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Issue 1,842: November 19, 2025
Top Stories
* NEW! Immunize​.org posts standing orders templates for administering 2025–26 COVID-19 vaccines and updates “Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools.” (#IZX1)
* Canada loses measles elimination status; what does that mean? (#IZX2)
* Plan now for National Influenza Vaccination Week on December 6–12. Use these toolkits and resources to spread influenza vaccine awareness. (#IZX3)
* “Nurse’s Anti-HBs Was Positive, Now Negative: Does She Need HepB Vaccine?” Watch the 1-minute video, part of the Ask the Experts Video Series on YouTube. (#IZX4)
* Vaccines in the news (#IZX5)


Immunize​.org Website and Clinical Resources
* Spotlight on the website: External resources (#IZX6)
* Recap: Immunize​.org updates "Vaccines Work!" with table showing how rates of each vaccine-preventable disease fell after introduction of vaccination (#IZX7)


Featured Resources
* NFID podcast episode revisits common myths and misconceptions busted by past guests (#IZX8)
* American College of Obstetricians and Gynecologists releases Addressing COVID-19 Vaccine Misinformation: A Social Media Toolkit (#IZX9)
* We the People Vax holiday campaign materials available for download (#IZX10)

Notable Publications
* “Multisociety Guidance for Infection Prevention and Control in Nursing Homes” published in Infection Control and Hospital Epidemiology (#IZX11)


Upcoming Events
* Virtual: NFID hosts webinar titled “Pulse Check: What's at Stake This Respiratory Season” on December 3 at 12:00 p.m. (ET) as part of its 2025–2026 Respiratory Season News Briefing series. CME credit offered. (#IZX12)
* Virtual: December 4–5 ACIP meeting will discuss vaccine safety, childhood and adolescent immunization schedule, and hepatitis B vaccines (#IZX13)
* Virtual: Register for Immunize​.org Website Office Hours. Join a 30-minute discussion about image library, webinars, videos, and social media content on December 10 at 4:00 p.m. (ET) or December 11 at 12:00 p.m. (ET). Recorded sessions archived. (#IZX14)


Editorial Information (#Editorial)
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Top Stories
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NEW! Immunize​.org posts standing orders templates for administering 2025–26 COVID-19 vaccines and updates “Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools.”

CDC posted Interim Clinical Considerations for Use of COVID-19 Vaccines in the United States ([link removed]) on November 4, incorporating updates to COVID-19 vaccine recommendations adopted at the September ACIP meeting, in addition to dosing schedule updates. Until this season, CDC has issued standing orders templates for COVID-19 vaccination that Immunize​.org has shared on its website. This season, CDC will not be issuing updated standing orders templates. Therefore, Immunize​.org is releasing standing orders templates for COVID-19 vaccination reflecting the 2025–26 guidance.

ACIP now recommends COVID-19 vaccination for all people age 6 months or older following shared clinical decision-making. Professional medical societies, including the American Academy of Pediatrics (AAP), American Academy of Family Physicians (AAFP), American College of Obstetricians and Gynecologists (ACOG), and Infectious Diseases Society of America (IDSA), have issued their own recommendations for COVID-19 vaccination, including routine vaccination for certain groups. These standing orders templates include links to published guidance from CDC and professional medical societies. The standing orders also provide background information on high-risk conditions, including immunocompromising conditions and treatments that warrant use of the dosing schedule for people with moderate or severe immunocompromise. Those who use these templates should adapt them as needed to fit their organization’s decision to follow the recommendations of the CDC or a relevant professional medical society.
* Standing Orders for Administering 2025–2026 Formula mRNA COVID-19 Vaccine to Children 6 Months through 11 Years ([link removed])
* Standing Orders for Administering 2025–2026 Formula mRNA COVID-19 Vaccine to Individuals 12 years and older ([link removed])
* Standing Orders for Administering 2025–2026 Formula Nuvaxovid (Sanofi-Novavax) Adjuvanted Protein COVID-19 Vaccine to Individuals 12 Years and Older ([link removed])

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In addition, Immunize​.org published the November 15 version of its Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools ([link removed]) .

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The resource checklist is updated when significant new COVID-19 vaccine resources are released. The version date of this, and every Immunize​.org document, appears within the footer. All who offer COVID-19 vaccination should review reference materials and replace them as needed with current versions.

