From Immunize.org <[email protected]>
Subject IZ Express #1,703: Immunize.org updates state immunization requirement web page, and more
Date July 19, 2023 10:15 AM
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Issue 1,703: July 19, 2023

Top Stories
* Immunize​.org adds direct links to state school and childcare immunization requirement information
* Immunize​.org’s “Hepatitis B-Gone! Implementing universal screening and vaccination recommendations. Your practical questions answered.” now available for on-demand viewing
* CDC promotes back-to-school vaccination catch-up campaign now through September; digital assets available to share
* CDC to launch "Bridge Access Program" this fall to provide free COVID-19 vaccines to uninsured and underinsured adults
* “Vaccination of Patients on Steroids”: watch the 2-minute answer, part of the Ask the Experts Video Series on Facebook, LinkedIn, Twitter, YouTube, and Instagram
* Immunize​.org's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination now features 1,331 organizations, including one new facility
* Spotlight: Immunize​.org resources focused on vaccination during pregnancy
* Vaccines in the news

Immunize​.org Pages and Handouts
* Immunize​.org updates "Vaccines with Diluents: How to Use Them"
* Immunize​.org updates "Need Help Responding to Vaccine-Hesitant Parents?"
* Immunize​.org refreshes three hepatitis B handouts that focus on perinatal vaccination

Featured Resources
* New resource: Flash Cards: Vaccines & Immunization—2023 published as e-book for bite-sized, portable vaccine training
* Explore the www.Give2MenACWY​.org website to increase coverage for the MenACWY booster and other adolescent vaccinations

Notable Publications
* “Vaccine Hesitancy in Pregnant Women: A Narrative Review” published in Vaccine

Upcoming Events
* Virtual: GSK hosts webinar titled “Virtual Briefing on Adult Immunization and RSV with GSK” on July 20, 3:00 p.m. (ET)

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Top Stories
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Immunize​.org adds direct links to state school and childcare immunization requirement information

Immunize​.org is updating its popular web pages on school and childcare immunization requirements with information collected this spring from state immunization programs. The first updated page, subtitled Immunization Requirements for Childcare, School, and College: State Websites and Resources ([link removed]), now displays additional direct links to information about each state's vaccine requirements.

In coming days, Immunize​.org will update state vaccine requirement tables for each vaccine required for childcare, school, or college. In the final phase of our updates, we will release new maps displaying requirements for each vaccine across the United States.

We will alert you via IZ Express as these additional updates become available.

Related Links
* Immunize​.org: State Health Departments ([link removed]) main page
* Immunize​.org: State Laws and Mandates by Vaccine ([link removed]) main page
* Immunize​.org: State Exemptions ([link removed]) main page

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Immunize​.org’s “Hepatitis B-Gone! Implementing universal screening and vaccination recommendations. Your practical questions answered.” now available for on-demand viewing

On July 13, Immunize​.org hosted a live, 1-hour webinar, Hepatitis B-Gone! Implementing Universal Adult Screening and Vaccination. Your Practical Questions Answered ([link removed]), featuring Carolyn Wester, MD, MPH, Director of CDC’s Division of Viral Hepatitis, and Immunize​.org’s Kelly L. Moore, MD, MPH. The webinar addresses the value of universal adult hepatitis B screening and vaccination. Panelists also answer viewers’ questions about the unique practical considerations for healthcare providers when implementing the 2022 recommendations for universal catch-up adult hepatitis B vaccination through age 59 and the 2023 CDC guidelines for universal adult screening for hepatitis B infection in their practice.

The webinar video is now available on our website for on-demand viewing ([link removed]). Please view and share this important webinar with your colleagues. Immunize​.org will release a summary question-and-answer clinical resource companion to this webinar soon. Look for an announcement in IZ Express.

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CDC promotes back-to-school vaccination catch-up campaign now through September; digital assets available to share

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. At least 250,000 kindergarteners in 2022 were potentially unprotected against measles, mumps, and rubella. This is the lowest U.S. kindergarten routine vaccination coverage in the last decade. Undervaccinated and unvaccinated children are at risk for serious illness and can propagate community outbreaks of disease.

As part of the response to the pandemic-related declines in routine vaccination, CDC launched a nationwide Back to School with Routine Vaccines: Let’s Catch Up ([link removed]) campaign running through September.

