Email
IZ Express #1,713: Adult pneumococcal recommendations, RSV vaccine job aid, and more
| From | Immunize.org <[email protected]> |
| Subject | IZ Express #1,713: Adult pneumococcal recommendations, RSV vaccine job aid, and more |
| Date | September 13, 2023 10:46 AM |
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Issue 1,713: September 13, 2023
Top Stories
* “Pneumococcal Vaccine for Adults Aged ≥19 Years: Recommendations of the Advisory Committee on Immunization Practices, United States, 2023” published in MMWR
* CDC releases job aid for shared clinical decision-making for RSV vaccination of adults age 60 and older
* “Health Care Provider Knowledge and Attitudes Regarding Adult Pneumococcal Conjugate Vaccine Recommendations—United States, September 28–October 10, 2022” published in MMWR
* National Hispanic Heritage Month runs from September 15 to October 15; encourage your Hispanic patients to be vaccinated with culturally appropriate resources
* Happy Mexican Independence Day, September 16! Here’s an orientation to vaccination information and advocacy in Mexico.
* “Ask the Experts: Alternative Schedules”: watch the 2-minute answer, part of the Ask the Experts Video Series on Facebook, LinkedIn, X (Twitter), YouTube, and Instagram
* Spotlight: Immunize.org’s “Clinic Tools” main page is a one-stop source of practical information about vaccines
* Vaccines in the news
Immunize.org Pages and Handouts
* Immunize.org updates its patient handout titled "Not Sure If You Can Get an Influenza Vaccine?"
* Review your COVID-19 resources with the latest version of Immunize.org’s “Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools”
Vaccine Information Statements
* Spanish versions of new Vaccine Information Statement for RSV vaccine for older adults and updated multi-vaccine Vaccine Information Statement for infants now available
Featured Resources
* Boost Oregon's award-winning animated videos are now available in Spanish
* AAP offers new podcast episode from Pediatrics on Call discussing RSV, COVID-19, pneumococcal, and influenza vaccines
* Order Immunize.org’s child, adult, and lifetime immunization record cards—wallet-sized, designed to last!
Notable Publications
* "Ten-Year Follow-Up of 9-Valent Human Papillomavirus Vaccine: Immunogenicity, Effectiveness, and Safety" published in Pediatrics
* "Deciphering Knowledge and Opinions of Human Papillomavirus and Human Papillomavirus Vaccination for Facilitation of Point-of-Care Vaccination in Adults" published in JAMA Otolaryngology–Head & Neck Surgery
* “Reduced Odds of Mpox-Associated Hospitalization among Persons Who Received JYNNEOS Vaccine—California, May 2022–May 2023” published in MMWR
* "Religious Exemptions, Public Health, and School Vaccination Requirements" published in JAMA Pediatrics
Global News
* “Progress toward Measles Elimination—African Region, 2017–2021” published in MMWR
Upcoming Events
* Virtual: Participate in the "Pregnant & Protected" from COVID-19 campaign launch, September 14, 3:30 p.m. (ET)
* Virtual: Watch September 21–22 National Vaccine Advisory Committee meeting
* Virtual: Watch the ACIP meeting to discuss maternal RSV vaccination, September 22
Editorial Information
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Top Stories
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“Pneumococcal Vaccine for Adults Aged ≥19 Years: Recommendations of the Advisory Committee on Immunization Practices, United States, 2023” published in MMWR
CDC published Pneumococcal Vaccine for Adults Aged ≥19 Years: Recommendations of the Advisory Committee on Immunization Practices, United States, 2023 ([link removed]) in the September 8 issue of MMWR. A portion of the summary appears below.
ACIP recommendations specify the use of either PCV20 alone or PCV15 in series with PPSV23 for all adults aged ≥65 years and for adults aged 19–64 years with certain underlying medical conditions or other risk factors who have not received a PCV or whose vaccination history is unknown. In addition, ACIP recommends use of either a single dose of PCV20 or ≥1 dose of PPSV23 for adults who have started their pneumococcal vaccine series with PCV13 but have not received all recommended PPSV23 doses. Shared clinical decision-making is recommended regarding use of a supplemental PCV20 dose for adults aged ≥65 years who have completed their recommended vaccine series with both PCV13 and PPSV23.
Updated and new clinical guidance for implementation from CDC includes the recommendation for use of PCV15 or PCV20 for adults who have received PPSV23 but have not received any PCV dose. The report also includes clinical guidance for adults who have received 7-valent PCV (PCV7) only and adults who are hematopoietic stem cell transplant recipients.
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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CDC releases job aid for shared clinical decision-making for RSV vaccination of adults age 60 and older
CDC published a new clinical job aid titled Shared Clinical Decision-Making (SCDM): RSV Vaccination for Adults 60 Years and Older ([link removed]).
CDC notes that "adults 60 years of age and older now have the option to receive one dose of RSV vaccine based on a SCDM process between a patient and their healthcare provider. Consider multiple factors when discussing RSV vaccination with your patients. SCDM recommendations are optional and are informed by whether the patient has any risk factors for severe RSV disease; a patient’s risk of exposure to RSV; a patient’s preferences for RSV vaccination; and the clinical discretion of the healthcare provider."
Related Links
* CDC: Shared Clinical Decision-Making (SCDM): RSV Vaccination for Adults 60 Years and Older ([link removed])
* CDC: Respiratory Syncytial Virus Infection (RSV) ([link removed]) main page
* MMWR: Use of Respiratory Syncytial Virus Vaccines in Older Adults: Recommendations of the Advisory Committee on Immunization Practices—United States, 2023 ([link removed]) (7/21/23)
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“Health Care Provider Knowledge and Attitudes Regarding Adult Pneumococcal Conjugate Vaccine Recommendations—United States, September 28–October 10, 2022” published in MMWR
CDC published Health Care Provider Knowledge and Attitudes Regarding Adult Pneumococcal Conjugate Vaccine Recommendations—United States, September 28–October 10, 2022 ([link removed]) in the September 8 issue of MMWR ([link removed]). A portion of the summary appears below.
