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Issue 1476: February 5, 2020

-TOP STORIES-
* 2020 U.S. recommended immunization schedules for children and adolescents as well as for adults now available on CDC's website
* CDC and WHO have declared public health emergencies regarding 2019 novel coronavirus
* 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
* IAC Spotlight! In case you missed them, these IAC materials and web pages on immunize.org were updated during December and January
* Deadline extended to February 10 for submitting nominations for 2020 Immunization Excellence Awards for the National Adult and Influenza Summit
* Not-to-miss immunization articles in the news

-FEATURED RESOURCES-
* Families Fighting Flu announces launch of new blog titled Insights on Influenza
* IAC's elegantly designed "Vaccines Save Lives" black enamel pins are a great way to show you value immunization!
* Flu season is ongoing, so make sure you have IAC's "FLU VACCINE" buttons for staff and patient stickers on hand!
* IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)

-JOURNAL ARTICLES AND NEWSLETTERS-
* January issue of CDC’s Immunization Works newsletter now available; subscribe for monthly immunization resources and information
* Vaccine Education Center at Children’s Hospital of Philadelphia publishes January issue of its newsletter Vaccine Update
* New England Journal of Medicine publishes article titled “Choosing a Mass Immunization Program Against Meningococcal B”
* Clinical Infectious Diseases publishes a review of measles outbreak cost estimates in the U.S. between 2004–2017

-CONFERENCES AND MEETINGS-
* Reminder: The 49th National Immunization Conference will be held in Atlanta on May 19–21
* American Public Health Association's 2020 Annual Meeting and Expo will be held in San Francisco, October 24–28


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-TOP STORIES-
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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 ([link removed])

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. ([link removed])

Access the full-color 8-page PDF of the child/adolescent schedule. ([link removed])

View what has changed on the child schedule for 2020 ([link removed]) .

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 ([link removed]) .

Access the full-color 6-page PDF of the adult schedule. ([link removed])

View what has changed on the adult schedule for 2020 ([link removed]) .

Related Links
* CDC web page: Schedule-Related Resources ([link removed]) for healthcare providers
* CDC web page: Schedules and Resources for Parents and Adults ([link removed])
* CDC web page: Resources for Healthcare Providers ([link removed])

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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 ([link removed]). 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 ([link removed]) ” (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 ([link removed]) ." These measures
were announced at a press briefing by members of the President’s Coronavirus Task Force ([link removed]).

Related links:
* Access CDC's 2019 Novel Coronavirus Situation Summary ([link removed]) web page
* Access WHO’s Statement on the second meeting of the International Health Regulations Emergency Committee regarding the outbreak of novel coronavirus ([link removed]-(2005)-emergency-committee-regarding-the-outbreak-of-novel-coronavirus-(2019-ncov))
* Visit CDC’s 2019 Novel Coronavirus ([link removed]) main page
* CDC’s 2019 Novel Coronavirus Information for Healthcare Professionals ([link removed]) web page
* Visit CDC’s Health Alert Network main page with resources for Emergency Health Professionals ([link removed])
* Visit CDC’s 2020 Newsroom Releases ([link removed])
* Visit WHO’s Novel Coronavirus ([link removed]) main page
* WHO's Novel Coronavirus (2019-nCoV) Technical Guidance ([link removed]) web page

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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 ([link removed]) 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 ([link removed]), 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 ([link removed]) to locate influenza vaccination services near them.

Related Links:
* CDC's Seasonal Flu web section ([link removed])
* CDC's FluView web section ([link removed])
* CDC's Free Resources related to influenza ([link removed])
* IAC's Influenza Educational Materials ([link removed]) , ([link removed]) free and ready to print
* IAC’s Ask the Experts: Influenza ([link removed]) web page
* IAC’s Vaccines: Influenza ([link removed]) web page
* National Adult and Influenza Immunization Summit ([link removed]) website
* The Summit Buzz: ([link removed]) Newsletter of the National Adult and Influenza Immunization Summit (NAIIS)
* Influenza Vaccine Availability Tracking System—IVATS: ([link removed]) a resource for healthcare settings looking to purchase influenza vaccine (made available from NAIIS)

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=IAC SPOTLIGHT! IN CASE YOU MISSED THEM, THESE IAC MATERIALS AND WEB PAGES ON IMMUNIZE.ORG 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 immunize.org ([link removed]). 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 immunize.org.

