From Immunization Action Coalition <[email protected]>
Subject IZ Express #1,740: Take our feedback survey, American Heart Month, and more
Date February 14, 2024 11:00 AM
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Issue 1,740: February 14, 2024
Top Stories
* One week remains to help us evaluate our work! Take our 5-minute feedback survey. (#IZX1)
* Immunize.org updates our entire adult vaccinations series with 1-page handouts for your patients (#IZX2)
* February is American Heart Month; certain vaccines are especially important for people with heart disease (#IZX3)
* 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” (#IZX4)
* Influenza-like illness rates remain high in many parts of the country; continue to promote vaccination against respiratory illnesses (#IZX5)
* Immunize.org’s Hepatitis B Birth Dose Honor Roll recognizes 580 institutions, including four renewing honorees (#IZX6)
* "Is Hepatitis B Screening Required before Vaccination?"  Watch the 1-minute answer, part of the Ask the Experts Video Series on YouTube. (#IZX7)
* Journalists interview Immunize​.org experts (#IZX8)
* Vaccines in the news (#IZX9)


Immunize​.org Website and Clinical Resources
* Recap: Immunize.org updates two meningococcal resources for healthcare providers and patients (#IZX10)
* Recap: “Hepatitis A and Hepatitis B Vaccines: Be Sure Your Patients Get the Correct Dose” resource updated (#IZX11)
* Recap: Immunize​.org updated these clinical resources in December and January (#IZX12)
* Spotlight on the website (#IZX13)


Featured Resources
* Place your order! Sturdy, laminated versions of the 2024 U.S. immunization schedules from Immunize.org shipping now. (#IZX14)
* Medscape offers activity for healthcare professionals on new pneumococcal vaccine guidelines for adults; CE available (#IZX15)
* NFID shares resources for influenza and RSV vaccines, long COVID, and vaccination for people with heart disease (#IZX16)
* Immunize.org plans to discontinue child/teen and lifetime immunization record cards, keep adult record cards (#IZX17)
* Updated 65+ Flu Defense website offers resources for healthcare professionals serving older adults (#IZX18)


Upcoming Events
* Virtual: Watch February 22–23 National Vaccine Advisory Committee meeting with discussion on measles, VFC, and more (#IZX19)


Editorial Information (#Editorial)
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Top Stories
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One week remains to help us evaluate our work! Take our 5-minute feedback survey.

Every 2 years, IZ Express readers are asked to help Immunize​.org evaluate our activities. This year’s survey takes as little as 5 minutes to complete. It will help us demonstrate the impact of our work and inform our priorities in the future. It is also an important element of our CDC cooperative agreement.

Click here ([link removed]) to complete Immunize​.org's 2024 online survey. The survey will skip sections you mark as not relevant to you. Thank you for your time and support.

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Immunize​.org updates our entire adult vaccinations series with 1-page handouts for your patients

Immunize​.org recently updated its entire series of 1-page guides to vaccine recommendations for adults. Whether your patient is pregnant, has chronic lung disease, is missing a spleen, or has no specific risks, you will find a guide to vaccination suitable for them.

Where relevant, guides now incorporate:
* Vaccination against mpox
* Information on RSV vaccination
* Use of MenABCWY as an option for adults needing both MenACWY and MenB vaccinations

Please be sure your practice uses the most current versions of each of the following:
* Vaccinations for Adults: You’re Never Too Old to Get Vaccinated! ([link removed])
* Vaccinations for Adults with Chronic Liver Disease or Infection ([link removed])
* Vaccinations for Adults with Diabetes ([link removed])
* Vaccinations for Adults with Heart Disease ([link removed])
* Vaccinations for Adults with HIV Infection ([link removed])
* Vaccinations for Adults with Lung Disease ([link removed])
* Vaccinations for Adults without a Spleen ([link removed])
* Vaccinations for Men Who Have Sex with Men ([link removed])
* Vaccinations Needed During Pregnanc ([link removed]) y ([link removed])