Related Links
* CDC: Interim Clinical Considerations for Use of COVID-19 Vaccines in the United States ([link removed]) main page
* Immunize​.org: Vaccines A–Z: COVID-19 ([link removed]) main page
* Immunize​.org: Package Inserts & EUAs: COVID-19 ([link removed]) web page
* AAP: Recommendations for COVID-19 Vaccines in Infants, Children, and Adolescents: Policy Statement ([link removed])
* American College of Obstetricians and Gynecologists: ACOG Releases Updated Maternal Immunization Guidance for COVID-19, Influenza, and RSV ([link removed])
* American Academy of Family Physicians: COVID-19 Vaccine: Fall 2025–26 Immunization Recommendations ([link removed])

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Canada loses measles elimination status; what does that mean?

On November 10, the Pan American Health Organization (PAHO) announced ([link removed]) that Canada lost its measles elimination status as a result of uninterrupted transmission of measles virus in the country for the past 12 months. This also means a loss of the overall measles elimination status for the World Health Organization (WHO) Region of the Americas, which includes Canada. The Region of the Americas is the only region of the world to achieve measles elimination.

The Public Health Authority of Canada released a statement ([link removed]) on November 10 addressing the country’s loss of measles elimination status amid rising regional outbreaks. Canada reports 5,162 confirmed cases ([link removed]) in 2025, through November 1.

As a result of related, ongoing measles outbreaks in communities with inadequate measles vaccination rates, the United States and Mexico are on a similar path to lose elimination status in coming months. The United States could mark 12 months of continuous transmission after January 20, 2026, followed by Mexico in February 2026. As of November 13, CDC reported 1,723 confirmed measles cases ([link removed]) in 2025 in 42 states.

The History of Vaccines website, produced by The College of Physicians of Philadelphia, published a blog post on November 10 ([link removed]) with a thorough explanation of how measles elimination status is determined, how it is lost, and how it can be re-established. An excerpt from the blog post appears below.
The path forward requires the same proven strategies that initially achieved elimination. Vaccination coverage must increase to at least 95% for both doses, and must reach every community. Surveillance systems must remain sensitive enough to detect every case. When cases appear, rapid response teams must investigate immediately, vaccinate contacts, and prevent further spread. Laboratory networks must quickly identify and characterize viruses. And perhaps most demanding of all, this work must continue year after year, even when measles seems like a distant memory.

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The only way to prevent measles is through vaccination. Community protection through measles elimination is sustainable when measles vaccination rates among children reach 95% or higher. Immunize​.org offers measles-related resources for the public on several of our affiliated websites:
* VaccineInformation​.org: Measles ([link removed]) web page
* LetsGetRealAboutVaccines​.org: Measles ([link removed]) web page
* Immunize​.org: Vaccines A–Z: Measles ([link removed]) main page

Related Links
* History of Vaccines: How Regions Earn and Keep Their "Measles-Free" Status ([link removed]) web page
* CDC: Measles Cases and Outbreaks ([link removed]) main page
* CDC: Be Ready for Measles toolkit ([link removed])
* Health Canada: Measles and Rubella Weekly Monitoring Report ([link removed])
* Johns Hopkins Bloomberg School of Public Health Center for Outbreak Response Innovation: Measles Outbreak Response ([link removed]) main page
* Immunize​.org: Vaccines A–Z: Measles ([link removed]) main page

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Plan now for National Influenza Vaccination Week on December 6–12. Use these toolkits and resources to spread influenza vaccine awareness.

National Influenza Vaccination Week (NIVW), December 6–12, is a time to remind everyone that annual influenza vaccination is a critical step toward protecting your health this winter. CDC has not yet posted NIVW-specific materials for the 2025–26 season. However, several public health organizations posted tools that healthcare providers and public health communicators can use to recommend flu vaccination during this year’s NIVW observance, including:
* American Hospital Association: 2025 United Against the Flu Fall Toolkit ([link removed]) features content about availability of influenza vaccine for at-risk and vulnerable populations.
* American Lung Association: Fight Flu Social Media Toolkit ([link removed]) provides downloadable social media posts, graphics, hashtags, and messaging to help advocates promote annual flu vaccination.
* California Department of Health: Flu Vaccine Toolkit ([link removed]) provides downloadable materials and messaging to help organizations promote flu vaccination.
* NFID: From Wild to Mild: The Power of Flu Vaccination ([link removed]) campaign promotes annual influenza vaccination to reduce the severity of influenza. It offers downloadable, co-brandable graphics and animations in English and Spanish.
* NFID: Flu Vaccination Is More Important Than Ever This Flu Season ([link removed]) highlights the importance of getting a flu vaccine this season, especially to protect vulnerable individuals and ease pressure on healthcare systems.
* Public Health Communications Collaborative: Communicating About Flu and COVID-19 Vaccination in 2025–26 ([link removed]) provides updated key messages, best practices, and audience-tailored guidance to support communications about flu vaccine.