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
* Current Dates of Vaccine Information Statements (VISs) ([link removed])
* You Must Provide Patients with Vaccine Information Statements (VISs) – It’s Federal Law! ([link removed])

Handouts for Your Patients
* You're 16…We Recommend These Vaccines for You! ([link removed]); also available in Spanish ([link removed])

Updated PowerPoint Slide Set
* To Err Is Human: Not to Err Is Better! Vaccination Errors and How to Prevent Them ([link removed]) slide set

New Web Pages
* State Laws: DTaP Vaccine Mandates for Child Care and Elementary Schools ([link removed])
* State Laws: Hib Vaccine Mandates for Child Care ([link removed])
* State Laws: MMR Vaccine Mandates for MMR Vaccine Mandates for Child Care and K-12 ([link removed])
* State Laws: Polio Vaccine Mandates for Child Care and Elementary Schools ([link removed])

Updated VIS Web Pages
* Adenovirus VIS web page ([link removed]) includes new final Adenovirus VIS
* Anthrax VIS web page ([link removed]) includes new final Anthrax VIS
* Rabies VIS web page ([link removed]) ([link removed]) includes new final Rabies VIS

Related Links
* Visit IAC’s View All Materials ([link removed]) web page to obtain a list of more than 300 staff educational materials and patient handouts on immunize.org
* Visit IAC’s Handouts ([link removed]) main page to see educational materials sorted by category
* Visit IAC's Ask the Experts ([link removed]) section on immunize.org to access more than 1,000 questions answered by IAC experts
* Visit IAC's Clinic Tools ([link removed]) main pages and its seven subtopics
* Visit the What's New at IAC: Handouts ([link removed]) web page to view all new and updated educational materials and the dates they were posted on immunize.org
* Visit the What's New at IAC: Web Pages ([link removed]) to view all new and updated web pages and dates they were posted on immunize.org
* Visit the What’s New at IAC: Vaccine Information Statements ([link removed]) web page to view all new and updated Vaccine Information Statements and the dates they were posted on immunize.org

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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 ([link removed]) for the National Adult and Influenza Immunization Summit (NAIIS) ([link removed]) 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. ([link removed])

Related Links
* NAIIS website ([link removed])
* NAIIS newsletter: The Summit Buzz ([link removed])

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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.
* The Washington Post: Coronavirus Vaccine Research is Moving at Record Speed ([link removed]), by Carolyn Johnson (1/30/20)
* Good Morning America: High flu activity spreads across US as virus claims 14 more children ([link removed]), by Erin Schumaker (1/31/20)
* KSL TV: Utah Family Warning Others After Losing Father to Flu ([link removed]), by Tania Dean (1/27/20)
* The Hill: Not Too Late: Flu Shots Can Still Protect Babies and Moms ([link removed]), by Christie Lawrence and Kristen Welsh, (1/24/20)

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

Families Fighting Flu ([link removed]) launched their new blog, Insights on Influenza ([link removed]), 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.

Related Link:
* Families Fighting Flu ([link removed]) website

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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 ([link removed]) on hard black enamel with gold lettering and edges makes a meaningful gift for people who care about immunization.

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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, ([link removed]) uniforms, lab coats, tote bags, and backpacks to show that you value vaccines!

Click here for "Vaccines Save Lives" pins pricing and ordering information. ([link removed])

Visit Shop IAC for additional items ([link removed]) , 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 ([link removed]) are ready to ship! Their bright red color helps broadcast your important message about the need for flu vaccination. And the cost is nominal.

“FLU VACCINE” BUTTONS

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 ([link removed]).

“FLU VACCINE” STICKERS

Measuring 1.5" across and printed on Avery labels, these 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. ([link removed])

Visit Shop IAC for additional items ([link removed]), 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) ([link removed]).

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 www.immunize.org/guide. 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!

Related Links
* See Vaccinating Adults: A Step-by-Step Guide ([link removed]) and all its content ([link removed])
* Free download of entire Guide (10.6 MB PDF) ([link removed])
* View the Table of Contents and individual chapters in PDF format:
– Table of Contents ([link removed])
– Step 1: Getting Started ([link removed])
– Step 2: Setting Up for Vaccination Services ([link removed])
– Step 3: Vaccine Storage and Handling ([link removed])
– Step 4: Deciding Whom to Vaccinate ([link removed])
– Step 5: Administering Vaccines ([link removed])
– Step 6: Documentation and Related Issues ([link removed])
– Step 7A: Financial Considerations ([link removed])
– Step 7B: How to Bill for Adult Immunizations ([link removed])
* Promotional flyer for Vaccinating Adults: A Step-by-Step Guide ([link removed])
* IAC’s educational materials (handouts) on adult immunization ([link removed])

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-JOURNAL ARTICLES AND NEWSLETTERS-
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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 ([link removed]) of its monthly newsletter, Immunization Works ([link removed]). 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 ([link removed]) for monthly resources and information on vaccination sent straight to your inbox.

