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Issue 1478: February 19, 2020

-TOP STORIES-
* CDC publishes new FAQ web page titled “ACIP Shared Clinical Decision-Making Recommendations” to provide guidance for healthcare providers
* Vaccinate Your Family releases special report on the state of our nation’s “ImmUnion” and shares it with members of Congress
* Happening today: February 19! NFID presents webinar on shared clinical decision-making
* Stay up to date on the latest coronavirus information from CDC and WHO
* CDC reports influenza activity remains high and has increased over the last four weeks; please continue vaccinating this season to prevent flu from spreading further
* Dr. Deborah Wexler’s VEC Technically Speaking column about CDC’s updated Vaccine Storage and Handling Toolkit is now available on immunize.org
* IAC Spotlight! IAC enrolls two new birthing institutions into its Hepatitis B Birth Dose Honor Roll; fourteen previously honored institutions qualify for additional years' honors
* Not-to-miss immunization articles in the news

-IAC HANDOUTS-
* IAC updates “Standing Orders for Administering Pneumococcal Vaccines (PPSV23 and PCV13) to Adults” to match the latest ACIP recommendations
* Updated “Zoster Vaccine: IAC Answers Your Questions” features commonly asked Q&As

-VACCINE INFORMATION STATEMENTS-
* IAC posts new Karen translation of the rabies VIS

WORLD NEWS
* WHO reports on International Task Force for Disease Eradication in this week's Weekly Epidemiological Record

-FEATURED RESOURCES-
* Access “HPV Roundtable TV,” a curated YouTube channel for accurate, evidence-based videos about the HPV vaccine, HPV virus, cancer prevention, and science
* IAC's elegantly designed "Vaccines Save Lives" black enamel pins are a great way to show you value immunization!
* Flu season is ongoing, so make sure you have IAC's "FLU VACCINE" buttons for staff and patient stickers on hand!

-EDUCATION AND TRAINING-
* Indiana Immunization Coalition offers access to the film “Someone You Love: The HPV Epidemic”; nurses, physicians, and pharmacists can get free CE credit

-CONFERENCES AND MEETINGS-
* The Arizona Department of Health Services hosts 27th Annual Statewide Immunization Conference on April 22–23


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-TOP STORIES-
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CDC PUBLISHES NEW FAQ WEB PAGE TITLED “ACIP SHARED CLINICAL DECISION-MAKING RECOMMENDATIONS” TO PROVIDE GUIDANCE FOR HEALTHCARE PROVIDERS

CDC has published a web page with seven frequently asked questions (FAQs) to provide clarity on the Advisory Committee on Immunization Practices’ (ACIP) shared clinical decision-making recommendations ([link removed]) and guidance and implementation considerations for these recommendations.

Access the seven FAQs: ACIP Shared Clinical Decision-Making Recommendations ([link removed]).

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VACCINATE YOUR FAMILY RELEASES SPECIAL REPORT ON THE STATE OF OUR NATION’S “IMMUNION” AND SHARES IT WITH MEMBERS OF CONGRESS

Vaccinate Your Family released their annual report titled 2020 State of the ImmUnion: A Report on Vaccine-Preventable Diseases in the U.S. ([link removed]) on Tuesday, February 11.

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The report presents an overview of the current state of vaccine-preventable diseases in the U.S. and offers members of Congress ways to help ensure our country is stronger and more resilient in the face of emerging health threats.

Related Links
* 2020 State of the ImmUnion: A Report on Vaccine-Preventable Diseases in the U.S. ([link removed]) (25 pages; PDF format)
* Vaccinate Your Family's State of the ImmUnion Report ([link removed]) web section
* Vaccinate Your Family ([link removed]) website

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HAPPENING TODAY: FEBRUARY 19! NFID PRESENTS WEBINAR ON SHARED CLINICAL DECISION-MAKING

The National Foundation for Infectious Diseases (NFID) will present a webinar titled Shared Clinical Decision-Making for Immunization Recommendations ([link removed]) today, February 19, at 12:00 p.m. (ET). NFID medical director and liaison to the ACIP, William Schaffner, MD, will moderate the webinar, featuring a presentation by Grace M. Lee, MD, MPH, chair, ACIP Pneumococcal Vaccines Work Group, and professor of pediatrics, Stanford University.