A survey of vaccine providers before the October 2022 ACIP meeting identified knowledge gaps and implementation challenges in existing recommendations. Respondents agreed with expanding the recommendations for 20-valent pneumococcal conjugate vaccine to adults at high risk who had received the 13-valent vaccine alone. . . .
Interventions to facilitate implementation of the updated pneumococcal vaccine recommendations are needed. Available resources include the PneumoRecs VaxAdvisor mobile app and other CDC-developed tools, such as overviews of vaccination schedules and CDC’s strategic framework, Vaccinate with Confidence.
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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National Hispanic Heritage Month runs from September 15 to October 15; encourage your Hispanic patients to be vaccinated with culturally appropriate resources
Each year, Americans observe National Hispanic Heritage Month ([link removed]) from September 15 to October 15, by celebrating the histories, cultures, and contributions of Americans whose ancestors came from Spain, Mexico, the Caribbean, and Central and South America. Montgomery County Immunization Coalition ([link removed]) (Pennsylvania)[link removed] partner organizations created bilingual social media images and messages anyone can use to encourage patients to stay up-to-date on all recommended vaccines during National Hispanic Heritage Month.
In addition, Immunize.org offers a variety of resources available in Spanish, including translated handouts for patients and healthcare personnel ([link removed]) and Spanish-language Vaccine Information Statements (VISs) ([link removed]).
Related Links
* MCIC: National Hispanic Heritage Month ([link removed]) web page with sample social media posts and images
* Immunize.org: Spanish-language VIS ([link removed]) web 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 240 ready-to-print staff educational materials and patient handouts
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Happy Mexican Independence Day, September 16! Here’s an orientation to vaccination information and advocacy in Mexico.
¡Viva México! September 16 is the 213th anniversary of Mexico’s independence. We celebrate the people of Mexico by sharing select Mexican resources for vaccination information and advocacy. Best wishes to all our friends delivering vaccinations to the people of Mexico!
Expert committees:
* Consejo Nacional de Vacunación (CONAVA) ([link removed]), National Advisory Committee for Vaccination, counterpart to ACIP
Advocacy groups and resources:
* Asociación Mexicana de Vacunología ([link removed])
* Alianza por la Vacunación ([link removed])
Helpful resources:
* Boletín Epidemiológico ([link removed]) : Sistema Nacional de Vigilancia Epidemiológica Sistema Único de Información (Epidemiological Bulletin: National Epidemiological Surveillance System Unique Information System), counterpart to MMWR
* Lineamientos Generales del Programa de Vacunación Universal y Jornadas de Salud Pública 2020 ([link removed]) (General Guidelines of the Universal Vaccination Program and Public Health Conference 2020)
* Esquema Nacional de Vacunación ([link removed]) (routine vaccination schedule)
COVID-19 materials:
* Gobierno de México: Vacunación COVID information for the public ([link removed]) as well as technical documents ([link removed])
* COFEPRIS (counterpart to FDA) Actions Regarding COVID-19: Acciones sobre COVID-19 ([link removed])
Government institutions:
* Programa Nacional de Vacunación ([link removed]) (National Vaccination Program)
* Comisión Federal para la Protección contra Riesgos Sanitarios (COFEPRIS) ([link removed]) (Federal Commission for Protection Against Health Risks), counterpart to FDA
* Vacunas Autorizadas en México Incluyendo Fichas Tecnicas ([link removed]) (Vaccines Registered in Mexico, including technical sheets)
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“Ask the Experts: Alternative Schedules”: watch the 2-minute answer, part of the Ask the Experts Video Series on Facebook, LinkedIn, X (Twitter), YouTube, and Instagram
Immunize.org's social media channels make it easy for you to learn a little more every day. This week, our featured episode from the Ask the Experts Video Series is Alternative Schedules ([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.
Like, follow, and share Immunize.org’s social media accounts and encourage colleagues and others interested in vaccination to do likewise:
* Facebook at ImmunizeOrg ([link removed])
* Instagram at ImmunizeOrg ([link removed])
* LinkedIn at Immunize.org ([link removed])
* X (Twitter) at ImmunizeOrg ([link removed])
* YouTube at ImmunizeOrg ([link removed])
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Spotlight: Immunize.org’s “Clinic Tools” main page is a one-stop source of practical information about vaccines
In this week's Spotlight, we summarize resources at Immunize.org that focus on specific vaccine products.
Immunize.org's Clinic Tools main page ([link removed]) compiles resources from Immunize.org, CDC, and other organizations containing practical, “how-to” information about providing vaccinations in a medical office or non-traditional setting. This page can be found by selecting the “Clinic Tools” tab in the middle of the blue banner atop every Immunize.org web page.
In the left-hand column, you will find links to Immunize.org’s web pages:
* Immunize.org: Clinic Tools ([link removed]) main page
* Immunize.org: Clinic Tools: Administering Vaccines ([link removed])
* Immunize.org: Clinic Tools: Adolescent Vaccination ([link removed])
* Immunize.org: Clinic Tools: Adult Vaccination ([link removed])
* Immunize.org: Clinic Tools: Documenting Vaccinations ([link removed])
* Immunize.org: Clinic Tools: Scheduling Vaccines ([link removed])
* Immunize.org: Clinic Tools: Screening for Vaccine Contraindications and Precautions ([link removed])
* Immunize.org: Clinic Tools: Storage and Handling ([link removed])
* Immunize.org: Clinic Tools: Vaccination and COVID-19 ([link removed])
* Immunize.org: Clinic Tools: Vaccine Recommendations ([link removed])
The right-hand column features resources from partners, including CDC’s vaccine recommendations, “General Best Practice Guidelines for Immunization,” and The Epidemiology and Prevention of Vaccine-Preventable Diseases (“The Pink Book”).
Visit the Clinic Tools main page ([link removed]) on Immunize.org.