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Additionally, IZ Express published a list of respiratory season toolkits ([link removed]) in our October 29 issue to aid your RSV, COVID, and influenza vaccination communication this season.

Related Links
* CDC: 2025–2026 Flu Season ([link removed]) web page
* Immunize​.org: Vaccines A–Z: Influenza ([link removed]) main page

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“Nurse’s Anti-HBs Was Positive, Now Negative: Does She Need HepB Vaccine?” Watch the 1-minute video, part of the Ask the Experts Video Series on YouTube.

This week, our featured episode from the Ask the Experts Video Series is titled Nurse’s Anti-HBs Was Positive, Now Negative: Does She Need HepB Vaccine? ([link removed]) The video briefly describes why no action is needed when a patient with a remote history of HepB vaccination has a negative hepatitis B surface antibody titer now, but the patient’s records document a protective hepatitis B surface antibody titer after vaccination in the past. This scenario is most likely to occur when the patient is a healthcare professional.

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.
* KFF Health News: Conflicting Advice on COVID Shots Likely to Ding Already Low Vaccine Rates, Experts Warn ([link removed]) (11/14/25)
* Lancet Respiratory Medicine, Editorial: Public Trust: The Vaccine Against Vaccine Hesitancy ([link removed](25)00406-0/fulltext) (11/12/25)
* The Texas Tribune: The Number of Whooping Cough Cases in Texas Is the Highest It’s Been in 11 Years ([link removed]) (11/11/25)
* The Guardian: Pediatricians Fill Vaccine Messaging Void Left by CDC amid Bad Flu Season ([link removed]) (11/11/25)

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Immunize​.org Website and Clinical Resources
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Spotlight on the website: External resources

Today, we turn the spotlight on Immunize​.org's External Resources ([link removed])  main page, where content from credible and trustworthy partners dedicated to immunization is showcased. You’ll find links to: 
* Vaccine Manufacturers ([link removed]) : includes contact information for companies and listings of their vaccines
* Vaccine Apps ([link removed]) : a selection of immunization-related apps (Apple or Google Play) for providers or patients to use on phone or tablet
* Email News Services ([link removed]) : links to respected publications covering vaccine-preventable diseases and more
* Immunize.org Partners ([link removed]) : alphabetical listing of key organizations and professional societies with descriptions and links to websites 

To access the External Resources menu, click on the “Clinical Resources” tab found atop each page and then “External Resources” in the left-hand column. The menu in the center links to the four categories described above.

If you are aware of resources that we should include on these pages, please email [email protected] or complete the contact form ([link removed]) .
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Recap: Immunize​.org updates "Vaccines Work!" with table showing how rates of each vaccine-preventable disease fell after introduction of vaccination

Immunize​.org updated its popular Vaccines Work! ([link removed]) 1-page document with revised CDC data on how much rates of each vaccine-preventable disease dropped after introduction of routine vaccination.
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Featured Resources
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NFID podcast episode revisits common myths and misconceptions busted by past guests

Infectious IDeas ([link removed]) , a podcast series from NFID, brings leading experts together for thought-provoking conversations. In a special compilation episode, Fact vs. Fiction: Top Vaccine Myths Debunked ([link removed]) , Marla Dalton, CAE, and William Schaffner, MD, revisit some of the most common myths and misconceptions busted by past guests.

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American College of Obstetricians and Gynecologists releases Addressing COVID-19 Vaccine Misinformation: A Social Media Toolkit

American College of Obstetricians and Gynecologists (ACOG) released its Addressing COVID-19 Vaccine Misinformation ([link removed]) : A Social Media Toolkit ([link removed]) after ACOG released its updated guidance on COVID-19 vaccination. The toolkit features social media graphics and sample messages to help educate and encourage pregnant patients to make the choice to get vaccinated.

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View the toolkit ([link removed]) .
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We the People Vax holiday campaign materials available for download

We the People Vax ([link removed]) , founded by coalitions ([link removed]) from Arizona, California, and Indiana, is a group of coalitions and health organizations raising awareness of the patriotism of strengthening communities via vaccination. Their latest campaign, The Holidays 2025 ([link removed]) , is designed for Thanksgiving and the winter holidays, and includes:
* An MP4 video to share as a post on social media platforms
* Two static graphics
* Sample messages for easy and effective sharing

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Notable Publications
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“Multisociety Guidance for Infection Prevention and Control in Nursing Homes” published in Infection Control and Hospital Epidemiology

In its October 28 issue, Infection Control and Hospital Epidemiology published Multisociety Guidance for Infection Prevention and Control in Nursing Homes ([link removed]) , developed by a collaboration of major infection-prevention societies, including Society for Healthcare Epidemiology of America (SHEA), Association for Professionals in Infection Control and Epidemiology (APIC), Infectious Diseases Society of America (IDSA), American Geriatrics Society (AGS), and the Post‑Acute and Long‑Term Care Medical Association (PALTmed).