Registration information ([link removed])

Related Link
* NFID's Online Education ([link removed]) web page

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STAY UP TO DATE ON THE LATEST CORONAVIRUS INFORMATION FROM CDC AND WHO

CDC and WHO are closely monitoring an outbreak of respiratory illness caused by a novel coronavirus (COVID-19) ([link removed]), first identified in Wuhan, Hubei Province, China. Be sure to check the resources below for updates.

Related Links
* CDC Coronavirus Disease 2019 (COVID-19) ([link removed]) main page
* CDC Coronavirus Disease 2019 (COVID-19) Situation Summary ([link removed]) web page
* CDC Coronavirus Disease 2019 (COVID-19) Latest News ([link removed]) web page
* WHO Coronavirus Disease (COVID-19) Outbreak ([link removed]) main page
* WHO Coronavirus Disease (COVID-19) Outbreak Situation Reports ([link removed]) web page

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CDC REPORTS INFLUENZA ACTIVITY REMAINS HIGH AND HAS INCREASED OVER THE LAST FOUR WEEKS; PLEASE CONTINUE VACCINATING THIS SEASON TO PREVENT FLU FROM SPREADING FURTHER

Seasonal influenza activity in the United States remains high and, after falling during the first two weeks of the year, increased over the last four weeks, according to CDC's Weekly U.S. Influenza Surveillance Report, FluView ([link removed]). Fifty states and Puerto Rico reported regional or widespread activity, while the District of Columbia reported local activity for the week ending February 8.

Fourteen influenza-associated pediatric deaths were reported to CDC between the week ending December 28 and the week ending February 8. A total of 92 influenza-associated pediatric deaths have been reported for the 2019–20 season.

Visit the CDC’s Weekly U.S. Influenza Surveillance Report, FluView ([link removed]), for details.

Influenza vaccination is recommended for everyone six months of age and older, so please continue to vaccinate all your patients in this age range. If you don't provide influenza vaccination in your clinic, please recommend vaccination to your patients and refer them to a clinic or pharmacy that provides vaccines or to the HealthMap Vaccine Finder ([link removed]) to locate influenza vaccination services near them.

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

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Dr. Deborah Wexler’s VEC Technically Speaking column about CDC’s updated Vaccine Storage and Handling Toolkit is now available on immunize.org

Technically Speaking ([link removed]) is a monthly column written by Dr. Deborah Wexler, IAC’s executive director, for Vaccine Update ([link removed]), a monthly e-newsletter from the Vaccine Education Center (VEC) at Children's Hospital of Philadelphia (CHOP). The column covers practical topics in immunization such as vaccine administration, scheduling, and recommendations.

January's column is titled CDC releases 2020 version of its Vaccine Storage and Handling Toolkit ([link removed]). The introductory paragraphs are reprinted below.

CDC's Vaccine Storage and Handling Toolkit ([link removed]) has just been updated for 2020. This 48-page guide reflects the best practices for vaccine storage and handling compiled from ACIP recommendations, product information from vaccine manufacturers, and scientific studies.

Changes in the 2020 Toolkit provide clarifying language and new definitions only, i.e., no new recommendations have been implemented....

Access the complete column ([link removed]) on the Technically Speaking web section of immunize.org.

You can find current and past issues of Technically Speaking in the following ways:
* From the Technically Speaking display box in the middle of the immunize.org ([link removed]) home page
* From the bottom of every immunize.org ([link removed]) web page in the "Guide to immunize.org" box
* From the Technically Speaking web section ([link removed]) on immunize.org
* Access the column on the VEC website ([link removed])

To subscribe to VEC's Vaccine Update ([link removed]) e-newsletter, go to the sign-up form ([link removed]).

