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IZ Express #1,698: Register for Immunize.org webinar on hepatitis B, and more
| From | Immunize.org <[email protected]> |
| Subject | IZ Express #1,698: Register for Immunize.org webinar on hepatitis B, and more |
| Date | June 21, 2023 10:00 AM |
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Issue 1,698: June 21, 2023
Top Stories
* Register for July 13 webinar! Immunize.org presents “Hepatitis B-Gone! Implementing universal adult screening and vaccination. Your practical questions answered.” (#IZX1)
* “Interim Recommendation for Use of Bivalent mRNA COVID-19 Vaccines for Persons Aged ≥6 Months—United States, April 2023” published in MMWR (#IZX2)
* Immunize.org updates its “Vaccines: Mpox” web page (#IZX3)
* Combination vaccines and catch-up schedules: Check out the latest Ask the Experts short video on Facebook, LinkedIn, Twitter, YouTube, and Instagram (#IZX4)
* “Increase in Meningococcal Disease among Persons with HIV—United States, 2022” published in MMWR (#IZX5)
* “Tetanus in an Unvaccinated Man from Mexico—Oregon, 2022” published in MMWR (#IZX6)
* Spotlight: Immunize.org's resources focused on enhancing clinic and practice operations (#IZX7)
* Vaccines in the news (#IZX8)
Immunize.org Pages and Handouts
* Immunize.org enhances readability of several translations of four popular handouts (#IZX9)
* Immunize.org updates "Vaccines with Diluents: How to Use Them" (#IZX10)
* Immunize.org updates "Steps to Implementing Standing Orders for Immunization in Your Practice Setting" (#IZX11)
Featured Resources
* CHOP's Vaccine Education Center releases documentary featuring former FDA official Marion Gruber, PhD, MS, addressing pandemics, outbreaks, and preparing for the next health emergency (#IZX12)
* New YouTube episode in the Beyond the Noise series, featuring Vincent Racaniello, PhD, and Paul Offit, MD, discussing important vaccine topics (#IZX13)
* Voices for Vaccines releases podcast with Jonathan Howard, MD, about his provocatively titled book, We Want Them Infected (#IZX14)
Notable Publications
* “Comparison of COVID-19 Mortality Rates among Adults Aged ≥65 Years Who Were Unvaccinated and Those Who Received a Bivalent Booster Dose within the Preceding 6 Months—20 U.S. Jurisdictions, September 18, 2022–April 1, 2023” published in MMWR (#IZX15)
Upcoming Events
* Today! Virtual: Watch June 21–23 ACIP meeting. Topics include RSV, polio, influenza, pneumococcal, dengue, chikungunya, mpox, meningococcal, and COVID-19 vaccines. (#IZX16)
* Virtual: NFID hosts webinar titled “Addressing Adult Vaccine Hesitancy in the U.S.” on June 29 (#IZX17)
Editorial Information (#Editorial)
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Top Stories
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Register for July 13 webinar! Immunize.org presents “Hepatitis B-Gone! Implementing universal adult screening and vaccination. Your practical questions answered.”
Anyone can be infected by hepatitis B virus. Everyone can benefit from knowing their status and being protected. For more than 30 years, hepatitis B vaccination has been recommended for all U.S. infants. In 2022, CDC recommended catch-up hepatitis B vaccination of all adults through age 59 years and older adults with risk factors or who want to be vaccinated. In 2023, CDC recommended one-time hepatitis B infection screening of all adults. Integrating these two important recommendations into clinical practice poses unique challenges for healthcare providers.
This live, 1-hour webinar conversation, Hepatitis B-Gone! Implementing Universal Adult Screening and Vaccination. Your Practical Questions Answered ([link removed]) , is hosted by Immunize.org on July 13 at 3:00 p.m. (ET). Panelists will discuss the recommendations and the practical clinical questions you have about how to make the policies work for everyone. Widespread implementation of adult screening and catch-up vaccination brings within reach the goal of eliminating hepatitis B in the United States, along with hepatitis B-related liver damage and cancer.
The panelists will be:
* Carolyn Wester, MD, MPH, Director of CDC’s Division of Viral Hepatitis
* Kelly Moore, MD, MPH, CEO of Immunize.org
* L.J Tan, PhD, MS, Chief Policy and Partnership Officer of Immunize.org
Dr. Wester and Dr. Moore are co-authors of the ACIP hepatitis B vaccination policy statement and longstanding champions of hepatitis B elimination.
Register now ([link removed]) to watch this important session and get your practical questions answered.
[link removed]
This webinar was developed by Immunize.org and was supported by Grant No. NH23IP922654 from CDC and an independent educational grant from VBI Vaccines. Its contents are solely the responsibility of Immunize.org and do not necessarily represent the official views of either CDC or VBI.
