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IZ Express #1,697: Ask the Experts on COVID-19 vaccines, and more
| From | Immunize.org <[email protected]> |
| Subject | IZ Express #1,697: Ask the Experts on COVID-19 vaccines, and more |
| Date | June 14, 2023 10:30 AM |
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Issue 1,697: June 14, 2023
Top Stories
* Immunize.org makes important updates to its “Ask the Experts: COVID-19” web page
* Close the gap! Back-to-school vaccine catch-up programs should start now, and continue all summer long.
* Check out our latest Ask the Experts video on Facebook, LinkedIn, Twitter, YouTube, and Instagram. Follow us and share our posts featuring Ask the Experts and our clinical resources.
* Immunize.org's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination now features 1,330 organizations, including 30 new facilities
* Spotlight: Immunize.org resources grouped by age cohorts
* Journalists interview Immunize.org experts
* Vaccines in the news
Immunize.org Pages and Handouts
* Immunize.org updates its “Ask the Experts” web pages on scheduling vaccines, documenting vaccination, and rotavirus vaccine
* Immunize.org updates “Before You Vaccinate Adults, Consider Their ‘H-A-L-O’!”
* Immunize.org updates nine patient handouts promoting vaccinations for adults
* Immunize.org updates its “Vaccine Timeline” web page
Featured Resources
* Order Immunize.org’s child, adult, and lifetime immunization record cards—wallet-sized, designed to last!
Notable Publications
* “Safety Monitoring of mRNA COVID-19 Vaccine Third Doses among Children Aged 6 Months–5 Years—United States, June 17, 2022–May 7, 2023” published in MMWR
* “Progress toward Equitable Mpox Vaccination Coverage: A Shortfall Analysis—United States, May 2022–April 2023” published in MMWR
Global News
* "Surveillance to Track Progress toward Poliomyelitis Eradication—Worldwide, 2021–2022" published in MMWR
* “Chikungunya Outbreak—Paraguay, 2022–2023” published in MMWR
Upcoming Events
* Virtual: Moderna offers five-part webinar series, High-Risk Populations – Protecting Patients at High Risk of Severe COVID-19, in June
* Virtual: Watch June 21–23 ACIP meeting. Topics include RSV, polio, influenza, pneumococcal, dengue, chikungunya, mpox, meningococcal, and COVID-19 vaccines.
------------------------------------------------------------
Top Stories
------------------------------------------------------------
Immunize.org makes important updates to its “Ask the Experts: COVID-19” web page
Immunize.org updated its popular Ask the Experts: COVID-19 ([link removed]) web page to reflect CDC policy changes through April 2023 and connect you to the supporting CDC resources published in May. This extensive set of clinical questions and answers features CDC vaccination recommendations, clinical considerations, and web links to CDC resources.
Content related to COVID-19 vaccines no longer in use has been removed. Questions and answers reflect the current use of bivalent mRNA COVID-19 vaccines and the recommendation for a single dose of bivalent mRNA vaccine for most people, even if previously unvaccinated.
Immunize.org’s Ask the Experts ([link removed]) main page leads you to 30 web pages on various topics with more than 1,200 common or challenging questions and answers about vaccines and their administration. 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
* Immunize.org: Ask the Experts ([link removed]) main page with more than 1,200 questions and answers
* Immunize.org: Ask the Experts: COVID-19 ([link removed]) web page
------------------------------------------------------------
Close the gap! Back-to-school vaccine catch-up programs should start now, and continue all summer long.
The most important way you can respond to pandemic-related declines in routine vaccination is to support and encourage back-to-school routine vaccination catch-up campaigns this summer.
CDC data show that kindergarten vaccination coverage ([link removed]) steadily declined for all vaccines over the past two school years from 95% to 93% nationally and by as much as 10% in some jurisdictions. This is the lowest kindergarten routine vaccination coverage nationally in the last decade. In 2022, several communities experienced measles outbreaks where children were hospitalized. Another community reported a case of paralytic polio in an unvaccinated person. These events underscore that too many under-and unvaccinated children are at risk for serious illness.
You can act now to address this critical gap among children in your practice and your communications. Look to IZ Express to find out when CDC shares additional information on its 2023 back-to-school campaign and communication assets to support your work.
------------------------------------------------------------
Check out our latest Ask the Experts video on Facebook, LinkedIn, Twitter, YouTube, and Instagram. Follow us and share our posts featuring Ask the Experts and our clinical resources.
Immunize.org's social media program highlights our educational resources for today's vaccinators. Our latest short video, “What should be done if a patient scheduled for vaccination is exposed to COVID-19 or is isolated for suspected or confirmed infection with SARS-CoV-2, the virus that causes COVID-19?” is available now on our YouTube channel ([link removed]), along with our full collection of Ask the Experts videos. Our social media channels now feature our most popular printable resources and Ask the Experts questions and answers, as well as announcements important to frontline vaccinators.