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Vaccines in the news
These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
* Time: The Anti-vax Movement Isn’t Going Away. We Must Adapt to It ([link removed]) (9/7/23)
* CIDRAP: CDC Warns about RSV, Urges Clinicians to Make Use of New Tools ([link removed]) (9/6/23)
* The Telegraph: Measles Cases Reach Three-Year High in England ([link removed]) (9/6/23)
* New York Times: Three Shots for Fall: What You Need to Know ([link removed]) (9/6/23)
* Medpage Today: How to Help Patients Navigate a Newly Complex Vaccine Season ([link removed]) (9/5/23)
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Immunize.org Pages and Handouts
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Immunize.org updates its patient handout titled "Not Sure If You Can Get an Influenza Vaccine?"
Immunize.org updated its patient handout Not Sure If You Can Get an Influenza Vaccine? ([link removed]) for the 2023–2024 season. Changes incorporate ACIP's updated recommendation that people with any type of egg allergy may receive any influenza vaccine with standard vaccination precautions.
Related Links
* Immunize.org: Vaccines: Influenza ([link removed]) main page
* Immunize.org: 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 240 ready-to-print staff educational materials and patient handouts
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Review your COVID-19 resources with the latest version of Immunize.org’s “Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools”
Immunize.org reviews and updates the Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools ([link removed]) at least monthly, prominently indicating when it was last revised at the top of the page. Changes on the September 4 version were minimal. Additional updates are anticipated soon.
All COVID-19 vaccination providers should review the checklist regularly and download the latest CDC schedule and standing order documents. The checklist is posted on Immunize.org's Vaccines: COVID-19 ([link removed]) main page to help practices stay up to date.
Related Links
* Immunize.org: Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools ([link removed]) (PDF)
* Immunize.org: Vaccines: COVID-19 ([link removed]) main page
* Immunize.org: Ask the Experts: COVID-19 ([link removed]) web page
* CDC: Interim Clinical Considerations ([link removed]) main page summarizing use of COVID-19 vaccines in the United States
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Vaccine Information Statements
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Spanish versions of new Vaccine Information Statement for RSV vaccine for older adults and updated multi-vaccine Vaccine Information Statement for infants now available
Immunize.org posted two new Spanish translations of Vaccine Information Statements (VISs), published by CDC. The new Spanish translation of the respiratory syncytial virus (RSV) vaccine VIS reflects the 2023 ACIP recommendation for RSV vaccination for adults age 60 years or older using shared clinical decision-making. The new Spanish translation of “Your Child’s First Vaccines” VIS provides information on diphtheria, tetanus, pertussis, Hib, hepatitis B, pneumococcal, and poliovirus vaccines, including 20-valent pneumococcal conjugate vaccine (PCV20) as an option for vaccination.
* Respiratory Syncytial Virus (RSV) Vaccine VIS ([link removed]): in Spanish ([link removed])(RTF ([link removed]))
* Your Child’s First Vaccines VIS ([link removed]): in Spanish ([link removed])(RTF ([link removed]))
[link removed] [link removed]
Related Links
* Immunize.org: Respiratory Syncytial Virus (RSV) VIS ([link removed]) main page
* Immunize.org: Respiratory Syncytial Virus (RSV) Vaccine VIS ([link removed]) (PDF, English)
* Immunize.org: Multi-vaccine VIS ([link removed]) main page
* Immunize.org: Your Child’s First Vaccines VIS ([link removed]) (PDF, English)
* Immunize.org: Vaccine Information Statements main page ([link removed]) with VISs in up to 47 languages ([link removed])
* CDC: What's New with VISs ([link removed]) main page
* CDC: Current VISs ([link removed]) main page
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Featured Resources
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Boost Oregon's award-winning animated videos are now available in Spanish
Boost Oregon's popular animated videos ([link removed]) are now available in Spanish ([link removed]) . These short, engaging videos, which won a Silver Award in the 30th annual National Health Information Awards, answer the most frequently asked questions about vaccines.
The videos can be embedded on your organization's website, played at your clinic, or posted on social media. Share them with your patients in English ([link removed]) and Spanish ([link removed]) today.
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AAP offers new podcast episode from Pediatrics on Call discussing RSV, COVID-19, pneumococcal, and influenza vaccines
The American Academy of Pediatrics (AAP) posted a new entry in its Pediatrics On Call podcast series: Immunizations Special: RSV, COVID, Pneumococcal Disease, Influenza ([link removed]) (30 minutes). A description from the podcast web page appears below.
In this episode Sean O’Leary, MD, MPH, FAAP, chair of the AAP Committee on Infectious Diseases, joins hosts David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, for an “immunizations omnibus.” He describes newly approved products to protect against RSV, COVID and pneumococcal disease, and he predicts a difficult flu season.
Related Link
* Pediatrics On Call podcast page ([link removed])
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Order Immunize.org’s child, adult, and lifetime immunization record cards—wallet-sized, designed to last!
Immunize.org's personal immunization record cards ([link removed]) , printed on rip-proof, smudge-proof, water-proof paper, are designed to last a lifetime. They fit in a wallet when folded. The record cards are for you to give to your patients as a permanent personal vaccination record and are sold in boxes of 250.
* Child & Teen Immunization Record Card ([link removed])
* Adult Immunization Record Card ([link removed])
* Lifetime Immunization Record Card ([link removed])
Make bulk purchases and receive quantity discounts. For quotes on larger quantities or customizing, or to request sample cards, call 651-647-9009 or email [email protected].
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Notable Publications
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"Ten-Year Follow-Up of 9-Valent Human Papillomavirus Vaccine: Immunogenicity, Effectiveness, and Safety" published in Pediatrics
In the September 5 issue, Pediatrics published Ten-Year Follow-Up of 9-Valent Human Papillomavirus Vaccine: Immunogenicity, Effectiveness, and Safety ([link removed]), with a video abstract. The primary conclusion appears below.
The 9vHPV vaccine demonstrated sustained immunogenicity and effectiveness through ∼10 years post 3 doses of 9vHPV vaccination of boys and girls aged 9 to 15 years.
[link removed]
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"Deciphering Knowledge and Opinions of Human Papillomavirus and Human Papillomavirus Vaccination for Facilitation of Point-of-Care Vaccination in Adults" published in JAMA Otolaryngology–Head & Neck Surgery
In the August 31 issue, JAMA Otolaryngology–Head & Neck Surgery published Deciphering Knowledge and Opinions of Human Papillomavirus and Human Papillomavirus Vaccination for Facilitation of Point-of-Care Vaccination in Adults ([link removed]). The conclusions section appears below.