Back to top (#Top)
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“Interim Recommendation for Use of Bivalent mRNA COVID-19 Vaccines for Persons Aged ≥6 Months—United States, April 2023” published in MMWR
CDC published Interim Recommendation for Use of Bivalent mRNA COVID-19 Vaccines for Persons Aged ≥6 Months—United States, April 2023 ([link removed]) on June 16 in MMWR. These recommendations are already in effect and have been reflected in CDC’s interim clinical considerations for the use of COVID-19 vaccines since late April. A portion of the summary appears below.
During August–October 2022, CDC recommended a bivalent COVID-19 mRNA vaccine dose for all persons aged ≥5 years who had received a monovalent primary vaccination series. . . .
During December 2022–April 2023, CDC made recommendations for a single bivalent vaccine dose for most persons aged ≥6 years, bivalent vaccines for children aged 6 months–5 years, and optional additional bivalent booster doses for moderately or severely immunocompromised persons aged ≥6 months and adults aged ≥65 years. . . .
Transition to a single bivalent COVID-19 vaccine dose for most persons, with additional doses for persons at increased risk for severe disease, facilitates implementation of simpler, more flexible recommendations. All persons aged ≥6 months should receive ≥1 bivalent vaccine dose.
[link removed]
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 family of publications
Back to top (#Top)
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Immunize.org updates its “Vaccines: Mpox” web page
Immunize.org updated its Vaccines: Mpox ([link removed]) main page that provides links to key resource pages from CDC, FDA, Immunize.org, and other professional organizations. Revisions include:
* Title change from “Monkeypox” to “Mpox”
* Most references to ACAM2000 [Smallpox (Vaccinia) Vaccine, Live] were removed. A link to CDC’s ACAM2000 vaccine information is available for reference. Although ACAM2000 may be used, in the current mpox outbreak Jynneos (Bavarian Nordic) has been the only vaccine in use.
* Links to multiple mpox vaccine materials were updated to reflect the most current versions
[link removed]
Bookmark Immunize.org’s new Vaccines: Mpox ([link removed]) main page for key links to important resources. The page will be updated as new guidelines and resources become available.
Related Links
* CDC: Mpox ([link removed]) main page
* CDC: Mpox: Vaccine Considerations ([link removed]) web page
* CDC: JYNNEOS vaccine ([link removed]) web page
* CDC: JYNNEOS Smallpox and Monkeypox Vaccine: Standing Orders for Administering Vaccine ([link removed]) (PDF)
* Immunize.org: Vaccines: Mpox ([link removed]) main page
Back to top (#Top)
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Combination vaccines and catch-up schedules: Check out the latest Ask the Experts short video on Facebook, LinkedIn, Twitter, YouTube, and Instagram
Immunize.org’s social media program highlights our educational resources for today’s vaccinators. Our latest short video, Can combination vaccines be used with children who have fallen behind with their vaccinations? If so, what schedule should we follow? ([link removed]) is available now on our YouTube channel ([link removed]) , along with our full collection of quick video answers to popular Ask the Experts questions. Our social media channels feature our most popular printable resources and Ask the Experts questions and answers, as well as announcements important to frontline vaccinators.
[link removed]
Like, follow, and share Immunize.org’s social media accounts. 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])
Back to top (#Top)
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“Increase in Meningococcal Disease among Persons with HIV—United States, 2022” published in MMWR
CDC published Increase in Meningococcal Disease among Persons with HIV—United States, 2022 ([link removed]) on June 16 in MMWR. Main points of the article appear below.
* Meningococcal conjugate (MenACWY) vaccines offer the best protection from the devastating effects of serogroup A, C, W, and Y meningococcal disease
* Meningococcal disease kills up to 1 in 10 people who get it
* 2022 U.S. data show an increase in meningococcal cases among people with HIV compared to the prior 5 years
* In 2022, nearly 10% of meningococcal cases occurred in people with HIV, a marked increase over the prior 5 years
* Meningococcal disease remains uncommon, but these data highlight the importance of MenACWY vaccination, including boosters, for people with HIV. Healthcare professionals should make sure all people with HIV are up to date with MenACWY vaccination, maintain a high suspicion for meningococcal disease when someone with HIV has symptoms compatible with meningococcal disease, and ensure that patients with meningococcal disease and unknown HIV status are screened for HIV
[link removed]
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 family of publications
Back to top (#Top)
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“Tetanus in an Unvaccinated Man from Mexico—Oregon, 2022” published in MMWR
CDC published Tetanus in an Unvaccinated Man from Mexico—Oregon, 2022 ([link removed]) on June 16 in MMWR. Main points from the article appear below.
