From Immunize.org <[email protected]>
Subject IZ Express #1,749: Immunize.org team updating important clinical resources, and more
Date March 27, 2024 10:15 AM
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Issue 1,749: March 27, 2024

Top Stories
* Download the updated suite of Immunize​.org vaccine storage and excursion response materials, including temperature logs and emergency response worksheets
* Immunize​.org “Ask the Experts: COVID-19” web section updated with new recommendations for adults age 65 and older
* Immunize​.org updates “Meningococcal B Vaccine Recommendations by Age and Risk Factor” to include optional use of pentavalent MenABCWY
* Immunize​.org updates “DTaP, Tdap, and Td Catch-Up Vaccination Recommendations by Prior Vaccine History and Age” to include CDC guidance for Td use in certain children younger than age 7 years
* Immunize​.org updates “Key Vaccination Resources for Healthcare Professionals” training guide organized by experience level
* Influenza-like illness activity remains elevated nationally, shows signs of decline; continue to offer flu vaccine
* “How Do We Avoid the Problem of Lost HepB Records for Adult Patients We Vaccinate Now?” Watch the 2-minute answer, part of the Ask the Experts Video Series on YouTube.
* Journalists interview Immunize​.org experts
* Vaccines in the news

Immunize​.org Website and Clinical Resources
* Recap: Immunize​.org updates "Pneumococcus: Questions and Answers"
* Recap: Immunize​.org updates “Ask the Experts: HPV” web section
* Spotlight on the website: Try out the new Immunize​.org website on your smartphone!

Featured Resources
* Place your order! Sturdy, laminated versions of the 2024 U.S. immunization schedules from Immunize​.org now shipping.
* Updated 65+ Flu Defense website offers resources for healthcare professionals serving older adults

Upcoming Events
* On-Demand: NFID hosts webinar titled “Addressing Gaps in Vaccine Access and Coverage” on March 27 at 1:00 p.m. (ET); CME credit available
* Virtual: Clinical Education Alliance hosts two free webinars addressing shingles and RSV vaccinations for adults on April 16 and 17; CME credit available

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Top Stories
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Download the updated suite of Immunize​.org vaccine storage and excursion response materials, including temperature logs and emergency response worksheets

Immunize​.org updated its entire suite of vaccine storage and response materials to align with the current CDC guidance for temperature monitoring in line with its Vaccine Storage and Handling Toolkit ([link removed]). They now accommodate two options for how to monitor temperatures in standard freezers or refrigerators, depending upon whether temperature monitoring is done with CDC-preferred continuous digital data loggers that display minimum and maximum temperatures (min/max), or other acceptable temperature monitoring devices without min/max displays. QR codes linking to online versions of the documents were added. Facilities using our temperature logs and vaccine storage emergency response worksheets should download these updated logs.

In addition to temperature logs, Immunize​.org updated two resources designed to help you manage vaccine temperature excursions.

* Vaccine Storage Emergency Response Worksheet ([link removed]): this worksheet helps healthcare professionals document inventory and evaluate vaccine usability in the aftermath of power failures and temperature excursions. The worksheet now has a column to document the funding source (e.g., VFC, private) of each vaccine lot affected.

* Vaccine Storage Troubleshooting Record ([link removed]): this fillable form can document the conditions and staff response to any unacceptable vaccine storage event, such as exposures to temperatures that are outside the manufacturers' recommended storage ranges

Below are the links to Immunize​.org’s four temperature logs ([link removed]) to help track proper vaccine storage and handling. Temperature logs are available for refrigerators and standard (not ultra-cold) freezers in Celsius or Fahrenheit formats.

* Temperature log for refrigerator – Celsius ([link removed])
* Temperature log for refrigerator – Fahrenheit ([link removed])

* Temperature log for freezer – Celsius ([link removed])
* Temperature log for freezer – Fahrenheit ([link removed])

Related Links
* Immunize​.org: Clinical Resources: Storage & Handling ([link removed]) main page
* Immunize​.org: Clinical Resources A–Z ([link removed]) main page, where you can filter by topic, vaccine, language, or other criteria
* CDC: Vaccine Storage and Handling Resources ([link removed]) web section
* CDC: Vaccine Storage & Handling Toolkit ([link removed])

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Immunize​.org “Ask the Experts: COVID-19” web section updated with new recommendations for adults age 65 and older

Immunize​.org reviewed and updated its popular Ask the Experts: COVID-19 ([link removed]) web page. Clinical questions and answers now reflect updates made by ACIP in February 2024, recommending administration of an additional dose of any 2023–2024 Formula COVID-19 vaccine for people age 65 and older at least 4 months after the most recent dose of 2023–2024 Formula COVID-19 vaccine. Updates were also made to VAERS reporting guidance, distinguishing between guidance for fully licensed products and products used under emergency use authorization.

