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Issue 1488: April 1, 2020
-TOP STORIES-
* Reminder: CDC released guidance on maintaining childhood immunizations during COVID-19 pandemic
* Heplisav-B pregnancy registry open for enrollment
* IAC Spotlight! These IAC materials and immunize.org web pages were updated in February and March
* CDC reports lab-confirmed flu activity is slowing, but not gone; continue vaccinating
* Not-to-miss immunization articles in the news
* Stay up to date on the latest coronavirus information
-IAC HANDOUTS-
* IAC revises “Guide to Contraindications and Precautions to Commonly Used Vaccines,” which covers vaccines for children and adults, and “Guide to Contraindications and Precautions to Commonly Used Vaccines in Adults”
* IAC updates Tdap/Td standing orders templates for children age 7 and older, for adults, and for pregnant women
* IAC revises “DTaP, Tdap, and Td Catch-up Vaccination Recommendations by Prior Vaccine History and Age”
-FEATURED RESOURCES-
* Order copies of IAC’s laminated 2020 U.S. child/adolescent and adult immunization schedules for your exam rooms today!
* Not-to-miss information and videos on handwashing
* Reminder: "65+ Flu Defense" website features tools and resources for healthcare professionals serving adults age 65 and older
-JOURNAL ARTICLES AND NEWSLETTERS-
* CDC publishes March issue of Immunization Works newsletter; subscribe for monthly immunization resources and information
* Vaccine Education Center at Children’s Hospital of Philadelphia publishes March issue of Vaccine Update newsletter
-EDUCATION AND TRAINING-
* New staff? Need a refresher? Learn more about immunization and improve your clinical skills! Check out these archived webinars and training modules from authoritative sources.
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-TOP STORIES-
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Reminder: CDC released guidance on maintaining childhood immunizations during COVID-19 pandemic
The following CDC information was posted to CDC's Resources for Clinics and Healthcare Facilities ([link removed])
The COVID-19 pandemic is changing rapidly and continues to affect communities across the United States differently. Some of the strategies used to slow the spread of disease in communities include postponing or canceling non-urgent elective procedures and using telemedicine instead of face-to-face encounters for routine medical visits.
Ensuring the delivery of newborn and well-child care, including childhood immunization, requires different strategies. Healthcare providers in communities affected by COVID-19 are using strategies [such as these from AAP] to separate well visits from sick visits ([link removed]). Examples include:
* Scheduling well visits in the morning and sick visits in the afternoon
* Separating patients spatially, such as by placing patients with sick visits in different areas of the clinic or another location from patients with well visits
* Collaborating with providers in the community to identify separate locations for holding well visits for children
Because of personal, practice, or community circumstances related to COVID-19, some providers may not be able to provide well-child visits, including provision of immunizations, for all patients in their practice. If a practice can provide only limited well-child visits, healthcare providers are encouraged to prioritize newborn care and vaccination of infants and young children (through 24 months of age) when possible. CDC is monitoring the situation and will continue to provide guidance.
Related Links
* CDC’s "Maintaining Childhood Immunizations During COVID-19 Pandemic" is available on its Resources for Clinics and Healthcare Facilities ([link removed]) web page
* AAP's COVID-19 Clinical Guidance Q&A ([link removed]) web page
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HEPLISAV-B PREGNANCY REGISTRY OPEN FOR ENROLLMENT
The Heplisav-B Pregnancy Registry ([link removed]), sponsored by Dynavax Technologies Corporation and managed by Pharmaceutical Product Development (PPD), Inc., is open for enrolling women vaccinated with Heplisav-B within 28 days before conception or at any time during pregnancy. This registry is the basis for an observational study being conducted in the United States to evaluate pregnancy outcomes in these women. The information collected will provide doctors with an understanding of the effect (if any) of Heplisav-B exposure during pregnancy.
Visit the Heplisav-B Pregnancy Registry ([link removed]) web page for more information. You may also call 1-844-443-7734 or contact
[email protected] (mailto:
[email protected]).