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Related Links
* Immunize​.org: Clinical Resources: Adult Vaccination ([link removed]) [link removed] page
* Immunize​.org: Clinical Resources A–Z ([link removed]) main page, where you can filter by topic, vaccine, language, or other criteria

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February is American Heart Month; certain vaccines are especially important for people with heart disease

February is American Heart Month ([link removed]) , a time for people to focus on their cardiovascular health. Every year, thousands of people with heart or vascular disease experience serious complications from vaccine-preventable infections. You can help protect your heart and health through vaccination. Vaccines of particular importance for people with heart disease include:
* COVID-19
* Influenza
* Pneumococcal
* RSV (if age 60 years or older)

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Related Links
* NFID: Vaccines and Heart Disease ([link removed]) main page
* Immunize​.org: Vaccinations for Adults with Heart Disease ([link removed]) (PDF)

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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 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. Revisions to the February 8 checklist include links to CDC’s updated materials for storage and handling of Pfizer-BioNTech’s 2023–2024 Formula Comirnaty vaccine supplied in either plastic or glass manufacturer-filled syringes (MFSs).

Storage requirement revisions include:
* Glass MFSs must be stored at refrigerated temperatures (2^o through 8^oC, 35^o through 46^oF) and should NOT be frozen
* Labels on individual glass syringes and their cartons prominently display a “DO NOT FREEZE” warning
* Plastic MFSs are shipped and may be stored at ultracold temperatures (–90^o through –60^oC, –130^o through –76^oF)

To reflect these storage requirements, CDC updated its Pfizer-BioNTech 2023–2024 Formula COVID-19 vaccine At-A-Glance ([link removed]) and Storage and Beyond-Use Date Tracking Labels ([link removed]) resources.
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All COVID-19 vaccine providers should review this checklist regularly. Download the latest documents and discard any outdated versions. The checklist is posted on Immunize​.org's Vaccines A–Z: 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: Clinical Resources: Screening Checklists ([link removed]) main page
* Immunize​.org: Vaccines A–Z: COVID-19 ([link removed]) main page
* Immunize​.org: Ask the Experts: COVID-19 ([link removed]) main page
* CDC: Interim Clinical Considerations ([link removed]) main page summarizing use of COVID-19 vaccines in the United States

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Influenza-like illness rates remain high in many parts of the country; continue to promote vaccination against respiratory illnesses

CDC’s Weekly U.S. Influenza Surveillance Report, FluView ([link removed]) , provides a valuable picture of laboratory-confirmed influenza and influenza-like-illness (ILI) activity state by state. ILI activity is caused by a variety of respiratory illnesses, including three vaccine-preventable infections: influenza, COVID-19, and RSV.

Influenza Surveillance
For week 5, ending February 3, CDC’s Weekly U.S. Influenza Surveillance Report, FluView ([link removed]) shows that 25 jurisdictions experienced high or very high activity. Nationwide, 4.4% of patient visits reported through the Outpatient Influenza-Like Illness Surveillance Network (ILINet) were due to respiratory illness that included fever plus a cough or sore throat (i.e., ILI). The national baseline is 2.5%. Eight pediatric influenza-associated deaths were reported this week, bringing the total to 74 pediatric deaths thus far during the 2023–24 season.

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RESP-NET
Visit the CDC Respiratory Virus Hospitalization Surveillance Network (RESP-NET) ([link removed]) for weekly reports of hospitalizations across the United States due to three vaccine-preventable seasonal respiratory viruses: COVID-19, influenza, and RSV.

