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Issue 1450: October 2, 2019

-TOP STORIES-
* NFID held annual influenza and pneumococcal news conference and CDC released 2018–19 influenza vaccine coverage data on September 26
* Kids Plus Pediatrics, a private practice in Pennsylvania, launches a new website and toolkit to aid healthcare providers and practices in fighting back against anti-vaccine social media attacks
* NBC News and The New York Times publish articles about the growing anti-vaccine movement in the U.S.
* IAC Spotlight: Just in case you missed them, these IAC materials and web pages were updated during August and September
* CDC updates job aids to assist healthcare providers in interpreting Tdap catch-up recommendations in the child and adolescent immunization schedules
* IAC’s new "FLU VACCINE" buttons and stickers are flying out the door! But don't worry. We’ve got you covered. Keep stocking up for flu season!
* Reminder: Visit newly updated www.Give2MenACWY.org to enhance your efforts at increasing rates of the MenACWY booster and other adolescent vaccines
* Five healthcare organizations join IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination
* FDA issues news release announcing its approval of the first live, non-replicating vaccine to prevent smallpox and monkeypox
* Two new measles cases reported to CDC in week ending September 26; total cases for 2019 increase to 1,243 across 31 states
* NCQA announces new publicly reported quality measure for immunizing pregnant women

-IAC HANDOUTS-
* IAC updates Turkish-language translation of "Screening Checklist for Contraindications to Vaccines for Adults"

-VACCINE INFORMATION STATEMENTS-
* IAC posts Thai-language translation of the MenACWY VIS

WORLD NEWS
* CDC and WHO report on worldwide progress toward poliovirus containment in this week's MMWR and Weekly Epidemiological Record, respectively

-FEATURED RESOURCES-
* CDC posts flu fighter profiles as part of their #WhyIFightFlu campaign, featuring members of the public describing why they fight flu and how flu has impacted their lives
* IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)

-JOURNAL ARTICLES AND NEWSLETTERS-
* September issue of CDC's Immunization Works newsletter now available
* Vaccine Education Center at Children's Hospital of Philadelphia publishes September issue of its newsletter Vaccine Update

-CONFERENCES AND MEETINGS-
* Reminder: National Conference for Immunization Coalitions and Partnerships will take place November 13–15 in Honolulu


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-TOP STORIES-
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NFID HELD ANNUAL INFLUENZA AND PNEUMOCOCCAL NEWS CONFERENCE AND CDC RELEASED 2018–19 INFLUENZA VACCINE COVERAGE DATA ON SEPTEMBER 26

The annual National Foundation for Infectious Diseases (NFID) Influenza and Pneumococcal Vaccination Kick-Off ([link removed]) news conference was held in Washington, DC, on September 26. At the event, a panel of experts engaged in discussions about the previous and upcoming flu seasons. A press release titled US Health Officials Urge Influenza and Pneumococcal Disease Vaccination ([link removed]) was issued.

CDC also announced the kick-off event ([link removed]) on its website and on the same day released influenza vaccine coverage data for the 2018–19 influenza season ([link removed]). Five paragraphs from the CDC web page National Press Conference Kicks Off 2019–2020 Flu Vaccination Campaign ([link removed]) are reprinted below.

“Overall, CDC estimates show that flu vaccination coverage has increased over the past decade, though the increase has been more impressive in children.

Vaccination among kids across all ages, 6 months through 17 years, was almost 63 percent—an increase of almost 5 percentage points from 2017–2018 and about 3 percentage points from 2016–2017. As usual, coverage was highest among the youngest kids, (6 months to 4 years), at 73 percent. Also, typical, coverage among teens 13 to 17 years old was lowest at 52 percent last season. Looking at a longer-term trend, flu vaccination coverage in children 6 months through 17 years has increased more than 10 percentage points since 2010–2011. Since that time, the most impressive gain in flu vaccination coverage among children has been in teens 13 to 17 years old, where coverage has increased by 20 percentage points. Secretary Azar called the increase in vaccination among children “wonderful.”

Vaccination coverage among adults is around 45%, leaving more than half of adult Americans unprotected from flu each season. Sixty-eight percent of people 65 and older were vaccinated last season, making them once again the most vaccinated among the adult population. Adults 18 to 49 years old were the least vaccinated at 35%. Looking back to 2010–2011, flu vaccine coverage in adults overall was just under 41%. Coverage in people 65 and older was nearly 67% and in people 18 to 49 years it was just under 31%. Estimates for 2018–19 show an increase of about 4 percentage points since 2010–2011 in adults overall and adults 18 to 49 years, but very little improvement in coverage among adults 65 and older.