Related Link
* FDA's List of Pregnancy and Exposure Registries ([link removed]) web page
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IAC SPOTLIGHT! THESE IAC MATERIALS AND IMMUNIZE.ORG WEB PAGES WERE UPDATED IN FEBRUARY AND MARCH
IAC Express provides readers with information about new and updated immunize.org ([link removed]) educational materials for healthcare professionals and handouts for patients. All these materials are free for you to download, print, and distribute. IAC Express also announces major updates to the immunize.org web pages.
Below is a list of new and updated items announced in IAC Express during the past two months.
Educational Materials for Healthcare Professionals
Staff Education Materials
* Hepatitis B and Healthcare Personnel ([link removed])
* Pneumococcal Vaccination Recommendations for Children and Adults by Age and/or Risk Factor ([link removed])
* Pneumococcal Vaccines: IAC Answers Your Questions ([link removed])
* Standing Orders for Administering Pneumococcal Vaccines (PPSV23 and PCV13) to Adults ([link removed])
* Meningococcal ACWY Vaccine Recommendations by Age and Risk Factor ([link removed])
* Standing Orders for Administering Meningococcal ACWY Vaccine to Children and Teens ([link removed])
* Standing Orders for Administering Meningococcal ACWY Vaccine to Adults ([link removed])
* Meningococcal B Vaccine: IAC Answers Your Questions ([link removed])
Handouts for Your Patients
* Pneumococcus: Questions and Answers ([link removed])
* Meningococcal: Questions and Answers ([link removed])
Web Pages
* Ask the Experts: Human Papillomavirus (HPV) ([link removed]) web page
* Ask the Experts: Pneumococcal Vaccines (PCV13 and PPSV23) ([link removed]) [link removed] page
* PowerPoint Slide Set: A Photo Collection of Vaccine-Preventable Diseases ([link removed]) and other PowerPoint slide set presentations
Related Links
* IAC’s View All Materials ([link removed]) web page with more than 300 staff educational materials and patient handouts on immunize.org
* IAC’s Handouts ([link removed]) gateway page to see educational materials sorted by category
* IAC's Ask the Experts ([link removed]) gateway page to access more than 1,000 questions answered by IAC experts
* IAC's Clinic Tools ([link removed]) gateway page and its seven subtopics
* Visit What's New at IAC: Handouts ([link removed]) web page to view all new and updated educational materials and the dates they were posted on immunize.org
* Visit What's New at IAC: Web Sections ([link removed]) to view all new and updated web pages and dates they were posted on immunize.org
* Visit What’s New at IAC: Vaccine Information Statements ([link removed]) web page to view all new and updated Vaccine Information Statements and the dates they were posted on immunize.org
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CDC REPORTS LAB-CONFIRMED FLU ACTIVITY IS SLOWING, BUT NOT GONE; CONTINUE VACCINATING
There has been an increase in the percentage of visits for influenza-like illness, presumably due to the COVID-19 pandemic, but the number of positive influenza tests continues to decline. Thirty-eight states and Puerto Rico reported widespread influenza activity, ten states reported regional activity, the District of Columbia, Alaska, and Hawaii reported local activity, and the U.S. Virgin Islands reported sporadic activity for the week ending March 21. For details, please see CDC’s Weekly U.S. Influenza Surveillance Report, FluView ([link removed]).
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Six influenza-associated pediatric deaths were reported to CDC between weeks ending February 8 and March 14. A total of 155 influenza-associated pediatric deaths have been reported for the 2019–20 season. CDC estimates that so far this season there have been at least 39 million flu illnesses, 400,000 hospitalizations and 24,000 deaths from flu.
Influenza vaccination is recommended for everyone 6 months of age and older, so please continue to vaccinate all your patients in this age range. If you don’t provide influenza vaccination in your clinic, please recommend vaccination to your patients and refer them to a clinic or pharmacy that provides vaccines or to the HealthMap Vaccine Finder ([link removed]) to locate influenza vaccination services near them.
