Email
IZ Express #1,750: CDC Health Advisory on serogroup Y meningococcal disease, nirsevimab timing, and more
| From | Immunize.org <[email protected]> |
| Subject | IZ Express #1,750: CDC Health Advisory on serogroup Y meningococcal disease, nirsevimab timing, and more |
| Date | April 3, 2024 10:01 AM |
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Issue 1,750: April 3, 2024
Top Stories
* CDC's Health Alert Network (HAN) Health Advisory: increasing cases of invasive serogroup Y meningococcal disease in the United States (#IZX1)
* Reminder: CDC recommends suspending seasonal administration of nirsevimab (Beyfortus) for RSV immunization of infants and toddlers at the end of March in most jurisdictions (#IZX2)
* Review Immunize.org’s “Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools”; updated CDC standing order templates for all COVID-19 vaccines now available (#IZX3)
* Report on interim effectiveness of 2023–2024 COVID-19 vaccines against hospitalizations in adults, published in MMWR (#IZX4)
* National Infant Immunization Week is April 22–29; prepare your promotion activities with CDC’s digital media toolkit (#IZX5)
* Vaccinate Your Family launches its redesigned and updated website (#IZX6)
* The Invisible Shield, a four-part documentary now airing on many public television stations and the PBS app, shows how public health saves lives (#IZX7)
* Influenza-like illness activity remains elevated but is decreasing nationally; vaccination is still encouraged (#IZX8)
* When should vaccination proceed for patients who have symptoms of illness at the time of their visit? Watch the 1-minute answer, part of the Ask the Experts Video Series on YouTube. (#IZX9)
* Vaccines in the news (#IZX10)
Immunize.org Website and Clinical Resources
* Immunize.org updates its “Vaccine History Timeline” web page to include recent vaccine-related advances (#IZX11)
* Spotlight on the website: VIS translations (#IZX12)
* Recap: Download the updated suite of Immunize.org vaccine storage and excursion response materials, including temperature logs and emergency response worksheets (#IZX13)
* Recap: Immunize.org “Ask the Experts: COVID-19” web section updated with new recommendations for adults age 65 and older (#IZX14)
* Recap: Immunize.org updates “Meningococcal B Vaccine Recommendations by Age and Risk Factor” to include optional use of pentavalent MenABCWY (#IZX15)
* Recap: 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 (#IZX16)
* Recap: Immunize.org updates “Key Vaccination Resources for Healthcare Professionals” training guide organized by experience level (#IZX17)
Featured Resources
* Voices for Vaccines releases podcast with Paul Offit, MD, discussing his new book on deciphering COVID-19 myths (#IZX18)
* It’s Adolescent Immunization Action Week! Use Unity Consortium’s toolkit to help adolescents get up to date on immunizations. (#IZX19)
* Place your order! Sturdy, laminated versions of the 2024 U.S. immunization schedules from Immunize.org now shipping. (#IZX20)
* Updated 65+ Flu Defense website offers resources for healthcare professionals serving older adults (#IZX21)
* Explore the www.Give2MenACWY.org website to increase coverage for the meningococcal ACWY booster and other adolescent vaccinations (#IZX22)
Notable Publications
* “Text vs Patient Portal Messaging to Improve Influenza Vaccination Coverage: A Health System-Wide Randomized Clinical Trial” published in JAMA Internal Medicine (#IZX23)
Editorial Information (#Editorial)
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Top Stories
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CDC's Health Alert Network (HAN) Health Advisory: increasing cases of invasive serogroup Y meningococcal disease in the United States
On March 28, CDC issued a Health Alert Network (HAN) Health Advisory: Increase in Invasive Serogroup Y Meningococcal Disease in the United States ([link removed]) . The summary section appears below.
In 2023, 422 cases were reported in the United States, the highest annual number of cases reported since 2014. As of March 25, 2024, 143 cases have been reported to CDC for the current calendar year, an increase of 62 cases over the 81 reported as of this date in 2023. A specific meningococcal strain, sequence type (ST) 1466, is responsible for most (101 of 148, 68%) serogroup Y cases with available sequence type data that were reported across the United States in 2023. Cases caused by this strain are disproportionately occurring in people ages 30–60 years (65%), Black or African American people (63%), and people with HIV (15%). In addition, most cases of invasive meningococcal disease caused by ST-1466 in 2023 had a clinical presentation other than meningitis: 64% presented with bacteremia, and at least 4% presented with septic arthritis. Of 94 patients with known outcomes, 17 (18%) died; this case-fatality rate is higher than the historical case-fatality rate of 11% reported for serogroup
Y cases in 2017–2021. Healthcare providers should 1) have a heightened suspicion for meningococcal disease, particularly among populations disproportionately affected by the current increase, 2) be aware that patients may present without symptoms typical of meningitis, and 3) ensure that all people recommended for meningococcal vaccination, including people with HIV, are up to date for meningococcal vaccines.