Like, follow, and share Immunize.org’s social media accounts and encourage colleagues and others interested in vaccination to do likewise:
* Facebook at ImmunizeOrg ([link removed])
* Instagram at ImmunizeOrg ([link removed])
* LinkedIn at Immunize.org ([link removed])
* Twitter at ImmunizeOrg ([link removed])
* YouTube at ImmunizeOrg ([link removed])
------------------------------------------------------------
Immunize.org's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination now features 1,330 organizations, including 30 new facilities
Immunize.org's Influenza Vaccination Honor Roll ([link removed]) recognizes facilities that take a stand for patient safety by implementing policies for mandatory healthcare personnel influenza vaccination. There are now 1,330 organizations enrolled. Since May 10, 2023, Immunize.org welcomed 30 additional healthcare organizations.
* Bon Secours Health Center at Harbour View, Suffolk, VA
* Bon Secours Home Care, St. Petersburg, FL
* Bon Secours Mary Immaculate Hospital, Newport News, VA
* Bon Secours Maryview Medical Center, Portsmouth, VA
* Bon Secours Memorial Regional Medical Center, Mechanicville, VA
* Bon Secours Mercy Health, Cincinnati, OH
* Bon Secours Rappahannock General Hospital, Kilmarnock, VA
* Bon Secours Richmond Community Hospital, Richmond, VA
* Bon Secours Southampton Medical Center, Franklin, VA
* Bon Secours Southern Virginia Medical Center, Emporia, VA
* Bon Secours St. Francis Downtown, Greenville, SC
* Bon Secours St. Francis Eastside, Greenville, SC
* Bon Secours St. Francis Medical Center, Midlothian, VA
* Bon Secours St. Mary’s Hospital, Richmond, VA
* Mercy Health Allen Hospital, Lorain, OH
* Mercy Health Anderson, Cincinnati, OH
* Mercy Health Defiance, Defiance, OH
* Mercy Health Life Flight Network, Toledo, OH
* Mercy Health Lorain Hospital, Lorain, OH
* Mercy Health Marcum and Wallace Hospital, Irvine, KY
* Mercy Health Perrysburg Hospital, Perrysburg, OH
* Mercy Health St. Anne’s Hospital, Toledo, OH
* Mercy Health St. Charles Hospital, Toledo, OH
* Mercy Health St. Elizabeth Boardman Hospital, Boardman, OH
* Mercy Health St. Elizabeth Youngstown Hospital, Youngstown, OH
* Mercy Health St. Joseph Warren Hospital, Warren, OH
* Mercy Health St. Rita’s Medical Center, Lima, OH
* Mercy Health St. Vincent’s Hospital, Toledo, OH
* Mercy Health Tiffin, Tiffin, OH
* Mercy Health Willard, Willard, Ohio
Eligibility:
* 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 ([link removed]) must describe measures to prevent transmission of influenza from unvaccinated personnel to patients (e.g., masking for the entire work shift)
Related Links
* Immunize.org: List of Influenza Vaccination Honorees, all healthcare settings ([link removed]), by state
* Immunize.org: Long-Term Care/Assisted Living Influenza Vaccination Honorees ([link removed]) by state
* Immunize.org: Influenza Vaccination Honor Roll program ([link removed]), including:
+ Position statements ([link removed]) from professional societies and leading healthcare organizations in support of mandatory influenza vaccination
+ Application form for Influenza Vaccination Honor Roll ([link removed])
* Immunize.org: Honor Roll for Patient Safety ([link removed]) web page
------------------------------------------------------------
Spotlight: Immunize.org resources grouped by age cohorts
In this week's Spotlight, we summarize resources at Immunize.org that focus on specific vaccine products.
Our CDC Schedules ([link removed]) main page provides printable PDFs of the recommended immunization schedules for children and adolescents and for adults.
Our Schedules for Patients ([link removed]) main page contains links to informational sheets on vaccines recommended for people with varying needs based on their age or underlying medical conditions.
Within our Handouts: Topic Index ([link removed]), we feature:
* Adult Vaccination ([link removed])
* Adolescent Vaccination ([link removed])
* Parent Handouts ([link removed])
------------------------------------------------------------
Journalists interview Immunize.org experts
Journalists seek out Immunize.org experts to help explain vaccines to the public and policy makers. We help the media understand and communicate the complex work vaccinators do. Here is a recent citation.
* Patient Care: GSK Adult RSV Vaccine: 3 Things Primary Care Clinicians Should Remember ([link removed]) (6/6/23)
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Vaccines in the news
These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
* CIDRAP: High Mpox Vaccine Shortfall Seen among Black Americans ([link removed]) (6/8/23)
* The Telegraph: ‘Measles Is the Canary in the Coal Mine’: World’s Most Infectious Disease Makes Unwanted Comeback ([link removed]) (6/5/23)
------------------------------------------------------------
Immunize.org Pages and Handouts
------------------------------------------------------------
Immunize.org updates its “Ask the Experts” web pages on scheduling vaccines, documenting vaccination, and rotavirus vaccine
Immunize.org recently reviewed and updated three of its popular Ask the Experts ([link removed]) web pages. Although updates do not reflect any significant changes in policy, links were updated and minor adjustments and updates were made.
* Ask the Experts: Scheduling Vaccines ([link removed])
* Ask the Experts: Documenting Vaccination ([link removed])
* Ask the Experts: Rotavirus ([link removed])
This extensive set of clinical questions and answers features CDC vaccination recommendations, clinical considerations, and web links to CDC resources. Changes include updated links and COVID-19 references.