* Migrant populations in the United States typically have lower vaccination coverage than non-migrant populations and often work in professions for which the risk for injuries resulting in tetanus is greater (e.g., construction and agriculture)
* In June 2022, a non–English-speaking, migrant construction worker was evaluated at an Oregon emergency department (ED). He had difficulty opening his mouth and reported pain in his back, arms, and neck. After a third ED visit due to worsening symptoms, his family reported he had recently stepped on a nail at work; he had no reported history of tetanus immunization.
* Immunization history was not collected during the patients’ first two ED visits. This case highlights the need for clinicians to determine immunization histories in migrant populations early on. To address issues of health literacy and overcome language barriers, clinicians should consider use of both written and oral formats, photonovelas (picture stories), “teach-back” methods, and translators.
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 family of publication
Back to top (#Top)
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Spotlight: Immunize.org's resources focused on enhancing clinic and practice operations
The topic index on the Clinic Tools ([link removed]) main page is a one-stop source of practical information for vaccine providers. You will find “how-to” information about vaccinating in any setting.
C ([link removed]) linic Tools: Storage and Handling ([link removed]) main page offers printable temperature logs to monitor freezers and refrigerators. This site also includes a troubleshooting record to document the occurrence and resolution of questionable or unacceptable vaccine storage events.
Clinic Tools: Documenting Vaccination ([link removed]) main page offers forms to document vaccination or declination of vaccination, as well as various forms and checklists useful to healthcare personnel.
Key Vaccination Resources for Healthcare Professionals ([link removed]) is a 5-page annotated list of resources for people who vaccinate or oversee vaccination clinics. The document lists foundational content with which every vaccinator should be familiar, supplemental content useful after completing foundational training, and additional tools to help providers grow in vaccination expertise.
Vaccinating Adults: A Step-by-Step Guide ([link removed]) , a free downloadable book, is a “how to” guide that provides easy-to-use, practical information covering essential adult vaccination activities.
Back to top (#Top)
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Vaccines in the news
These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
* Washington Post: FDA Advisers Recommend Updating the Coronavirus Vaccine to Target XBB ([link removed] ) (6/15/23)
* UCSF: Two New Vaccines Join the Fight to Eradicate Polio ([link removed]) (6/14/23)
* Medical Express: More than 50% of COVID-19 Deaths Could Have Been Prevented with Better Global Vaccine Distribution, Says Study ([link removed]) (6/13/23)
* News Medical Life Sciences: COVID-19 Vaccine Hesitancy Doesn’t Spill Over to Routine Childhood Vaccinations, U.S. Polls Reveal ([link removed]) (6/13/23)
* WHO: Focus on Unvaccinated Children, Strengthen Routine Immunization Capacities ([link removed]) (6/12/23)
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Immunize.org Pages and Handouts
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Immunize.org enhances readability of several translations of four popular handouts
Immunize.org recently posted four reference handouts in several languages with changes to the translations designed to improve patient readability. Changes were enhancements related to a quality improvement evaluation and do not imply errors in the previous translations. If you use these translations in your practice, please download the newest versions for an improved patient experience:
After the Shots . . . What to Do If Your Child Has Discomfort ([link removed]) translations:
* Spanish ([link removed])
* Arabic ([link removed])
* French ([link removed])
* Korean ([link removed])
* Russian ([link removed])
* Vietnamese ([link removed])
Vaccinations for Infants and Children, Age 0–10 Years ([link removed]) translations:
* Spanish ([link removed])
* Arabic ([link removed])
* Chinese-Simplified ([link removed])
* Korean ([link removed])
* Russian ([link removed])
* Vietnamese ([link removed])
Vaccinations for Preteens and Teens ([link removed]) translations:
* Spanish ([link removed])
* Chinese-Simplified ([link removed])
* Korean ([link removed])
* Russian ([link removed])
* Vietnamese ([link removed])
Vaccinations for Adults ([link removed]) translations:
* Spanish ([link removed])
* Chinese-Simplified ([link removed])
* French ([link removed])
* Korean ([link removed])
* Russian ([link removed])
* Vietnamese ([link removed])
Related Links
* Immunize.org: Handouts: Parent Handouts ([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 "Vaccines with Diluents: How to Use Them"
Immunize.org revised its 1-page guide Vaccines with Diluents: How to Use Them ([link removed]) to update entries for COVID-19, rotavirus, and cholera vaccines.
[link removed]
Related Links
* Immunize.org: Handouts: Administering Vaccines ([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
Back to top (#Top)
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Immunize.org updates "Steps to Implementing Standing Orders for Immunization in Your Practice Setting"
Immunize.org recently updated its 4-page guide Steps to Implementing Standing Orders for Immunization in Your Practice Setting ([link removed]) to simplify and clarify the steps. A QR code linking to the online version of the document was also added.