The digital ads aim to keep routine child vaccinations top of mind among parents of children age 4–12 years. All communication assets, such as flyers and social media posts, are downloadable and adaptable so partners can disseminate them through websites, offices, and social media channels. 

Visit CDC's Back to School with Routine Vaccines: Let’s Catch Up ([link removed]) campaign main page.

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CDC to launch "Bridge Access Program" this fall to provide free COVID-19 vaccines to uninsured and underinsured adults

On July 13, HHS issued a press release ([link removed]) announcing plans to launch the Bridge Access Program for COVID-19 Vaccines ([link removed]) this fall. The program will help millions of uninsured and underinsured American adults continue to have access to no-cost COVID-19 vaccinations. Access to COVID-19 vaccines at no cost is made possible for other adults through Medicare, Medicaid, or commercial insurance. Children have access through commercial insurance or the Vaccines for Children (VFC) program. A portion of the press release appears below.

The pandemic highlighted longstanding barriers to adult vaccination, including lack of accessibility, lack of availability, and lack of confidence. Under the management and oversight of CDC, the Bridge Access Program – for a limited time – will allow adults who are uninsured or underinsured to receive free COVID-19 vaccinations. . . .

CDC will purchase COVID-19 vaccines and allocate them, along with the funding needed to implement this new program, through CDC’s established network of state and local immunization programs. These partners will then facilitate distribution of these vaccines to participating community-based providers, including local health departments and Health Resources and Services Administration (HRSA)-supported health centers. In order to broaden access, CDC is also working closely with select national pharmacy chains, as well as vaccine manufacturers, to enable uninsured adults to receive free COVID-19 vaccines at participating retail pharmacy locations. . . .

It’s important to note that the Bridge Access Program serves as a “temporary bridge” and is scheduled to end in December 2024. A longer-term solution is the Vaccines for Adults (VFA) program, proposed in both the FY 2023 and 2024 Presidential Budgets, which would create a permanent initiative modeled after the successful Vaccines for Children (VFC) ([link removed]) program, and would cover all recommended vaccinations at no cost for uninsured adults. This proposal has not yet been enacted into law.

Related Links
* HHS press release: CDC to Launch “Bridge Access Program” in Fall 2023 to Provide Free COVID-19 Vaccines and Treatments to Uninsured and Underinsured Adults ([link removed]) (7/13/23)
* CDC: CDC's Bridge Access Program ([link removed]) main page
* CDC: Increasing Community Access to Testing (ICATT) for COVID-19 ([link removed]) main page

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“Vaccination of Patients on Steroids”: watch the 2-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 Vaccination of Patients on Steroids ([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.

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's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination now features 1,331 organizations, including one new facility

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 1,331 organizations enrolled. Since June 14, 2023, Immunize​.org welcomed one additional healthcare organization.
* Commonwealth Healthcare Corporation, Saipan, Northern Mariana Islands

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

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Spotlight: Immunize​.org resources focused on vaccination during pregnancy

In this week's Spotlight, we summarize resources at Immunize​.org that focus on vaccination during pregnancy.

Handouts: Pregnancy and Vaccines ([link removed]) main page offers free access to pregnancy and vaccination-related handouts and fact sheets for healthcare professionals and the public. All items are ready to print, copy, and distribute widely.

Screening Checklists about Vaccine Contraindications and Precautions ([link removed]) main page links you to forms that patients fill out to expedite assessment of vaccination needs and contraindications. These include the labor and delivery HBsAg admission checklist.

Adult Vaccination ([link removed]) main page contains all the Immunize​.org handouts that pertain to adult vaccination. These include the Summary of Recommendations for Adult Immunization ([link removed]) that highlights the CDC recommendations for vaccination during pregnancy.

CDC Schedules ([link removed]) main page provides printable PDF versions of the recommended immunization schedules for adults. The first column in Table 2 of the adult schedule lists the vaccines to give or defer during pregnancy.

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Vaccines in the news

These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.