Immunize.org’s Ask the Experts ([link removed]) main page leads you to 30 web pages on various topics with more than 1,200 common or challenging questions and answers about vaccines and their administration. 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
* Immunize.org: Ask the Experts ([link removed]) main page with more than 1,200 questions and answers
* Immunize.org: Ask the Experts: Scheduling Vaccines ([link removed]) web page
* Immunize.org: Ask the Experts: Documenting Vaccination ([link removed]) web page
* Immunize.org: Ask the Experts: Rotavirus ([link removed]) web page
------------------------------------------------------------
Immunize.org updates “Before You Vaccinate Adults, Consider Their ‘H-A-L-O’!”
Immunize.org recently updated its resource for healthcare professionals titled Before You Vaccinate Adults, Consider Their “H-A-L-O” ([link removed])!
H-A-L-O refers to four factors:
* Health condition
* Age
* Lifestyle
* Occupation
Changes were made to incorporate the newest ACIP recommendations for COVID-19 vaccines and revised pneumococcal polysaccharide (PPSV23) recommendations.
Related Links
* Immunize.org: Clinic Tools: Vaccine Recommendations ([link removed]) web page
* Immunize.org: Handouts: Vaccine Recommendations ([link removed]) web page
------------------------------------------------------------
Immunize.org updates nine patient handouts promoting vaccinations for adults
Immunize.org recently updated its series of one-sheet vaccination schedule guides for adults generally, men who have sex with men, and for adults with any of six chronic health conditions.
Where relevant, guides now also incorporate the latest recommendations for:
* Hepatitis B screening for all adults
* Universal hepatitis B catch-up vaccination for all adults younger than age 60
The revised handouts for adults are listed below.
* Adult Immunization: Importance of Staying up to Date with Vaccines ([link removed])
* Vaccinations for Adults ([link removed])
The revised guides for adults with specific risk factors are listed below. Please take a moment to be sure you use the most current versions in your practice.
* Vaccinations for Men Who Have Sex with Men ([link removed])
* Vaccinations for Adults with HIV Infection ([link removed])
* Vaccinations for Adults with Chronic Liver Disease or Infection ([link removed])
* Vaccinations for Adults with Diabetes ([link removed])
* Vaccinations for Adults with Heart Disease ([link removed])
* Vaccinations for Adults with Lung Disease ([link removed])
* Vaccinations for Adults without a Spleen ([link removed])
Related Links
* Immunize.org: Handouts: Schedules for Patients ([link removed]) main page
* Immunize.org: Handouts: Adult Vaccination ([link removed]) main page
* Immunize.org: Handouts for Patients and Staff ([link removed]) main page, where you can sort materials by topic, vaccine, or language
* Immunize.org: Educational Materials for Patients and Staff ([link removed])—an alphabetical listing of more than 230 ready-to-print staff educational materials and patient handouts
------------------------------------------------------------
Immunize.org updates its "Vaccine Timeline" web page
Immunize.org's Vaccine Timeline ([link removed]) main page was updated to include new events related to vaccines and immunization. The chart on the main page displays many of the vaccine- and immunization-related events that have occurred since Edward Jenner's first smallpox vaccination in 1796. This list is by no means exhaustive.
If you would like to suggest an event to add, contact us at [email protected].
------------------------------------------------------------
Featured Resources
------------------------------------------------------------
Order Immunize.org’s child, adult, and lifetime immunization record cards—wallet-sized, designed to last!
Immunize.org's personal immunization record cards ([link removed]), printed on rip-proof, smudge-proof, water-proof paper, are designed to last a lifetime. They fit in a wallet when folded. The record cards are for you to give to your patients as a permanent personal vaccination record and are sold in boxes of 250.
* Child & Teen Immunization Record Card ([link removed])
* Adult Immunization Record Card ([link removed])
* Lifetime Immunization Record Card ([link removed])
Make bulk purchases and receive quantity discounts. For quotes on larger quantities or customizing, or to request sample cards, call 651-647-9009 or email [email protected].
------------------------------------------------------------
Notable Publications
------------------------------------------------------------
“Safety Monitoring of mRNA COVID-19 Vaccine Third Doses among Children Aged 6 Months–5 Years—United States, June 17, 2022–May 7, 2023” published in MMWR
CDC published Safety Monitoring of mRNA COVID-19 Vaccine Third Doses among Children Aged 6 Months–5 Years—United States, June 17, 2022–May 7, 2023 ([link removed]) on June 9 in MMWR ([link removed]). A portion of the summary appears below.
All children aged 6 months–5 years are recommended to receive ≥1 bivalent mRNA COVID-19 vaccine dose; approximately 550,000 children in these age groups have received a third monovalent or bivalent mRNA vaccine dose. . . .
In v-safe, 38% of children had no reported reactions after a third dose; most reported reactions were mild and transient. Vaccination errors
[e.g., incorrect product formulation administered, inappropriate schedule of product administration, expired product administered, incorrect dose administered] accounted for 78% of events reported to the Vaccine Adverse Event Reporting System. . . .
Findings after receipt of a third mRNA vaccine dose among young children were similar to those described after receipt of 1 and 2 doses; no new safety concerns were identified.
Access the MMWR article in HTML ([link removed]) or PDF ([link removed]).