[link removed]
Related Links
* Immunize.org: Handouts: Standing Orders Templates for Administering Vaccines ([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
Back to top (#Top)
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Featured Resources
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CHOP's Vaccine Education Center releases documentary featuring former FDA official Marion Gruber, PhD, MS, addressing pandemics, outbreaks, and preparing for the next health emergency
Children’s Hospital of Philadelphia’s (CHOP) Vaccine Education Center (VEC) presents Marion Gruber: Preparedness Is Prevention ([link removed]) , a 30-minute documentary featuring Marian Gruber, PhD, MS. Dr. Gruber was director of the Office of Vaccines Research at FDA and is now vice president of public health and regulatory science at the International AIDS Vaccine Initiative (IAVI). In this short film, Dr. Gruber and several of her colleagues describe their efforts to ensure that life-saving vaccines were available during recent public health emergencies and why preparing now for the next infectious disease threat is crucial.
[link removed]
Related Links
* Hilleman Film: Marion Gruber: Preparing for Infectious Disease Threats from Across the Globe ([link removed]) web page
* Hilleman Film: A Closer Look: The History and Authority of the FDA ([link removed]) web page
Back to top (#Top)
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New YouTube episode in the Beyond the Noise series, featuring Vincent Racaniello, PhD, and Paul Offit, MD, discussing important vaccine topics
The YouTube series Beyond the Noise ([link removed]) features vaccination conversations between creator Vincent Racaniello, PhD, professor of immunology at Columbia University, and Paul Offit, MD. The most recent episode, The Next Wave of Severe COVID-19 ([link removed]) , shares insights into a recent meeting of experts at the White House.
[link removed]
Watch Beyond the Noise ([link removed]) on YouTube.
Related Links
* Beyond the Noise YouTube playlist ([link removed])
* Substack: Beyond the Noise ([link removed]) main page
* Microbe.tv YouTube channel ([link removed])
Back to top (#Top)
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Voices for Vaccines releases podcast with Jonathan Howard, MD, about his provocatively titled book, We Want Them Infected
Voices for Vaccines (VFV) posted a new entry in its Vax Talk podcast series titled Dr. Howard Fights the Forces That Want to Infect You ([link removed]) featuring Jonathan Howard, MD. A description from the VFV web page appears below.
At the pandemic’s beginning, small bands of scientists and doctors devised a plan: what if we got young people sick on purpose? What could possibly go wrong?
Dr. Jonathan Howard’s new book, We Want Them Infected ([link removed]) , traces this ill-begotten quest and the inevitable pseudoscience that followed.
[link removed]
Related Links
* Voices for Vaccines: Resources ([link removed]) main page
* Voices for Vaccines podcast page ([link removed])
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Notable Publications
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“Comparison of COVID-19 Mortality Rates among Adults Aged ≥65 Years Who Were Unvaccinated and Those Who Received a Bivalent Booster Dose within the Preceding 6 Months—20 U.S. Jurisdictions, September 18, 2022–April 1, 2023” published in MMWR
CDC published Comparison of COVID-19 Mortality Rates among Adults Aged ≥65 Years Who Were Unvaccinated and Those Who Received a Bivalent Booster Dose within the Preceding 6 Months—20 U.S. Jurisdictions, September 18, 2022–April 1, 2023 ([link removed]) on June 16 in MMWR. Main points from the article appear below.
* Rates of death were similar among people who received a bivalent COVID-19 vaccine 2 weeks to 2 months earlier compared to people who received a bivalent vaccine 3–6 months earlier, demonstrating sustained protection against death provided by bivalent COVID-19 vaccines. While protection against death remained strong, it declined somewhat from the Omicron BA.5 period (September 18–November 5, 2022) to the Omicron XBB.1.5 period (January 22–April 1, 2023). These findings are relevant to future decisions on COVID-19 vaccine composition.
* For the best protection against COVID-19–associated deaths, everyone age 6 months and older should stay up to date with COVID-19 vaccines, including getting at least 1 bivalent dose. Additional bivalent vaccine doses are optional for adults ages 65 years and older and people with weakened immune systems.
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 family of publications
Back to top (#Top)
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Upcoming Events
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Today! 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.
[link removed]
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
Back to top (#Top)
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Virtual: NFID hosts webinar titled “Addressing Adult Vaccine Hesitancy in the U.S.” on June 29
The National Foundation of Infectious Diseases (NFID) will host a webinar titled Addressing Adult Vaccine Hesitancy in the U.S. ([link removed]) on June 29, 12:00–1:00 p.m. (ET). The webinar will feature interactive case studies to address current vaccine recommendations and gaps in coverage. Presenters will share strategies for effective communication on vaccine recommendations for influenza, pneumococcal disease, hepatitis B, Tdap, and COVID-19 for U.S. adults.
