IAC Express #1443

In the August 30 issue of MMWR, CDC published Notes from the Field: Mumps in Detention Facilities that House Detained Migrants—United States, September 2018–August 2019. A media summary of the MMWR article is reprinted below.

The first known outbreaks of mumps in detention facilities have resulted in the spread of mumps to over 50 detention facilities in 19 states since September 2018. From September 1, 2018 to August 22, 2019, a total of 898 mumps cases in adult migrants in 57 detention facilities were reported in 19 states, with another 33 cases among detention facility staff. While more than 150 outbreaks have been reported in the U.S. since 2015—most often in close-contact settings such as universities—this is the first time mumps outbreaks have been reported in detention facilities. CDC was first notified about the outbreaks by the Texas Department of State Health Services (TDSHS) in December last year. Since that time, CDC has been working with state and local health departments, the Immigration and Customs Enforcement Health Service Corps (IHSC), and other federal agencies to assist detention facility health administrators to develop and implement mumps outbreak control measures.

Related Links

MMWR report Notes from the Field: Mumps in Detention Facilities that House Detained Migrants—United States, September 2018–August 2019 (PDF)
MMWR report Notes from the Field: Mumps in Detention Facilities that House Detained Migrants—United States, September 2018–August 2019 (HTML)
MMWR main page provides access to MMWR Weekly, MMWR Recommendations and Reports, MMWR Surveillance Summaries, and MMWR Supplements

Total number of U.S. measles cases for 2019 climbs to 1,234 with 19 new cases reported since last week

CDC has posted its latest update on 2019 measles cases in the U.S. on its Measles Cases and Outbreaks web page. The web page shows a preliminary estimate of 1,234 cases across 31 states as of August 29. This is the greatest number of cases reported in the U.S. since 1992 and since measles was declared eliminated from the U.S. in 2000.

The states that have reported cases to CDC are Alaska, Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kentucky, Maine, Maryland, Massachusetts, Michigan, Missouri, New Mexico, Nevada, New Hampshire, New Jersey, New York, Ohio, Oklahoma, Oregon, Pennsylvania, Texas, Tennessee, Virginia, and Washington.

Access additional information about U.S. measles cases in 2019 on CDC's Measles Cases and Outbreaks web page.

Measles outbreaks (defined as three or more cases) are currently ongoing in 2019 in the following jurisdictions:

Related Links

CDC's Measles (Rubeola) web section
CDC's Measles Outbreak Toolkit for Healthcare Providers
CDC's Measles Outbreak Toolkit for Local/State Health Departments
IAC's Vaccines: Measles web page
IAC Express Special Edition—Ask the Experts: Issue 1428 (5/30/19)
IAC's Ask the Experts: Measles, Mumps, and Rubella web page
IAC's Handouts: Measles web page
IAC's Measles, Mumps, and Rubella VIS web page
IAC's Talking about Vaccines: Religious Concerns web page
IAC's Talking about Vaccines: MMR Vaccine web page

IAC Spotlight! IAC's Clinic Tools: Administering Vaccinations web page provides resources from IAC, CDC, and other organizations

IAC's Clinic Tools: Administering Vaccinations web page on immunize.org is a collection of resources from IAC, CDC, and other organizations.

In the left-hand column of the page, you will find IAC's educational materials related to administering vaccines, such as Administering Vaccines: Dose, Route, Site, and Needle Size; Don’t Be Guilty of These Preventable Errors in Vaccine Administration; and Skills Checklist for Vaccine Administration, as well as other educational pieces for healthcare professionals and their patients.

The right-hand column of the page features resources from CDC, including links to vaccine administration guidelines, General Best Practice Guidelines for Immunization, and “The Pink Book,” as well as resources from other organizations.

The Clinic Tools: Administering Vaccinations web page can be found by starting on the immunize.org home page, selecting the "Clinic Tools" tab (third from the left) in the blue banner across the top, and then selecting "Administering Vaccinations" in the drop-down menu.

Visit the Clinic Tools: Administering Vaccinations page on immunize.org.