* CNN: CDC Facing Major Funding Cuts, with Direct Impact on State and Local Health Departments ([link removed]) (7/14/23)

* NPR: New Malaria Vaccine Offers a Ray of Hope to Nigeria. There’s Just One Thing… ([link removed]) (7/11/23)

* Gavi: Childhood Vaccination Needs Ambitious Investment Now. This Is Why. ([link removed]) (7/11/23)

* Freedom Online: COVID-19: UNICEF Report Says 67m Children Missed Immunization in 2 Years ([link removed]) (7/9/23)

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Immunize​.org Pages and Handouts
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Immunize​.org updates "Vaccines with Diluents: How to Use Them"

Immunize​.org recently updated Vaccines with Diluents: How to Use Them ([link removed]), adding two recently licensed vaccines for RSV (Abrysvo and Arexvy) that use diluents in their preparation.

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 "Need Help Responding to Vaccine-Hesitant Parents?"

Immunize​.org recently updated Need Help Responding to Vaccine-Hesitant Parents? ([link removed]) with a QR code, updated URLs, and the addition of new resources.

Related Links
* Immunize​.org: Talking about Vaccines ([link removed]) main page
* Immunize​.org: Handouts: Parent Handouts ([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 refreshes three hepatitis B handouts that focus on perinatal vaccination

Immunize​.org refreshed three hepatitis B handouts that focus on delivery and newborns. A QR code linking to the online version of the documents was also added. Updated handouts include:
* Labor & Delivery HBsAg Admission Checklist for Birthing Mother ([link removed])
* Guidance for developing admission orders in labor & delivery and newborn units to prevent hepatitis B virus transmission ([link removed])
* Sample text for developing admission orders in newborn units for the hepatitis B vaccine birth dose ([link removed])

Related Links
* Immunize​.org: Handouts: Pregnancy and Vaccines ([link removed]) main page
* Immunize​.org: Vaccines: Hepatitis B ([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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New resource: Flash Cards: Vaccines & Immunization—2023 published as e-book for bite-sized, portable vaccine training

The Amazon Bookstore now offers Flash Cards: Vaccines & Immunization—2023 ([link removed]), by John D. Grabenstein, PhD, and Laurie A. Grabenstein, BSN. John Grabenstein is the managing editor of IZ Express; however, this new resource is an independent product. The new e-book consists of 210 fact-filled electronic flash cards. These flash cards offer vaccine training in bite-sized pieces. The book doubles as a concise, portable reference book. Six major sections help clinical staff excel in real-world practice:
* Preventable Diseases – Clinical Features, Microbiology, Transmission
* Vaccine Products – Routine, Travel, and Niche
* Antibody Products – Passive Immunization
* Case Studies – by Age, Health Status, Occupation, and Personal Risk Factors
* Travel Health – Routes of Exposure to Risks, Self-Care, Consults, Geographic Foci
* Clinical Tools – Dozens of Tables, Lists, and Tips

Flash Cards: Vaccines & Immunization—2023 can be read at read.amazon.com or with the free Kindle app ([link removed]) for iOS, Android, Mac, and PC. E-books use flowable text to present content in the format preferred by each reader. The e-book includes instructions on highlighting passages and taking notes within the app.

Flash Cards: Vaccines & Immunization—2023 ([link removed]) is priced at $9.99. Each edition will be auto-updated several times as new vaccines are licensed or ACIP recommendations change. To order, go to amazon.com ([link removed]), search for Flash Cards: Vaccines & Immunization by Grabenstein. A detailed table of contents and sample pages appear at www.vaccinedynamics.com.

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Explore the www.Give2MenACWY​.org website to increase coverage for the MenACWY booster and other adolescent vaccinations

Immunize​.org's www.Give2MenACWY.org ([link removed]) website promotes the importance of adolescent vaccination, including the recommended MenACWY vaccine booster dose at age 16. Many teens are behind on vaccines because of the pandemic, so vaccine outreach is more important than ever.

Materials on this colorful website for healthcare professionals incorporate the 2020 ACIP meningococcal vaccine recommendations ([link removed]) and coverage statistics from CDC’s National Immunization Survey–Teen (NIS–Teen). One particularly popular resource on the site is the update Algorithm for MenACWY Immunization in Adolescents 11 through 18 Years of Age ([link removed]).