Immunize​.org’s Ask the Experts ([link removed]) main page leads you to 30 web pages on various topics with more than 1,300 common or challenging questions and answers about vaccines and their administration. Immunize.org’s team of experts includes Kelly L. Moore, MD, MPH (team lead), Carolyn B. Bridges, MD, FACP, and Iyabode Beysolow, MD, MPH.

Related Links
* Immunize​.org: Ask the Experts ([link removed]) main page with more than 1,300 questions and answers
* Immunize​.org: Ask the Experts: COVID-19 ([link removed]) web page
* CDC: Use of COVID-19 Vaccines in the United States: Interim Clinical Considerations ([link removed])

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Immunize​.org updates “Meningococcal B Vaccine Recommendations by Age and Risk Factor” to include optional use of pentavalent MenABCWY

Immunize​.org updated its one-page quick reference chart for healthcare providers, Meningococcal B Vaccine Recommendations by Age and Risk Factor ([link removed]). The chart includes the option to use pentavalent MenABCWY (Penbraya, Pfizer) when both MenACWY and Trumenba brand MenB vaccines are indicated at the same visit.

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

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Immunize​.org updates “DTaP, Tdap, and Td Catch-Up Vaccination Recommendations by Prior Vaccine History and Age” to include CDC guidance for Td use in certain children younger than age 7 years

Immunize​.org recently revised its 1-page guidance for healthcare professionals titled DTaP, Tdap, and Td Catch-Up Vaccination Recommendations by Prior Vaccine History and Age ([link removed]). References to DT vaccine, which is no longer available, were deleted. DT had been used in children younger than age 7 years who had a history of developing encephalopathy within 7 days after DTaP vaccination, not due to another cause. In this rare circumstance, CDC now recommends off-label use of Td vaccine, licensed for age 7 years or older, in these children who are younger than age 7, on the same schedule as would be followed to complete DTaP series.

Related Links
* Immunize​.org: Clinical Resources A–Z ([link removed]) main page, where you can filter by topic, vaccine, language, or other criteria
* CDC: About Young Children with a Contraindication to Pertussis-Containing Vaccines ([link removed])

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Immunize​.org updates “Key Vaccination Resources for Healthcare Professionals” training guide organized by experience level

Immunize​.org recently updated its Key Vaccination Resources for Healthcare Professionals ([link removed]) 5-page training guide for providers. Minor edits were made to add new resources and update URLs. Review this resource to ensure you and your team are not missing out on vaccination training and resources to support your work.

Related Link
* 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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Influenza-like illness activity remains elevated nationally, shows signs of decline; continue to offer flu vaccine

CDC’s Weekly U.S. Influenza Surveillance Report, FluView ([link removed]), provides a valuable picture of laboratory-confirmed influenza and influenza-like illness activity state by state.

Influenza Surveillance
For week 11, ending March 16, CDC’s Weekly U.S. Influenza Surveillance Report, FluView ([link removed]) shows that seasonal influenza activity remains elevated nationally but is showing signs of decline. Activity is decreasing or stable in nine HHS regions and increasing slightly in the Pacific Northwest. Nationwide, 3.4% 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%. Five pediatric influenza-associated deaths were reported this week, bringing the total to 121 children who died of influenza thus far during the 2023–2024 season.

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 healthcare claims for adults in the 2023–2024 season were lower by 6.33 million doses compared with the same time last year. These data, through March 2, are based on doses administered in community pharmacies and physicians’ medical offices.

CDC recommends everyone age 6 months and older get annual influenza vaccination. Influenza and other vaccines (e.g., COVID-19 and pneumococcal 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.

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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“How Do We Avoid the Problem of Lost HepB Records for Adult Patients We Vaccinate Now?” Watch the 2-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 How Do We Avoid the Problem of Lost HepB Records for Adult Patients We Vaccinate Now? ([link removed]) The video briefly describes the importance of adult vaccination documentation, especially because adults may receive vaccine doses from different providers and the HepB vaccine series is usually only needed once in a lifetime.

The 2-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.

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 selection of our recent citations.