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Access the complete CDC HAN Health Advisory ([link removed]) .
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Reminder: CDC recommends suspending seasonal administration of nirsevimab (Beyfortus) for RSV immunization of infants and toddlers at the end of March in most jurisdictions
The 2023 ACIP recommendation for administration of nirsevimab ([link removed]) (Beyfortus, Sanofi) long-acting monoclonal antibody product for prevention of RSV disease in infants and toddlers specifies administering nirsevimab seasonally, beginning October 1 and ending March 31 in jurisdictions with RSV seasonality typical of the contiguous United States. Facilities in most of the United States should suspend nirsevimab use at this time and prepare to resume administration in October 2024.
Alaska and tropical climates may have RSV circulation patterns that differ from most of the continental United States. Locations with tropical climates include southern Florida, Hawaii, Guam, Puerto Rico, U.S. Virgin Islands, and U.S.-affiliated Pacific Islands. Providers in these jurisdictions should follow state, local, or territorial guidance on timing of nirsevimab administration.
Related Links
* CDC: Use of Nirsevimab for the Prevention of Respiratory Syncytial Virus Disease among Infants and Young Children: Recommendations of the Advisory Committee on Immunization Practices — United States, 2023 ([link removed]) (8/25/23)
* CDC: Frequently Asked Questions about RSV Immunization with Monoclonal Antibody for Children 19 Months and Younger ([link removed]) main page
* American Academy of Pediatrics: Nirsevimab Frequently Asked Questions ([link removed]) web page
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Review Immunize.org’s “Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools”; updated CDC standing order templates for all COVID-19 vaccines now available
Immunize.org's Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools ([link removed]) has been revised to include links to CDC’s updated clinical resources incorporating the new recommendation for an additional dose of any 2023–2024 Formula COVID-19 vaccine for people age 65 years and older. The updated materials are:
* Standing Orders for Pfizer-BioNTech and Moderna COVID-19 Vaccines for People Age 5 Years and Older and Novavax COVID-19 Vaccine for People Age 12 Years and Older
* Interim 2023–2024 COVID-19 Immunization Schedule for Persons 6 Months of Age and Older
* “At-A-Glance” Summaries for Pfizer-BioNTech, Moderna, and COVID-19 Vaccines
In addition, the checklist provides a link to Immunize.org's updated Ask the Experts: COVID-19 ([link removed]) main page.
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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 ([link removed]) 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 for use of COVID-19 vaccines in the United States
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Report on interim effectiveness of 2023–2024 COVID-19 vaccines against hospitalizations in adults, published in MMWR
CDC published Interim Effectiveness of Updated 2023–2024 (Monovalent XBB.1.5) COVID-19 Vaccines against COVID-19-Associated Hospitalization among Adults Aged ≥18 Years with Immunocompromising Conditions—VISION Network, September 2023–February 2024 ([link removed]) on March 28 in MMWR. The abstract appears below.
In this analysis, vaccine effectiveness (VE) of an updated COVID-19 vaccine dose against COVID-19–associated hospitalization was evaluated during September 2023–February 2024 using data from the VISION VE network. Among adults aged ≥18 years with immunocompromising conditions, VE against COVID-19–associated hospitalization was 38% in the 7–59 days after receipt of an updated vaccine dose and 34% in the 60–119 days after receipt of an updated dose. Few persons (18%) in this high-risk study population had received updated COVID-19 vaccine. All persons aged ≥6 months should receive updated 2023–2024 COVID-19 vaccination; persons with immunocompromising conditions may get additional updated COVID-19 vaccine doses ≥2 months after the last recommended COVID-19 vaccine.
Access the MMWR article in HTML ([link removed]) or PDF ([link removed]) .
Related Link
* CDC: MMWR main page ([link removed]) providing access to the MMWR family of publications
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National Infant Immunization Week is April 22–29; prepare your promotion activities with CDC’s digital media toolkit
National Infant Immunization Week ([link removed]) (NIIW), April 22–29, highlights the importance of protecting infants from vaccine-preventable diseases and celebrates the achievements of immunization partners. Since 1994, hundreds of communities have joined together during NIIW to celebrate the crucial role vaccination plays in protecting our children, communities, and public health.
CDC and the American Academy of Pediatrics recommend that children stay on track with their well-child appointments and routine vaccinations. Completing the recommended vaccinations by age 2 years is the best way to protect young children from 15 potentially life-threatening diseases. In light of the challenges of the pandemic years, these messages are more important than ever for families to hear.
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CDC makes it simple to plan your NIIW activities by using their promotional materials ([link removed]) including English and Spanish logos, sample social media content, social graphics, and key messages. Please share your posts using the hashtag #ivax2protect.