Related Link
* MMWR's main page ([link removed]) provides access to the MMWR Weekly family of publications
------------------------------------------------------------
“Progress toward Equitable Mpox Vaccination Coverage: A Shortfall Analysis—United States, May 2022–April 2023” published in MMWR
CDC published Progress toward Equitable Mpox Vaccination Coverage: A Shortfall Analysis—United States, May 2022–April 2023 ([link removed]) on June 9 in MMWR ([link removed]). A portion of the summary appears below.
Vaccination efforts during the 2022 U.S. monkeypox (mpox) outbreak focused on populations at elevated risk for acquiring mpox. . . .
As of April 2023, two thirds (approximately 66.0%) of mpox vaccine–eligible persons remained unvaccinated. The shortfall (difference between 100% coverage and reported first-dose coverage) was largest among Black or African American (Black) persons (77.9%). The largest monthly decreases in overall shortfall were in August (17.7%) and September (8.5%). However, during these months, smaller shortfall reductions were achieved among Black persons (12.2% and 4.9%, respectively). . . .
Vaccination coverage among racial and ethnic minority groups with the largest shortfalls needs to increase substantially to reduce disparities in vaccination coverage and increase health equity.
Access the MMWR article in HTML ([link removed]) or PDF ([link removed]) .
Related Links
* MMWR's main page ([link removed]) provides access to the MMWR Weekly family of publications
* Immunize.org: Vaccines: Mpox ([link removed])
------------------------------------------------------------
Global News
------------------------------------------------------------
"Surveillance to Track Progress toward Poliomyelitis Eradication—Worldwide, 2021–2022" published in MMWR
CDC published Surveillance to Track Progress toward Poliomyelitis Eradication—Worldwide, 2021–2022 ([link removed]) on June 9 in MMWR ([link removed]). A portion of the summary appears below.
The primary means for detecting poliovirus is through acute flaccid paralysis (AFP) surveillance, which is supplemented by environmental surveillance of sewage samples. . . .
During 2021–2022, among 34 priority countries experiencing or at high risk for poliovirus transmission, 26 (76.5%) met national AFP surveillance indicator targets, and the number of environmental surveillance sites increased by 31%. However, substantial national and subnational AFP surveillance gaps persist. . . .
Maintaining high-quality surveillance is critical to achieving the goal of global polio eradication. Monitoring surveillance indicators is important to identify gaps and guide surveillance-strengthening activities, particularly in countries at high risk for poliovirus circulation.
Access the MMWR article in HTML ([link removed]) or PDF ([link removed]) .
Related Link
* MMWR's main page ([link removed]) provides access to the MMWR Weekly family of publications
------------------------------------------------------------
“Chikungunya Outbreak—Paraguay, 2022–2023” published in MMWR
CDC published Chikungunya Outbreak—Paraguay, 2022–2023 ([link removed]) on June 9 in MMWR ([link removed]). A portion of the article appears below.
Humans are the primary reservoir during epidemics and can transport the virus to new areas; cases in travelers returning from Paraguay have been reported in several countries. If an infected person is bitten by a mosquito vector at their destination, a risk for local transmission exists. During 2022–2023, in the Americas, increases in chikungunya cases and spread outside historical transmission areas (e.g., Uruguay and parts of Argentina) have occurred. Strengthened surveillance and preparedness are crucial. Although no vaccine is currently licensed, several are in the late stages of development and could have a role in reducing cases and deaths in future outbreaks.
Access the MMWR article in HTML ([link removed]) or PDF ([link removed]).
Related Link
* MMWR's main page ([link removed]) provides access to the MMWR Weekly family of publications
------------------------------------------------------------
Upcoming Events
------------------------------------------------------------
Virtual: Moderna offers five-part webinar series, High-Risk Populations – Protecting Patients at High Risk of Severe COVID-19, in June
Moderna is offering a free, five-part webinar series, High-Risk Populations – Protecting Patients at High-Risk of Severe COVID-19 ([link removed]) , in June. This five-part webinar series will discuss the continued risks and consequences of COVID-19 infections in high-risk populations. Each event will focus on a different high-risk population. Courses include:
* TOMORROW: June 15 at 1:00 p.m. (ET): "Immunocompromised Patients"
* June 22 at 1:00 p.m. (ET): "Patients with Cardiovascular Diseases"
* June 28 at 1:30 p.m. (ET): "Patients with Respiratory Diseases"
[link removed]
Registration is required for each event separately.
Register for the free webinars ([link removed]).
------------------------------------------------------------
Virtual: Watch June 21–23 ACIP meeting. Topics include RSV, polio, influenza, pneumococcal, dengue, chikungunya, mpox, meningococcal, and COVID-19 vaccines.
CDC will convene an extended, 3-day meeting of the Advisory Committee on Immunization Practices ([link removed]) (ACIP), June 21–23, starting at 8:00 a.m. (ET). ACIP will discuss vaccination recommendations for respiratory syncytial virus (RSV), polio, influenza, pneumococcal, dengue, chikungunya, mpox, meningococcal, and COVID-19 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.
View the agenda ([link removed]).
Related Links
* ACIP main page ([link removed]) for access to webcast, agendas
* ACIP: Meeting Information ([link removed]) for presentation slides, content from previous meetings, and information about future meetings
------------------------------------------------------------
For more upcoming events, visit our Calendar of Events ([link removed]).