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IAC SPOTLIGHT! IAC ENROLLS TWO NEW BIRTHING INSTITUTIONS INTO ITS HEPATITIS B BIRTH DOSE HONOR ROLL; FOURTEEN PREVIOUSLY HONORED INSTITUTIONS QUALIFY FOR ADDITIONAL YEARS' HONORS

The Immunization Action Coalition (IAC) is pleased to announce that two new institutions have been accepted into its Hepatitis B Birth Dose Honor Roll ([link removed]), for a total of 499 honorees. The birthing institutions are listed below with their reported hepatitis B birth dose coverage rates in parentheses.
* St. Elizabeth’s Medical Center, Brighton, MA (98%)
* Overlake Medical Center, Bellevue, WA (90%)

The following two institutions are being recognized for a second year:
* Sentara Williamsburg Regional Medical Center, Williamsburg, VA (92%)
* Grant Memorial Hospital, Petersburg, WV (98%)

The following four institutions are being recognized for a third year:
* CarolinaEast Medical Center, New Bern, NC (97%)
* Alaska Native Medical Center, Anchorage, AK (96%)
* Henry Ford Wyandotte Hospital, Wyandotte, MI (92%)
* Munson Healthcare Cadillac Hospital, Cadillac, MI (91%)

The following institution is being recognized for a fourth year:
* RC Hospital & Clinics, Olivia, MN (97%)

The following four institutions are being recognized for a fifth year:
* MetroHealth Medical Center, Cleveland, OH (97%)
* Georgetown Community Hospital, Georgetown, KY (96%)
* Ascension St. Joseph Hospital, Tawas City, MI (94%)
* Shannon Medical Center, San Angelo, TX (96%)

The following two institutions are being recognized for a sixth year:
* MidMichigan Medical Center – Midland, Midland, MI (90%)
* Terre Haute Regional Hospital, Terre Haute, IN (97%)

Finally, the following institution is being recognized for a seventh year:
* Hillsdale Hospital, Hillsdale, MI (94%)

Note: One of these institutions qualified for two 12-month periods at one time.

The Honor Roll now includes 499 birthing institutions from 44 states, Puerto Rico, Guam, and an overseas U.S. military base. One hundred eleven institutions have qualified for two years, 59 institutions have qualified three times, 31 institutions have qualified four times, 25 institutions have qualified five times, eight institutions have qualified six times, five institutions have qualified seven times, and one institution has qualified eight times.

The Honor Roll is a key part of IAC’s major initiative urging the nation’s hospitals to Give Birth to the End of Hep B ([link removed]) . Hospitals and birthing centers are recognized for attaining high coverage rates for administering hepatitis B vaccine at birth and meeting specific additional criteria. The initiative urges qualifying healthcare organizations to apply for the Hepatitis B Birth Dose Honor Roll online ([link removed]).

To be included in the Hepatitis B Birth Dose Honor Roll, a birthing institution must have: (1) reported a coverage rate of 90 percent or greater, over a 12-month period, for administering hepatitis B vaccine before hospital discharge to all newborns, including those whose parents refuse vaccination, and (2) implemented specific written policies, procedures, and protocols to protect all newborns from hepatitis B virus infection prior to hospital discharge.

Honorees are also awarded an 8.5" x 11" color certificate suitable for framing and their acceptance is announced to IAC Express’s approximately 52,000 readers.

Please visit the Hepatitis B Birth Dose Honor Roll web page ([link removed]) that lists these institutions and their exceptional efforts to protect infants from perinatal hepatitis B transmission.