Related Links
* CDC: National Infant Immunization Week ([link removed]) main page
* CDC: Promotional Materials ([link removed]) main page
* Immunize.org: Parent Handouts ([link removed]) main page
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Vaccinate Your Family launches its redesigned and updated website
Vaccinate Your Family (VYF), a leading national nonprofit organization focused on helping people get vaccinated, launched comprehensive updates to its website, VaccinateYourFamily.org ([link removed]) . This Vaccine Safety Net (VSN)-certified site guides more than a quarter million visitors each year to science-based information. Visit the site to see the new homepage, a rebuilt Vaccine FAQ section ([link removed]) (including popular videos), the Latest News ([link removed]) main page, and downloadable resources.
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Explore the updated VaccinateYourFamily.org ([link removed]) for more.
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The Invisible Shield, a four-part documentary now airing on many public television stations and the PBS app, shows how public health saves lives
The Invisible Shield ([link removed]) , a four-part documentary series from RadicalMedia, made possible by Bloomberg Philanthropies, reveals how public health has saved countless lives, increasing lifespans and protecting people from the constant threat of disease.
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View the trailer or stream The Invisible Shield on PBS.org ([link removed]) .
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Influenza-like illness activity remains elevated but is decreasing nationally; vaccination is still encouraged
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 12, ending March 23, CDC’s Weekly U.S. Influenza Surveillance Report, FluView ([link removed]) shows that 9 jurisdictions experienced high activity. Nationwide, 3.1% 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 2.9%. Five pediatric influenza-associated deaths were reported this week, bringing the total to 126 children who died of influenza 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 influenza vaccination coverage for all children is 2.8 percentage points lower this season compared with the same time last season (51.8% compared with 54.6%). Coverage this season so far is 9.8 percentage points lower compared with pre-pandemic coverage at the same time in March 2020 (61.6%).
CDC recommends everyone age 6 months and older get annual influenza vaccination. Influenza and other vaccines (including 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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When should vaccination proceed for patients who have symptoms of illness at the time of their visit? 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 addresses this common issue: We frequently see patients who are febrile or have an acute illness and are due for vaccinations. We are uncertain if we should withhold the vaccines or not. What do you advise? ([link removed]) The video briefly describes that with a mild acute illness, with or without fever, a patient may still be vaccinated. In the case of a moderate or severe illness, a clinician should determine if vaccination should be deferred.
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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Vaccines in the news
These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
* Washington Post: Opinion: The Checkup with Dr. Wen: Do You Know a Vaccine Skeptic? Here Are 10 Simple Responses. ([link removed]) (3/28/24)
* United Nations Foundation: Eradicating Polio Is Possible: Stories of Resilience and Hope ([link removed]) (3/27/24)
* Chicago Tribune: City Speeds Up Measles Vaccinations for Migrants as Cases Continue to Rise ([link removed] ) (3/26/24)
* CNN: After Four Years with COVID-19, the U.S. Is Settling into a New Approach to Respiratory Virus Season ([link removed]) (3/22/24)
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Immunize.org Website and Clinical Resources
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Immunize.org updates its “Vaccine History Timeline” web page to include recent vaccine-related advances
Do you need to know the year that CDC made a vaccination recommendation or FDA approved a new vaccine? Immunize.org’s Vaccine History Timeline ([link removed]) main page was updated to include new events related to vaccines and immunization.
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If you would like to suggest an event to add, contact us at [email protected] (mailto:[email protected]) .
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Spotlight on the website: VIS translations
Providing VISs to your patients in their own language increases their confidence in and understanding of vaccination. Immunize.org’s library of VIS translations includes 47 languages. At least 20 different VISs are available in 31 of those languages. You can access the VIS translations by searching for a specific language or by a specific vaccine. Most are translations of the current VISs. If a translation of the current VIS is not available, CDC states it is acceptable to use out-of-date VIS translations, accompanied by a current English version, when there have not been significant content changes.
Search by Language. At the top of any Immunize.org web page, under the tab Vaccines & VISs, click on “VIS Translations." The web page defaults to Spanish (our most frequently downloaded language). Tap the word Spanish and a drop-down list of available languages will appear. Select the language of interest. Then, click on the icon next to listed vaccine to view or download the PDF you want. The current English VIS is also included because the current English version is the one required by law to be provided and documented in the vaccine administration record.
Search by Vaccine. From the top of any Immunize.org web page, click on Vaccines & VISs on the left side of the ribbon. Click on “VISs” and then click one of the “Vaccines” (listed on the left of the page). The image below shows the screen for MMR. At the top of the resulting “MMR Vaccine VIS” web page, you will see the image of the English VIS, followed by a listing of the current translations available. Click on the icon next to the listed language to view or download the translated MMR PDF.
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Recap: 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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Recap: 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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Recap: 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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Recap: 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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Recap: 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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Featured Resources
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Voices for Vaccines releases podcast with Paul Offit, MD, discussing his new book on deciphering COVID-19 myths
Voices for Vaccines (VFV) posted a new entry in its Vax Talk podcast series: Tell Paul Offit When It's Over ([link removed] ) featuring Paul Offit, MD. A description from the VFV web page appears below.