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
About IZ Express
Immunize.org welcomes redistribution of this issue of IZ Express or selected articles.
When you do so, please add a note that Immunize.org is the source of the material and provide a link to this issue ([link removed]).
IZ 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 Immunize.org and do not necessarily represent the official views of CDC.
IZ Express Disclaimer ([link removed])
ISSN: 2771-8085
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Issue 1,697: June 14, 2023
Top Stories
* Immunize.org makes important updates to its “Ask the Experts: COVID-19” web page
* Close the gap! Back-to-school vaccine catch-up programs should start now, and continue all summer long.
* Check out our latest Ask the Experts video on Facebook, LinkedIn, Twitter, YouTube, and Instagram. Follow us and share our posts featuring Ask the Experts and our clinical resources.
* Immunize.org's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination now features 1,330 organizations, including 30 new facilities
* Spotlight: Immunize.org resources grouped by age cohorts
* Journalists interview Immunize.org experts
* Vaccines in the news
Immunize.org Pages and Handouts
* Immunize.org updates its “Ask the Experts” web pages on scheduling vaccines, documenting vaccination, and rotavirus vaccine
* Immunize.org updates “Before You Vaccinate Adults, Consider Their ‘H-A-L-O’!”
* Immunize.org updates nine patient handouts promoting vaccinations for adults
* Immunize.org updates its “Vaccine Timeline” web page
Featured Resources
* Order Immunize.org’s child, adult, and lifetime immunization record cards—wallet-sized, designed to last!
Notable Publications
* “Safety Monitoring of mRNA COVID-19 Vaccine Third Doses among Children Aged 6 Months–5 Years—United States, June 17, 2022–May 7, 2023” published in MMWR
* “Progress toward Equitable Mpox Vaccination Coverage: A Shortfall Analysis—United States, May 2022–April 2023” published in MMWR
Global News
* "Surveillance to Track Progress toward Poliomyelitis Eradication—Worldwide, 2021–2022" published in MMWR
* “Chikungunya Outbreak—Paraguay, 2022–2023” published in MMWR
Upcoming Events
* Virtual: Moderna offers five-part webinar series, High-Risk Populations – Protecting Patients at High Risk of Severe COVID-19, in June
* Virtual: Watch June 21–23 ACIP meeting. Topics include RSV, polio, influenza, pneumococcal, dengue, chikungunya, mpox, meningococcal, and COVID-19 vaccines.
------------------------------------------------------------
Top Stories
------------------------------------------------------------
Immunize.org makes important updates to its “Ask the Experts: COVID-19” web page
Immunize.org updated its popular Ask the Experts: COVID-19 ([link removed]) web page to reflect CDC policy changes through April 2023 and connect you to the supporting CDC resources published in May. This extensive set of clinical questions and answers features CDC vaccination recommendations, clinical considerations, and web links to CDC resources.
Content related to COVID-19 vaccines no longer in use has been removed. Questions and answers reflect the current use of bivalent mRNA COVID-19 vaccines and the recommendation for a single dose of bivalent mRNA vaccine for most people, even if previously unvaccinated.
Immunize.org’s Ask the Experts ([link removed]) main page leads you to 30 web pages on various topics with more than 1,200 common or challenging questions and answers about vaccines and their administration. 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
* Immunize.org: Ask the Experts ([link removed]) main page with more than 1,200 questions and answers
* Immunize.org: Ask the Experts: COVID-19 ([link removed]) web page
------------------------------------------------------------
Close the gap! Back-to-school vaccine catch-up programs should start now, and continue all summer long.
The most important way you can respond to pandemic-related declines in routine vaccination is to support and encourage back-to-school routine vaccination catch-up campaigns this summer.
CDC data show that kindergarten vaccination coverage ([link removed]) steadily declined for all vaccines over the past two school years from 95% to 93% nationally and by as much as 10% in some jurisdictions. This is the lowest kindergarten routine vaccination coverage nationally in the last decade. In 2022, several communities experienced measles outbreaks where children were hospitalized. Another community reported a case of paralytic polio in an unvaccinated person. These events underscore that too many under-and unvaccinated children are at risk for serious illness.
You can act now to address this critical gap among children in your practice and your communications. Look to IZ Express to find out when CDC shares additional information on its 2023 back-to-school campaign and communication assets to support your work.
------------------------------------------------------------
Check out our latest Ask the Experts video on Facebook, LinkedIn, Twitter, YouTube, and Instagram. Follow us and share our posts featuring Ask the Experts and our clinical resources.
Immunize.org's social media program highlights our educational resources for today's vaccinators. Our latest short video, “What should be done if a patient scheduled for vaccination is exposed to COVID-19 or is isolated for suspected or confirmed infection with SARS-CoV-2, the virus that causes COVID-19?” is available now on our YouTube channel ([link removed]), along with our full collection of Ask the Experts videos. Our social media channels now feature our most popular printable resources and Ask the Experts questions and answers, as well as announcements important to frontline vaccinators.