Flu vaccination coverage varied significantly by state. During last flu season, vaccination coverage in adults ranged from 34 percent in Nevada to 56 percent in Rhode Island. Flu vaccination coverage in children ranged from 46 percent in Wyoming to 81 percent in Massachusetts. Non-Hispanic white adults had higher coverage rates than non-Hispanic black, Hispanic, Asian, and American Indian/Alaska Native adults and adults of other or multiple races. Among children, Asian children had higher coverage rates than children in all other racial/ethnic groups.

Vaccination among health care workers last season was similar to recent prior seasons. CDC estimates 81 percent of all health care workers got vaccinated last season, but only 68 percent of long-term care workers got vaccinated. Secretary Azar underscored the importance of seeing that number increase because many long-term care workers work with people who are especially vulnerable to severe complications from flu.”

Related Links
* Access the NFID Influenza and Pneumococcal Vaccination Kick-Off ([link removed]) web page
* NFID Press Release: US Health Officials Urge Influenza and Pneumococcal Disease Vaccination ([link removed]) (9/26/19)
* 2019 NFID Annual Influenza Pneumococcal News Conference ([link removed]) (1-hour video archive)
* CDC web page: National Press Conference Kicks Off 2019–2020 Flu Vaccination Campaign ([link removed]) (9/26/19)
* CDC Report: Flu Vaccination Coverage, United States, 2018–19 Influenza Season ([link removed]) (9/26/19)
* CDC's FluVaxView ([link removed]) web page for influenza vaccination coverage information
* Access IAC's ready-to-print influenza educational materials ([link removed])

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KIDS PLUS PEDIATRICS, A PRIVATE PRACTICE IN PENNSYLVANIA, LAUNCHES A NEW WEBSITE AND TOOLKIT TO AID HEALTHCARE PROVIDERS AND PRACTICES IN FIGHTING BACK AGAINST ANTI-VACCINE SOCIAL MEDIA ATTACKS

In response to a week-long, global, and coordinated attack from anti-vaccine groups nearly two years ago, Kids Plus Pediatrics ([link removed]), an independent, physician-owned practice in Pennsylvania, launched a new website and toolkit, Shots Heard Round the World ([link removed]). This volunteer, vetted, online digital cavalry will come to the aid of any provider, practice, hospital, or health system attacked by anti-vaccine forces on social media. A message from Todd Wolynn, MD, MMM, IBCLC, president and CEO of Kids Plus Pediatrics, is reprinted below.

This Monday, September 23rd, two years to the day since the end of our attack, we released our Anti-Anti Vaccine Social Media Toolkit to help our colleagues prepare for, defend against, and clean up after anti-vaccine attacks. The toolkit will be available for download on the Shots Heard website.

The timing of these releases represents a message: “we survived, we thrived and now we’re arming vaccine advocates globally against an attack on child and public health.” Kids Plus stands in solidarity with vaccine advocates worldwide, and we are dedicated to addressing anti-vaccine bullying, threats, and attacks on all advocates for vaccines and evidence-based medicine. We look forward to continuing our collaborative work with vaccine advocates into 2020 and beyond.

Kids Plus Pediatrics and I want to thank you all for the work you do to improve vaccine communication and uptake. We hope www.ShotsHeard.com, our Toolkit ([link removed]) and ongoing work will provide additional needed resources and help to increase immunization rates.

Related Links
* Access the Shots Heard Round the World ([link removed]) website
* Download Kids Plus Anti-Anti-vaxx Toolkit: A Strategy Guide to Prepare for, Defend against, and Clean Up after a Facebook Anti-vaxx Attack ([link removed]) (PDF)
* Vaccine: It’s Not All about Autism: The Emerging Landscape of Anti-vaccination Sentiment on Facebook ([link removed]) (4/10/19)
* YouTube: We Prevent Cancer ([link removed]) (8/22/17)
* YouTube: Anti-vaccine Attacks: Doctors under Fire Online ([link removed]) (10/22/18)
* LA Times: Anti-vaccine Activists Have Doctors ‘Terrorized into Silence’ with Online Harassment ([link removed]) (3/18/19)
* The Washington Post: Anti-vaxxers Trolled a Doctor’s Office. Here’s What Scientists Learned from the Attack. ([link removed]) (3/21/19)

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NBC News and The New York Times publish articles about the growing anti-vaccine movement in the U.S.