Related Links
* January issue of Immunization Works ([link removed])
* Immunization Works main page with links to archives ([link removed])
* CDC newsletter subscription ([link removed]) web page

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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) ([link removed]) at Children's Hospital of Philadelphia publishes a monthly immunization-focused newsletter titled Vaccine Update. The January issue ([link removed]) includes several articles, including the following:
* News & Views—Considering Intestinal Microbiota in Practice ([link removed]) by Charlotte A. Moser, BS, and Paul A. Offit, MD
* In the Journals—Impact of CA SB277 Removing Non-medical Exemptions ([link removed]) by Paul A. Offit, MD
* Technically Speaking—CDC Releases 2020 Version of Its Vaccine Storage and Handling Toolkit ([link removed]) by IAC's Deborah L. Wexler, MD
* On the Bookshelf—No More Measles: The Truth about Vaccines and Your Health ([link removed]) by Charlotte A. Moser, BS
* Vaccine Resources—VoICE, Rotavirus and Type 1 Diabetes, and VIS Updates ([link removed])

Access the sign-up form ([link removed]) 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 ([link removed]) (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 ([link removed]). 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 (2004–2017): estimates by perspective and cost type ([link removed]) ([link removed]) 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 2001–2018 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 ([link removed]).

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-CONFERENCES AND MEETINGS-
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REMINDER: THE 49TH NATIONAL IMMUNIZATION CONFERENCE WILL BE HELD IN ATLANTA ON MAY 19–21

The 49th National Immunization Conference ([link removed]) (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 ([link removed]).

Visit the National Immunization Conference ([link removed]) 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 ([link removed]), 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 ([link removed]) web page.

Visit the APHA 2020 Annual Meeting and Expo web page ([link removed]) for information about conference and hotel registration, presentations, and more.

Related Links
* APHA 2020 Annual Meeting and Expo ([link removed]) website
* APHA website ([link removed])

Back to top (#Top)
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Video of the Week
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Don't Skip This: Dr. Aaron Carroll highlights Michael Becker, a biotech executive who died of oropharyngeal cancer in 2019. He had strongly advocated for HPV vaccine in males as well as females. Almost 16,000 of the 39,000 cases of HPV-associated cancers diagnosed yearly are in males. Dr. Carroll states it’s highly likely that HPV vaccine will prevent HPV-related oral cancers, as well as many penile and anal cancers.
Visit the VOTW archive ([link removed])
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Follow Us
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Technically Speaking
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Read Dr. Wexler's column for the Vaccine Education Center's monthly newsletter, Vaccine Update

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Vaccinating Adults:
A Step-by-Step Guide
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IAC's 142-page book available for free download ([link removed]) .

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Calendar of Events
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Conferences, meetings, and training opportunities

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Patient Record Cards
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Record cards for patients -- child & teen ([link removed]) , adult ([link removed]) , and lifetime ([link removed]) -- are printed on durable paper and sized to fit in a wallet when folded

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DVD: Immunization Techniques
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Every practice should have this award winning, "how-to" training video

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Protect Newborns Guidebook

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Comprehensive guide Hepatitis B: What Hospitals Need to Do to Protect Newborns ([link removed])

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Editorial Information

Editor
Deborah L. Wexler, MD (mailto:[email protected])

Associate Editors
Carolyn Bridges, MD, MPH (mailto:[email protected])
Sharon Humiston, MD, MPH (mailto:[email protected])

Consulting Editors
Taryn Chapman, MS (mailto:[email protected])
Marian Deegan, JD (mailto:[email protected])
Courtnay Londo, MA (mailto:[email protected])
Jane Myers, MA, EdM (mailto:[email protected])

Assistant Managing Editor
Liv Augusta Anderson, MPP (mailto:[email protected])

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Abbreviations
AAFP: American Academy of Family Physicians
AAP: American Academy of Pediatrics
ACIP: Advisory Committee on Immunization Practices
CDC: Centers for Disease Control and Prevention
FDA: Food and Drug Administration
IAC: Immunization Action Coalition
MMWR: Morbidity and Mortality Weekly Report
NCIRD: National Center for Immunization and Respiratory Diseases
VIS: Vaccine Information Statement
WHO: World Health Organization

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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 ([link removed]) .

If you have trouble receiving or displaying IAC Express messages, visit our online help section ([link removed]) .

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 ([link removed])
ISSN: 1526-1786
Our mailing address is
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Saint Paul, MN 55114


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