Related IAC Resources
* Give Birth to the End of Hep B ([link removed]) web page on immunize.org ([link removed])
* Fact sheet about the birth dose honor roll: Do You Qualify for the Hepatitis B Birth Dose Honor Roll? If So, Apply Today. ([link removed])
* Fact sheet about the importance of the hepatitis B vaccine birth dose: Give Birth to the End of Hep B ([link removed])
* Hepatitis B Birth Dose Honor Roll ([link removed]) web page
* 84-page guidebook, Hepatitis B: What Hospitals Need to Do to Protect Newborns ([link removed]), which contains a wide range of resources to help birthing institutions establish, implement, and optimize their hepatitis B vaccine birth dose policies
* Give Birth to the End of Hep B slide set ([link removed]), includes script (43 slides)
* Strategies to Increase Enrollment in IAC's Hepatitis B Birth Dose Honor Roll ([link removed]) (83 slides)

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NOT-TO-MISS IMMUNIZATION ARTICLES IN THE NEWS

Five articles that appeared in the media recently are particularly compelling in conveying the potential risks of vaccine-preventable diseases and the importance of vaccination.
* Healio: U.S. Measles Outbreaks Cost $42 Million, According to ‘Conservative’ Estimate ([link removed]) (2/13/20)
* PBS News Hour: How Vaccine Hesitancy is Contributing to Deadly Measles Resurgence ([link removed]) (2/13/20)
* WBUR: "It's Just the Flu": Father Recounts College Student's Life-And-Death Battle ([link removed]) (2/13/20)
* News Leader: Flu Kills Teenager in First Confirmed Virginia Case This Season ([link removed]) (2/12/20)
* 12 WBOY: 5-Year-Old Child Dies from Influenza at Ruby Memorial Hospital in Morgantown ([link removed]) (2/11/20)

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-IAC HANDOUTS-
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IAC UPDATES “STANDING ORDERS FOR ADMINISTERING PNEUMOCOCCAL VACCINES (PPSV23 AND PCV13) TO ADULTS” TO MATCH THE LATEST ACIP RECOMMENDATIONS

IAC recently updated Standing Orders for Administering Pneumococcal Vaccines (PPSV23 and PCV13) to Adults ([link removed]) to reflect the updated ACIP recommendation to no longer routinely administer PCV13 at age 65, but rather to give it based on shared decision-making (SCDM) between the healthcare provider and the patient. Edits were made to incorporate ACIP’s information on considerations for SCDM regarding the use of PCV13 in adults 65 and older. The revised resource includes an expanded risk-based adult vaccination schedule for both PPSV23 and PCV13.

Related Links
* IAC's Standing Orders for Administering Pneumococcal Vaccines (PPSV23 and PCV13) to Adults ([link removed])
* Access the related ACIP recommendation: Use of 13-Valent Pneumococcal Conjugate Vaccine and 23-Valent Pneumococcal Polysaccharide Vaccine Among Adults Aged 65 Years and Older: Updated Recommendations of the Advisory Committee on Immunization Practices ([link removed]) (11/22/19)
* Visit IAC's Standing Orders Templates for Administering Vaccines ([link removed]) web page to access standing orders for administering all routinely recommended vaccines
* View IAC's Handouts web section—sorted by topic ([link removed])
* View more than 300 ready-to-print IAC Educational Materials for Patients and Staff ([link removed])

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UPDATED “ZOSTER VACCINE: IAC ANSWERS YOUR QUESTIONS” FEATURES COMMONLY ASKED Q&AS

IAC has updated its Q&A handout for healthcare professionals titled Zoster Vaccine: IAC Answers Your Questions ([link removed]). Revisions include several minor edits. This two-page resource includes questions and answers about zoster vaccine, including recommendations, contraindications and precautions, administration, and storage and handling.