Related Links
* CDC's Seasonal Flu ([link removed]) gateway page
* CDC's FluView ([link removed]) gateway page
* CDC's Free Resources related to influenza ([link removed]) web page
* IAC's Handouts: Influenza ([link removed]) web page, free and ready to print
* IAC’s Ask the Experts: Influenza ([link removed]) web page
* IAC’s Vaccines: Influenza ([link removed]) web page
* National Adult and Influenza Immunization Summit ([link removed]) website
* The Summit Buzz: ([link removed]) newsletter of the National Adult and Influenza Immunization Summit (NAIIS)
* Influenza Vaccine Availability Tracking System—IVATS: ([link removed]) a resource for healthcare settings looking to purchase influenza vaccine (made available from NAIIS)
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NOT-TO-MISS IMMUNIZATION ARTICLES IN THE NEWS
These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
* Science: The Physician Whose 1964 Vaccine Beat Back Rubella is Working to Defeat the New Coronavirus ([link removed]) (3/21/20)
* AMA: In the Age of Pandemics, How Tough Should Vaccine Mandates Get? ([link removed]) (3/23/20)
* BGR: Scientists are Testing a Modified Measles Vaccine Against Coronavirus ([link removed]) (3/23/20)
* NNY360: ‘It’s Just the Flu’ Remark Undermines How Seriously Influenza Should be Taken ([link removed]) (3/21/20)
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STAY UP TO DATE ON THE LATEST CORONAVIRUS INFORMATION
CDC, NIH, WHO, and Johns Hopkins are closely monitoring the SARS-CoV-2 ([link removed]) pandemic. Be sure to check the resources below for the latest information. Stay in touch with your local and state health departments.
Related Links
* CDC’s COVID-19 gateway page, CDC.gov/coronavirus ([link removed]) , links to CDC’s Situation Summary ([link removed]) web page and Latest News ([link removed]) web page
* NIH’s Coronavirus (COVID-19) ([link removed]) gateway page links to news releases on vaccine trials
* WHO’s Coronavirus Disease (COVID-19) Outbreak ([link removed]) gateway page links to WHO’s Situation Reports ([link removed]) web page
* Johns Hopkins' Coronavirus Resource Center ([link removed]) gateway page links to the Coronavirus COVID-19 Global Cases CSSE ([link removed]) web page
* New! COVID-19 app ([link removed]) created in partnership with the CDC, White House Coronavirus Task Force, and FEMA
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IAC HANDOUTS
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IAC REVISES “GUIDE TO CONTRAINDICATIONS AND PRECAUTIONS TO COMMONLY USED VACCINES,” WHICH COVERS VACCINES FOR CHILDREN AND ADULTS, AND “GUIDE TO CONTRAINDICATIONS AND PRECAUTIONS TO COMMONLY USED VACCINES IN ADULTS”
IAC has updated both Guide to Contraindications and Precautions to Commonly Used Vaccines ([link removed]) , which covers vaccines for children and adults, and Guide to Contraindications and Precautions to Commonly Used Vaccines in Adults ([link removed]) . Changes were made to show that (a) hypersensitivity to yeast is a contraindication for vaccination with both HPV and PCV13 vaccines, (b) pregnancy is a precaution for use of MenB vaccine, and (c) several URLs have been updated in the footnotes.
Related Links
* IAC’s Handouts: Contraindications and Precautions ([link removed]) web page
* IAC’s Clinic Tools: Screening for Contraindications and Precautions ([link removed]) web page
* IAC’s Ask the Experts: Precautions and Contraindications ([link removed]) web page
* View more than 300 ready-to-print IAC Educational Materials for Patients and Staff ([link removed])
* IAC's Handouts for Patients & Staff ([link removed]) sorted by topic
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IAC UPDATES TDAP/TD STANDING ORDERS TEMPLATES FOR CHILDREN AGE 7 AND OLDER, FOR ADULTS, AND FOR PREGNANT WOMEN
IAC recently updated its guidance documents titled Standing Orders for Administering Tdap/Td Vaccine to Children Age 7 Years and Older ([link removed]) and Standing Orders for Administering Tdap/Td Vaccine to Adults ([link removed]). ([link removed]) These resources were updated to incorporate the updated ACIP recommendation to administer either Tdap or Td (they are now interchangeable) to children age 7 years and older and adults as part of their primary series or as booster doses.
IAC also updated its Standing Orders for Administering Tdap to Pregnant Women ([link removed]) guidance document. Changes were made to incorporate the updated ACIP recommendations described in the previous paragraph.
