From Immunize.org <[email protected]>
Subject IZ Express #1,702: Don’t miss Immunize.org’s webinar on hepatitis B tomorrow, and more
Date July 12, 2023 10:00 AM
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Issue 1,702: July 12, 2023
Top Stories
* Tomorrow, July 13! Don’t miss Immunize.org’s webinar “Hepatitis B-Gone! Implementing universal adult screening and vaccination. Your practical questions answered.” (#IZX1)
* “Live Vaccines for Contacts of Cancer Patient”: watch the 3-minute answer, part of the Ask the Experts Video Series on Facebook, LinkedIn, Twitter, YouTube, and Instagram (#IZX2)
* Immunize.org congratulates NFID on 50 years of excellence in education and advocacy. NFID celebrates by unveiling enhanced website. (#IZX3)
* Spotlight: “Ask the Experts” answers more than 1,200 questions on vaccines and vaccinations (#IZX4)
* Vaccines in the news (#IZX5)


Immunize​.org Pages and Handouts
* Immunize​.org updated three standing orders templates—for administering Haemophilus influenzae type B vaccine to adults, human papillomavirus vaccine to adults, and meningococcal B vaccine to adolescents and adults (#IZX6)
* Recap: Immunize.org updated these clinic resources in May and June (#IZX7)


Vaccine Information Statements
* Immunize.org posts eight new translations of the interim Pneumococcal Conjugate Vaccine Information Statement (#IZX8)
* Recap:  Vaccine Information Statement translations released in May and June (#IZX9)

Featured Resources
* Voices for Vaccines releases podcast with Twitter personality, The Real Truther, discussing the pursuit of the “real truth” about vaccines (#IZX10)
* Organizing a new vaccination program? Use Immunize​.org’s Vaccinating Adults: A Step-by-Step Guide—free to download by chapter or in its entirety. (#IZX11)


Notable Publications
* "Status of New Vaccine Introduction—Worldwide, 2016–2021” published in MMWR (#IZX12)
* “COVID-19 Vaccination and Menstrual Cycle Characteristics: A Prospective Cohort Study” published in Vaccine (#IZX13)


Editorial Information (#Editorial)
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Top Stories
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Tomorrow, July 13! Don’t miss Immunize​.org’s webinar “Hepatitis B-Gone! Implementing universal adult screening and vaccination. Your practical questions answered.”

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, Hepatitis B-Gone! Implementing Universal Adult Screening and Vaccination. Your Practical Questions Answered. ([link removed]) , will be hosted by Immunize.org tomorrow, July 13 at 3:00 p.m. (ET). Panelists will discuss the recommendations and your practical clinical questions about how to affect the policies in private and public healthcare settings. Widespread implementation of adult screening and catch-up vaccination brings within reach the goal of eliminating hepatitis B-related liver damage and cancer in the United States.

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 coauthors 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.

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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 Vaccines.
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“Live Vaccines for Contacts of Cancer Patient”: watch the 3-minute answer, part of the Ask the Experts Video Series on Facebook, LinkedIn, Twitter, YouTube, and Instagram

Immunize​.org’s social media program highlights our educational resources for today’s vaccinators. This week, our featured episode from the Ask the Experts Video Series is Live Vaccines for Contacts of Cancer Patient ([link removed]) . This is available on our YouTube channel ([link removed]) , along with our full collection of quick video answers to popular Ask the Experts ([link removed]) questions.

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Our social media channels feature our most popular printable resources, our Ask the Experts Video Series, and announcements important to frontline vaccinators. 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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Immunize​.org congratulates NFID on 50 years of excellence in education and advocacy. NFID celebrates by unveiling enhanced website.

The National Foundation for Infectious Diseases ([link removed]) (NFID) has been educating and engaging with the public, communities, and healthcare professionals about infectious diseases for five decades.

NFID celebrated its 50th anniversary by unveiling its updated website, featuring a sleek new look and improved user experience. The improved design helps visitors explore and find timely and accurate information on specific diseases, upcoming events, the latest news, and tools and resources.

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Explore NFID's improved website ([link removed]) , and share with friends and colleagues.

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Spotlight: “Ask the Experts” answers more than 1,200 questions on vaccines and vaccinations

In this week's Spotlight, we highlight the Ask the Experts ([link removed]) main page at Immunize​.org.

Our Ask the Experts ([link removed]) main page offers more than a thousand timely questions on vaccines and vaccine administration answered by our experts. Topics include specific diseases and their vaccines as well as vaccine delivery guidance (e.g., administration, billing, documenting).