Related Links

Visit IAC Handouts: Administering Vaccines web page with educational materials for staff
Clinic Tools web section on immunize.org
Clinic Tools: Adult Vaccination web page
Clinic Tools: Documenting Vaccines web page
Clinic Tools: Scheduling Vaccines web page
Clinic Tools: Screening for Vaccine Contraindications and Precautions web page
Clinic Tools: Vaccine Recommendations web page
Clinic Tools: Vaccine Storage and Handling web page
Visit NAIIS’s Tools to Assist Satellite, Temporary, and Off-Site Vaccination Clinics web page

Extended deadline for early bird registration! 2019 National Conference for Immunization Coalitions and Partnerships scheduled for November 13–15 in Honolulu; register by September 15 for discount

Register now to get your early bird discount to the exciting 14th National Conference for Immunization Coalitions and Partnerships (NCICP), which will take place in Honolulu from November 13–15. This is a great opportunity for coalition members and others to learn from expert speakers and network with members of immunization coalitions from around the nation.

Keynote speakers will include Nancy Messonnier, MD, director, National Center for Immunization and Respiratory Diseases, CDC, and Erica DeWald, directory of advocacy, Vaccinate Your Family. The conference will also include 40 breakout sessions, as well as research and coalition posters.

Please register for the conference by September 15 to receive the early bird rate.

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Two healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination

There are now 843 organizations enrolled in IAC's Influenza Vaccination Honor Roll. The honor roll recognizes hospitals, long-term care facilities (LTCFs), medical practices, pharmacies, professional organizations, health departments, and other government entities that have taken a stand for patient safety by implementing mandatory influenza vaccination policies for healthcare personnel.

Since August 7, when IAC Express last reported on the Influenza Vaccination Honor Roll, two additional healthcare organizations have been enrolled.

IAC urges qualifying healthcare organizations to apply by visiting the Application page.

Newly added healthcare organizations, hospitals, government agencies, medical practices, long-term care facilities, and pharmacies

Taylor Hardin Secure Medical Facility, Tuscaloosa, AL
Vanderbilt University Medical Center, Nashville, TN

Related Links

Listing of all honorees by state
Long-term care/assisted living honorees by state
Position statements from professional societies and leading healthcare organizations in support of mandatory influenza vaccination
Application form for the honor roll
Influenza Vaccination Honor Roll section on immunize.org, which includes access to the application form (see the gold honor badge in right column, and click on the words "Apply for the Influenza Vaccination Honor Roll")
IAC's Honor Roll for Patient Safety web page
IAC's Hepatitis B Birth Dose Honor Roll section on immunize.org

Voices for Vaccines releases several new podcasts in recognition of National Immunization Awareness Month; most recent episode titled "The Trivia Show!"

Voices for Vaccines (VFV) has posted a new entry in its Vax Talk podcast series: The Trivia Show! Melody Butler, of Nurses Who Vaccinate, challenged staff to a game of Vaccine Trivia.

In recognition of National Immunization Awareness Month (NIAM) 2019, VFV celebrated with Game Show Month. Recent podcasts include Vaccines, Baseball, and DaVinci, Troll or Be Trolled, and Stop the Presses.

Visit the VFV website podcast page
Subscribe to Vax Talk via iTunes or Google Play

If you or your organization would like information about how to become a sponsor of a VFV "Vax Talk" podcast, please contact VFV's executive director Karen Ernst, at [email protected].

Voices for Vaccines is a national organization of parents and others who are dedicated to raising the level of the voices of immunization supporters. VFV invites everyone who values vaccines to become a member. Please spread the word to your friends and colleagues to join VFV!

Related Links

Visit the Voices for Vaccines website
Join Voices for Vaccines and receive weekly email updates
Follow Voices for Vaccines on Facebook

IAC HANDOUTS

IAC updates "Administering Vaccines: Dose, Route, Site, and Needle Size"

IAC recently revised Administering Vaccines: Dose, Route, Site, and Needle Size. Changes were made to add a 0.5 mL dose of Fluzone and also 0.25 mL dose of Afluria to the influenza vaccine options for children beginning at age 6 months.

Related Links

Visit IAC's Clinic Tools: Administering Vaccines web page to access Standing Orders Templates for Vaccine Administration for all routinely recommended vaccines
View more than 300 CDC-reviewed, ready-to-print IAC Educational Materials for Patients and Staff
View IAC's handouts sorted by topic

IAC's Handouts for Patients & Staff web section offers healthcare professionals and the public more than 250 FREE English-language handouts (many also available in translation), which we encourage website users to print out, copy, and distribute widely.

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IAC and the American College of Obstetricians and Gynecologists update their patient handout "Vaccinations for Pregnant Women"

IAC and the American College of Obstetricians and Gynecologists (ACOG) recently revised Vaccinations for Pregnant Women. This very popular handout was edited to incorporate information on zoster vaccine, MenACWY, and HPV vaccine.

IAC offers an array of handouts for pregnant women as well as education materials for staff.