Related Links
* IAC's Zoster Vaccine: IAC Answers Your Questions ([link removed])
* IAC's educational materials for healthcare professionals related to zoster ([link removed])
* Vaccines: Shingles (zoster) ([link removed]) web page on immunize.org

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-VACCINE INFORMATION STATEMENTS-
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IAC POSTS NEW KAREN TRANSLATION OF THE RABIES VIS

IAC has posted a new Karen-language version of the rabies VIS ([link removed]). IAC thanks St. Peter's Health Partners, Albany, NY, for the donation of this translation.

Related Links
* Access allKaren-language versions of VISs ([link removed])
* Access all rabies VIS translations ([link removed]), as well as the English-language version ([link removed])
* Access allVIS translations categorized by language ([link removed])
* IAC's VIS web section ([link removed]) for VISs in up to 50 languages ([link removed])
* CDC's What's New with VISs ([link removed]) web section
* CDC's VIS web section ([link removed])

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WORLD NEWS
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WHO reports on International Task Force for Disease Eradication in this week's Weekly Epidemiological Record

WHO published Report of the Thirtieth Meeting of the International Task Force for Disease Eradication, 22 October 2019 ([link removed]) in the February 14 issue of Weekly Epidemiological Record. Access the report to review the conclusions and recommendations of the Task Force.

Related Link
* Current issue and archives of the Weekly Epidemiological Record ([link removed])

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-FEATURED RESOURCES-
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ACCESS “HPV ROUNDTABLE TV,” A CURATED YOUTUBE CHANNEL FOR ACCURATE, EVIDENCE-BASED VIDEOS ABOUT THE HPV VACCINE, HPV VIRUS, CANCER PREVENTION, AND SCIENCE

The National HPV Vaccination Roundtable, a coalition of over 70 national organizations aimed at raising HPV vaccination rates and preventing HPV cancers, has developed a curated YouTube channel called HPV Roundtable TV ([link removed]). This channel is a source for accurate, evidence-based videos about the HPV vaccine, HPV virus, cancer prevention, and science. Access the channel to watch videos featuring doctors, nurses, parents, cancer survivors, researchers, policymakers, and healthcare providers.

Related Links
* Access HPV Roundtable TV ([link removed])
* The National HPV Vaccination Roundtable ([link removed]) website

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IAC'S ELEGANTLY DESIGNED "VACCINES SAVE LIVES" BLACK ENAMEL PINS ARE A GREAT WAY TO SHOW YOU VALUE IMMUNIZATION!

IAC’s elegantly designed “Vaccines Save Lives” pin ([link removed]) on hard black enamel with gold lettering and edges makes a meaningful gift for people who care about immunization.

The pin is a stick-through-post variety with the back end covered by a round rubber cap that holds the pin securely. A gold metal spring-lock clasp is also provided. The pin makes a refined statement, measuring 1.125" x 0.75".

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

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

Visit Shop IAC for additional items ([link removed]), including "FLU VACCINE" buttons and stickers, patient record cards, and a vaccine administration training video.

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FLU SEASON IS ONGOING, SO MAKE SURE YOU HAVE IAC'S "FLU VACCINE" BUTTONS FOR STAFF AND PATIENT STICKERS ON HAND!

IAC's “FLU VACCINE” buttons and stickers ([link removed]) are ready to ship! Their bright red color helps broadcast your important message about the need for flu vaccination. And the cost is nominal.

“FLU VACCINE” BUTTONS

The button measures 1.25" across and carries a bold message! Pin on lab coats, uniforms, other clothing, tote bags, or backpacks to show support for flu vaccine.

Buttons are delivered in bags of 10 buttons per bag.

Click here for pricing and ordering information for "FLU VACCINE" buttons ([link removed]).

“FLU VACCINE” STICKERS

Measuring 1.5" across and printed on Avery labels, theses stickers adhere well to clothing and have an easy-peel-off back.

Stickers are delivered to you cut individually (not on rolls)—available in bundles of 100.

Click here for pricing and ordering information for “FLU VACCINE” stickers. ([link removed])

Visit Shop IAC for additional items ([link removed]), including "Vaccines Save Lives" enamel pins, patient record cards, and a vaccine administration training video.