Influenza Vaccination Dashboard
CDC's Weekly Flu Vaccination Dashboard ([link removed]) shows that as of February 9, more than 36.5 million doses of flu vaccine were administered in pharmacies and nearly 24 million doses in medical offices (shown under Adult Vaccinations Administered). Vaccination appears to be lagging behind this time in 2022 in both sectors. Notably, coverage for all children is 3.3 percentage points lower this season compared with the same time last season (48.4% compared with 51.7%) and 9.9 percentage points lower compared with pre-pandemic coverage in January of 2020. Vaccination can still protect people now and as long as influenza remains active in your community.

CDC recommends everyone age 6 months and older get annual influenza vaccination. Influenza and other vaccines (including COVID-19 and RSV vaccines) may be given at the same visit, if indicated. Infants age 6 months and older may receive influenza and COVID-19 vaccines at the same visit when they receive the RSV preventive antibody, nirsevimab.

Locate influenza and COVID-19 vaccines in your area by entering your zip code in the VaccineFinder on Vaccines.gov ([link removed]) or Vacunas.gov ([link removed]) . To be listed as a provider by VaccineFinder, see the information on this website ([link removed]) .

Related Links
* CDC: Weekly National Flu Vaccination Dashboard ([link removed]) main page
* CDC: FluView ([link removed]) main page
* CDC: RESP-NET ([link removed]) main page
* Immunize​.org: free clinical resources and patient handouts related to influenza ([link removed])
* Immunize​.org: Vaccines: Influenza ([link removed]) main page
* Immunize​.org: Ask the Experts: Influenza ([link removed]) main page

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Immunize​.org’s Hepatitis B Birth Dose Honor Roll recognizes 580 institutions, including four renewing honorees

Immunize​.org is pleased to renew four institutions’ Hepatitis B Birth Dose Honor Roll status, retaining their standing among 580 honorees. The birthing institutions are listed below with their reported hepatitis B birth dose coverage rates in parentheses.
* Fillmore County Hospital, Geneva, NE (93%) (2 years)
* Houston Methodist Hospital, Houston, TX (92%) (3 years)
* Pratt Regional Medical Center, Pratt, KS (90%) (5 years)
* Lowell General Hospital, Lowell, MA (94%) (6 years)

The Honor Roll includes 580 birthing institutions from 45 states, the District of Columbia, Puerto Rico, Guam, Saipan, and our U.S. military base in England.
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The Honor Roll is a key part of Immunize​.org’s 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 for hepatitis B vaccine at birth and meeting additional criteria. To learn whether your organization qualifies and to access the application form, please see Hepatitis B Birth Dose Honor Roll online ([link removed]) .

Honorees receive an 8.5" x 11" color certificate suitable for printing and framing. Their acceptance is announced through Immunize​.org’s social media channels and to IZ Express’s 54,000+ readers.

Please visit the Hepatitis B Birth Dose Honor Roll web page that lists these institutions and celebrates their vigorous efforts to protect infants from perinatal hepatitis B transmission.

Related Immunize​.org Resources
* Give Birth to the End of Hep B  ([link removed]) main page 
* Fact sheet: Do You Qualify for the Hepatitis B Birth Dose Honor Roll? If So, Apply Today. ([link removed])
* Handout on Immunize​.org’s campaign: Give Birth to the End of Hep B ([link removed])
* Hepatitis B Birth Dose Honor Roll ([link removed])  web page

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"Is Hepatitis B Screening Required before Vaccination?"  Watch the 1-minute answer, part of the Ask the Experts Video Series on YouTube.

This week, our featured episode from the Ask the Experts Video Series is Is Hepatitis B Screening Required before Vaccination? ([link removed]  ) The video briefly describes why screening may be done before vaccination, but is not necessary if the opportunity to vaccinate comes first.

The 1-minute video is available on our YouTube channel ([link removed]) , along with our full collection of quick video answers to popular Ask the Experts ([link removed]) questions.