Most participants in this survey study were unaware that HPV causes OPSCC [oropharyngeal squamous cell carcinoma]. Understanding that HPV causes OPSCC was associated with increased likelihood of having been vaccinated. However, most patients surveyed were not informed of this relationship by their healthcare practitioners. Targeted education aimed at unvaccinated adults establishing the relationship between HPV infection and OPSCC, paired with point-of-care vaccination, may be an innovative strategy for increasing HPV vaccination rates in adults.
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“Reduced Odds of Mpox-Associated Hospitalization among Persons Who Received JYNNEOS Vaccine—California, May 2022–May 2023” published in MMWR
CDC published Reduced Odds of Mpox-Associated Hospitalization among Persons Who Received JYNNEOS Vaccine—California, May 2022–May 2023 ([link removed]) in the September 8 issue of MMWR ([link removed]). A portion of the summary appears below.
One JYNNEOS vaccine dose decreases mpox lesion severity and hospitalization prevalence. . . .
Among persons with and without HIV infection, mpox-associated hospitalization rates were lower among those who had received ≥1 dose of JYNNEOS vaccine compared with those who were unvaccinated. . . .
Receiving ≥1 dose of JYNNEOS vaccine reduced the odds of hospitalization among California residents. To maximize enduring immunity against Monkeypox virus infection, all eligible persons should complete the 2-dose JYNNEOS vaccine series.
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
------------------------------------------------------------
"Religious Exemptions, Public Health, and School Vaccination Requirements" published in JAMA Pediatrics
In the August 28 issue, JAMA Pediatrics published a commentary titled Religious Exemptions, Public Health, and School Vaccination Requirements ([link removed]). The first paragraph appears below.
Vaccinations, crucial for public health and community immunity, are required by all states for school entry, with allowances for medical exemptions. All but 6 states grant religious exemptions, which have become a hotbed of controversy and public health concerns. We examine 2 recent cases from New York and Mississippi that encapsulate this debate, and we further argue against religious exemptions for schoolchildren.
Related Links
* Immunize.org: Religious Concerns ([link removed])
* Immunize.org: State Requirements by Vaccine ([link removed])
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Global News
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“Progress toward Measles Elimination—African Region, 2017–2021” published in MMWR
CDC published Progress toward Measles Elimination—African Region, 2017–2021 ([link removed]) in the September 8 issue of MMWR ([link removed]). A portion of the summary appears below.
The World Health Organization African Region established a 2020 measles elimination goal. In 2016, regional coverage with 1 dose of measles-containing vaccine (MCV) was 68%, and 40% of countries met surveillance performance indicators. . . .
The 2020 elimination goal was not met, and in 2021, coverage with a first MCV dose remained <95% in all but two countries. After a 2019 global measles resurgence, incidence in 2021 exceeded that in 2017. Surveillance quality declined during 2017–2021, with 62% of countries achieving surveillance performance indicators in 2017 compared with 22% in 2021. . . .
Reaching all children with 2 MCV doses and improving surveillance is critical to achieving the renewed 2030 regional measles elimination goal in at least 80% of African countries.
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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Virtual: Participate in the "Pregnant & Protected" from COVID-19 campaign launch, September 14, 3:30 p.m. (ET)
The CDC Foundation will present a 1-hour partner webinar titled Pregnant and Protected ([link removed]) beginning at 3:30 p.m. (ET) on September 14 as part of its "Pregnant & Protected" campaign to promote COVID-19 vaccination before and during pregnancy.
You can also follow the "Pregnant & Protected" campaign on CDC Foundation’s Facebook ([link removed]), Instagram, ([link removed]) and X, formerly known as Twitter ([link removed]).
Register for the webinar ([link removed]).
Related Link
* Immunize.org: Pregnancy and Vaccines ([link removed])
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Virtual: Watch September 21–22 National Vaccine Advisory Committee meeting
The National Vaccine Advisory Committee (NVAC) will hold its next meeting September 21–22, starting at 9 a.m. (ET). NVAC will hear presentations regarding innovation and safety, strategies to address vaccination needs of people with disabilities, respiratory disease prevention plans for fall 2023, and updates on climate change and vaccines.
Attendance is open to the public on a first-come, first-served basis by registration. Registration is now available online ([link removed]).
Related Link
* NVAC: ([link removed]) Meeting Information ([link removed]) web page
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Virtual: Watch the ACIP meeting to discuss maternal RSV vaccination, September 22
CDC will convene its Advisory Committee on Immunization Practices ([link removed]) (ACIP) on September 22. The meeting will discuss maternal RSV vaccination.
No registration is required to watch webcasts of live ACIP meetings or listen via telephone. Opportunities for public comment are described on the website.
The agenda and other materials will be posted on the ACIP meeting information website ([link removed] ) as they become available.
Related Links
* CDC: ACIP main page ([link removed]) for access to webcast, agendas
* CDC: ACIP: Meeting Information ([link removed]) for presentation slides, content from previous meetings, and information about future meetings
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For more upcoming events, visit our Calendar of Events ([link removed]).
Editorial Information
Editor-in-Chief
Kelly L. Moore, MD, MPH
Managing Editor
John D. Grabenstein, RPh, PhD
Associate Editor
Sharon G. Humiston, MD, MPH
Writer/Publication Coordinator
Taryn Chapman, MS
Courtnay Londo, MA
Style and Copy Editor
Marian Deegan, JD
Web Edition Managers
Arkady Shakhnovich
Jermaine Royes
Contributing Writer
Laurel H. Wood, MPA
Technical Reviewer
Kayla Ohlde
About IZ Express
Immunize.org welcomes redistribution of this issue of IZ Express or selected articles.
When you do so, please add a note that Immunize.org is the source of the material and provide a link to this issue ([link removed]).
IZ Express is supported in part by Grant No. 1NH23IP922654 from the National Center for Immunization and Respiratory Diseases, CDC. Its contents are solely the responsibility of Immunize.org and do not necessarily represent the official views of CDC.
