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Issue 1489: April 8, 2020

-TOP STORIES-
* CDC issues new guidance for adult immunization during pandemic
* AAFP joins CDC, AAP in releasing guidance on maintaining childhood immunization during COVID-19 pandemic
* CDC releases updated VISs for DTaP, Td, Tdap, multi-vaccine, and yellow fever
* National Infant Immunization Week is April 25–May 2; prepare using CDC's new 2020 digital media toolkit
* IAC Spotlight! IAC's Clinic Tools gateway page provides a wealth of practical educational materials from authoritative sources
* Not-to-miss immunization articles in the news
* Stay up to date on the latest coronavirus information

-IAC HANDOUTS-
* IAC updates its staff education materials: "Dates of Current Vaccine Information Statements" and "You Must Provide Patients with Vaccine Information Statements (VISs)—It’s Federal Law!"
* IAC updates “Before You Vaccinate Adults, Consider Their 'H-A-L-O'!"
* IAC posts updated “Give Birth to the End of Hep B” promotional handout for its Hepatitis B: What Hospitals Need to Do to Protect Newborns guide

-WORLD NEWS-
* WHO reports on control of epidemic meningitis in African meningitis belt in 2019 in Weekly Epidemiological Record

-FEATURED RESOURCES-
* CDC’s redesigned HPV vaccine gateway page for healthcare professionals, now optimized for digital devices, includes many practical resources
* CDC and Medscape publish commentary titled “Rotavirus Vaccination: 5 Things to Know”
* Order copies of IAC’s laminated 2020 U.S. child/adolescent and adult immunization schedules for your exam rooms today!

-EDUCATION AND TRAINING-
* Vaccine Education Center’s Current Issues in Vaccines webinar on April 15 discusses coronavirus, influenza, dengue, and polio


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-TOP STORIES-
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CDC issues new guidance for adult immunization during pandemic

Recognizing that clinicians need to provide clinical services in safe environments, CDC has issued new pandemic guidance for adult immunization in areas with community transmission of SARS-CoV-2. CDC recommends that needed immunizations be postponed, except when:
* The adult is present for some other purpose and the immunization can be delivered during that visit with no additional risk, or
* The adult and their clinician find a compelling need to receive the immunization after concluding that potential benefits outweigh risk of exposure to SARS-CoV-2.

The CDC guidance for adult preventive services, titled "Delivery of Adult Clinical Preventive Services, Including Immunizations,” can be found on CDC's Resources for Hospitals and Healthcare Professionals Preparing for Patients with Suspected or Confirmed COVID-19 ([link removed]) web page.

Guidance from CDC, AAP, and AAFP for childhood immunization is discussed in the following article.


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AAFP JOINS CDC, AAP IN RELEASING GUIDANCE ON MAINTAINING CHILDHOOD IMMUNIZATION DURING COVID-19 PANDEMIC

CDC, AAP, and AAFP have each released guidance on maintaining childhood immunization during the COVID-19 pandemic.

The CDC guidance has moved. See CDC's Information for Pediatric Healthcare Providers: Maintaining Childhood Immunizations during COVID-19 Pandemic ([link removed]) web page:

Ensuring the delivery of newborn and well-child care, including childhood immunization, requires different strategies [during the COVID-10 pandemic]. Healthcare providers in communities affected by COVID-19 are using strategies ([link removed]) [such as these from AAP] ([link removed]) 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.

AAFP posted the following guidance, titled COVID-19: Guidance for Family Physicians on Preventive and Non-urgent Care. ([link removed])

The AAFP supports the Centers for Disease Control and Prevention’s (CDC’s) mitigation strategy as a framework for family physicians to protect patients, families, and staff during the COVID-19 pandemic. ...

Family physicians should consider working expeditiously to provide routine, chronic, and preventive visits by telehealth, virtual, or e-visit as much as possible until after the COVID-19 threat has subsided, as defined by the CDC and as appropriate. ...