Related Links
* IAC’s Standing Orders Templates for Administering Vaccines ([link removed]) web page
* IAC’s 10 Steps to Implementing Standing Orders for Immunization in Your Practice Setting ([link removed])
* IAC’s Using Standing Orders for Administering Vaccines: What You Should Know ([link removed]) web page
* IAC’s Handouts: Tetanus ([link removed]) web page, free and ready to print
* IAC's Handouts: Administering Vaccines ([link removed]) , free and ready to print
* IAC’s Clinic Tools: Administering Vaccines ([link removed]) web page
* View more than 300 ready-to-print IAC Educational Materials for Patients and Staff ([link removed])
* IAC's Handouts for Patients & Staff ([link removed]) sorted by topic
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IAC REVISES “DTAP, TDAP, AND TD CATCH-UP VACCINATION RECOMMENDATIONS BY PRIOR VACCINE HISTORY AND AGE”
IAC 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]) . Changes were made to incorporate the updated ACIP recommendation to administer either Tdap or Td (they are now interchangeable), to adults as part of their primary series or as booster doses.
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Related Links
* IAC’s Handouts: Vaccine Recommendations ([link removed]) web page
* IAC’s Clinic Tools: Vaccine Recommendations ([link removed]) web page
* View more than 300 ready-to-print IAC Educational Materials for Patients and Staff ([link removed])
* IAC’s Handouts for Patients and Staff ([link removed]) sorted by topic
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-FEATURED RESOURCES-
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ORDER COPIES OF IAC’S LAMINATED 2020 U.S. CHILD/ADOLESCENT AND ADULT IMMUNIZATION SCHEDULES FOR YOUR EXAM ROOMS TODAY!
IAC's laminated versions of the 2020 U.S. child/adolescent immunization schedule ([link removed]) and the 2020 U.S. adult immunization schedule ([link removed]) are available now.
These schedules are ideal for use in any busy healthcare setting where vaccinations are given. Their tough coating can be wiped down, and they’re durable enough to stand up to a year's worth of use.
The child/adolescent schedule is eight pages (i.e., four double-sided pages) and the adult schedule is six pages (i.e., three double-sided pages), but both schedules fold down to a convenient 8.5" x 11" size.
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With color coding for easy reading, our laminated schedules replicate the original CDC formatting, including the essential tables and notes.
PRICING
1–4 copies: $7.50 each
5–19 copies: $5.50 each
20–99 copies: $4.50 each
100–499 copies: $4.00 each
500–999 copies: $3.50 each
For quotes on customizing or placing orders of 1,000 copies or more, call 651-647-9009 or email
[email protected] (mailto:
[email protected]) .
Visit the Shop IAC: Laminated Schedules ([link removed]) web page for more information on the schedules, to view images of all the pages, to download the PDF order form ([link removed]) , or to order online.
Please Note:
Due to the Minnesota Governor's order regarding essential services, the IAC office will not be shipping orders of our shop items until the week of April 13 at the earliest. Our online shopping cart will continue to take orders and they will be fulfilled as soon as possible. Updates will be posted on the Shop IAC ([link removed]) section of immunize.org. If your need for the item is critical, please email us at
[email protected] (mailto:
[email protected]).
Related Links
* IAC’s Laminated Child/Adolescent Immunization Schedule (0-18 years) ([link removed])
* IAC’s Laminated Adult Immunization Schedule (19 and older) ([link removed])
* IAC’s Shop IAC ([link removed]) section on immunize.org
* IAC’s Laminated Schedules order form ([link removed]) (PDF)
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NOT-TO-MISS INFORMATION AND VIDEOS ON HANDWASHING
Now, more than ever, it’s important to remind your patients and staff to be diligent about handwashing. Below are some friendly reminders.
* Several times during the day, wash your hands for 20 seconds (sing “Happy Birthday” twice) with soap and water, and remember to get all surfaces of your fingers, including thumbs. Hand sanitizer is great if you have it, but soap and water is better at washing things away.
* Stop touching your face, as much as you can. Viruses infect through mucous membranes such as eyes, nose, and mouth, but not through intact skin.
* Stay 6 feet away from others, even when outdoors, and especially when indoors.