IZ Express Disclaimer ([link removed])
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Issue 1,713: September 13, 2023
Top Stories
* “Pneumococcal Vaccine for Adults Aged ≥19 Years: Recommendations of the Advisory Committee on Immunization Practices, United States, 2023” published in MMWR
* CDC releases job aid for shared clinical decision-making for RSV vaccination of adults age 60 and older
* “Health Care Provider Knowledge and Attitudes Regarding Adult Pneumococcal Conjugate Vaccine Recommendations—United States, September 28–October 10, 2022” published in MMWR
* National Hispanic Heritage Month runs from September 15 to October 15; encourage your Hispanic patients to be vaccinated with culturally appropriate resources
* Happy Mexican Independence Day, September 16! Here’s an orientation to vaccination information and advocacy in Mexico.
* “Ask the Experts: Alternative Schedules”: watch the 2-minute answer, part of the Ask the Experts Video Series on Facebook, LinkedIn, X (Twitter), YouTube, and Instagram
* Spotlight: Immunize.org’s “Clinic Tools” main page is a one-stop source of practical information about vaccines
* Vaccines in the news
Immunize.org Pages and Handouts
* Immunize.org updates its patient handout titled "Not Sure If You Can Get an Influenza Vaccine?"
* Review your COVID-19 resources with the latest version of Immunize.org’s “Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools”
Vaccine Information Statements
* Spanish versions of new Vaccine Information Statement for RSV vaccine for older adults and updated multi-vaccine Vaccine Information Statement for infants now available
Featured Resources
* Boost Oregon's award-winning animated videos are now available in Spanish
* AAP offers new podcast episode from Pediatrics on Call discussing RSV, COVID-19, pneumococcal, and influenza vaccines
* Order Immunize.org’s child, adult, and lifetime immunization record cards—wallet-sized, designed to last!
Notable Publications
* "Ten-Year Follow-Up of 9-Valent Human Papillomavirus Vaccine: Immunogenicity, Effectiveness, and Safety" published in Pediatrics
* "Deciphering Knowledge and Opinions of Human Papillomavirus and Human Papillomavirus Vaccination for Facilitation of Point-of-Care Vaccination in Adults" published in JAMA Otolaryngology–Head & Neck Surgery
* “Reduced Odds of Mpox-Associated Hospitalization among Persons Who Received JYNNEOS Vaccine—California, May 2022–May 2023” published in MMWR
* "Religious Exemptions, Public Health, and School Vaccination Requirements" published in JAMA Pediatrics
Global News
* “Progress toward Measles Elimination—African Region, 2017–2021” published in MMWR
Upcoming Events
* Virtual: Participate in the "Pregnant & Protected" from COVID-19 campaign launch, September 14, 3:30 p.m. (ET)
* Virtual: Watch September 21–22 National Vaccine Advisory Committee meeting
* Virtual: Watch the ACIP meeting to discuss maternal RSV vaccination, September 22
Editorial Information
------------------------------------------------------------
Top Stories
------------------------------------------------------------
“Pneumococcal Vaccine for Adults Aged ≥19 Years: Recommendations of the Advisory Committee on Immunization Practices, United States, 2023” published in MMWR
CDC published Pneumococcal Vaccine for Adults Aged ≥19 Years: Recommendations of the Advisory Committee on Immunization Practices, United States, 2023 ([link removed]) in the September 8 issue of MMWR. A portion of the summary appears below.
ACIP recommendations specify the use of either PCV20 alone or PCV15 in series with PPSV23 for all adults aged ≥65 years and for adults aged 19–64 years with certain underlying medical conditions or other risk factors who have not received a PCV or whose vaccination history is unknown. In addition, ACIP recommends use of either a single dose of PCV20 or ≥1 dose of PPSV23 for adults who have started their pneumococcal vaccine series with PCV13 but have not received all recommended PPSV23 doses. Shared clinical decision-making is recommended regarding use of a supplemental PCV20 dose for adults aged ≥65 years who have completed their recommended vaccine series with both PCV13 and PPSV23.
Updated and new clinical guidance for implementation from CDC includes the recommendation for use of PCV15 or PCV20 for adults who have received PPSV23 but have not received any PCV dose. The report also includes clinical guidance for adults who have received 7-valent PCV (PCV7) only and adults who are hematopoietic stem cell transplant recipients.
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
------------------------------------------------------------
CDC releases job aid for shared clinical decision-making for RSV vaccination of adults age 60 and older
CDC published a new clinical job aid titled Shared Clinical Decision-Making (SCDM): RSV Vaccination for Adults 60 Years and Older ([link removed]).
CDC notes that "adults 60 years of age and older now have the option to receive one dose of RSV vaccine based on a SCDM process between a patient and their healthcare provider. Consider multiple factors when discussing RSV vaccination with your patients. SCDM recommendations are optional and are informed by whether the patient has any risk factors for severe RSV disease; a patient’s risk of exposure to RSV; a patient’s preferences for RSV vaccination; and the clinical discretion of the healthcare provider."
Related Links
* CDC: Shared Clinical Decision-Making (SCDM): RSV Vaccination for Adults 60 Years and Older ([link removed])
* CDC: Respiratory Syncytial Virus Infection (RSV) ([link removed]) main page
* MMWR: Use of Respiratory Syncytial Virus Vaccines in Older Adults: Recommendations of the Advisory Committee on Immunization Practices—United States, 2023 ([link removed]) (7/21/23)
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“Health Care Provider Knowledge and Attitudes Regarding Adult Pneumococcal Conjugate Vaccine Recommendations—United States, September 28–October 10, 2022” published in MMWR
CDC published Health Care Provider Knowledge and Attitudes Regarding Adult Pneumococcal Conjugate Vaccine Recommendations—United States, September 28–October 10, 2022 ([link removed]) in the September 8 issue of MMWR ([link removed]). A portion of the summary appears below.
A survey of vaccine providers before the October 2022 ACIP meeting identified knowledge gaps and implementation challenges in existing recommendations. Respondents agreed with expanding the recommendations for 20-valent pneumococcal conjugate vaccine to adults at high risk who had received the 13-valent vaccine alone. . . .