What caused SARS-CoV-2? Are vaccine mandates necessary? Is COVID here to stay? How can we protect ourselves in this new world? These are just some of the questions Dr. Paul Offit tackles in his new book Tell Me When It’s Over: An Insider’s Guide to Deciphering Covid Myths and Navigating Our Post-Pandemic World ([link removed]) . Join us for this lively conversation about his book and the latest vaccine news.
Related Links
* Voices for Vaccines: Resources ([link removed]) main page
* Voices for Vaccines podcast page ([link removed])
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It’s Adolescent Immunization Action Week! Use Unity Consortium’s toolkit to help adolescents get up to date on immunizations.
This week is Adolescent Immunization Action Week (#AIAW24) ([link removed]) , the Unity Consortium's annual observance urging parents, healthcare providers, and adolescents to keep adolescents up to date on immunizations. Visit Unity’s AIAW24 campaign page ([link removed]) for social media-ready materials you can use to draw attention to improving adolescent immunization coverage. Use the hashtag #AIAW24 to spread the word.
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Unity’s password-protected toolkit includes graphics and a short article about the observance for emails, newsletters, or blogs. To access this, sign up at the bottom of the AIAW24 web page ([link removed]) .
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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
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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, 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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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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Explore the www.Give2MenACWY.org website to increase coverage for the meningococcal ACWY booster and other adolescent vaccinations
Immunize.org's www.Give2MenACWY.org ([link removed]) website promotes the importance of adolescent vaccination, including the recommended MenACWY vaccine booster dose at age 16. Many teens are behind on vaccines because of the pandemic, so vaccine outreach is more important than ever.
Materials on this colorful website for healthcare professionals incorporate the 2020 ACIP meningococcal vaccine recommendations ([link removed]) and coverage statistics from CDC’s National Immunization Survey–Teen (NIS–Teen). One particularly popular resource on the site is the update Algorithm for MenACWY Immunization in Adolescents 11 through 18 Years of Age ([link removed]) .
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The website is divided into five easy-to-access sections:
* Vaccinate Teens ([link removed]) – Teen vaccination schedules and tips for improving vaccination rates
* Give 2 Doses ([link removed]) – Tools to help improve second dose coverage of MenACWY vaccine
* 16-Year-Old Visit ([link removed]) – Resources to help providers and patients remember the important vaccines recommended for 16-year-olds
* Tools for Providers ([link removed]) – Tools to explain meningococcal ACWY vaccine recommendations and improve coverage for all adolescent vaccines
* Resources ([link removed]) – Links to print materials ([link removed]) , organizations ([link removed]) involved in adolescent vaccination, personal stories ([link removed]) about the importance of vaccination, and other resources ([link removed]) of interest
The site also categorizes materials ([link removed]) according to whether they are primarily of interest to providers, to adolescents, or to parents.
Visit Give2MenACWY.org ([link removed]) and enjoy browsing (and deploying) its bountiful resources.
Related Links
* Give2MenACWY.org ([link removed]) website
* Algorithm for MenACWY Immunization in Adolescents 11–18 Years of Age ([link removed])
* MenACWY: You're Not Done If You Give Just One: Give 2 Doses to Strengthen Protection ([link removed])
* Recommending MenACWY: What to Say and How to Say It ([link removed])
* Top 10 Ways to Improve Adolescent Immunization Rates ([link removed])
* Developing an Immunization Culture in Your Office ([link removed])
* Know Your Rates: Measuring Immunization Success in Your Practice ([link removed])
* You're 16: We Recommend These Vaccines for You ([link removed])
* Dear Colleague Letter: 16-Year-Old Patients: Make Sure They Receive Their Annual Well Visit and Vaccinations ([link removed]) – signed by six medical societies
* Ask the Experts: Meningococcal ACWY ([link removed])
* CDC: ACIP Meningococcal Vaccine Recommendations ([link removed])
* CDC: Vaccination Coverage Among Adolescents Aged 13–17 Years—National Immunization Survey–Teen, United States, 2022 ([link removed])
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Notable Publications
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“Text vs Patient Portal Messaging to Improve Influenza Vaccination Coverage: A Health System-Wide Randomized Clinical Trial” published in JAMA Internal Medicine
In the March 18 issue, JAMA Internal Medicine published Text vs Patient Portal Messaging to Improve Influenza Vaccination Coverage: A Health System-Wide Randomized Clinical Trial ([link removed]) . Immunize.org's director for research, Sharon G. Humiston, MD, MPH, is an author. The key points appear below.
Question: Can either patient portal or text message reminders to patients about influenza vaccination raise vaccination rates across a health system, and do text messages work better than portal messages?
Findings: In this 3-arm randomized clinical trial that included 262,085 patients in 79 primary care practices, neither portal nor text message patient reminders were successful in raising overall influenza vaccination rates.