As the COVID-19 situation is rapidly changing and varies geographically, affected communities are developing strategies to ensure that the delivery of newborns and well-child care is maintained. This includes childhood immunizations. Practices have separated well visits from sick visits temporarily (e.g., well visits in the morning, sick visits in the afternoon) or spatially (e.g., well visits in a specified clinic or other location, separated from sick visits). Follow the CDC and Occupational Safety and Health Administration (OSHA) guidance for cleaning exam rooms and areas between patients and sessions.

Due to personal, practice, or community circumstances related to COVID-19, some family physicians may be unable to provide preventive health care visits, including the provision of immunizations. If only limited well-child visits can be provided, family physicians are encouraged to prioritize newborn care and vaccination of infants and young children (through 24 months of age), when possible.

Related Links
* CDC’s Information for Pediatric Healthcare Providers: Maintaining Childhood Immunizations during COVID-19 Pandemic ([link removed]) web page
* AAFP's COVID-19: Guidance for Family Physicians on Preventive and Non-urgent Care ([link removed])
* AAP's COVID-19 Clinical Guidance Q&A ([link removed]) web page


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CDC releases updated VISs for DTaP, Td, Tdap, multi-vaccine, and yellow fever

On April 1, CDC released interim versions of the Vaccine Information Statements (VISs) for DTaP, Td, Tdap, and multi-vaccine, and a final version of the yellow fever VIS.

Access these VISs on their respective IAC web pages by clicking on the links below.
* DTaP vaccine VIS ([link removed])
* Td vaccine VIS ([link removed])
* Tdap vaccine VIS ([link removed])
* Multi-vaccine ("Your Child's First Vaccines") VIS ([link removed])
* Yellow fever vaccine VIS ([link removed])

For both interim and final VISs, CDC encourages providers to begin using them immediately, but stocks of the previous editions may be used until exhausted.

CDC states that translations of interim VISs that are out of date may continue to be used, because there have not been significant content changes. However, the corresponding up-to-date English-language VIS must also be provided when providing an out-of-date translation.

Unfortunately, IAC is not able to obtain translations as soon as English updates are issued.

Related Links
* IAC's VIS gateway page ([link removed]) with VISs in up to 50 languages ([link removed])
* CDC's What's New with VISs ([link removed]) gateway page
* CDC's VIS ([link removed]) gateway page


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NATIONAL INFANT IMMUNIZATION WEEK IS APRIL 25–MAY 2; PREPARE USING CDC'S NEW 2020 DIGITAL MEDIA TOOLKIT

National Infant Immunization Week ([link removed]) (NIIW), April 25–May 2, is an annual observance to highlight the importance of protecting infants from vaccine-preventable diseases and to celebrate the achievements of immunization partners. The 2020 observance will be challenging for many, considering pandemic circumstances. Consider using this week for your community to restate the importance of immunization.

Since 1994, hundreds of U.S. communities have joined together during NIIW to celebrate the critical role vaccination plays in protecting our children, communities, and public health. Giving babies and toddlers the recommended vaccinations by age two is the best way to protect them from 14 serious childhood diseases.

Save time by using CDC's newly launched 2020 NIIW Digital Media Toolkit to plan and implement your organization's NIIW activities. The toolkit includes updated logos, sample social media content, social graphics, and key messages. Please share them as you are able using the hashtag #ivax2protect.

Related Links

* CDC's National Infant Immunization Week ([link removed]) gateway page
* CDC's 2020 NIIW Digital Media Toolkit ([link removed]) gateway page
* IAC's Parent Handouts ([link removed]) gateway page


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IAC SPOTLIGHT! IAC'S CLINIC TOOLS GATEWAY PAGE PROVIDES A WEALTH OF PRACTICAL EDUCATIONAL MATERIALS FROM AUTHORITATIVE SOURCES

IAC's Clinic Tools ([link removed]) gateway page on immunize.org is a one-stop source of practical information for immunization providers. Clicking on "Clinic Tools" in the blue bar at the top of the immunize.org website will bring you to this page, where you will find a wealth of resources and tools from IAC and its partner organizations. These resources address a wide range of topics:
* Administering Vaccines ([link removed])
* Documenting Vaccinations ([link removed])
* Scheduling Vaccines ([link removed])
* Screening for Contraindications ([link removed])
* Vaccine Storage & Handling ([link removed])
* Vaccine Recommendations ([link removed])

Visit the Clinic Tools ([link removed]) gateway page today to see how easy it is to find what you need!