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Immunize​.org's Ask the Experts ([link removed]) main page leads you to 30 distinct web pages on a variety of topics with more than 1,200 common or challenging questions and answers (Q&As) 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.

New and updated Ask the Experts Q&As are published in special editions of IZ Express five times per year. If you have a question that may interest our readers, please send it to us using our online form ([link removed]) . Those who follow Immunize​.org on social media can also enjoy and share video versions of some of our most popular Ask the Experts questions.
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Vaccines in the news

These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
* New York Times: Three Vaccines for Fall: What You Need to Know ([link removed]) (7/5/23)
* New York Times: Pro-Vaccine Views Are Winning. Don’t Fear the Skeptics. ([link removed]) (7/5/23)
* NPR: The Doctor Who Warned the World of the Mpox Outbreak of 2022 Is Still Worried ([link removed]) (7/5/23)
* The Conversation: Vaccine Hesitancy Is One of the Greatest Threats to Global Health and the Pandemic Has Made It Worse ([link removed]) (7/4/23)
* Cure: 'Reassuring' Findings Show That Flu Shot Is Safe during Immunotherapy ([link removed]) (6/30/23)

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Immunize​.org Pages and Handouts
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Immunize​.org updated three standing orders templates—for administering Haemophilus influenzae type B vaccine to adults, human papillomavirus vaccine to adults, and meningococcal B vaccine to adolescents and adults

Immunize​.org updated three standing orders templates, adding QR codes linking to the online versions of the documents. Additional changes to the resources include:
* Standing Orders for Administering Haemophilus influenzae Type B Vaccine to Adults ([link removed]) : Small non-technical edits were made throughout
* Standing Orders for Administering Human Papillomavirus Vaccine to Adults ([link removed]) : Vaccination during pregnancy was clarified to match CDC’s wording as “not recommended” (rather than a “precaution”): the recommendation to delay until after pregnancy is unchanged. The vaccine administration chart was edited slightly.
* Standing Orders for Administering Meningococcal B Vaccine to Adolescents and Adults ([link removed]) : A precaution for latex sensitivity was added for MenB-4C

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Related Links
* Immunize​.org: 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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Recap: Immunize​.org updated these clinic resources in May and June

IZ Express regularly summarizes Immunize​.org’s new and updated educational materials. All Immunize​.org materials are free to distribute. In recent weeks, Immunize​.org updated these helpful materials: 

Immunize​.org Materials for Clinicians 
* Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools ([link removed])  (6/22/23) 
* Vaccines with Diluents: How to Use Them ([link removed])
* Before You Vaccinate Adults, Consider Their "H-A-L-O"! ([link removed])
* Using Standing Orders for Administering Vaccines: What You Should Know ([link removed])
* Steps to Implementing Standing Orders for Immunization in Your Practice Setting ([link removed])
* Standing Orders for Administering: 
+ Hepatitis A Vaccine to Children and Teens ([link removed])
+ Inactivated Poliovirus Vaccine to Infants and Children ([link removed])
+ Pneumococcal Vaccines (PCV15, PCV20, and PPSV23) to Adults ([link removed])
* Medical Management of Vaccine Reactions in Children and Teens in a Community Setting ([link removed])
* Medical Management of Vaccine Reactions in Adults in a Community Setting ([link removed])
* Supplies You May Need at an Immunization Clinic ([link removed])
* Suggestions to Improve Your Immunization Services ([link removed])
* Record of Vaccine Declination ([link removed])

Immunize​.org Printable Materials for Patients 
* After the Shots . . . What to Do If Your Child Has Discomfort ([link removed])
+ Translations: Spanish ([link removed]) , Arabic ([link removed]) , Chinese–Simplified ([link removed]) , French ([link removed]) , Korean ([link removed]) , Russian, ([link removed]) and Vietnamese ([link removed])
* Questions Parents Ask about Vaccinations for Babies ([link removed])
* Vaccinations for Infants and Children, Age 0–10 Years ([link removed])
+ Translations: Spanish ([link removed]) , Arabic ([link removed]) , Chinese–Simplified ([link removed]) , French ([link removed]) , Korean ([link removed]) , Russian, ([link removed]) and Vietnamese ([link removed])
* Vaccinations for Preteens and Teens ([link removed])
+ Translations: Spanish ([link removed]) , Arabic ([link removed]) , Chinese–Simplified ([link removed]) , French ([link removed]) , Korean ([link removed]) , Russian, ([link removed]) and Vietnamese ([link removed])
* Tips for Locating Old Immunization Records ([link removed])
* MMR Vaccine Does Not Cause Autism ([link removed])
* Evidence Shows Vaccines Unrelated to Autism ([link removed])
* Adult Immunization: Importance of Staying Up to Date with Vaccines ([link removed])
* Vaccinations for Adults ([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 HIV Infection ([link removed])
* Vaccinations for Adults with Lung Disease ([link removed])
* Vaccinations for Adults without a Spleen ([link removed])
* Vaccinations for Men Who Have Sex with Men ([link removed])
* Protect Yourself from Hepatitis A and Hepatitis B ([link removed]) and Spanish ([link removed]) translation
* Hepatitis A, B, and C: Learn the Differences ([link removed])
* Shingles (Zoster): Questions and Answers ([link removed])