Meaning: Health systems and health care professionals need to implement more intensive interventions than patient reminders to raise influenza vaccination rates.
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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 1,750: April 3, 2024
Top Stories
* CDC's Health Alert Network (HAN) Health Advisory: increasing cases of invasive serogroup Y meningococcal disease in the United States (#IZX1)
* Reminder: CDC recommends suspending seasonal administration of nirsevimab (Beyfortus) for RSV immunization of infants and toddlers at the end of March in most jurisdictions (#IZX2)
* Review Immunize.org’s “Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools”; updated CDC standing order templates for all COVID-19 vaccines now available (#IZX3)
* Report on interim effectiveness of 2023–2024 COVID-19 vaccines against hospitalizations in adults, published in MMWR (#IZX4)
* National Infant Immunization Week is April 22–29; prepare your promotion activities with CDC’s digital media toolkit (#IZX5)
* Vaccinate Your Family launches its redesigned and updated website (#IZX6)
* The Invisible Shield, a four-part documentary now airing on many public television stations and the PBS app, shows how public health saves lives (#IZX7)
* Influenza-like illness activity remains elevated but is decreasing nationally; vaccination is still encouraged (#IZX8)
* When should vaccination proceed for patients who have symptoms of illness at the time of their visit? Watch the 1-minute answer, part of the Ask the Experts Video Series on YouTube. (#IZX9)
* Vaccines in the news (#IZX10)
Immunize.org Website and Clinical Resources
* Immunize.org updates its “Vaccine History Timeline” web page to include recent vaccine-related advances (#IZX11)
* Spotlight on the website: VIS translations (#IZX12)
* Recap: Download the updated suite of Immunize.org vaccine storage and excursion response materials, including temperature logs and emergency response worksheets (#IZX13)
* Recap: Immunize.org “Ask the Experts: COVID-19” web section updated with new recommendations for adults age 65 and older (#IZX14)
* Recap: Immunize.org updates “Meningococcal B Vaccine Recommendations by Age and Risk Factor” to include optional use of pentavalent MenABCWY (#IZX15)
* Recap: 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 (#IZX16)
* Recap: Immunize.org updates “Key Vaccination Resources for Healthcare Professionals” training guide organized by experience level (#IZX17)
Featured Resources
* Voices for Vaccines releases podcast with Paul Offit, MD, discussing his new book on deciphering COVID-19 myths (#IZX18)
* It’s Adolescent Immunization Action Week! Use Unity Consortium’s toolkit to help adolescents get up to date on immunizations. (#IZX19)
* Place your order! Sturdy, laminated versions of the 2024 U.S. immunization schedules from Immunize.org now shipping. (#IZX20)
* Updated 65+ Flu Defense website offers resources for healthcare professionals serving older adults (#IZX21)
* Explore the www.Give2MenACWY.org website to increase coverage for the meningococcal ACWY booster and other adolescent vaccinations (#IZX22)
Notable Publications
* “Text vs Patient Portal Messaging to Improve Influenza Vaccination Coverage: A Health System-Wide Randomized Clinical Trial” published in JAMA Internal Medicine (#IZX23)
Editorial Information (#Editorial)
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Top Stories
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CDC's Health Alert Network (HAN) Health Advisory: increasing cases of invasive serogroup Y meningococcal disease in the United States
On March 28, CDC issued a Health Alert Network (HAN) Health Advisory: Increase in Invasive Serogroup Y Meningococcal Disease in the United States ([link removed]) . The summary section appears below.
In 2023, 422 cases were reported in the United States, the highest annual number of cases reported since 2014. As of March 25, 2024, 143 cases have been reported to CDC for the current calendar year, an increase of 62 cases over the 81 reported as of this date in 2023. A specific meningococcal strain, sequence type (ST) 1466, is responsible for most (101 of 148, 68%) serogroup Y cases with available sequence type data that were reported across the United States in 2023. Cases caused by this strain are disproportionately occurring in people ages 30–60 years (65%), Black or African American people (63%), and people with HIV (15%). In addition, most cases of invasive meningococcal disease caused by ST-1466 in 2023 had a clinical presentation other than meningitis: 64% presented with bacteremia, and at least 4% presented with septic arthritis. Of 94 patients with known outcomes, 17 (18%) died; this case-fatality rate is higher than the historical case-fatality rate of 11% reported for serogroup
Y cases in 2017–2021. Healthcare providers should 1) have a heightened suspicion for meningococcal disease, particularly among populations disproportionately affected by the current increase, 2) be aware that patients may present without symptoms typical of meningitis, and 3) ensure that all people recommended for meningococcal vaccination, including people with HIV, are up to date for meningococcal vaccines.
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Access the complete CDC HAN Health Advisory ([link removed]) .