Like, follow, and share Immunize.org’s social media accounts and encourage colleagues and others interested in vaccination to do likewise:
* Facebook at ImmunizeOrg ([link removed])
* Instagram at ImmunizeOrg ([link removed])
* LinkedIn at Immunize.org ([link removed])
* Twitter at ImmunizeOrg ([link removed])
* YouTube at ImmunizeOrg ([link removed])
------------------------------------------------------------
Immunize.org's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination now features 1,330 organizations, including 30 new facilities
Immunize.org's Influenza Vaccination Honor Roll ([link removed]) recognizes facilities that take a stand for patient safety by implementing policies for mandatory healthcare personnel influenza vaccination. There are now 1,330 organizations enrolled. Since May 10, 2023, Immunize.org welcomed 30 additional healthcare organizations.
* Bon Secours Health Center at Harbour View, Suffolk, VA
* Bon Secours Home Care, St. Petersburg, FL
* Bon Secours Mary Immaculate Hospital, Newport News, VA
* Bon Secours Maryview Medical Center, Portsmouth, VA
* Bon Secours Memorial Regional Medical Center, Mechanicville, VA
* Bon Secours Mercy Health, Cincinnati, OH
* Bon Secours Rappahannock General Hospital, Kilmarnock, VA
* Bon Secours Richmond Community Hospital, Richmond, VA
* Bon Secours Southampton Medical Center, Franklin, VA
* Bon Secours Southern Virginia Medical Center, Emporia, VA
* Bon Secours St. Francis Downtown, Greenville, SC
* Bon Secours St. Francis Eastside, Greenville, SC
* Bon Secours St. Francis Medical Center, Midlothian, VA
* Bon Secours St. Mary’s Hospital, Richmond, VA
* Mercy Health Allen Hospital, Lorain, OH
* Mercy Health Anderson, Cincinnati, OH
* Mercy Health Defiance, Defiance, OH
* Mercy Health Life Flight Network, Toledo, OH
* Mercy Health Lorain Hospital, Lorain, OH
* Mercy Health Marcum and Wallace Hospital, Irvine, KY
* Mercy Health Perrysburg Hospital, Perrysburg, OH
* Mercy Health St. Anne’s Hospital, Toledo, OH
* Mercy Health St. Charles Hospital, Toledo, OH
* Mercy Health St. Elizabeth Boardman Hospital, Boardman, OH
* Mercy Health St. Elizabeth Youngstown Hospital, Youngstown, OH
* Mercy Health St. Joseph Warren Hospital, Warren, OH
* Mercy Health St. Rita’s Medical Center, Lima, OH
* Mercy Health St. Vincent’s Hospital, Toledo, OH
* Mercy Health Tiffin, Tiffin, OH
* Mercy Health Willard, Willard, Ohio
Eligibility:
* 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 ([link removed]) must describe measures to prevent transmission of influenza from unvaccinated personnel to patients (e.g., masking for the entire work shift)
Related Links
* Immunize.org: List of Influenza Vaccination Honorees, all healthcare settings ([link removed]), by state
* Immunize.org: Long-Term Care/Assisted Living Influenza Vaccination Honorees ([link removed]) by state
* Immunize.org: Influenza Vaccination Honor Roll program ([link removed]), including:
+ Position statements ([link removed]) from professional societies and leading healthcare organizations in support of mandatory influenza vaccination
+ Application form for Influenza Vaccination Honor Roll ([link removed])
* Immunize.org: Honor Roll for Patient Safety ([link removed]) web page
------------------------------------------------------------
Spotlight: Immunize.org resources grouped by age cohorts
In this week's Spotlight, we summarize resources at Immunize.org that focus on specific vaccine products.
Our CDC Schedules ([link removed]) main page provides printable PDFs of the recommended immunization schedules for children and adolescents and for adults.
Our Schedules for Patients ([link removed]) main page contains links to informational sheets on vaccines recommended for people with varying needs based on their age or underlying medical conditions.
Within our Handouts: Topic Index ([link removed]), we feature:
* Adult Vaccination ([link removed])
* Adolescent Vaccination ([link removed])
* Parent Handouts ([link removed])
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Journalists interview Immunize.org experts
Journalists seek out Immunize.org experts to help explain vaccines to the public and policy makers. We help the media understand and communicate the complex work vaccinators do. Here is a recent citation.
* Patient Care: GSK Adult RSV Vaccine: 3 Things Primary Care Clinicians Should Remember ([link removed]) (6/6/23)
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Vaccines in the news
These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
* CIDRAP: High Mpox Vaccine Shortfall Seen among Black Americans ([link removed]) (6/8/23)
* The Telegraph: ‘Measles Is the Canary in the Coal Mine’: World’s Most Infectious Disease Makes Unwanted Comeback ([link removed]) (6/5/23)
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Immunize.org Pages and Handouts
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Immunize.org updates its “Ask the Experts” web pages on scheduling vaccines, documenting vaccination, and rotavirus vaccine
Immunize.org recently reviewed and updated three of its popular Ask the Experts ([link removed]) web pages. Although updates do not reflect any significant changes in policy, links were updated and minor adjustments and updates were made.
* Ask the Experts: Scheduling Vaccines ([link removed])
* Ask the Experts: Documenting Vaccination ([link removed])
* Ask the Experts: Rotavirus ([link removed])
This extensive set of clinical questions and answers features CDC vaccination recommendations, clinical considerations, and web links to CDC resources. Changes include updated links and COVID-19 references.