On September 24, NBC News published an investigative report titled How Anti-vaxxers Target Grieving Moms and Turn Them into Crusaders against Vaccines ([link removed]). The subheadline and introductory paragraph are reprinted below.

Anti-vaccine advocates find women whose babies have died unexpectedly and convince them vaccines are to blame.

Fifteen miles west of Minneapolis, a billboard looms over a field of tall grass beside Highway 55. The sign features a photo of Evee Clobes, a baby girl with sparkling eyes, flushed cheeks and an expression frozen in wonder. Next to her face are the words, "HEALTHY BABIES DON'T JUST DIE." The web address of a group opposed to mandatory vaccinations is at the bottom...

Another recent article, published on September 23 in The New York Times and titled How Anti-vaccine Sentiment Took Hold in the United States ([link removed]), addresses the rise of vaccine resistance, a movement which has been decades in the making. The introductory paragraph is reprinted below.

The question is often whispered, the questioners sheepish. But increasingly, parents at the Central Park playground where Dr. Elizabeth A. Comen takes her young children have been asking her: “Do you vaccinate your kids?”

Related Links
* NBC News: How Anti-vaxxers Target Grieving Moms and Turn Them into Crusaders against Vaccines ([link removed]) (9/24/19)
* New York Times: How Anti-vaccine Sentiment Took Hold in the United States ([link removed]) (9/23/19)
* Vaxopedia: Who’s Who in the Anti-vaccine Movement—2019 Edition ([link removed]) (3/20/19)

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IAC SPOTLIGHT: JUST IN CASE YOU MISSED THEM, THESE IAC MATERIALS AND WEB PAGES WERE UPDATED DURING AUGUST AND SEPTEMBER

In almost every issue of IAC Express, we provide readers with information about new and updated educational materials for healthcare professionals and handouts for patients that have been posted during the past week on IAC’s website for healthcare professionals, immunize.org ([link removed]). All these materials are CDC-reviewed and available free for you to download, print, copy, and distribute in your healthcare settings. We also announce major updates to the content on various web sections and pages on immunize.org.

Below you’ll find a listing of the new and updated educational materials and web pages we’ve announced in IAC Express during the months of August and September, in case you’ve missed any of them.

Educational Materials for Healthcare Professionals

Influenza Materials for Healthcare Professionals
* Influenza Vaccine Products for the 2019–2020 Influenza Season ([link removed])
* Screening Checklist for Contraindications to Inactivated Injectable Influenza Vaccination ([link removed])
* Screening Checklist for Contraindications to Live Attenuated Intranasal Influenza Vaccination ([link removed])
* How to Administer Intramuscular and Intranasal Influenza Vaccines ([link removed])
* Standing Orders for Administering Influenza Vaccine to Children and Teens ([link removed])
* Standing Orders for Administering Influenza Vaccine to Adults ([link removed])
* Guide for Determining the Number of Doses of Influenza Vaccine to Give to Children Age 6 Months Through 8 Years ([link removed])
* Influenza Vaccination of People with a History of Egg Allergy ([link removed])

Other Staff Education Materials
* Screening Checklist for Contraindications to Vaccines for Children and Teens ([link removed])
+ Also available in Spanish ([link removed]), Arabic ([link removed]), Chinese – Simplified ([link removed]), French ([link removed]), Korean ([link removed]), Russian ([link removed]), and Vietnamese ([link removed])
* Screening Checklist for Contraindications to Vaccines for Adults ([link removed])
+ Also available in Spanish ([link removed]), Arabic ([link removed]), Chinese – Traditional ([link removed]), French ([link removed]), Korean ([link removed]), Russian ([link removed]), and Vietnamese ([link removed])
* Administering Vaccines: Dose, Route, Site, and Needle Size ([link removed])
* Current Dates of Vaccine Information Statements ([link removed])
* You Must Provide Patients with Vaccine Information Statements (VISs)—It's Federal Law! ([link removed])
* Standing Orders for Administering Haemophilus Influenzae Type B Vaccine to Children and Teens ([link removed])
* "Dear Colleague" letter from AAFP, AAP, ACHA, ACOG, APhA, IAC, and SAHM on importance of the 16-year-old immunization visit ([link removed])