Related Links

IAC’s Handouts: Pregnancy and Vaccines web page
ACOG’s Immunization For Women web page with immunization information for Ob-Gyns and their patients

FEATURED RESOURCES

New! “FLU VACCINE” buttons and stickers now available for purchase from IAC

Start your preparations for the 2019–20 influenza season by ordering IAC's new “FLU VACCINE” buttons and stickers from SHOP IAC. These new resources are modeled after “I Voted” stickers, which are given to voters in many states as they leave the polls on Election Day. The flu vaccine buttons and stickers are bright red to help broadcast your important vaccination message. And the cost is low!

“FLU VACCINE” BUTTONS

Demonstrate your clinic-wide support for protecting everyone from influenza by purchasing buttons for all staff to wear. Measuring 1.25" across, the button is understated in size but carries a bold message! Brightly colored red, round button with white text and a metal pin that clasps on the back.

Pin on your lab coat, uniform, other clothing, tote bag, or backpack to show support for influenza vaccination. Wear it when flu vaccine is available in your clinic to remind patients and the public to protect themselves from influenza.

Buttons are delivered in bags of 10 buttons per bag. Click here for pricing and ordering information.

“FLU VACCINE” STICKERS

These brightly colored red, round stickers measure 1.5" across. Printed on Avery labels, they adhere well to clothing and have an easy-peel-off back.

Wearing these brightly colored stickers, your patients will be letting their communities know that influenza vaccination is important.

Suitable for clinic staff, too! Urge all staff to wear them at work during flu vaccination season. This sends a powerful reminder to patients to get vaccinated.

Stickers are delivered to you cut individually (not on rolls)—available in bundles of 100. Click here for pricing and ordering information.

Related Links

Visit the Shop IAC web section
- For IAC’s Immunization Record Cards for Children/Teens, Adults, and Lifetime
- For Immunization Techniques: Best Practices with Infants, Children, and Adults DVD

Hepatitis B Foundation releases new #justB video titled "Sura's Story" to empower people affected by hepatitis B, raise awareness, and end stigma; video available in English and Arabic

The Hepatitis B Foundation continues its storytelling campaign: #justB: Real People Sharing Their Stories of Hepatitis B.

Watch Sura's Story, about a young woman whose brother tragically and very suddenly passed away due to fulminant hepatitis B at age 21. He contracted the virus while they were both in medical school in Syria. Sura is now living in the U.S., finishing her medical training, and has become a vocal advocate for hepatitis B prevention and vaccination. In memory of her brother, she shares her family’s story to help raise awareness about hepatitis B and encourages everyone to get vaccinated if they have not already. Her story is available in English and Arabic.

Watch any of the following new videos by going to the web section: #justB: Real People Sharing Their Stories of Hepatitis B.

Related Links

IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)

In late 2017, the Immunization Action Coalition (IAC) announced the publication of its new book, Vaccinating Adults: A Step-by-Step Guide (Guide).

This completely updated "how to" guide on adult immunization provides easy-to-use, practical information covering essential adult immunization activities. It helps vaccine providers enhance their existing adult immunization services or introduce them into any clinical setting. Topics include:

setting up for vaccination services,
storing and handling vaccines,
deciding which people should receive which vaccines,
administering vaccines,
documenting vaccinations (including legal issues), and
understanding financial considerations and billing information.

In addition, the Guide is filled with hundreds of web addresses and references to help providers stay up to date on the latest immunization information, both now and in the future.

The Guide is available to download/print either by chapter or in its entirety free of charge at www.immunize.org/guide. The downloaded version is suitable for double-sided printing. The National Vaccine Program Office and CDC both supported the development of the Guide and provided early technical review.

The Guide is a uniquely valuable resource to assist providers in increasing adult immunization rates. Be sure to get a copy today!

Related Links

See Vaccinating Adults: A Step-by-Step Guide and all its content
Free download of entire Guide (10.6 MB PDF)
View the Table of Contents and individual chapters in PDF format:
– Table of Contents
– Step 1: Getting Started
– Step 2: Setting Up for Vaccination Services
– Step 3: Vaccine Storage and Handling
– Step 4: Deciding Whom to Vaccinate
– Step 5: Administering Vaccines
– Step 6: Documentation and Related Issues
– Step 7A: Financial Considerations
– Step 7B: How to Bill for Adult Immunizations
Promotional flyer for Vaccinating Adults: A Step-by-Step Guide
IAC’s educational materials (handouts) on adult immunization