There is no fee to participate in this activity, but pre-registration is required.
Register for the webinar ([link removed]) .
Back to top (#Top)
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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])
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Issue 1,698: June 21, 2023
Top Stories
* Register for July 13 webinar! Immunize.org presents “Hepatitis B-Gone! Implementing universal adult screening and vaccination. Your practical questions answered.” (#IZX1)
* “Interim Recommendation for Use of Bivalent mRNA COVID-19 Vaccines for Persons Aged ≥6 Months—United States, April 2023” published in MMWR (#IZX2)
* Immunize.org updates its “Vaccines: Mpox” web page (#IZX3)
* Combination vaccines and catch-up schedules: Check out the latest Ask the Experts short video on Facebook, LinkedIn, Twitter, YouTube, and Instagram (#IZX4)
* “Increase in Meningococcal Disease among Persons with HIV—United States, 2022” published in MMWR (#IZX5)
* “Tetanus in an Unvaccinated Man from Mexico—Oregon, 2022” published in MMWR (#IZX6)
* Spotlight: Immunize.org's resources focused on enhancing clinic and practice operations (#IZX7)
* Vaccines in the news (#IZX8)
Immunize.org Pages and Handouts
* Immunize.org enhances readability of several translations of four popular handouts (#IZX9)
* Immunize.org updates "Vaccines with Diluents: How to Use Them" (#IZX10)
* Immunize.org updates "Steps to Implementing Standing Orders for Immunization in Your Practice Setting" (#IZX11)
Featured Resources
* CHOP's Vaccine Education Center releases documentary featuring former FDA official Marion Gruber, PhD, MS, addressing pandemics, outbreaks, and preparing for the next health emergency (#IZX12)
* New YouTube episode in the Beyond the Noise series, featuring Vincent Racaniello, PhD, and Paul Offit, MD, discussing important vaccine topics (#IZX13)
* Voices for Vaccines releases podcast with Jonathan Howard, MD, about his provocatively titled book, We Want Them Infected (#IZX14)
Notable Publications
* “Comparison of COVID-19 Mortality Rates among Adults Aged ≥65 Years Who Were Unvaccinated and Those Who Received a Bivalent Booster Dose within the Preceding 6 Months—20 U.S. Jurisdictions, September 18, 2022–April 1, 2023” published in MMWR (#IZX15)
Upcoming Events
* Today! Virtual: Watch June 21–23 ACIP meeting. Topics include RSV, polio, influenza, pneumococcal, dengue, chikungunya, mpox, meningococcal, and COVID-19 vaccines. (#IZX16)
* Virtual: NFID hosts webinar titled “Addressing Adult Vaccine Hesitancy in the U.S.” on June 29 (#IZX17)
Editorial Information (#Editorial)
------------------------------------------------------------
Top Stories
------------------------------------------------------------
Register for July 13 webinar! Immunize.org presents “Hepatitis B-Gone! Implementing universal adult screening and vaccination. Your practical questions answered.”
Anyone can be infected by hepatitis B virus. Everyone can benefit from knowing their status and being protected. For more than 30 years, hepatitis B vaccination has been recommended for all U.S. infants. In 2022, CDC recommended catch-up hepatitis B vaccination of all adults through age 59 years and older adults with risk factors or who want to be vaccinated. In 2023, CDC recommended one-time hepatitis B infection screening of all adults. Integrating these two important recommendations into clinical practice poses unique challenges for healthcare providers.
This live, 1-hour webinar conversation, Hepatitis B-Gone! Implementing Universal Adult Screening and Vaccination. Your Practical Questions Answered ([link removed]) , is hosted by Immunize.org on July 13 at 3:00 p.m. (ET). Panelists will discuss the recommendations and the practical clinical questions you have about how to make the policies work for everyone. Widespread implementation of adult screening and catch-up vaccination brings within reach the goal of eliminating hepatitis B in the United States, along with hepatitis B-related liver damage and cancer.
The panelists will be:
* Carolyn Wester, MD, MPH, Director of CDC’s Division of Viral Hepatitis
* Kelly Moore, MD, MPH, CEO of Immunize.org
* L.J Tan, PhD, MS, Chief Policy and Partnership Officer of Immunize.org
Dr. Wester and Dr. Moore are co-authors of the ACIP hepatitis B vaccination policy statement and longstanding champions of hepatitis B elimination.
Register now ([link removed]) to watch this important session and get your practical questions answered.
[link removed]
This webinar was developed by Immunize.org and was supported by Grant No. NH23IP922654 from CDC and an independent educational grant from VBI Vaccines. Its contents are solely the responsibility of Immunize.org and do not necessarily represent the official views of either CDC or VBI.