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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 ImmunizeOrg ([link removed])
* YouTube at ImmunizeOrg ([link removed])

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Journalists interview Immunize​.org experts

Journalists seek out Immunize​.org experts to help explain vaccines to the public and policy makers. We help the media understand and communicate the complex work vaccinators do. Here is a recent citation.
* STAT: HHS Leaves Vacant More than Half the Slots on a Key Vaccine Advisory Panel ([link removed]) (2/8/24)

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Vaccines in the news

These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
* Medical Xpress: Trust in Doctors, Not Public Officials, Boosts COVID-19 Vaccination ([link removed]) (2/6/24)
* U.S. News: More Evidence COVID Shot in Pregnancy Is Safe, Healthy for Babies ([link removed] ) (2/6/24)
* The Guardian: ‘I Wish I’d Had Someone like Me to Talk To’: The Mothers Helping Fight Cervical Cancer in Malawi ([link removed]) (2/6/24)
* NBC: How the Anti-vaccine Movement Is Downplaying the Danger of Measles ([link removed]) (2/5/24)
* USA Today: COVID, Flu, and RSV Are Still Here. The ‘Tripledemic’ Doesn’t Care That We’re over Being Sick. ([link removed]) (2/2/24)

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Immunize​.org Website and Clinical Resources
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Recap: Immunize​.org updates two meningococcal resources for healthcare providers and patients

Immunize​.org recently updated two of its meningococcal resources:
* Meningococcal ACWY Vaccine Recommendations by Age and Risk Factor ([link removed])
* Meningococcal: Questions and Answers ([link removed])

For both, references to Menactra (Sanofi) were removed following expiration of the last doses of this discontinued product. Information regarding the recommended use of MenABCWY (Penbraya, Pfizer) was added. A QR code linking to the online version of the document was added.

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Related Links
* Immunize​.org: Meningococcal ACWY Vaccine Recommendations by Age and Risk Factor ([link removed]) (PDF)
* Immunize​.org: Meningococcal: Questions and Answers ([link removed]) (PDF)
* Immunize​.org: Clinical Resources A–Z ([link removed]) main page, where you can filter by topic, vaccine, language, or other criteria

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Recap: “Hepatitis A and Hepatitis B Vaccines: Be Sure Your Patients Get the Correct Dose” resource updated

Immunize​.org updated its Hepatitis A and Hepatitis B Vaccines: Be Sure Your Patients Get the Correct Dose ([link removed]) clinical resource. Minor changes were made, including the addition of a QR code linking to the online version of the document.

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Related Links
* Immunize​.org: Hepatitis A and Hepatitis B Vaccines: Be Sure Your Patients Get the Correct Dose ([link removed]) (PDF)
* Immunize​.org: Clinical Resource ([link removed]) main page to see educational materials sorted by category

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Recap: Immunize​.org updated these clinical resources in December and January

IZ Express regularly provides readers with information about Immunize​.org’s new and updated educational materials for healthcare professionals and handouts for patients. All Immunize​.org materials are free to distribute.

In case you missed them during recent weeks, updates were made to these helpful materials:

Immunize​.org Updated Materials for Clinicians
* Tools to support vaccine administration
+ Standing Orders for Administering Nirsevimab RSV Preventive Antibody to Infants (2023–24 Season Only) ([link removed])
+ Standing Orders for Administering Pneumococcal Vaccine to Children and Teens ([link removed])
+ Recommendations for Pneumococcal Vaccines Use in Children and Teens ([link removed])
+ How to Administer Multiple Intramuscular Vaccines to Adults during One Visit ([link removed])
+ Sample Vaccine Policy Statement ([link removed])

* Checklists, questionnaires, and worksheets
+ Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools ([link removed])
+ Screening Checklist for Contraindications to Vaccines for Children and Teens ([link removed])
+ Skills Checklist for Vaccine Administration ([link removed])
+ Checklist for Safe Vaccine Storage and Handling ([link removed])
+ Should You Be Vaccinated against Hepatitis B? A Screening Questionnaire for Adults ([link removed])
+ Vaccine Storage Emergency Response Worksheet ([link removed])