Check out these handwashing videos:
* CDC's What You Need to Know about Handwashing ([link removed]) (silent video)
* CDC's Fight Germs. Wash Your Hands! ([link removed])
* New York Times: How to Wash Your Hands ([link removed])
* Jimmy Kimmel Live: Jimmy Kimmel and Guillermo Learn How to Wash Their Hands ([link removed])
* Founders Sing presents the Beatles version: I Gotta Wash My Hands ([link removed])
* For a laugh, watch NHSNorthamptonshire: Handwashing Gangnam Style ([link removed])
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REMINDER: "65+ FLU DEFENSE" WEBSITE FEATURES TOOLS AND RESOURCES FOR HEALTHCARE PROFESSIONALS SERVING ADULTS AGE 65 AND OLDER
In the 2018–19 season, only 68% of adults age 65 and older were vaccinated against the flu. As a healthcare provider, your confident recommendation in favor of flu vaccine can be powerfully persuasive and make a significant difference in determining if your patients are vaccinated. This is true as the 2019–20 season winds down and as you anticipate the 2020–21 season in coming months.
To assist you in your efforts to maximize protection for your patients, IAC, in collaboration with Seqirus, has updated the "65+ Flu Defense" website at www.influenza-defense.org ([link removed]) . This helpful site includes information, tools, and tips for communicating with older patients about the scope and severity of flu and addresses patient hesitancy around vaccination.
Two helpful patient handouts are also available on the website:
* Influenza in Adults 65+: The Facts ([link removed])
* Influenza Vaccination: Questions Patients Age 65 and Older Frequently Ask Their HCP ([link removed])
Be sure to check out the updated "65+ Flu Defense" website at www.influenza-defense.org ([link removed]) to assist your efforts in protecting this vulnerable population.
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-JOURNAL ARTICLES AND NEWSLETTERS-
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CDC publishes March issue of Immunization Works newsletter; subscribe for monthly immunization resources and information
CDC recently released the March issue ([link removed]) ([link removed]) of its monthly newsletter Immunization Works ([link removed]) . The newsletter offers the immunization community information about current topics. The information is in the public domain and can be reproduced and circulated widely.
Subscribe to CDC's Immunization Works newsletter ([link removed]) for monthly resources and information on vaccination sent straight to your inbox.
Related Links
* CDC’s March issue of Immunization Works ([link removed]) March 2020 (latest issue)
* CDC’s Immunization Works ([link removed]) gateway page with links to archives
* CDC's Subscription Service ([link removed]) web page
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Vaccine Education Center at Children’s Hospital of Philadelphia publishes March issue of Vaccine Update newsletter
The Vaccine Education Center (VEC) ([link removed]) at Children's Hospital of Philadelphia publishes a monthly immunization-focused newsletter titled Vaccine Update. The March issue ([link removed]) includes several pertinent articles, including the following:
* News & Views—COVID-19 and the 1918 Influenza Pandemic: Learning from Our Ancestors ([link removed]) by Charlotte A. Moser, BS, and Paul A. Offit, MD
* In the Journals—What We Are Learning from Samples Isolated from COVID-19-Positive Patients in China ([link removed]) by Paul A. Offit, MD
* Vaccinate Your Family's 2020 State of the ImmUnion Report ([link removed])
* Vaccine Update: Vaccine Resources: Special Edition—Coronavirus Resources ([link removed]) (3/24/20)
Access the sign-up form ([link removed]) to subscribe to Vaccine Update.
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-EDUCATION AND TRAINING-
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NEW STAFF? NEED A REFRESHER? LEARN MORE ABOUT IMMUNIZATION AND IMPROVE YOUR CLINICAL SKILLS! CHECK OUT THESE ARCHIVED WEBINARS AND TRAINING MODULES FROM AUTHORITATIVE SOURCES.
IAC informs readers about educational opportunities in each weekly IAC Express newsletter ([link removed]) . Many webinars and training modules are archived online, so you can watch them at your convenience any time after the live session. Some offer free continuing-education (CE) credit. Buff up your skills in vaccine administration ([link removed]) , storage and handling ([link removed]) , proactive recommendations ([link removed]) , standing orders ([link removed]) , and more. Consider ordering the Immunization Techniques DVD ([link removed]) . Order fulfillment will be delayed due to the COVID-19 pandemic.