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-EDUCATION AND TRAINING-
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INDIANA IMMUNIZATION COALITION OFFERS ACCESS TO THE FILM “SOMEONE YOU LOVE: THE HPV EPIDEMIC”; NURSES, PHYSICIANS, AND PHARMACISTS CAN GET FREE CE CREDIT

Someone You Love: The HPV Epidemic ([link removed]) is a feature-length documentary that presents the struggles and triumphs of five women whose lives were changed forever by this deadly virus. Directed by Frederic Lumiere and narrated by Vanessa Williams, the film interweaves personal stories with facts about this common and potentially deadly virus. The goal of this project is to raise awareness about HPV and cervical cancer.

The film has been made available through the Indiana University School of Medicine ([link removed]), in partnership with the Indiana Immunization Coalition and Lumiere Media, as a free online CME activity worth 1.5 AMA PRA Category 1 Credits for physicians and for 1.5 credit hours (0.15 CEU) for pharmacists and pharmacy techs.

Indiana Immunization Coalition is approved as a provider of nursing continuing professional development by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation (OBN-001-91). This activity is approved for 1.91 Contact Hours (for live view), and 1.3 Contact Hours (for online view).

For further information, contact [email protected] (mailto:[email protected]?subject=Someone%20You%20Love). For additional Free HPV vaccine resources, visit www.vaccinateindiana.org and login.

Related Links
* View the film on the Indiana University School of Medicine ([link removed]) web page
* Access the Someone You Love: The HPV Epidemic ([link removed]) website

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-CONFERENCES AND MEETINGS-
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THE ARIZONA DEPARTMENT OF HEALTH SERVICES HOSTS 27TH ANNUAL STATEWIDE IMMUNIZATION CONFERENCE ON APRIL 22–23

The Arizona Department of Health Services will host the 27th Annual Statewide Immunization Conference ([link removed]) on April 22–23 in Phoenix, AZ. Noteworthy speakers ([link removed]) include Breann Bierman-Vogt, a journalist and advocate for mothers and babies; Bertram Jacobs, PhD, a professor of virology; Dana Goodloe, immunization program office chief; Heather Ross, PhD, DNP, FAANP, a nurse practitioner focused on global health education; JoEllen Wolicki, BSN, RN, a nurse educator with CDC's NCIRD; and Meagan Surgenor, MHA, special programs manager with the Arizona Immunization Program Office.

Registration for the conference ([link removed]) is now open and the agenda ([link removed]) is posted on the conference web page.

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Video of the Week
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How Does Flu Make You Sick? Flu virus infection triggers inflammation that can lead to lung damage and other serious problems. Many people experience complications from influenza, which can result in hospitalization and even death. Flu vaccine lowers the risk of getting the flu and may lessen the severity of symptoms. Everyone 6 months and older needs flu vaccine each year. (Source: CDC)
Visit the VOTW archive ([link removed])
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Follow Us
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Technically Speaking
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Read Dr. Wexler's column for the Vaccine Education Center's monthly newsletter, Vaccine Update

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

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Calendar of Events
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Conferences, meetings, and training opportunities

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

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

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Protect Newborns Guidebook

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

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Editorial Information

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

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

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

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

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

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About IAC Express
The Immunization Action Coalition welcomes redistribution of this issue of IAC Express or selected articles. When you do so, please add a note that the Immunization Action Coalition is the source of the material and provide a link to this issue ([link removed]).

IAC Express is supported in part by Grant No. 6NH23IP922550 from the National Center for Immunization and Respiratory Diseases, CDC. Its contents are solely the responsibility of IAC and do not necessarily represent the official views of CDC.

IAC Express Disclaimer ([link removed])
ISSN: 1526-1786
Our mailing address is
Immunization Action Coalition
2550 University Avenue West, Suite 415 North
Saint Paul, MN 55114
USA
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