Handouts for Your Patients
* Clear Answers and Smart Advice about Your Baby's Shots, by Ari Brown, MD, FAAP ([link removed])
* Vaccinations for Pregnant Women ([link removed])
* Hepatitis B Shots Are Recommended for All New Babies ([link removed])
+ Also available in Spanish ([link removed])

Updated Web Pages
* Ask the Experts: Influenza ([link removed]) web page
* Give2MenACWY.org ([link removed]) website on adolescent immunization

Updated VIS Web Pages
* Hepatitis B VIS web page ([link removed]) includes new interim Hepatitis B VIS
* Influenza Inactivated VIS web page ([link removed]) includes new interim Influenza Inactivated VIS and current translations in Spanish, Arabic, Burmese, Chinese – Simplified and Traditional, French, Russian, Somali, and Vietnamese
* Influenza, Live Intranasal VIS web page ([link removed]) includes new interim Influenza Live Intranasal VIS and current translations in Spanish, Arabic, Burmese, Chinese – Simplified and Traditional, French, Russian, Somali, and Vietnamese
* Meningococcal ACWY VIS web page ([link removed]) includes new interim Meningococcal ACWY VIS
* Meningococcal B VIS web page ([link removed]) includes new interim Meningococcal B VIS
* MMR (Measles, Mumps, and Rubella) VIS web page ([link removed]) includes new interim MMR VIS
* MMRV (Measles, Mumps, Rubella, and Varicella) VIS web page ([link removed]) includes new interim MMRV VIS
* Varicella (Chickenpox) VIS web page ([link removed]) includes new interim Varicella VIS
* Japanese Encephalitis VIS web page ([link removed]) includes new final Japanese encephalitis VIS

Related Links
* Visit IAC’s View All Materials ([link removed]) web page to obtain a list of more than 300 staff educational materials and patient handouts on immunize.org
* Visit IAC’s Handouts main page ([link removed]) to see the materials sorted by category
* Visit IAC's Ask the Experts ([link removed]) web section to access more than 1,000 Q&As answered by CDC experts
* Visit IAC's Clinic Tools main page ([link removed]) to access this web section and its seven specific topics
* Visit the What's New at IAC: Handouts ([link removed]) web page to view all new and updated handouts and other educational materials and the dates they were posted on immunize.org
* Visit the What's New at IAC: Web Sections ([link removed]) to view all new and updated Vaccine Information Statements and dates they were posted on immunize.org
* Visit the What’s New at IAC: Vaccine Information Statements ([link removed]) web page to view all new and updated Vaccine Information Statements and the dates they were posted on immunize.org

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CDC UPDATES JOB AIDS TO ASSIST HEALTHCARE PROVIDERS IN INTERPRETING TDAP CATCH-UP RECOMMENDATIONS IN THE CHILD AND ADOLESCENT IMMUNIZATION SCHEDULES

CDC has updated two job aids to help providers figure out exactly what is needed for children and adolescents who are behind schedule with Tdap vaccine. CDC has updated these resources to match current immunization recommendations and there are now two separate job aids based on age.

Although this information is available in the annual U.S. Catch-Up Immunization Schedule for Persons Aged 4 Months Through 18 Years Who Start Late or Who Are More Than 1 Month Behind ([link removed]), the format of these two updated resources makes it easier to determine what is needed (number of doses and timing) in a particular situation. The first pages of both revised 2-page Tdap pieces are shown below to illustrate the easy-to-follow format.

[link removed]
[link removed]

Explore these revised resources by clicking on the following links:
* Catch-Up Guidance for Children 7 through 10 Years of Age: Tetanus, Diphtheria, and Pertussis-Containing Vaccines: Tdap/Td ([link removed])
* Catch-Up Guidance for Children 11 through 18 Years of Age: Tetanus, Diphtheria, and Pertussis-Containing Vaccines: Tdap/Td ([link removed])

All these job aids can be accessed from CDC's Vaccine Catch-Up Guidance ([link removed]) web section.

Related Link
* IAC's print resources related to vaccine recommendations ([link removed])

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IAC’S NEW "FLU VACCINE" BUTTONS AND STICKERS ARE FLYING OUT THE DOOR! BUT DON'T WORRY. WE’VE GOT YOU COVERED. KEEP STOCKING UP FOR FLU SEASON!

Everyone wants to display flu shot support—don’t be left out! Jump-start your preparations for the 2019–20 influenza season by ordering IAC's new “FLU VACCINE” buttons and stickers from SHOP IAC ([link removed]) . These popular 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 ([link removed]).