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Reminder: CDC recommends suspending seasonal administration of nirsevimab (Beyfortus) for RSV immunization of infants and toddlers at the end of March in most jurisdictions
The 2023 ACIP recommendation for administration of nirsevimab ([link removed]) (Beyfortus, Sanofi) long-acting monoclonal antibody product for prevention of RSV disease in infants and toddlers specifies administering nirsevimab seasonally, beginning October 1 and ending March 31 in jurisdictions with RSV seasonality typical of the contiguous United States. Facilities in most of the United States should suspend nirsevimab use at this time and prepare to resume administration in October 2024.
Alaska and tropical climates may have RSV circulation patterns that differ from most of the continental United States. Locations with tropical climates include southern Florida, Hawaii, Guam, Puerto Rico, U.S. Virgin Islands, and U.S.-affiliated Pacific Islands. Providers in these jurisdictions should follow state, local, or territorial guidance on timing of nirsevimab administration.
Related Links
* CDC: Use of Nirsevimab for the Prevention of Respiratory Syncytial Virus Disease among Infants and Young Children: Recommendations of the Advisory Committee on Immunization Practices — United States, 2023 ([link removed]) (8/25/23)
* CDC: Frequently Asked Questions about RSV Immunization with Monoclonal Antibody for Children 19 Months and Younger ([link removed]) main page
* American Academy of Pediatrics: Nirsevimab Frequently Asked Questions ([link removed]) web page
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Review Immunize.org’s “Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools”; updated CDC standing order templates for all COVID-19 vaccines now available
Immunize.org's Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools ([link removed]) has been revised to include links to CDC’s updated clinical resources incorporating the new recommendation for an additional dose of any 2023–2024 Formula COVID-19 vaccine for people age 65 years and older. The updated materials are:
* Standing Orders for Pfizer-BioNTech and Moderna COVID-19 Vaccines for People Age 5 Years and Older and Novavax COVID-19 Vaccine for People Age 12 Years and Older
* Interim 2023–2024 COVID-19 Immunization Schedule for Persons 6 Months of Age and Older
* “At-A-Glance” Summaries for Pfizer-BioNTech, Moderna, and COVID-19 Vaccines
In addition, the checklist provides a link to Immunize.org's updated Ask the Experts: COVID-19 ([link removed]) main page.
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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 ([link removed]) 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 for use of COVID-19 vaccines in the United States
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Report on interim effectiveness of 2023–2024 COVID-19 vaccines against hospitalizations in adults, published in MMWR
CDC published Interim Effectiveness of Updated 2023–2024 (Monovalent XBB.1.5) COVID-19 Vaccines against COVID-19-Associated Hospitalization among Adults Aged ≥18 Years with Immunocompromising Conditions—VISION Network, September 2023–February 2024 ([link removed]) on March 28 in MMWR. The abstract appears below.
In this analysis, vaccine effectiveness (VE) of an updated COVID-19 vaccine dose against COVID-19–associated hospitalization was evaluated during September 2023–February 2024 using data from the VISION VE network. Among adults aged ≥18 years with immunocompromising conditions, VE against COVID-19–associated hospitalization was 38% in the 7–59 days after receipt of an updated vaccine dose and 34% in the 60–119 days after receipt of an updated dose. Few persons (18%) in this high-risk study population had received updated COVID-19 vaccine. All persons aged ≥6 months should receive updated 2023–2024 COVID-19 vaccination; persons with immunocompromising conditions may get additional updated COVID-19 vaccine doses ≥2 months after the last recommended COVID-19 vaccine.
Access the MMWR article in HTML ([link removed]) or PDF ([link removed]) .
Related Link
* CDC: MMWR main page ([link removed]) providing access to the MMWR family of publications
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National Infant Immunization Week is April 22–29; prepare your promotion activities with CDC’s digital media toolkit
National Infant Immunization Week ([link removed]) (NIIW), April 22–29, highlights the importance of protecting infants from vaccine-preventable diseases and celebrates the achievements of immunization partners. Since 1994, hundreds of communities have joined together during NIIW to celebrate the crucial role vaccination plays in protecting our children, communities, and public health.
CDC and the American Academy of Pediatrics recommend that children stay on track with their well-child appointments and routine vaccinations. Completing the recommended vaccinations by age 2 years is the best way to protect young children from 15 potentially life-threatening diseases. In light of the challenges of the pandemic years, these messages are more important than ever for families to hear.
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CDC makes it simple to plan your NIIW activities by using their promotional materials ([link removed]) including English and Spanish logos, sample social media content, social graphics, and key messages. Please share your posts using the hashtag #ivax2protect.
Related Links
* CDC: National Infant Immunization Week ([link removed]) main page
* CDC: Promotional Materials ([link removed]) main page
* Immunize.org: Parent Handouts ([link removed]) main page
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Vaccinate Your Family launches its redesigned and updated website
Vaccinate Your Family (VYF), a leading national nonprofit organization focused on helping people get vaccinated, launched comprehensive updates to its website, VaccinateYourFamily.org ([link removed]) . This Vaccine Safety Net (VSN)-certified site guides more than a quarter million visitors each year to science-based information. Visit the site to see the new homepage, a rebuilt Vaccine FAQ section ([link removed]) (including popular videos), the Latest News ([link removed]) main page, and downloadable resources.