Immunize​.org Updated Materials for Patients
* Questions and answers—information about diseases and vaccines: Human Papillomavirus (HPV) ([link removed]) , Polio ([link removed]) , and Rotavirus ([link removed])
* For pediatric patients
+ Immunizations for Babies: A Guide for Parents ([link removed])
+ Vaccines for Infants and Children Age 0–10 Years ([link removed])
+ When Do Children and Teens Need Vaccinations? ([link removed])
* For adult patients
+ Vaccinations for Adults You’re Never Too Old to Get Vaccinated! ([link removed])
+ Adult Immunization: Importance of Staying Up to Date with Vaccines ([link removed])
+ HPV Vaccine: A Guide for Adults Ages 18–26 Years ([link removed])

Immunize​.org Web Pages
* CDC Recommended Schedules ([link removed])
* Ask the Experts: RSV (Respiratory Syncytial Virus) ([link removed])
* Vaccine Confidence: Improving the Vaccination Experience ([link removed])
* Vaccine History Timeline ([link removed])
* Vaccines: Chikungunya ([link removed])

Related Links
* Immunize​.org: Clinical Resources A–Z ([link removed]) main page to see educational materials sorted by category
* Immunize​.org: Ask the Experts ([link removed]) main page to access more than 1,300 questions answered by Immunize​.org experts

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Spotlight on the website

In today’s story, we continue to spotlight our link to state-specific resources: State Immunization Websites ([link removed]) and Additional State Resources ([link removed]) . These can be found by choosing the Official Guidance menu tab at the top of every page, then selecting States from the lefthand list.

The State Immunization Websites ([link removed]) page (righthand list) provides links to state government websites with information about each state’s immunization program, as well as childcare, school, or college immunization requirements. Select a state name to expand its section.

Additional State Resources ([link removed]) connects you to important contact information for state immunization program managers, as well as other immunization contacts, including perinatal hepatitis B prevention coordinators, and Indian Health Service immunization contacts. Links to other useful government and nongovernment organization sites are also provided.

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Featured Resources
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Place your order! Sturdy, laminated versions of the 2024 U.S. immunization schedules from Immunize​.org shipping now.

Laminated versions of the 2024 U.S. child and adolescent immunization schedule ([link removed]) and the 2024 U.S. adult immunization schedule ([link removed]) are shipping now and available in the Immunize​.org Shop.

While the schedules are available online from CDC at no cost, Immunize​.org’s printed, laminated booklets are ideal for use in any busy healthcare setting where vaccinations are given.
* Durable: their tough coating can be wiped down, and they’re durable enough to stand up to a year's worth of use
* Format: each schedule is produced in a 16-page, 8.5” X 11” booklet format; with color coding for easy reading, our laminated schedules replicate the original CDC formatting, including all tables and notes
* Easy access to CDC updates: CDC added an online addendum page to the schedule, where new recommendations from ACIP made during 2024 can be posted. The laminated schedule addendum pages include custom QR codes you can scan to view or print the current CDC addendum from CDC's website, as needed.
* Adult schedule bonus: the adult schedule includes a bonus page with Immunize​.org’s popular 1-page handout summarizing the dose, route, and needle size recommendations for all adult vaccines and recipients

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Pricing
* 1 copy: $10.00
* 2–4 copies: $9.50 each
* 5–19 copies: $8.50 each
* 20–99 copies: $7.50 each
* 100–499 copies: $6.00 each
* 500–999 copies: $5.00 each
* 1,000–1,999 copies: $4.00 each
* 2,000+ copies: $3.25 each

Visit the Shop Immunize.org: Laminated Schedules ([link removed]) web page to view images of all the pages, to download the order form, and to order today!

For additional information, including large bulk orders, call 651-647-9009 or email [email protected] (mailto:[email protected]) .