“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 ([link removed]) for “FLU VACCINE” buttons and stickers.

Related Links
* Visit the Shop IAC web section ([link removed])
+ For IAC's new “Vaccines Save Lives” Pins ([link removed])
+ For IAC’s Immunization Record Cards for Children/Teens, Adults, and Lifetime ([link removed])
+ For Immunization Techniques: Best Practices with Infants, Children, and Adults DVD ([link removed])

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REMINDER: VISIT NEWLY UPDATED WWW.GIVE2MENACWY.ORG TO ENHANCE YOUR EFFORTS AT INCREASING RATES OF THE MENACWY BOOSTER AND OTHER ADOLESCENT VACCINES

On August 7, IAC announced a major upgrade to its collaborative website promoting the importance of receiving a booster dose of meningococcal ACWY ([link removed]) (MenACWY) vaccine.

Aimed at healthcare professionals, the site has been revised to incorporate newly updated materials and to highlight the importance of all recommended vaccines for 16-year-olds. A simplified navigation structure makes locating information a breeze.

The colorful new Give2MenACWY.org website ([link removed]) is divided into five easy-to-access sections:
* Vaccinate Teens ([link removed]) – The tools included on this web page offer helpful information on teen vaccination schedules and tips for improving adolescent immunization rates.
* Give 2 Doses ([link removed]) – Fewer than half of teens have received the recommended second dose of MenACWY vaccine. This web page offers tools to help providers improve second dose coverage.
* 16-Year-Old Visit ([link removed]) – These resources help both providers and their patients remember the important vaccines recommended for 16-year-olds.
* Tools for Providers ([link removed]) – These tools from CDC, IAC, and other organizations explain meningococcal ACWY vaccine recommendations and assist in improving adolescent coverage for all recommended vaccines.
* Resources ([link removed]) – This section contains a wealth of information to assist provider efforts to improve adolescent immunization rates. The materials are subdivided into subsections for print materials ([link removed]), links to organizations ([link removed]) involved in adolescent immunization, personal stories ([link removed]) about the importance of vaccination, and additional resources ([link removed]) of interest.

Additional time savings are provided by the site’s single location where all website materials are listed ([link removed]) according to whether they are primarily of interest to providers or to patients/parents. Other sections relate to general adolescent immunization, as well as meningococcal disease and vaccine information.

Visit Give2MenACWY.org ([link removed]) and enjoy browsing (and hopefully deploying) its terrific resources, brought to you by our collaboration with Sanofi Pasteur.

Related Links
* Give2MenACWY.org website ([link removed])
* Dear Colleague Letter: 16-Year-Old Patients: Make Sure They Receive Their Annual Well Visit and Vaccinations ([link removed])
* 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])
* Establishing an Immunization Platform for 16-Year-Olds in the United States ([link removed])
* You're 16: We Recommend These Vaccines for You ([link removed])

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FIVE HEALTHCARE ORGANIZATIONS JOIN IAC'S INFLUENZA VACCINATION HONOR ROLL FOR MANDATORY HEALTHCARE WORKER VACCINATION

There are now 848 organizations enrolled in IAC's Influenza Vaccination Honor Roll ([link removed]). 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 September 4, when IAC Express last reported on the Influenza Vaccination Honor Roll, five additional healthcare organizations have been enrolled.

IAC urges qualifying healthcare organizations to apply by visiting the Application page ([link removed]).

Newly added healthcare organizations:
* Advantage Care Health Center, Brookville, NY
* Ascension St. Joseph Hospital, Tawas, MI
* Ascension Standish Hospital, Standish, MI
* SSM Health St. Anthony Hospital Shawnee, Shawnee, OK
* Vail Health Hospital, Vail, CO

Related Links
* Listing of all honorees ([link removed]) by state
* Long-term care/assisted living honorees ([link removed]) by state
* Position statements ([link removed]) from professional societies and leading healthcare organizations in support of mandatory influenza vaccination
* Application form for the honor roll ([link removed])
* Influenza Vaccination Honor Roll ([link removed]) section on immunize.org ([link removed]), 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 ([link removed]) web page
* IAC's Hepatitis B Birth Dose Honor Roll ([link removed]) section on immunize.org ([link removed])

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FDA ISSUES NEWS RELEASE ANNOUNCING ITS APPROVAL OF THE FIRST LIVE, NON-REPLICATING VACCINE TO PREVENT SMALLPOX AND MONKEYPOX

On September 24, the Food and Drug Administration (FDA) issued a statement announcing its approval of a new vaccine to prevent smallpox and monkeypox. The first two paragraphs of the press release ([link removed]) are reprinted below.