Here are some outstanding free learning opportunities:
* CDC's Immunization Courses: Webcasts and Self Study ([link removed]) provides many online immunization training opportunities, some with CE credit.
* IAC's myriad training materials can be accessed from the Clinic Tools ([link removed]) gateway page.
* CHOP VEC's Current Issues in Vaccines ([link removed]) is a webinar series offered four times per year for healthcare providers. The archived versions ([link removed]) are available ([link removed]) to watch for CE credit.
* NFID's Webinar Library ([link removed]) offers a variety of online continuing-education activities led by key opinion leaders, enabling participants to earn credits and gain practical knowledge, tools, and skills. CE credit is available for archived webinars up to one year after the live date.
* NACCHO's 5-part webinar series, open to all health professionals, on Principles to Address Vaccine Resistance and Hesitancy ([link removed]) .
* Public Health Foundation's TRAIN Learning Network aggregates educational opportunities on its website. Access the infectious diseases/immunization subject area ([link removed]) .
If you know of other free continuing-education opportunities for immunization providers, please let IAC know by emailing
[email protected] (mailto:
[email protected]).
Related Links
* IAC's Clinical Tools ([link removed]) gateway page contains tools from other organizations on the right-hand side of each of the topic pages
* CDC's Immunization Education & Training ([link removed]) web page
* CDC's Vaccine Storage and Handling ([link removed]) web page
* CDC’s Vaccine Storage and Handling Toolkit ([link removed])
* CDC’s You Call the Shots ([link removed]) gateway page
* CDC’s General Best Practices Guidelines ([link removed]) gateway page
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Video of the Week
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Spotting Fake Information on Social Media: In this short video from Unity Consortium, Ethan Lindenberger and Dr. Laura Offut list ways to spot fake vaccine information. They recommend looking for information stated with clear, verifiable facts and figures from a reliable source and asking which organization is behind that social media content, even if the content is shared widely.
Visit the VOTW archive ([link removed])
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Follow Us
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Technically Speaking
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Read Dr. Wexler's column for the Vaccine Education Center's monthly newsletter, Vaccine Update
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Vaccinating Adults:
A Step-by-Step Guide
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IAC's 142-page book available for free download ([link removed]) .
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Calendar of Events
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Conferences, meetings, and training opportunities
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Patient Record Cards
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Record cards for patients – child & teen ([link removed]) , adult ([link removed]) , and lifetime ([link removed]) – are printed on durable paper and sized to fit in a wallet when folded
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DVD: Immunization Techniques
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Every practice should have this award winning, "how-to" training video
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Protect Newborns Guidebook
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Comprehensive guide Hepatitis B: What Hospitals Need to Do to Protect Newborns ([link removed])
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Editorial Information
Editor
Deborah L. Wexler, MD (mailto:
[email protected])
Associate Editors
Carolyn Bridges, MD, MPH (mailto:
[email protected])
John D. Grabenstein, RPh, PhD (mailto:
[email protected])
Sharon Humiston, MD, MPH (mailto:
[email protected])
Consulting Editors
Taryn Chapman, MS (mailto:
[email protected])
Marian Deegan, JD (mailto:
[email protected])
Courtnay Londo, MA (mailto:
[email protected])
Jane Myers, MA, EdM (mailto:
[email protected])
Technical Editor
Liv Augusta Anderson, MPP (mailto:
[email protected])
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About IAC Express
The Immunization Action Coalition welcomes redistribution of this issue of IAC Express or selected articles. When you do so, please add a note that the Immunization Action Coalition is the source of the material and provide a link to this issue ([link removed]) . ([link removed])
IAC Express is supported in part by Grant No.
6NH23IP922550 from the National Center for Immunization and Respiratory Diseases, CDC.
IAC Express Disclaimer ([link removed])
ISSN: 1526-1786
Our mailing address is
2550 University Avenue West, Suite 415 North
Saint Paul, MN 55114
Copyright (C) 2020 Immunization Action Coalition
All rights reserved.
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