Recommendations address:
* Contracting and onboarding processes for employees and consultants requiring documentation of infection prevention and control (IPC) training and vaccination status
* Training in communicating and receiving IPC-specific information during transfers, including vaccination status
* Adherence to federal, state, and local requirements for vaccination of workers, contractors, consultants, and visitors
* Adoption of multimodal interventions to increase acceptance of CDC-recommended vaccines
* Implementation of policies for vaccination of residents and workers that include education, training, and monitoring of vaccination-acceptance rates

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Upcoming Events
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Virtual: NFID hosts webinar titled “Pulse Check: What's at Stake This Respiratory Season” on December 3 at 12:00 p.m. (ET) as part of its 2025–2026 Respiratory Season News Briefing series. CME credit offered.

The National Foundation for Infectious Diseases ([link removed]) (NFID) will host its third webinar in its 2025–2026 Respiratory Season News Briefings ([link removed]) series titled Pulse Check: What's at Stake This Respiratory Season ([link removed]) at 12:00 p.m. (ET) on December 3. The panel includes NFID Medical Director Robert H. Hopkins; Rochelle Walensky, MD, MPH, former CDC director; and Peter J. Hotez, MD, PhD, Texas Children’s Center for Vaccine Development.

Speakers will focus on new barriers to getting vaccinated, including access, payment, differing recommendations, and widespread misinformation. This briefing will provide a pulse check with new survey findings, expert perspectives, and personal stories that will highlight:
* New challenges in protecting public health during the current respiratory season
* What’s at stake for individual families, communities, and the U.S. healthcare system
* The immediate and long-term implications for public health

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

Register for the webinar ([link removed]) .

NFID hosts monthly webinars ([link removed]) to increase awareness of the importance of infectious disease prevention and treatment. CME, CNE, and CPE credits are available for select recordings. View all archived NFID webinars ([link removed]) .
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Virtual: December 4–5 ACIP meeting will discuss vaccine safety, childhood and adolescent immunization schedule, and hepatitis B vaccines

CDC will convene the ACIP ([link removed]) on December 4–5, starting at 9:00 a.m. (ET). The announcement, posted on November 12 ([link removed]) , indicates the meeting will discuss vaccine safety, the childhood and adolescent immunization schedule, and hepatitis B vaccines. Recommendation votes may be scheduled for the hepatitis B vaccine and its consideration for the Vaccines for Children (VFC) program. Request an opportunity for oral public comment or submit written comments ([link removed]) to the committee by November 24. A draft agenda is available now ([link removed]) ; agenda items are subject to change.

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No registration is required to watch webcasts of live ACIP meetings or listen via telephone.

Related Links
* CDC: ACIP main page ([link removed]) for access to webcast, agendas
* CDC: ACIP Meeting Information ([link removed]) for presentation slides, content from previous meetings, and information about future meetings

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Virtual: Register for Immunize​.org Website Office Hours. Join a 30-minute discussion about image library, webinars, videos, and social media content on December 10 at 4:00 p.m. (ET) or December 11 at 12:00 p.m. (ET). Recorded sessions archived.

To learn simple tips and tricks for using our websites efficiently, please register for our next set of Website Office Hours on Wednesday, December 10, at 4:00 p.m. (ET) ([link removed])  or Thursday, December 11, at 12:00 p.m. (ET) ([link removed]) . The same content will be covered in both sessions.

We will open each 30-minute session with a short, live demonstration on navigating our image library, webinars, videos, social media (YouTube) website sections. You can submit questions when you register or live on Zoom during the session.

Register today for Immunize​.org Website Office Hours (content is the same for both):
* Wednesday, December 10, at 4:00 p.m. (ET) ([link removed])
* Thursday, December 11, at 12:00 p.m. (ET) ([link removed])

The archive of previous Website Office Hours content ([link removed])  is posted at Immunize​.org’s "Webinars & Videos" page.

Mark your calendar ([link removed])  for future Immunize​.org Website Office Hours.

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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. Gr
äbenstein, 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. NH23IP922654 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 (http:// [link removed])
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