Immunize​.org Web Pages  
* Vaccines: COVID-19 ([link removed])  
* Vaccines: Mpox ([link removed])
* Vaccine Timeline ([link removed])  
* Ask the Experts:
+ COVID-19 ([link removed])
+ Documenting Vaccination ([link removed])
+ Measles, Mumps, and Rubella ([link removed])
+ Rabies ([link removed])
+ Rotavirus ([link removed])
+ Scheduling Vaccines ([link removed])
+ Vaccine Recommendations ([link removed])
+ Varicella (Chickenpox) ([link removed])

Related Links 
* Immunize​.org: Handouts ([link removed])  main page to see educational materials sorted by category 
* Immunize​.org: Ask the Experts ([link removed])  main page to access more than 1,200 questions answered by Immunize​.org experts 
* Immunize​.org: Clinic Tools ([link removed])  main page and its eight subtopics 
* Immunize​.org: Educational Materials for Patients and Staff ([link removed]) —an alphabetical list of more than 230 ready-to-print staff educational materials and patient handouts 

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Vaccine Information Statements
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Immunize​.org posts eight new translations of interim Pneumococcal Conjugate Vaccine Information Statement

Immunize​.org posted eight translations of the new interim Pneumococcal Conjugate Vaccine Information Statement (VIS) ([link removed]) .
All translations are available in print-ready PDF format.

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Pneumococcal Conjugate Vaccine (view in English ([link removed]) ):
* Arabic ([link removed])
* Bengali ([link removed])
* Chinese–Simplified ([link removed])
* Haitian Creole ([link removed])
* Portuguese ([link removed])
* Russian ([link removed])
* SpanishPDF ([link removed]) and RTF ([link removed])
* Vietnamese ([link removed])

Check the version dates of your office copies of newly updated translations. Translations of previous VIS versions should be discarded now that translations of the current versions are available.
Related Links
* Immunize​.org: Pneumococcal Conjugate (PCV) VIS ([link removed]) main page
* Immunize​.org: Vaccine Information Statements ([link removed]) main page
* CDC: What's New with VISs ([link removed]) main page
* CDC: Current VISs ([link removed]) main page

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Recap:  Vaccine Information Statement translations released in May and June

IZ Express regularly provides readers with information about new and updated Vaccine Information Statements (VISs) and their translations. 

On May 12, CDC released a new interim VIS for Hepatitis B ([link removed]) . Immunize​.org provided eight translations for this VIS:
* Arabic ([link removed])
* Bengali ([link removed])
* Chinese–Simplified ([link removed])
* Haitian Creole ([link removed])
* Portuguese ([link removed])
* Russian ([link removed])
* Spanish PDF ([link removed]) and RTF ([link removed])
* Vietnamese ([link removed])

Immunize​.org updated two handouts related to VISs:
* Dates of Current Vaccine Information Statements (VISs) ([link removed])  
* You Must Provide Patients with Vaccine Information Statements (VISs) – It's Federal Law! ([link removed])

Related Links 
* Immunize​.org: Vaccine Information Statements ([link removed])   main page for VISs in 47 languages 
* CDC: What's New with VISs ([link removed])   web page 
* CDC: Current VISs ([link removed])  web page 

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Featured Resources
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Voices for Vaccines releases podcast with Twitter personality, The Real Truther, discussing the pursuit of the “real truth” about vaccines

Voices for Vaccines (VFV) posted a new entry in its Vax Talk podcast series: The Real Truth about Vaccines ([link removed]) featuring Twitter personality, The Real Truther. A description from the VFV web page appears below.