Interventions to facilitate implementation of the updated pneumococcal vaccine recommendations are needed. Available resources include the PneumoRecs VaxAdvisor mobile app and other CDC-developed tools, such as overviews of vaccination schedules and CDC’s strategic framework, Vaccinate with Confidence.
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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National Hispanic Heritage Month runs from September 15 to October 15; encourage your Hispanic patients to be vaccinated with culturally appropriate resources
Each year, Americans observe National Hispanic Heritage Month ([link removed]) from September 15 to October 15, by celebrating the histories, cultures, and contributions of Americans whose ancestors came from Spain, Mexico, the Caribbean, and Central and South America. Montgomery County Immunization Coalition ([link removed]) (Pennsylvania)[link removed] partner organizations created bilingual social media images and messages anyone can use to encourage patients to stay up-to-date on all recommended vaccines during National Hispanic Heritage Month.
In addition, Immunize.org offers a variety of resources available in Spanish, including translated handouts for patients and healthcare personnel ([link removed]) and Spanish-language Vaccine Information Statements (VISs) ([link removed]).
Related Links
* MCIC: National Hispanic Heritage Month ([link removed]) web page with sample social media posts and images
* Immunize.org: Spanish-language VIS ([link removed]) web 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 240 ready-to-print staff educational materials and patient handouts
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Happy Mexican Independence Day, September 16! Here’s an orientation to vaccination information and advocacy in Mexico.
¡Viva México! September 16 is the 213th anniversary of Mexico’s independence. We celebrate the people of Mexico by sharing select Mexican resources for vaccination information and advocacy. Best wishes to all our friends delivering vaccinations to the people of Mexico!
Expert committees:
* Consejo Nacional de Vacunación (CONAVA) ([link removed]), National Advisory Committee for Vaccination, counterpart to ACIP
Advocacy groups and resources:
* Asociación Mexicana de Vacunología ([link removed])
* Alianza por la Vacunación ([link removed])
Helpful resources:
* Boletín Epidemiológico ([link removed]) : Sistema Nacional de Vigilancia Epidemiológica Sistema Único de Información (Epidemiological Bulletin: National Epidemiological Surveillance System Unique Information System), counterpart to MMWR
* Lineamientos Generales del Programa de Vacunación Universal y Jornadas de Salud Pública 2020 ([link removed]) (General Guidelines of the Universal Vaccination Program and Public Health Conference 2020)
* Esquema Nacional de Vacunación ([link removed]) (routine vaccination schedule)
COVID-19 materials:
* Gobierno de México: Vacunación COVID information for the public ([link removed]) as well as technical documents ([link removed])
* COFEPRIS (counterpart to FDA) Actions Regarding COVID-19: Acciones sobre COVID-19 ([link removed])
Government institutions:
* Programa Nacional de Vacunación ([link removed]) (National Vaccination Program)
* Comisión Federal para la Protección contra Riesgos Sanitarios (COFEPRIS) ([link removed]) (Federal Commission for Protection Against Health Risks), counterpart to FDA
* Vacunas Autorizadas en México Incluyendo Fichas Tecnicas ([link removed]) (Vaccines Registered in Mexico, including technical sheets)
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“Ask the Experts: Alternative Schedules”: watch the 2-minute answer, part of the Ask the Experts Video Series on Facebook, LinkedIn, X (Twitter), YouTube, and Instagram
Immunize.org's social media channels make it easy for you to learn a little more every day. This week, our featured episode from the Ask the Experts Video Series is Alternative Schedules ([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.
Like, follow, and share Immunize.org’s social media accounts and encourage colleagues and others interested in vaccination to do likewise:
* Facebook at ImmunizeOrg ([link removed])
* Instagram at ImmunizeOrg ([link removed])
* LinkedIn at Immunize.org ([link removed])
* X (Twitter) at ImmunizeOrg ([link removed])
* YouTube at ImmunizeOrg ([link removed])
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Spotlight: Immunize.org’s “Clinic Tools” main page is a one-stop source of practical information about vaccines
In this week's Spotlight, we summarize resources at Immunize.org that focus on specific vaccine products.
Immunize.org's Clinic Tools main page ([link removed]) compiles resources from Immunize.org, CDC, and other organizations containing practical, “how-to” information about providing vaccinations in a medical office or non-traditional setting. This page can be found by selecting the “Clinic Tools” tab in the middle of the blue banner atop every Immunize.org web page.
In the left-hand column, you will find links to Immunize.org’s web pages:
* Immunize.org: Clinic Tools ([link removed]) main page
* Immunize.org: Clinic Tools: Administering Vaccines ([link removed])
* Immunize.org: Clinic Tools: Adolescent Vaccination ([link removed])
* Immunize.org: Clinic Tools: Adult Vaccination ([link removed])
* Immunize.org: Clinic Tools: Documenting Vaccinations ([link removed])
* Immunize.org: Clinic Tools: Scheduling Vaccines ([link removed])
* Immunize.org: Clinic Tools: Screening for Vaccine Contraindications and Precautions ([link removed])
* Immunize.org: Clinic Tools: Storage and Handling ([link removed])
* Immunize.org: Clinic Tools: Vaccination and COVID-19 ([link removed])
* Immunize.org: Clinic Tools: Vaccine Recommendations ([link removed])
The right-hand column features resources from partners, including CDC’s vaccine recommendations, “General Best Practice Guidelines for Immunization,” and The Epidemiology and Prevention of Vaccine-Preventable Diseases (“The Pink Book”).
Visit the Clinic Tools main page ([link removed]) on Immunize.org.
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Vaccines in the news
These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
* Time: The Anti-vax Movement Isn’t Going Away. We Must Adapt to It ([link removed]) (9/7/23)
* CIDRAP: CDC Warns about RSV, Urges Clinicians to Make Use of New Tools ([link removed]) (9/6/23)
* The Telegraph: Measles Cases Reach Three-Year High in England ([link removed]) (9/6/23)
* New York Times: Three Shots for Fall: What You Need to Know ([link removed]) (9/6/23)
* Medpage Today: How to Help Patients Navigate a Newly Complex Vaccine Season ([link removed]) (9/5/23)
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Immunize.org Pages and Handouts
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Immunize.org updates its patient handout titled "Not Sure If You Can Get an Influenza Vaccine?"