JOURNAL ARTICLES AND NEWSLETTERS

Vaccine Education Center at Children's Hospital of Philadelphia publishes August issue of its newsletter Vaccine Update for Healthcare Professionals

The Vaccine Education Center (VEC) at Children's Hospital of Philadelphia publishes a monthly immunization-focused newsletter titled Vaccine Update for Healthcare Professionals. The August issue includes the following articles:

News & Views: What Do People Around the World Think About Science, Health, Trust and Vaccines? by Charlotte A. Moser, BS, and Paul A. Offit, MD
In the Journals: Progress Toward RSV Vaccine Design by Paul A. Offit, MD
Technically Speaking: Newly Designed and Easy to Navigate—Visit Give2MenACWY.org by IAC Executive Director Deborah L. Wexler, MD

Additional resources, including information about upcoming webinars, are available in the full newsletter.

Access the sign-up form to subscribe to Vaccine Update for Healthcare Professionals.

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August issue of CDC's Immunization Works newsletter now available

CDC recently released the August issue of its monthly newsletter Immunization Works. The newsletter offers the immunization community information about current topics. The information is in the public domain and can be reproduced and circulated widely.

Related Links

EDUCATION AND TRAINING

Harvard T.H. Chan School of Public Health presents upcoming forum titled “The Measles Outbreak: Why Vaccines Matter” through free live stream on September 12

The Dr. Lawrence H. and Roberta Cohn Forums at the Harvard T.H Chan School of Public Health will offer a forum titled The Measles Outbreak: Why Vaccines Matter on September 12 from 12:00–1:00 p.m. (ET). Presented jointly with Public Radio International’s The World and WGBH, there will be multiple ways to participate, including a live webcast and an on-demand video after the event. The following is excerpted from the webcast’s web page:

This Forum looks at the drivers of the 2019 outbreaks and, more generally, the challenges of vaccine acceptance. Why do some parents delay or decline vaccinating their children? How might their concerns be addressed? What about exemptions? Why does the global picture matter? And what can be done once an outbreak begins? New polling data will frame this discussion, providing a uniquely current picture of vaccine acceptance in the U.S.

Access more information about this forum, including how to register: The Measles Outbreak: Why Vaccines Matter.

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NFID offers September 12 webinar on protecting young adults from meningococcal disease

The National Foundation for Infectious Diseases (NFID) will present a webinar titled Protecting Young Adults from Meningococcal Disease on September 12 from 2:00–3:00 p.m. (ET). NFID medical director William Schaffner, MD will moderate the webinar with presentations by Sarah A. Mbaeyi, MD, MPH, medical officer at the Centers for Disease Control and Prevention (CDC), and Christine Amidon, BSN, RN, nurse at the Wabash College Student Health Center in Crawfordsville, Indiana.

Registration information

Related Link

NFID's Online Education web page

Reminder: Weekly CDC webinar series on "The Pink Book" chapter topics runs through September 25; register now

Register for CDC's 15-part, live CE-accredited series of 1-hour webinars designed to provide a chapter-by-chapter overview of the 13th edition of Epidemiology and Prevention of Vaccine-Preventable Diseases (also known as "The Pink Book"). Topics include specific vaccines and the diseases they prevent, general recommendations for vaccines, vaccination principles, and immunization strategies for providers.

All sessions begin at 12:00 p.m. (ET). This series began on June 5 and will run through September 25, 2019. The next two webinars are scheduled as follows:

September 18: Pneumococcal Vaccines
September 25: Influenza

Recordings of sessions will be available online within 2 weeks after each webinar.

Information on registration and program details are available on CDC's Pink Book Webinar Series web page.

All the sections of "The Pink Book" (i.e., chapters, appendices, 2017 supplement) are available to download at no charge at www.cdc.gov/vaccines/pubs/pinkbook/index.html. You can also order this resource from the Public Health Foundation for $40 plus shipping and handling.

The American Dental Association offers September 25 webinar for dentists titled “Say What? Science and Skills for Talking about the HPV Vaccine”

The American Dental Association will offer a webinar titled Say What? Science and Skills for Talking about the HPV Vaccine on September 25 at 12:00 p.m. (CT). Targeted to dentists, participants will learn the basics of the HPV vaccine, how to initiate conversation with their patients, answer difficult questions, and get comfortable developing effective messaging techniques. The presenters include Robin Wright, PhD, director, Research and Policy Center, American Academy of Pediatric Dentistry, and Reva Bhushan MA, PhD, evidence-based dentistry manager, American Academy of Pediatric Dentistry. CE credits are available.

Registration information