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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.
* The Hill: Protecting Seniors through Immunizations ([link removed]) (3/30/20)

* Bloomberg: A Coronavirus Vaccine in 18 Months? Experts Urge Reality Check ([link removed]) (3/30/20)

* Texas Observer: Scientist Peter Hotez on Why Vaccine Development Is “Critical to the Security of Our Nation” ([link removed]) (3/30/20)

* Science Magazine: United States Wants to End Most Payouts for Leading Vaccination-Related Injury ([link removed]) (4/2/20)

* Science Magazine: "We Have No Choice." Pandemic Forces Polio Eradication Group to Halt Campaigns ([link removed]) (4/1/20)


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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


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-IAC HANDOUTS-
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IAC UPDATES ITS STAFF EDUCATION MATERIALS: "DATES OF CURRENT VACCINE INFORMATION STATEMENTS" AND "YOU MUST PROVIDE PATIENTS WITH VACCINE INFORMATION STATEMENTS (VISs)—IT’S FEDERAL LAW!"

IAC recently revised Dates of Current Vaccine Information Statements ([link removed]) as well as You Must Provide Patients with Vaccine Information Statements (VISs)—It’s Federal Law! ([link removed]) to reflect the April 1, 2020, date of the recently updated DTaP, Td, Tdap, and yellow fever, and the multi-vaccine VISs.


Related Links

* IAC’s Handouts: Documenting Vaccination ([link removed]) gateway page
* IAC’s Handouts for Patients and Staff ([link removed]) gateway page, where you can sort materials by topic, vaccine, or language
* IAC Educational Materials for Patients and Staff ([link removed]) —an alphabetical listing of more than 300 ready-to-print staff educational materials and patient handouts
* IAC's VIS ([link removed]) gateway page with VISs in up to 50 languages ([link removed])


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IAC UPDATES “BEFORE YOU VACCINATE ADULTS, CONSIDER THEIR “H-A-L-O”!

IAC recently updated its resource for healthcare professionals titled Before You Vaccinate Adults, Consider Their “H-A-L-O”! ([link removed]) H-A-L-O stands for four factors: health condition, age, lifestyle, and occupation. The following changes were made:
* to incorporate the updated ACIP recommendation to administer either Tdap or Td (now interchangeable) to adults as part of their primary series or as booster doses
* to add the high-risk criteria of immunosuppression and homelessness for HepA
* to change cigarette smoking to tobacco smoking as a risk factor for PPSV23 (CDC advises that smoking of cigars and pipes should be considered as risk factors, but not chewable tobacco or vaping)
* to indicate the vaccines that can be given to adults not in a specified risk group after a discussion with their healthcare provider (i.e., HPV, MenB, PCV13)

Related Link

* IAC’s Vaccine Recommendations ([link removed]) web page


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IAC posts updated “Give Birth to the End of Hep B” promotional handout for its Hepatitis B: What Hospitals Need to Do to Protect Newborns guide

IAC updated Give Birth to the End of Hep B ([link removed]) , the promotional handout for its comprehensive guide titled What Hospitals Need to Do to Protect Newborns ([link removed]) . The handout was updated to include information about the ACIP recommendations to give the hepatitis B vaccine birth dose within 24 hours of birth.

Related Links

* Give Birth to the End of Hep B ([link removed]) web page on immunize.org ([link removed])
* View the online version of the guide: Hepatitis B: What Hospitals Need to Do to Protect Newborns ([link removed])
* IAC’s Hepatitis B Birth Dose Honor Roll ([link removed]) web page


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WORLD NEWS
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WHO reports on control of epidemic meningitis in African meningitis belt in 2019 in Weekly Epidemiological Record

The World Health Organization published Control of Epidemic Meningitis in Countries in the African Meningitis Belt, 2019 ([link removed]) in the April 3 issue of the Weekly Epidemiological Record. Portions of the conclusion appear below.