Immunize.org updated its patient handout Not Sure If You Can Get an Influenza Vaccine? ([link removed]) for the 2023–2024 season. Changes incorporate ACIP's updated recommendation that people with any type of egg allergy may receive any influenza vaccine with standard vaccination precautions.
Related Links
* Immunize.org: Vaccines: Influenza ([link removed]) main page
* Immunize.org: 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 240 ready-to-print staff educational materials and patient handouts
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Review your COVID-19 resources with the latest version of Immunize.org’s “Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools”
Immunize.org reviews and updates the Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools ([link removed]) at least monthly, prominently indicating when it was last revised at the top of the page. Changes on the September 4 version were minimal. Additional updates are anticipated soon.
All COVID-19 vaccination providers should review the checklist regularly and download the latest CDC schedule and standing order documents. The checklist is posted on Immunize.org's Vaccines: COVID-19 ([link removed]) main page to help practices stay up to date.
Related Links
* Immunize.org: Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools ([link removed]) (PDF)
* Immunize.org: Vaccines: COVID-19 ([link removed]) main page
* Immunize.org: Ask the Experts: COVID-19 ([link removed]) web page
* CDC: Interim Clinical Considerations ([link removed]) main page summarizing use of COVID-19 vaccines in the United States
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Vaccine Information Statements
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Spanish versions of new Vaccine Information Statement for RSV vaccine for older adults and updated multi-vaccine Vaccine Information Statement for infants now available
Immunize.org posted two new Spanish translations of Vaccine Information Statements (VISs), published by CDC. The new Spanish translation of the respiratory syncytial virus (RSV) vaccine VIS reflects the 2023 ACIP recommendation for RSV vaccination for adults age 60 years or older using shared clinical decision-making. The new Spanish translation of “Your Child’s First Vaccines” VIS provides information on diphtheria, tetanus, pertussis, Hib, hepatitis B, pneumococcal, and poliovirus vaccines, including 20-valent pneumococcal conjugate vaccine (PCV20) as an option for vaccination.
* Respiratory Syncytial Virus (RSV) Vaccine VIS ([link removed]): in Spanish ([link removed])(RTF ([link removed]))
* Your Child’s First Vaccines VIS ([link removed]): in Spanish ([link removed])(RTF ([link removed]))
[link removed] [link removed]
Related Links
* Immunize.org: Respiratory Syncytial Virus (RSV) VIS ([link removed]) main page
* Immunize.org: Respiratory Syncytial Virus (RSV) Vaccine VIS ([link removed]) (PDF, English)
* Immunize.org: Multi-vaccine VIS ([link removed]) main page
* Immunize.org: Your Child’s First Vaccines VIS ([link removed]) (PDF, English)
* Immunize.org: Vaccine Information Statements main page ([link removed]) with VISs in up to 47 languages ([link removed])
* CDC: What's New with VISs ([link removed]) main page
* CDC: Current VISs ([link removed]) main page
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Featured Resources
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Boost Oregon's award-winning animated videos are now available in Spanish
Boost Oregon's popular animated videos ([link removed]) are now available in Spanish ([link removed]) . These short, engaging videos, which won a Silver Award in the 30th annual National Health Information Awards, answer the most frequently asked questions about vaccines.
The videos can be embedded on your organization's website, played at your clinic, or posted on social media. Share them with your patients in English ([link removed]) and Spanish ([link removed]) today.
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AAP offers new podcast episode from Pediatrics on Call discussing RSV, COVID-19, pneumococcal, and influenza vaccines
The American Academy of Pediatrics (AAP) posted a new entry in its Pediatrics On Call podcast series: Immunizations Special: RSV, COVID, Pneumococcal Disease, Influenza ([link removed]) (30 minutes). A description from the podcast web page appears below.
In this episode Sean O’Leary, MD, MPH, FAAP, chair of the AAP Committee on Infectious Diseases, joins hosts David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, for an “immunizations omnibus.” He describes newly approved products to protect against RSV, COVID and pneumococcal disease, and he predicts a difficult flu season.
Related Link
* Pediatrics On Call podcast page ([link removed])
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Order Immunize.org’s child, adult, and lifetime immunization record cards—wallet-sized, designed to last!
Immunize.org's personal immunization record cards ([link removed]) , printed on rip-proof, smudge-proof, water-proof paper, are designed to last a lifetime. They fit in a wallet when folded. The record cards are for you to give to your patients as a permanent personal vaccination record and are sold in boxes of 250.
* Child & Teen Immunization Record Card ([link removed])
* Adult Immunization Record Card ([link removed])
* Lifetime Immunization Record Card ([link removed])
Make bulk purchases and receive quantity discounts. For quotes on larger quantities or customizing, or to request sample cards, call 651-647-9009 or email [email protected].
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Notable Publications
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"Ten-Year Follow-Up of 9-Valent Human Papillomavirus Vaccine: Immunogenicity, Effectiveness, and Safety" published in Pediatrics
In the September 5 issue, Pediatrics published Ten-Year Follow-Up of 9-Valent Human Papillomavirus Vaccine: Immunogenicity, Effectiveness, and Safety ([link removed]), with a video abstract. The primary conclusion appears below.
The 9vHPV vaccine demonstrated sustained immunogenicity and effectiveness through ∼10 years post 3 doses of 9vHPV vaccination of boys and girls aged 9 to 15 years.
[link removed]
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"Deciphering Knowledge and Opinions of Human Papillomavirus and Human Papillomavirus Vaccination for Facilitation of Point-of-Care Vaccination in Adults" published in JAMA Otolaryngology–Head & Neck Surgery
In the August 31 issue, JAMA Otolaryngology–Head & Neck Surgery published Deciphering Knowledge and Opinions of Human Papillomavirus and Human Papillomavirus Vaccination for Facilitation of Point-of-Care Vaccination in Adults ([link removed]). The conclusions section appears below.