Back to top (#Top)
------------------------------------------------------------
“Interim Recommendation for Use of Bivalent mRNA COVID-19 Vaccines for Persons Aged ≥6 Months—United States, April 2023” published in MMWR
CDC published Interim Recommendation for Use of Bivalent mRNA COVID-19 Vaccines for Persons Aged ≥6 Months—United States, April 2023 ([link removed]) on June 16 in MMWR. These recommendations are already in effect and have been reflected in CDC’s interim clinical considerations for the use of COVID-19 vaccines since late April. A portion of the summary appears below.
During August–October 2022, CDC recommended a bivalent COVID-19 mRNA vaccine dose for all persons aged ≥5 years who had received a monovalent primary vaccination series. . . .
During December 2022–April 2023, CDC made recommendations for a single bivalent vaccine dose for most persons aged ≥6 years, bivalent vaccines for children aged 6 months–5 years, and optional additional bivalent booster doses for moderately or severely immunocompromised persons aged ≥6 months and adults aged ≥65 years. . . .
Transition to a single bivalent COVID-19 vaccine dose for most persons, with additional doses for persons at increased risk for severe disease, facilitates implementation of simpler, more flexible recommendations. All persons aged ≥6 months should receive ≥1 bivalent vaccine dose.
[link removed]
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 family of publications
Back to top (#Top)
------------------------------------------------------------
Immunize.org updates its “Vaccines: Mpox” web page
Immunize.org updated its Vaccines: Mpox ([link removed]) main page that provides links to key resource pages from CDC, FDA, Immunize.org, and other professional organizations. Revisions include:
* Title change from “Monkeypox” to “Mpox”
* Most references to ACAM2000 [Smallpox (Vaccinia) Vaccine, Live] were removed. A link to CDC’s ACAM2000 vaccine information is available for reference. Although ACAM2000 may be used, in the current mpox outbreak Jynneos (Bavarian Nordic) has been the only vaccine in use.
* Links to multiple mpox vaccine materials were updated to reflect the most current versions
[link removed]
Bookmark Immunize.org’s new Vaccines: Mpox ([link removed]) main page for key links to important resources. The page will be updated as new guidelines and resources become available.
Related Links
* CDC: Mpox ([link removed]) main page
* CDC: Mpox: Vaccine Considerations ([link removed]) web page
* CDC: JYNNEOS vaccine ([link removed]) web page
* CDC: JYNNEOS Smallpox and Monkeypox Vaccine: Standing Orders for Administering Vaccine ([link removed]) (PDF)
* Immunize.org: Vaccines: Mpox ([link removed]) main page
Back to top (#Top)
------------------------------------------------------------
Combination vaccines and catch-up schedules: Check out the latest Ask the Experts short video on Facebook, LinkedIn, Twitter, YouTube, and Instagram
Immunize.org’s social media program highlights our educational resources for today’s vaccinators. Our latest short video, Can combination vaccines be used with children who have fallen behind with their vaccinations? If so, what schedule should we follow? ([link removed]) is available now on our YouTube channel ([link removed]) , along with our full collection of quick video answers to popular Ask the Experts questions. Our social media channels feature our most popular printable resources and Ask the Experts questions and answers, as well as announcements important to frontline vaccinators.
[link removed]
Like, follow, and share Immunize.org’s social media accounts. 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])
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“Increase in Meningococcal Disease among Persons with HIV—United States, 2022” published in MMWR
CDC published Increase in Meningococcal Disease among Persons with HIV—United States, 2022 ([link removed]) on June 16 in MMWR. Main points of the article appear below.
* Meningococcal conjugate (MenACWY) vaccines offer the best protection from the devastating effects of serogroup A, C, W, and Y meningococcal disease
* Meningococcal disease kills up to 1 in 10 people who get it
* 2022 U.S. data show an increase in meningococcal cases among people with HIV compared to the prior 5 years
* In 2022, nearly 10% of meningococcal cases occurred in people with HIV, a marked increase over the prior 5 years
* Meningococcal disease remains uncommon, but these data highlight the importance of MenACWY vaccination, including boosters, for people with HIV. Healthcare professionals should make sure all people with HIV are up to date with MenACWY vaccination, maintain a high suspicion for meningococcal disease when someone with HIV has symptoms compatible with meningococcal disease, and ensure that patients with meningococcal disease and unknown HIV status are screened for HIV
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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 family of publications
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“Tetanus in an Unvaccinated Man from Mexico—Oregon, 2022” published in MMWR
CDC published Tetanus in an Unvaccinated Man from Mexico—Oregon, 2022 ([link removed]) on June 16 in MMWR. Main points from the article appear below.