Since 2010, 24 countries in the African meningitis belt have conducted MACV [meningococcal A conjugate vaccine] campaigns, and 10 have included this vaccine in their routine childhood immunization programmes. The decrease in the incidence of N. meningitidis A in the region has been confirmed and sustained so far: no outbreaks have been detected since 2014 and no cases since 2017. To ensure continued success of this vaccination strategy, the 14 remaining countries must urgently introduce the vaccine into their routine programmes.

Related Link
* WHO’s Weekly Epidemiological Record ([link removed]) (current issue and archives)


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-FEATURED RESOURCES-
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CDC’S REDESIGNED HPV VACCINE GATEWAY PAGE FOR HEALTHCARE PROFESSIONALS, NOW OPTIMIZED FOR DIGITAL DEVICES, INCLUDES MANY PRACTICAL RESOURCES

As part of its effort to optimize digital content for use on multiple devices, CDC has redesigned its HPV vaccine gateway page HPV: For Healthcare Professionals ([link removed]) . The information and materials on this site are meant to help healthcare professionals and staff to communicate effectively with parents about the importance of HPV vaccination. The new website includes HPV cancer statistics, continuing education resources, tips for answering parents’ questions, and more. It also features a new page on HPV vaccine safety and effectiveness data, which outlines the key data that healthcare professionals need to know when responding to vaccination questions from parents.

Related Links

* CDC's HPV Vaccination Information for Clinicians ([link removed]) gateway page
* IAC’s Vaccines: HPV ([link removed]) gateway page


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CDC and Medscape publish commentary titled “Rotavirus Vaccination: 5 Things to Know”

CDC and Medscape published a commentary titled Rotavirus Vaccination: 5 Things to Know ([link removed]) , by Benjamin D. Hallowell. The article discusses the vaccine's recommendations, its safety, and the vaccine's impact on the prevalence of rotavirus disease in the United States. In addition, the article discusses the relatively lower rates of rotavirus vaccination compared to vaccination against other childhood diseases and the impact of these lower rates on rotavirus outbreaks.

Related Links

* CDC's Rotavirus ACIP Vaccine Recommendations ([link removed]) web page
* CDC's Rotavirus Vaccination: Information for Health Care Professionals ([link removed])
* IAC's Vaccines: Rotavirus ([link removed]) gateway page


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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 ([link removed]) (0–18 years)
* IAC’s Laminated Adult Immunization Schedule ([link removed]) (19 and older)
* IAC’s Shop IAC ([link removed]) gateway page
* IAC’s Laminated Schedules print-ready order form ([link removed]) (PDF)


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-EDUCATION AND TRAINING-
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Vaccine Education Center’s Current Issues in Vaccines webinar on April 15 discusses coronavirus, influenza, dengue, and polio

The Vaccine Education Center (VEC) at Children's Hospital of Philadelphia will present a 1-hour webinar, beginning at 12:00 p.m. (ET) on April 15. Part of its Current Issues in Vaccines ([link removed]) series, the webinar will feature Paul Offit, MD, director of VEC. Dr. Offit's topics for this webinar will be:
* Coronavirus: A Perspective
* Influenza: Surveillance and Vaccine Efficacy
* Dengue Vaccine: Have We Solved the Safety Problem?
* Polio Vaccine: The Golden Handcuffs of OPV

Free continuing-education credits (CME, CEU, and CPE) will be available for both the live and archived events.

Register for the webinar. ([link removed])

Related Link

* VEC's Vaccine Webinar Archive ([link removed]) web page


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Video of the Week
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The Coronavirus Explained and What You Should Do: This animated video from Kurzgesagt–In a Nutshell shows what happens when the COVID-19 virus infects a human, potentially causing lasting damage and even death. Without a vaccine or cure at this time, washing our hands with soap and water and staying away from others are the most effective ways of staying well and slowing the pandemic.

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 and 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]) .

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
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