Most participants in this survey study were unaware that HPV causes OPSCC [oropharyngeal squamous cell carcinoma]. Understanding that HPV causes OPSCC was associated with increased likelihood of having been vaccinated. However, most patients surveyed were not informed of this relationship by their healthcare practitioners. Targeted education aimed at unvaccinated adults establishing the relationship between HPV infection and OPSCC, paired with point-of-care vaccination, may be an innovative strategy for increasing HPV vaccination rates in adults.
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“Reduced Odds of Mpox-Associated Hospitalization among Persons Who Received JYNNEOS Vaccine—California, May 2022–May 2023” published in MMWR
CDC published Reduced Odds of Mpox-Associated Hospitalization among Persons Who Received JYNNEOS Vaccine—California, May 2022–May 2023 ([link removed]) in the September 8 issue of MMWR ([link removed]). A portion of the summary appears below.
One JYNNEOS vaccine dose decreases mpox lesion severity and hospitalization prevalence. . . .
Among persons with and without HIV infection, mpox-associated hospitalization rates were lower among those who had received ≥1 dose of JYNNEOS vaccine compared with those who were unvaccinated. . . .
Receiving ≥1 dose of JYNNEOS vaccine reduced the odds of hospitalization among California residents. To maximize enduring immunity against Monkeypox virus infection, all eligible persons should complete the 2-dose JYNNEOS vaccine series.
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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"Religious Exemptions, Public Health, and School Vaccination Requirements" published in JAMA Pediatrics
In the August 28 issue, JAMA Pediatrics published a commentary titled Religious Exemptions, Public Health, and School Vaccination Requirements ([link removed]). The first paragraph appears below.
Vaccinations, crucial for public health and community immunity, are required by all states for school entry, with allowances for medical exemptions. All but 6 states grant religious exemptions, which have become a hotbed of controversy and public health concerns. We examine 2 recent cases from New York and Mississippi that encapsulate this debate, and we further argue against religious exemptions for schoolchildren.
Related Links
* Immunize.org: Religious Concerns ([link removed])
* Immunize.org: State Requirements by Vaccine ([link removed])
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Global News
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“Progress toward Measles Elimination—African Region, 2017–2021” published in MMWR
CDC published Progress toward Measles Elimination—African Region, 2017–2021 ([link removed]) in the September 8 issue of MMWR ([link removed]). A portion of the summary appears below.
The World Health Organization African Region established a 2020 measles elimination goal. In 2016, regional coverage with 1 dose of measles-containing vaccine (MCV) was 68%, and 40% of countries met surveillance performance indicators. . . .
The 2020 elimination goal was not met, and in 2021, coverage with a first MCV dose remained <95% in all but two countries. After a 2019 global measles resurgence, incidence in 2021 exceeded that in 2017. Surveillance quality declined during 2017–2021, with 62% of countries achieving surveillance performance indicators in 2017 compared with 22% in 2021. . . .
Reaching all children with 2 MCV doses and improving surveillance is critical to achieving the renewed 2030 regional measles elimination goal in at least 80% of African countries.
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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Virtual: Participate in the "Pregnant & Protected" from COVID-19 campaign launch, September 14, 3:30 p.m. (ET)
The CDC Foundation will present a 1-hour partner webinar titled Pregnant and Protected ([link removed]) beginning at 3:30 p.m. (ET) on September 14 as part of its "Pregnant & Protected" campaign to promote COVID-19 vaccination before and during pregnancy.
You can also follow the "Pregnant & Protected" campaign on CDC Foundation’s Facebook ([link removed]), Instagram, ([link removed]) and X, formerly known as Twitter ([link removed]).
Register for the webinar ([link removed]).
Related Link
* Immunize.org: Pregnancy and Vaccines ([link removed])
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Virtual: Watch September 21–22 National Vaccine Advisory Committee meeting
The National Vaccine Advisory Committee (NVAC) will hold its next meeting September 21–22, starting at 9 a.m. (ET). NVAC will hear presentations regarding innovation and safety, strategies to address vaccination needs of people with disabilities, respiratory disease prevention plans for fall 2023, and updates on climate change and vaccines.
Attendance is open to the public on a first-come, first-served basis by registration. Registration is now available online ([link removed]).
Related Link
* NVAC: ([link removed]) Meeting Information ([link removed]) web page
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Virtual: Watch the ACIP meeting to discuss maternal RSV vaccination, September 22
CDC will convene its Advisory Committee on Immunization Practices ([link removed]) (ACIP) on September 22. The meeting will discuss maternal RSV vaccination.
No registration is required to watch webcasts of live ACIP meetings or listen via telephone. Opportunities for public comment are described on the website.
The agenda and other materials will be posted on the ACIP meeting information website ([link removed] ) as they become available.
Related Links
* CDC: ACIP main page ([link removed]) for access to webcast, agendas
* CDC: ACIP: Meeting Information ([link removed]) for presentation slides, content from previous meetings, and information about future meetings
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For more upcoming events, visit our Calendar of Events ([link removed]).
Editorial Information
Editor-in-Chief
Kelly L. Moore, MD, MPH
Managing Editor
John D. Grabenstein, RPh, PhD
Associate Editor
Sharon G. Humiston, MD, MPH
Writer/Publication Coordinator
Taryn Chapman, MS
Courtnay Londo, MA
Style and Copy Editor
Marian Deegan, JD
Web Edition Managers
Arkady Shakhnovich
Jermaine Royes
Contributing Writer
Laurel H. Wood, MPA
Technical Reviewer
Kayla Ohlde
About IZ Express
Immunize.org welcomes redistribution of this issue of IZ Express or selected articles.
When you do so, please add a note that Immunize.org is the source of the material and provide a link to this issue ([link removed]).
IZ Express is supported in part by Grant No. 1NH23IP922654 from the National Center for Immunization and Respiratory Diseases, CDC. Its contents are solely the responsibility of Immunize.org and do not necessarily represent the official views of CDC.
IZ Express Disclaimer ([link removed])
ISSN: 2771-8085
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