Recommendations for Adults Age 65 Years and Older
NOVEMBER 2019
ACIP Votes to Approve That Tdap and Td Vaccines May Now Be Used Interchangeably
OCTOBER 2019
CDC Updates Recommendations on the Use of HPV Vaccine
SEPTEMBER 2019
"Dear Colleague" Call-to-Action Letter from AAFP, AAP, ACHA, ACOG, APhA, SAHM, and IAC Stresses Importance of Implementing Immunization Visit at 16 Years of Age
AUGUST 2019
Newly Designed and Easy to Navigate—Visit Give2MenACWY.org to Enhance Your Efforts to Increase Rates for MenACWY Booster Doses and Other Adolescent Vaccinations
JULY 2019
ACIP Updates Its Guidance on the Use of HPV, PCV13, HepA, HPV, and MenB Vaccines at June 26–27 Meeting
JUNE 2019
Looking for New Tools and Resources to Help Increase Your Clinic's HPV Vaccination Rates? Here Are Some Great Ones!
MAY 2019
How to Protect Children, Adults, and Healthcare Personnel from Measles
APRIL 2019
Refresher! Use of Pneumococcal Vaccines in Infants and Children, as well as in Children with Health Conditions
MARCH 2019
With Measles "Breaking Out" All over the United States, Here Are Some Good Educational Resources
FEBRUARY 2019
Questions about Proper Vaccine Storage and Handling? CDC's Redesigned Toolkit Has Answers!
JANUARY 2019
Want to Avoid Vaccination Errors? These Print Materials and Slide Sets Will Help You!
    >> view all issues
 
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