Immunize.org’s Ask the Experts ([link removed]) main page leads you to 30 web pages on various topics with more than 1,200 common or challenging questions and answers about vaccines and their administration. 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
* Immunize.org: Ask the Experts ([link removed]) main page with more than 1,200 questions and answers
* Immunize.org: Ask the Experts: Scheduling Vaccines ([link removed]) web page
* Immunize.org: Ask the Experts: Documenting Vaccination ([link removed]) web page
* Immunize.org: Ask the Experts: Rotavirus ([link removed]) web page
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Immunize.org updates “Before You Vaccinate Adults, Consider Their ‘H-A-L-O’!”
Immunize.org recently updated its resource for healthcare professionals titled Before You Vaccinate Adults, Consider Their “H-A-L-O” ([link removed])!
H-A-L-O refers to four factors:
* Health condition
* Age
* Lifestyle
* Occupation
Changes were made to incorporate the newest ACIP recommendations for COVID-19 vaccines and revised pneumococcal polysaccharide (PPSV23) recommendations.
Related Links
* Immunize.org: Clinic Tools: Vaccine Recommendations ([link removed]) web page
* Immunize.org: Handouts: Vaccine Recommendations ([link removed]) web page
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Immunize.org updates nine patient handouts promoting vaccinations for adults
Immunize.org recently updated its series of one-sheet vaccination schedule guides for adults generally, men who have sex with men, and for adults with any of six chronic health conditions.
Where relevant, guides now also incorporate the latest recommendations for:
* Hepatitis B screening for all adults
* Universal hepatitis B catch-up vaccination for all adults younger than age 60
The revised handouts for adults are listed below.
* Adult Immunization: Importance of Staying up to Date with Vaccines ([link removed])
* Vaccinations for Adults ([link removed])
The revised guides for adults with specific risk factors are listed below. Please take a moment to be sure you use the most current versions in your practice.
* Vaccinations for Men Who Have Sex with Men ([link removed])
* Vaccinations for Adults with HIV Infection ([link removed])
* Vaccinations for Adults with Chronic Liver Disease or Infection ([link removed])
* Vaccinations for Adults with Diabetes ([link removed])
* Vaccinations for Adults with Heart Disease ([link removed])
* Vaccinations for Adults with Lung Disease ([link removed])
* Vaccinations for Adults without a Spleen ([link removed])
Related Links
* Immunize.org: Handouts: Schedules for Patients ([link removed]) main page
* Immunize.org: Handouts: Adult Vaccination ([link removed]) main page
* Immunize.org: Handouts for Patients and Staff ([link removed]) main page, where you can sort materials by topic, vaccine, or language
* Immunize.org: Educational Materials for Patients and Staff ([link removed])—an alphabetical listing of more than 230 ready-to-print staff educational materials and patient handouts
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Immunize.org updates its "Vaccine Timeline" web page
Immunize.org's Vaccine Timeline ([link removed]) main page was updated to include new events related to vaccines and immunization. The chart on the main page displays many of the vaccine- and immunization-related events that have occurred since Edward Jenner's first smallpox vaccination in 1796. This list is by no means exhaustive.
If you would like to suggest an event to add, contact us at [email protected].
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Featured Resources
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Order Immunize.org’s child, adult, and lifetime immunization record cards—wallet-sized, designed to last!
Immunize.org's personal immunization record cards ([link removed]), printed on rip-proof, smudge-proof, water-proof paper, are designed to last a lifetime. They fit in a wallet when folded. The record cards are for you to give to your patients as a permanent personal vaccination record and are sold in boxes of 250.
* Child & Teen Immunization Record Card ([link removed])
* Adult Immunization Record Card ([link removed])
* Lifetime Immunization Record Card ([link removed])
Make bulk purchases and receive quantity discounts. For quotes on larger quantities or customizing, or to request sample cards, call 651-647-9009 or email [email protected].
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Notable Publications
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“Safety Monitoring of mRNA COVID-19 Vaccine Third Doses among Children Aged 6 Months–5 Years—United States, June 17, 2022–May 7, 2023” published in MMWR
CDC published Safety Monitoring of mRNA COVID-19 Vaccine Third Doses among Children Aged 6 Months–5 Years—United States, June 17, 2022–May 7, 2023 ([link removed]) on June 9 in MMWR ([link removed]). A portion of the summary appears below.
All children aged 6 months–5 years are recommended to receive ≥1 bivalent mRNA COVID-19 vaccine dose; approximately 550,000 children in these age groups have received a third monovalent or bivalent mRNA vaccine dose. . . .
In v-safe, 38% of children had no reported reactions after a third dose; most reported reactions were mild and transient. Vaccination errors
[e.g., incorrect product formulation administered, inappropriate schedule of product administration, expired product administered, incorrect dose administered] accounted for 78% of events reported to the Vaccine Adverse Event Reporting System. . . .
Findings after receipt of a third mRNA vaccine dose among young children were similar to those described after receipt of 1 and 2 doses; no new safety concerns were identified.
Access the MMWR article in HTML ([link removed]) or PDF ([link removed]).
Related Link
* MMWR's main page ([link removed]) provides access to the MMWR Weekly family of publications
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“Progress toward Equitable Mpox Vaccination Coverage: A Shortfall Analysis—United States, May 2022–April 2023” published in MMWR
CDC published Progress toward Equitable Mpox Vaccination Coverage: A Shortfall Analysis—United States, May 2022–April 2023 ([link removed]) on June 9 in MMWR ([link removed]). A portion of the summary appears below.