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Explore the updated VaccinateYourFamily.org ([link removed]) for more.
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The Invisible Shield, a four-part documentary now airing on many public television stations and the PBS app, shows how public health saves lives
The Invisible Shield ([link removed]) , a four-part documentary series from RadicalMedia, made possible by Bloomberg Philanthropies, reveals how public health has saved countless lives, increasing lifespans and protecting people from the constant threat of disease.
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View the trailer or stream The Invisible Shield on PBS.org ([link removed]) .
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Influenza-like illness activity remains elevated but is decreasing nationally; vaccination is still encouraged
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 12, ending March 23, CDC’s Weekly U.S. Influenza Surveillance Report, FluView ([link removed]) shows that 9 jurisdictions experienced high activity. Nationwide, 3.1% 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 2.9%. Five pediatric influenza-associated deaths were reported this week, bringing the total to 126 children who died of influenza 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 influenza vaccination coverage for all children is 2.8 percentage points lower this season compared with the same time last season (51.8% compared with 54.6%). Coverage this season so far is 9.8 percentage points lower compared with pre-pandemic coverage at the same time in March 2020 (61.6%).
CDC recommends everyone age 6 months and older get annual influenza vaccination. Influenza and other vaccines (including 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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When should vaccination proceed for patients who have symptoms of illness at the time of their visit? 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 addresses this common issue: We frequently see patients who are febrile or have an acute illness and are due for vaccinations. We are uncertain if we should withhold the vaccines or not. What do you advise? ([link removed]) The video briefly describes that with a mild acute illness, with or without fever, a patient may still be vaccinated. In the case of a moderate or severe illness, a clinician should determine if vaccination should be deferred.
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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Vaccines in the news
These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
* Washington Post: Opinion: The Checkup with Dr. Wen: Do You Know a Vaccine Skeptic? Here Are 10 Simple Responses. ([link removed]) (3/28/24)
* United Nations Foundation: Eradicating Polio Is Possible: Stories of Resilience and Hope ([link removed]) (3/27/24)
* Chicago Tribune: City Speeds Up Measles Vaccinations for Migrants as Cases Continue to Rise ([link removed] ) (3/26/24)
* CNN: After Four Years with COVID-19, the U.S. Is Settling into a New Approach to Respiratory Virus Season ([link removed]) (3/22/24)
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Immunize.org Website and Clinical Resources
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Immunize.org updates its “Vaccine History Timeline” web page to include recent vaccine-related advances
Do you need to know the year that CDC made a vaccination recommendation or FDA approved a new vaccine? Immunize.org’s Vaccine History Timeline ([link removed]) main page was updated to include new events related to vaccines and immunization.
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If you would like to suggest an event to add, contact us at [email protected] (mailto:[email protected]) .
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Spotlight on the website: VIS translations
Providing VISs to your patients in their own language increases their confidence in and understanding of vaccination. Immunize.org’s library of VIS translations includes 47 languages. At least 20 different VISs are available in 31 of those languages. You can access the VIS translations by searching for a specific language or by a specific vaccine. Most are translations of the current VISs. If a translation of the current VIS is not available, CDC states it is acceptable to use out-of-date VIS translations, accompanied by a current English version, when there have not been significant content changes.
Search by Language. At the top of any Immunize.org web page, under the tab Vaccines & VISs, click on “VIS Translations." The web page defaults to Spanish (our most frequently downloaded language). Tap the word Spanish and a drop-down list of available languages will appear. Select the language of interest. Then, click on the icon next to listed vaccine to view or download the PDF you want. The current English VIS is also included because the current English version is the one required by law to be provided and documented in the vaccine administration record.
Search by Vaccine. From the top of any Immunize.org web page, click on Vaccines & VISs on the left side of the ribbon. Click on “VISs” and then click one of the “Vaccines” (listed on the left of the page). The image below shows the screen for MMR. At the top of the resulting “MMR Vaccine VIS” web page, you will see the image of the English VIS, followed by a listing of the current translations available. Click on the icon next to the listed language to view or download the translated MMR PDF.
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Recap: 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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Recap: 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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Recap: 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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Recap: 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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Recap: 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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Featured Resources
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Voices for Vaccines releases podcast with Paul Offit, MD, discussing his new book on deciphering COVID-19 myths
Voices for Vaccines (VFV) posted a new entry in its Vax Talk podcast series: Tell Paul Offit When It's Over ([link removed] ) featuring Paul Offit, MD. A description from the VFV web page appears below.