Lately, Twitter has become a cesspool of the worst humans spreading the worst misinformation. Except for one bright spot: The Real Truther. We invited The Real Truther to our podcast to discuss his noble pursuit of The Real Truth and to talk with RFK Jr. (or a proxy for RFK Jr.)

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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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Organizing a new vaccination program? Use Immunize​.org’s Vaccinating Adults: A Step-by-Step Guide—free to download by chapter or in its entirety.

Download Immunize​.org’s free 142-page book on adult vaccination to help build your program and train your team: Vaccinating Adults: A Step-by-Step Guide (Guide) ([link removed]) .

[link removed]

This thorough "how to" guide on adult vaccination provides easy-to-use, practical information covering all essential activities. It helps vaccine providers enhance their existing adult vaccination services or introduce them into any clinical setting.

The Guide is available to download/print either by chapter or in its entirety free at www.immunize.org/guide ([link removed]) . The National Vaccine Program Office and CDC both supported the development of the Guide and provided early technical review.

The Guide is a valuable resource to assist providers in increasing adult vaccination rates. Be sure to get a copy today!

Please note: this guide was produced in 2017, before the COVID-19 era, and reflects the recommendations of that time.

Related Links
* Vaccinating Adults: A Step-by-Step Guide ([link removed]) main page, permitting download of entire Guide (142 pages, PDF) ([link removed])
* View the table of contents and individual chapters (PDF):
+ Table of Contents ([link removed])
+ Step 1: Getting Started ([link removed])
+ Step 2: Setting Up for Vaccination Services ([link removed])
+ Step 3: Vaccine Storage and Handling ([link removed])
+ Step 4: Deciding Whom to Vaccinate ([link removed])
+ Step 5: Administering Vaccines ([link removed])
+ Step 6: Documentation and Related Issues ([link removed])
+ Step 7A: Financial Considerations ([link removed])
+ Step 7B: How to Bill for Adult Immunizations ([link removed])
* Immunize​.org’s educational materials (handouts) on adult immunization ([link removed])

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Notable Publications
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"Status of New Vaccine Introduction—Worldwide, 2016–2021” published in MMWR

CDC published Status of New Vaccine Introduction—Worldwide, 2016–2021 ([link removed]) on July 7 in MMWR. A portion of the summary appears below.

The global Immunization Agenda 2021–2030 (IA2030) aims to increase equitable access to and use of new and existing vaccines. The COVID-19 pandemic caused widespread disruption to routine immunization services. . . .

By 2021, 17% of countries worldwide provided all eight World Health Organization–recommended new and underutilized vaccines in their routine immunization schedules. The number of new vaccines added to a national immunization program declined sharply at the start of the COVID-19 pandemic, from 48 in 2019 to 15 in 2020. . . .

To achieve IA2030 targets, increased efforts to accelerate introductions of new and underutilized vaccines are urgently needed to facilitate equitable access, including to vaccines delivered beyond the first year of life.

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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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“COVID-19 Vaccination and Menstrual Cycle Characteristics: A Prospective Cohort Study” published in Vaccine

In the June 29 issue, Vaccine published COVID-19 Vaccination and Menstrual Cycle Characteristics: A Prospective Cohort Study ([link removed]) . The abstract appears below.

We prospectively examined the association between COVID-19 vaccination and menstrual cycle characteristics in an internet-based prospective cohort study. We included a sample of 1,137 participants who enrolled in Pregnancy Study Online (PRESTO), a preconception cohort study of couples trying to conceive, during January 2021-August 2022. Eligible participants were aged 21–45 years, United States or Canadian residents, and trying to conceive without fertility treatment. At baseline and every 8 weeks for up to 12 months, participants completed questionnaires on which they provided information on COVID-19 vaccination and menstrual cycle characteristics, including cycle regularity, cycle length, bleed length, heaviness of bleed, and menstrual pain. . . . We adjusted for sociodemographic, lifestyle, medical and reproductive factors. Participants had 1.1 day longer menstrual cycles after receiving the first dose of COVID-19 vaccine (95 % CI: 0.4, 1.9) and 1.3 day longer cycles after receiving the
second dose (95 % CI: 0.2, 2.5). Associations were attenuated at the second cycle post-vaccination. We did not observe strong associations between COVID-19 vaccination and cycle regularity, bleed length, heaviness of bleed, or menstrual pain. In conclusion, COVID-19 vaccination was associated with a ∼1 day temporary increase in menstrual cycle length, but was not appreciably associated with other menstrual cycle characteristics.

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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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