* Contemporary Pediatrics: Synthesizing CDC Immunization Recommendations with Mary Koslap-Petraco, DNP, PPCNP-BC, CPNP, FAANP ([link removed]) (3/15/24)

* Contemporary Pediatrics: Helping to Advert Tragedy: Helping to Protect against Invasive Meningococcal Disease ([link removed]) with Sharon Humiston, MD, MPH (1/4/2024)

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Vaccines in the news

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

* CIDRAP: Simple AI Tool Can Predict COVID Vaccine Uptake, Researchers Report ([link removed]) (3/21/24)

* Fort Worth Star-Telegram: Doctors Outraged after Texas Bans Health Departments from Promoting COVID Vaccines ([link removed]) (3/21/24)

* New York Times: Following Measles Outbreaks, Officials Grow Wary of Renewed Threat ([link removed]) (3/20/24)

* Axios: COVID Paved the Way for a New Vaccine Era ([link removed]) (3/16/24)

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Immunize​.org Website and Clinical Resources
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Recap: Immunize​.org updates "Pneumococcus: Questions and Answers"

Immunize​.org updated our patient resource Pneumococcus: Questions and Answers ([link removed]). Answers incorporate recommendations for PCV20 vaccine for children and teens. Information about the CDC PneumoRecs Vax Advisor mobile app ([link removed]) was added. This easy-to-use app helps healthcare professionals determine the pneumococcal vaccine doses needed for their patients, in accordance with current ACIP recommendations for children and adults.

Related Links
* Immunize​.org: Pneumococcus: Questions and Answers ([link removed]) (PDF)
* CDC: PneumoRecs Vax Advisor mobile app ([link removed])
* 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: Immunize​.org updates “Ask the Experts: HPV” web section

Immunize​.org reviewed and updated its popular Ask the Experts: HPV ([link removed]) web page, updating disease epidemiology and resource references, as needed.

Immunize​.org’s Ask the Experts ([link removed]) main page leads you to 30 web pages on various topics with more than 1,300 common or challenging questions and answers about vaccines and their administration. Immunize​.org’s team of experts includes Kelly L. Moore, MD, MPH (team lead), Carolyn B. Bridges, MD, FACP, and Iyabode Beysolow, MD, MPH.

Related Links
* Immunize​.org: Ask the Experts ([link removed]) main page with more than 1,300 questions and answers
* Immunize​.org: Ask the Experts: HPV ([link removed]) web page

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Spotlight on the website: Try out the new Immunize​.org website on your smartphone!

Our new website ([link removed]) is designed to adapt seamlessly to the smaller screens of tablets and smartphones with configurations that make it simple to read and use. Navigation is responsive and features easy-access links for finger scrolling.

When you open the site, start your search using the “hamburger” menu icon or search feature at the top right of the screen on the home page. After clicking on the hamburger, you have instant access to content categories. Below are screenshots of the home page and first-level content categories. Try out the new look and feel on your smartphone today!

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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 now shipping.

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 available and shipping now. We do anticipate selling out, so if you need some, do not delay!

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 content: 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 vaccines and recipients

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, call 651-647-9009 or email [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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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]) offers responses to help guide discussions with patients on the importance of preventing influenza and COVID-19.

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 to assist your ongoing efforts in protecting this vulnerable population.

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Upcoming Events
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On-Demand: NFID hosts webinar titled “Addressing Gaps in Vaccine Access and Coverage” on March 27 at 1:00 p.m. (ET); CME credit available

NFID will host a webinar titled Addressing Gaps in Vaccine Access and Coverage ([link removed]), 1:00–2:00 p.m. (ET) on March 27. NFID Medical Director Robert (Bob) H. Hopkins, Jr., MD, will moderate the discussion with Rachel H. Banks, MPIA, NAFSA: Association of International Educators; Lisa G. Foster, Adult Vaccine Access Coalition; and NFID President-Elect Jeffery A. Goad, PharmD, MPH. Panelists will discuss the current policy environment; factors limiting access to critical travel, outbreak, and occupational vaccines; and potential solutions to ensure vaccine access for patients with commercial insurance.

CME credit is available. There is no fee to participate in this activity, but preregistration is required.

Register for the webinar ([link removed]).

NFID hosts monthly webinars ([link removed]) to increase awareness of the importance of infectious disease prevention and treatment. CME, CNE, and CPE credit are available for select recordings. View all archived NFID webinars ([link removed]).

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Virtual: Clinical Education Alliance hosts two free webinars addressing shingles and RSV vaccinations for adults on April 16 and 17; CME credit available

Two live symposia on adult vaccination are being broadcast by Clinical Education Alliance, a healthcare professional education company. Free CME credit will be provided by Clinical Care Options, LLC. These sessions are sponsored by an educational grant from GSK.
* Strategies for Success: Best Practices to Optimize Shingles Vaccine Uptake ([link removed]): 12:15–1:15 p.m. (ET) on April 16
* Easy as 1-2-3: Simplifying RSV Vaccination for Older Adults ([link removed]): 12:15–1:15 p.m. (ET) on April 17

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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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