* Migrant populations in the United States typically have lower vaccination coverage than non-migrant populations and often work in professions for which the risk for injuries resulting in tetanus is greater (e.g., construction and agriculture)
* In June 2022, a non–English-speaking, migrant construction worker was evaluated at an Oregon emergency department (ED). He had difficulty opening his mouth and reported pain in his back, arms, and neck. After a third ED visit due to worsening symptoms, his family reported he had recently stepped on a nail at work; he had no reported history of tetanus immunization.
* Immunization history was not collected during the patients’ first two ED visits. This case highlights the need for clinicians to determine immunization histories in migrant populations early on. To address issues of health literacy and overcome language barriers, clinicians should consider use of both written and oral formats, photonovelas (picture stories), “teach-back” methods, and translators.
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 family of publication
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Spotlight: Immunize.org's resources focused on enhancing clinic and practice operations
The topic index on the Clinic Tools ([link removed]) main page is a one-stop source of practical information for vaccine providers. You will find “how-to” information about vaccinating in any setting.
C ([link removed]) linic Tools: Storage and Handling ([link removed]) main page offers printable temperature logs to monitor freezers and refrigerators. This site also includes a troubleshooting record to document the occurrence and resolution of questionable or unacceptable vaccine storage events.
Clinic Tools: Documenting Vaccination ([link removed]) main page offers forms to document vaccination or declination of vaccination, as well as various forms and checklists useful to healthcare personnel.
Key Vaccination Resources for Healthcare Professionals ([link removed]) is a 5-page annotated list of resources for people who vaccinate or oversee vaccination clinics. The document lists foundational content with which every vaccinator should be familiar, supplemental content useful after completing foundational training, and additional tools to help providers grow in vaccination expertise.
Vaccinating Adults: A Step-by-Step Guide ([link removed]) , a free downloadable book, is a “how to” guide that provides easy-to-use, practical information covering essential adult vaccination activities.
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Vaccines in the news
These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
* Washington Post: FDA Advisers Recommend Updating the Coronavirus Vaccine to Target XBB ([link removed] ) (6/15/23)
* UCSF: Two New Vaccines Join the Fight to Eradicate Polio ([link removed]) (6/14/23)
* Medical Express: More than 50% of COVID-19 Deaths Could Have Been Prevented with Better Global Vaccine Distribution, Says Study ([link removed]) (6/13/23)
* News Medical Life Sciences: COVID-19 Vaccine Hesitancy Doesn’t Spill Over to Routine Childhood Vaccinations, U.S. Polls Reveal ([link removed]) (6/13/23)
* WHO: Focus on Unvaccinated Children, Strengthen Routine Immunization Capacities ([link removed]) (6/12/23)
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Immunize.org Pages and Handouts
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Immunize.org enhances readability of several translations of four popular handouts
Immunize.org recently posted four reference handouts in several languages with changes to the translations designed to improve patient readability. Changes were enhancements related to a quality improvement evaluation and do not imply errors in the previous translations. If you use these translations in your practice, please download the newest versions for an improved patient experience:
After the Shots . . . What to Do If Your Child Has Discomfort ([link removed]) translations:
* Spanish ([link removed])
* Arabic ([link removed])
* French ([link removed])
* Korean ([link removed])
* Russian ([link removed])
* Vietnamese ([link removed])
Vaccinations for Infants and Children, Age 0–10 Years ([link removed]) translations:
* Spanish ([link removed])
* Arabic ([link removed])
* Chinese-Simplified ([link removed])
* Korean ([link removed])
* Russian ([link removed])
* Vietnamese ([link removed])
Vaccinations for Preteens and Teens ([link removed]) translations:
* Spanish ([link removed])
* Chinese-Simplified ([link removed])
* Korean ([link removed])
* Russian ([link removed])
* Vietnamese ([link removed])
Vaccinations for Adults ([link removed]) translations:
* Spanish ([link removed])
* Chinese-Simplified ([link removed])
* French ([link removed])
* Korean ([link removed])
* Russian ([link removed])
* Vietnamese ([link removed])
Related Links
* Immunize.org: Handouts: Parent Handouts ([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 "Vaccines with Diluents: How to Use Them"
Immunize.org revised its 1-page guide Vaccines with Diluents: How to Use Them ([link removed]) to update entries for COVID-19, rotavirus, and cholera vaccines.
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Related Links
* Immunize.org: Handouts: Administering Vaccines ([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 "Steps to Implementing Standing Orders for Immunization in Your Practice Setting"
Immunize.org recently updated its 4-page guide Steps to Implementing Standing Orders for Immunization in Your Practice Setting ([link removed]) to simplify and clarify the steps. A QR code linking to the online version of the document was also added.