What caused SARS-CoV-2? Are vaccine mandates necessary? Is COVID here to stay? How can we protect ourselves in this new world? These are just some of the questions Dr. Paul Offit tackles in his new book Tell Me When It’s Over: An Insider’s Guide to Deciphering Covid Myths and Navigating Our Post-Pandemic World ([link removed]) . Join us for this lively conversation about his book and the latest vaccine news.
Related Links
* Voices for Vaccines: Resources ([link removed]) main page
* Voices for Vaccines podcast page ([link removed])
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It’s Adolescent Immunization Action Week! Use Unity Consortium’s toolkit to help adolescents get up to date on immunizations.
This week is Adolescent Immunization Action Week (#AIAW24) ([link removed]) , the Unity Consortium's annual observance urging parents, healthcare providers, and adolescents to keep adolescents up to date on immunizations. Visit Unity’s AIAW24 campaign page ([link removed]) for social media-ready materials you can use to draw attention to improving adolescent immunization coverage. Use the hashtag #AIAW24 to spread the word.
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Unity’s password-protected toolkit includes graphics and a short article about the observance for emails, newsletters, or blogs. To access this, sign up at the bottom of the AIAW24 web page ([link removed]) .
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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
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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, 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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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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Explore the www.Give2MenACWY.org website to increase coverage for the meningococcal ACWY booster and other adolescent vaccinations
Immunize.org's www.Give2MenACWY.org ([link removed]) website promotes the importance of adolescent vaccination, including the recommended MenACWY vaccine booster dose at age 16. Many teens are behind on vaccines because of the pandemic, so vaccine outreach is more important than ever.
Materials on this colorful website for healthcare professionals incorporate the 2020 ACIP meningococcal vaccine recommendations ([link removed]) and coverage statistics from CDC’s National Immunization Survey–Teen (NIS–Teen). One particularly popular resource on the site is the update Algorithm for MenACWY Immunization in Adolescents 11 through 18 Years of Age ([link removed]) .
[link removed]
The website is divided into five easy-to-access sections:
* Vaccinate Teens ([link removed]) – Teen vaccination schedules and tips for improving vaccination rates
* Give 2 Doses ([link removed]) – Tools to help improve second dose coverage of MenACWY vaccine
* 16-Year-Old Visit ([link removed]) – Resources to help providers and patients remember the important vaccines recommended for 16-year-olds
* Tools for Providers ([link removed]) – Tools to explain meningococcal ACWY vaccine recommendations and improve coverage for all adolescent vaccines
* Resources ([link removed]) – Links to print materials ([link removed]) , organizations ([link removed]) involved in adolescent vaccination, personal stories ([link removed]) about the importance of vaccination, and other resources ([link removed]) of interest
The site also categorizes materials ([link removed]) according to whether they are primarily of interest to providers, to adolescents, or to parents.
Visit Give2MenACWY.org ([link removed]) and enjoy browsing (and deploying) its bountiful resources.
Related Links
* Give2MenACWY.org ([link removed]) website
* Algorithm for MenACWY Immunization in Adolescents 11–18 Years of Age ([link removed])
* MenACWY: You're Not Done If You Give Just One: Give 2 Doses to Strengthen Protection ([link removed])
* Recommending MenACWY: What to Say and How to Say It ([link removed])
* Top 10 Ways to Improve Adolescent Immunization Rates ([link removed])
* Developing an Immunization Culture in Your Office ([link removed])
* Know Your Rates: Measuring Immunization Success in Your Practice ([link removed])
* You're 16: We Recommend These Vaccines for You ([link removed])
* Dear Colleague Letter: 16-Year-Old Patients: Make Sure They Receive Their Annual Well Visit and Vaccinations ([link removed]) – signed by six medical societies
* Ask the Experts: Meningococcal ACWY ([link removed])
* CDC: ACIP Meningococcal Vaccine Recommendations ([link removed])
* CDC: Vaccination Coverage Among Adolescents Aged 13–17 Years—National Immunization Survey–Teen, United States, 2022 ([link removed])
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Notable Publications
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“Text vs Patient Portal Messaging to Improve Influenza Vaccination Coverage: A Health System-Wide Randomized Clinical Trial” published in JAMA Internal Medicine
In the March 18 issue, JAMA Internal Medicine published Text vs Patient Portal Messaging to Improve Influenza Vaccination Coverage: A Health System-Wide Randomized Clinical Trial ([link removed]) . Immunize.org's director for research, Sharon G. Humiston, MD, MPH, is an author. The key points appear below.
Question: Can either patient portal or text message reminders to patients about influenza vaccination raise vaccination rates across a health system, and do text messages work better than portal messages?
Findings: In this 3-arm randomized clinical trial that included 262,085 patients in 79 primary care practices, neither portal nor text message patient reminders were successful in raising overall influenza vaccination rates.
Meaning: Health systems and health care professionals need to implement more intensive interventions than patient reminders to raise influenza vaccination rates.
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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.
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