Related Links
* Immunize​.org: Laminated Child and Adolescent Immunization Schedules (0–18 years) ([link removed]) web page
* Immunize​.org: Laminated Adult Immunization Schedules (19 and older) ([link removed]) web page
* Immunize​.org: Shop Immunize.org ([link removed]) main page

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Medscape offers activity for healthcare professionals on new pneumococcal vaccine guidelines for adults; CE available

Medscape offers an online monograph titled Pneumococcal Vaccine for Adults Aged ≥ 19 Years: Recommendations of the Advisory Committee on Immunization Practices, United States, 2023 ([link removed]) . Its goal is to help primary-care clinicians and other healthcare professionals apply ACIP pneumococcal vaccination recommendations across a spectrum of adult presentations.

CE and CME are available through December 21, 2024.

Register for the activity ([link removed]) .

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NFID shares resources for influenza and RSV vaccines, long COVID, and vaccination for people with heart disease

NFID offers several new resources and social media graphics to help raise awareness about influenza and RSV vaccines, long COVID, and the importance of vaccination for people with heart disease.

Resources include:
* Flu and Chronic Health Conditions ([link removed])
* RSV Social Media Graphics ([link removed])
* Long COVID Social Media Graphics ([link removed])
* Vaccines and Heart Disease ([link removed])

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Immunize​.org plans to discontinue child/teen and lifetime immunization record cards, keep adult record cards

Immunize​.org has offered three types of immunization record cards for many years: Child & Teen ([link removed]) , Adult ([link removed]) , and Lifetime ([link removed]) . However, as the use of immunization information systems increased, especially for children, demand for our Child/Teen and Lifetime record cards declined. For this reason, once the current inventory is depleted, both Child/Teen and Lifetime Immunization Record cards will be discontinued. We will continue to offer the Adult Immunization Record.

All card types remain available at this time. To purchase record cards for your site, please visit the Immunize.org ([link removed]) ​ ([link removed]) Shop ([link removed]) .

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Related Link
* Immunize​.org: Shop Immunize.org ([link removed]) main page

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Updated 65+ Flu Defense website offers resources for healthcare professionals serving older adults

Confident recommendations for influenza vaccine from healthcare providers are powerfully persuasive. To assist you in maximizing protection for your patients, Immunize​.org, in collaboration with CSL Seqirus, updated the 65+ Flu Defense ([link removed]) website.

Older adults are at increased risk of severe influenza and COVID-19 illness, including hospitalization and death, especially if they are not up to date on these vaccinations. An updated fact sheet on the website, The Importance of Preventing Influenza and COVID-19, ([link removed]) ([link removed]) offers responses to help guide discussions with patients on the importance of preventing influenza and COVID-19.

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This helpful site includes information, tools, and tips for communicating with adults age 65 and older about the scope and severity of influenza. Resources include:
* Influenza in Adults 65+: The Facts ([link removed])
* Influenza Vaccination: Questions Patients Aged 65 and Older Frequently Ask Their HCP ([link removed])
* The Importance of Preventing Influenza and COVID-19 ([link removed])

Check out the updated 65+ Flu Defense website at www.influenza-defense.org ([link removed]) to assist your ongoing efforts in protecting this vulnerable population.

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Upcoming Events
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Virtual: Watch February 22–23 National Vaccine Advisory Committee meeting with discussion on measles, VFC, and more

National Vaccine Advisory Committee (NVAC) meetings ([link removed]) are held three times a year. The meetings cover the most recent and pressing topics affecting the vaccine enterprise. NVAC is scheduled to meet February 22–23. Agenda ([link removed]) topics include measles, vaccine innovation, shortages, school-entry policies, VFC, artificial intelligence, adult vaccination, immunization during pregnancy, and more.

NVAC meetings are open to the public and can be viewed virtually. Preregistration ([link removed]) is required for both public attendance and comment.

ViewFebruary 22–23 NVAC Meeting ([link removed]) web page for more information.
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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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