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Related Links
* Immunize.org: Handouts: Standing Orders Templates for Administering Vaccines ([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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Featured Resources
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CHOP's Vaccine Education Center releases documentary featuring former FDA official Marion Gruber, PhD, MS, addressing pandemics, outbreaks, and preparing for the next health emergency
Children’s Hospital of Philadelphia’s (CHOP) Vaccine Education Center (VEC) presents Marion Gruber: Preparedness Is Prevention ([link removed]) , a 30-minute documentary featuring Marian Gruber, PhD, MS. Dr. Gruber was director of the Office of Vaccines Research at FDA and is now vice president of public health and regulatory science at the International AIDS Vaccine Initiative (IAVI). In this short film, Dr. Gruber and several of her colleagues describe their efforts to ensure that life-saving vaccines were available during recent public health emergencies and why preparing now for the next infectious disease threat is crucial.
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Related Links
* Hilleman Film: Marion Gruber: Preparing for Infectious Disease Threats from Across the Globe ([link removed]) web page
* Hilleman Film: A Closer Look: The History and Authority of the FDA ([link removed]) web page
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New YouTube episode in the Beyond the Noise series, featuring Vincent Racaniello, PhD, and Paul Offit, MD, discussing important vaccine topics
The YouTube series Beyond the Noise ([link removed]) features vaccination conversations between creator Vincent Racaniello, PhD, professor of immunology at Columbia University, and Paul Offit, MD. The most recent episode, The Next Wave of Severe COVID-19 ([link removed]) , shares insights into a recent meeting of experts at the White House.
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Watch Beyond the Noise ([link removed]) on YouTube.
Related Links
* Beyond the Noise YouTube playlist ([link removed])
* Substack: Beyond the Noise ([link removed]) main page
* Microbe.tv YouTube channel ([link removed])
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Voices for Vaccines releases podcast with Jonathan Howard, MD, about his provocatively titled book, We Want Them Infected
Voices for Vaccines (VFV) posted a new entry in its Vax Talk podcast series titled Dr. Howard Fights the Forces That Want to Infect You ([link removed]) featuring Jonathan Howard, MD. A description from the VFV web page appears below.
At the pandemic’s beginning, small bands of scientists and doctors devised a plan: what if we got young people sick on purpose? What could possibly go wrong?
Dr. Jonathan Howard’s new book, We Want Them Infected ([link removed]) , traces this ill-begotten quest and the inevitable pseudoscience that followed.
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Related Links
* Voices for Vaccines: Resources ([link removed]) main page
* Voices for Vaccines podcast page ([link removed])
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Notable Publications
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“Comparison of COVID-19 Mortality Rates among Adults Aged ≥65 Years Who Were Unvaccinated and Those Who Received a Bivalent Booster Dose within the Preceding 6 Months—20 U.S. Jurisdictions, September 18, 2022–April 1, 2023” published in MMWR
CDC published Comparison of COVID-19 Mortality Rates among Adults Aged ≥65 Years Who Were Unvaccinated and Those Who Received a Bivalent Booster Dose within the Preceding 6 Months—20 U.S. Jurisdictions, September 18, 2022–April 1, 2023 ([link removed]) on June 16 in MMWR. Main points from the article appear below.
* Rates of death were similar among people who received a bivalent COVID-19 vaccine 2 weeks to 2 months earlier compared to people who received a bivalent vaccine 3–6 months earlier, demonstrating sustained protection against death provided by bivalent COVID-19 vaccines. While protection against death remained strong, it declined somewhat from the Omicron BA.5 period (September 18–November 5, 2022) to the Omicron XBB.1.5 period (January 22–April 1, 2023). These findings are relevant to future decisions on COVID-19 vaccine composition.
* For the best protection against COVID-19–associated deaths, everyone age 6 months and older should stay up to date with COVID-19 vaccines, including getting at least 1 bivalent dose. Additional bivalent vaccine doses are optional for adults ages 65 years and older and people with weakened immune systems.
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 family of publications
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Upcoming Events
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Today! 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.
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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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Virtual: NFID hosts webinar titled “Addressing Adult Vaccine Hesitancy in the U.S.” on June 29
The National Foundation of Infectious Diseases (NFID) will host a webinar titled Addressing Adult Vaccine Hesitancy in the U.S. ([link removed]) on June 29, 12:00–1:00 p.m. (ET). The webinar will feature interactive case studies to address current vaccine recommendations and gaps in coverage. Presenters will share strategies for effective communication on vaccine recommendations for influenza, pneumococcal disease, hepatitis B, Tdap, and COVID-19 for U.S. adults.
There is no fee to participate in this activity, but pre-registration is required.
Register for the webinar ([link removed]) .
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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.
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