The website is divided into five easy-to-access sections:
* Vaccinate Teens ([link removed]) – Teen vaccination schedules and tips for improving vaccination rates
* Give 2 Doses ([link removed]) – Tools to help improve second dose coverage of MenACWY vaccine
* 16-Year-Old Visit ([link removed]) – Resources to help providers and patients remember the important vaccines recommended for 16-year-olds
* Tools for Providers ([link removed]) – Tools to explain meningococcal ACWY vaccine recommendations and improve coverage for all adolescent vaccines
* Resources ([link removed]) – Links to print materials ([link removed]), organizations ([link removed]) involved in adolescent vaccination, personal stories ([link removed]) about the importance of vaccination, and other resources ([link removed]) of interest

The site also categorizes materials ([link removed]) according to whether they are primarily of interest to providers, to adolescents, or to parents.

Visit Give2MenACWY.org ([link removed]) and enjoy browsing (and deploying) its bountiful resources.

Related Links
* Give2MenACWY.org ([link removed]) website
* Algorithm for MenACWY Immunization in Adolescents 11–18 Years of Age ([link removed])
* MenACWY: You're Not Done If You Give Just One: Give 2 Doses to Strengthen Protection ([link removed])
* Recommending MenACWY: What to Say and How to Say It ([link removed])
* Top 10 Ways to Improve Adolescent Immunization Rates ([link removed])
* Developing an Immunization Culture in Your Office ([link removed])
* Know Your Rates: Measuring Immunization Success in Your Practice ([link removed])
* You're 16: We Recommend These Vaccines for You ([link removed])
* Dear Colleague Letter: 16-Year-Old Patients: Make Sure They Receive Their Annual Well Visit and Vaccinations ([link removed]) – signed by six medical societies
* Ask the Experts: Meningococcal ACWY ([link removed])
* CDC: 2020 ACIP Meningococcal Vaccine Recommendations ([link removed])
* CDC: National, Regional, State, and Selected Local Area Vaccination Coverage among Adolescents Aged 13–17 Years — United States, 2020 ([link removed])
* CDC: Adolescent Vaccination Coverage in the U.S. ([link removed])

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Notable Publications
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“Vaccine Hesitancy in Pregnant Women: A Narrative Review” published in Vaccine

In the June 29 issue, Vaccine published Vaccine Hesitancy in Pregnant Women: A Narrative Review ([link removed]). A portion of the abstract appears below.

Pregnant women are often at higher risk for morbidity and mortality due to contracting vaccine-preventable diseases that result in adverse pregnancy outcomes such as spontaneous abortion, preterm births, and congenital fetal defects. For example, health care provider recommendation is correlated with maternal acceptance of influenza vaccination, however, up to 33% of pregnant women remain unvaccinated irrespective of provider recommendation. Vaccine hesitancy is a multifactorial problem that both the medical and public health systems need to address synergistically. Vaccine education should incorporate balanced perspectives to deliver vaccine education. . . . Results from the literature show that the three most common reasons for vaccine hesitancy include: i.) fear of side effects or adverse events; ii.) lack of confidence in vaccine safety; iii.) low perception of being at high risk of infection during pregnancy and/or not having previously received the vaccination when not pregnant. We
conclude that vaccine hesitancy is dynamic therefore people do not always hold a static level of vaccine hesitancy. People may move between a continuum of vaccine hesitancy for a multifactorial reasons [sic]. A framework, characterized by levels of vaccine hesitancy before and during pregnancy, was constructed to help providers find balance between promoting individual health and public health while providing vaccine education.

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Upcoming Events
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Virtual: GSK hosts webinar titled “Virtual Briefing on Adult Immunization and RSV with GSK” on July 20, 3:00 p.m. (ET)

Vaccines against respiratory syncytial virus (RSV) manufactured by Pfizer (Abrysvo) and GSK (Arexvy) were recently licensed by FDA and recommended (with shared clinical decision-making) by CDC for adults age 60 years and older. Vaccine manufacturer GSK will host a webinar titled Virtual Briefing on Adult Immunization and RSV with GSK ([link removed]), July 20, 12:00–1:00 p.m. (ET). The speaker will be Leonard Friedland, MD, director of scientific affairs and public health, GSK. During the webinar, Dr. Friedland will share an update about GSK’s new initiative aimed at reducing health inequities in the United States. He will also review respiratory syncytial virus (RSV) and new disease education efforts.

The webinar is designed for members of the vaccine advocacy and public health community.

Preregistration is required. There is no fee to participate.

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.

IZ Express Disclaimer ([link removed])
ISSN: 2771-8085

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