Vaccination efforts during the 2022 U.S. monkeypox (mpox) outbreak focused on populations at elevated risk for acquiring mpox. . . .
As of April 2023, two thirds (approximately 66.0%) of mpox vaccine–eligible persons remained unvaccinated. The shortfall (difference between 100% coverage and reported first-dose coverage) was largest among Black or African American (Black) persons (77.9%). The largest monthly decreases in overall shortfall were in August (17.7%) and September (8.5%). However, during these months, smaller shortfall reductions were achieved among Black persons (12.2% and 4.9%, respectively). . . .
Vaccination coverage among racial and ethnic minority groups with the largest shortfalls needs to increase substantially to reduce disparities in vaccination coverage and increase health equity.
Access the MMWR article in HTML ([link removed]) or PDF ([link removed]) .
Related Links
* MMWR's main page ([link removed]) provides access to the MMWR Weekly family of publications
* Immunize.org: Vaccines: Mpox ([link removed])
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Global News
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"Surveillance to Track Progress toward Poliomyelitis Eradication—Worldwide, 2021–2022" published in MMWR
CDC published Surveillance to Track Progress toward Poliomyelitis Eradication—Worldwide, 2021–2022 ([link removed]) on June 9 in MMWR ([link removed]). A portion of the summary appears below.
The primary means for detecting poliovirus is through acute flaccid paralysis (AFP) surveillance, which is supplemented by environmental surveillance of sewage samples. . . .
During 2021–2022, among 34 priority countries experiencing or at high risk for poliovirus transmission, 26 (76.5%) met national AFP surveillance indicator targets, and the number of environmental surveillance sites increased by 31%. However, substantial national and subnational AFP surveillance gaps persist. . . .
Maintaining high-quality surveillance is critical to achieving the goal of global polio eradication. Monitoring surveillance indicators is important to identify gaps and guide surveillance-strengthening activities, particularly in countries at high risk for poliovirus circulation.
Access the MMWR article in HTML ([link removed]) or PDF ([link removed]) .
Related Link
* MMWR's main page ([link removed]) provides access to the MMWR Weekly family of publications
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“Chikungunya Outbreak—Paraguay, 2022–2023” published in MMWR
CDC published Chikungunya Outbreak—Paraguay, 2022–2023 ([link removed]) on June 9 in MMWR ([link removed]). A portion of the article appears below.
Humans are the primary reservoir during epidemics and can transport the virus to new areas; cases in travelers returning from Paraguay have been reported in several countries. If an infected person is bitten by a mosquito vector at their destination, a risk for local transmission exists. During 2022–2023, in the Americas, increases in chikungunya cases and spread outside historical transmission areas (e.g., Uruguay and parts of Argentina) have occurred. Strengthened surveillance and preparedness are crucial. Although no vaccine is currently licensed, several are in the late stages of development and could have a role in reducing cases and deaths in future outbreaks.
Access the MMWR article in HTML ([link removed]) or PDF ([link removed]).
Related Link
* MMWR's main page ([link removed]) provides access to the MMWR Weekly family of publications
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Upcoming Events
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Virtual: Moderna offers five-part webinar series, High-Risk Populations – Protecting Patients at High Risk of Severe COVID-19, in June
Moderna is offering a free, five-part webinar series, High-Risk Populations – Protecting Patients at High-Risk of Severe COVID-19 ([link removed]) , in June. This five-part webinar series will discuss the continued risks and consequences of COVID-19 infections in high-risk populations. Each event will focus on a different high-risk population. Courses include:
* TOMORROW: June 15 at 1:00 p.m. (ET): "Immunocompromised Patients"
* June 22 at 1:00 p.m. (ET): "Patients with Cardiovascular Diseases"
* June 28 at 1:30 p.m. (ET): "Patients with Respiratory Diseases"
[link removed]
Registration is required for each event separately.
Register for the free webinars ([link removed]).
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Virtual: Watch June 21–23 ACIP meeting. Topics include RSV, polio, influenza, pneumococcal, dengue, chikungunya, mpox, meningococcal, and COVID-19 vaccines.
CDC will convene an extended, 3-day meeting of the Advisory Committee on Immunization Practices ([link removed]) (ACIP), June 21–23, starting at 8:00 a.m. (ET). ACIP will discuss vaccination recommendations for respiratory syncytial virus (RSV), polio, influenza, pneumococcal, dengue, chikungunya, mpox, meningococcal, and COVID-19 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.
View the agenda ([link removed]).
Related Links
* ACIP main page ([link removed]) for access to webcast, agendas
* ACIP: Meeting Information ([link removed]) for presentation slides, content from previous meetings, and information about future meetings
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For more upcoming events, visit our Calendar of Events ([link removed]).
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
About IZ Express
Immunize.org welcomes redistribution of this issue of IZ Express or selected articles.
When you do so, please add a note that Immunize.org is the source of the material and provide a link to this issue ([link removed]).
IZ 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 Immunize.org and do not necessarily represent the official views of CDC.
IZ Express Disclaimer ([link removed])
ISSN: 2771-8085
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