The U.S. Food and Drug Administration announced today the approval of Jynneos Smallpox and Monkeypox Vaccine, Live, Non-Replicating, for the prevention of smallpox and monkeypox disease in adults 18 years of age and older determined to be at high risk for smallpox or monkeypox infection. This is the only currently FDA-approved vaccine for the prevention of monkeypox disease.

“Following the global Smallpox Eradication Program, the World Health Organization certified the eradication of naturally occurring smallpox disease in 1980. Routine vaccination of the American public was stopped in 1972 after the disease was eradicated in the U.S. and, as a result, a large proportion of the U.S., as well as the global population has no immunity,” said Peter Marks, M.D., Ph.D., director of the FDA’s Center for Biologics Evaluation and Research. “Therefore, although naturally occurring smallpox disease is no longer a global threat, the intentional release of this highly contagious virus could have a devastating effect. Today’s approval reflects the U.S. government’s commitment to preparedness through support for the development of safe and effective vaccines, therapeutics, and other medical countermeasures.”

Related Links
* FDA News Release: FDA Approves First Live, Non-Replicating Vaccine to Prevent Smallpox and Monkeypox ([link removed]) (9/24/19)
* CIDRAP News: FDA OKs First Human Monkeypox Vaccine (Also Protective Against Smallpox) ([link removed]) (9/25/19)
* CDC Smallpox ([link removed]) web page
* CDC Monkeypox ([link removed]) web page

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TWO NEW MEASLES CASES REPORTED TO CDC IN WEEK ENDING SEPTEMBER 26; TOTAL CASES FOR 2019 INCREASE TO 1,243 ACROSS 31 STATES

CDC has posted its latest update on 2019 measles cases in the U.S. on its Measles Cases and Outbreaks ([link removed]) web page. The web page shows a preliminary estimate of 1,243 cases across 31 states as of September 26. 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 ([link removed]) web page.

Measles can cause serious complications. As of September 26, 131 of the people who got measles this year were hospitalized, and 65 reported having complications, including pneumonia and encephalitis.

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

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NCQA ANNOUNCES NEW PUBLICLY REPORTED QUALITY MEASURE FOR IMMUNIZING PREGNANT WOMEN

In September 2019, the National Committee for Quality Assurance (NCQA) announced that Prenatal Immunization Status (PRS) will be the first publicly reported Electronic Clinical Data System (ECDS) measure ([link removed]) (at the link, click on the plus sign to expand the subheadline "Public Reporting for Measurement Year 2020").

Health plans will use the prenatal immunization quality measure in HEDIS Measurement Year 2020 and report the results in June 2021.

Influenza and Tdap vaccination of pregnant women are critical measures to protect infants from severe influenza illness, whooping cough, and tetanus. However, CDC surveys of pregnant women ([link removed]) indicate that only 33% of pregnant women currently receive both influenza and Tdap vaccines as recommended. Influenza vaccine is recommended for all women who will be pregnant during the influenza season and can be given any time during pregnancy. Tdap vaccination is recommended ideally during 27–36 weeks’ gestation.

A portion of HEDIS’s ECDS webpage subheadline Public Reporting for Measurement Year 2020 ([link removed]) is reprinted below.

Public reporting of an ECDS measure is a critical step in the use of clinical data systems to measure quality.

Using and sharing clinical data will enrich the information available to providers who care for patients. Measures drawn directly from digital records can also reduce the burden on providers to collect data for quality reporting.

Access information about this new measure at HEDIS Electronic Clinical Data System (ECDS) Reporting ([link removed]).

Related Links
* More information about HEDIS and performance measures ([link removed])
* More information about National Committee for Quality Assurance (NCQA) ([link removed])

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-IAC HANDOUTS-
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IAC UPDATES TURKISH-LANGUAGE TRANSLATION OF "SCREENING CHECKLIST FOR CONTRAINDICATIONS TO VACCINES FOR ADULTS"

IAC recently posted the Turkish-language translation of its Screening Checklist for Contraindications to Vaccines for Adults ([link removed]). Changes were made to create a separate question regarding an immune system problem in the adult's first-degree relatives, and on page 2, to condense the several references into only two.

IAC thanks Betül Polatdemir, MD, Lokman Hekim Hospital Group, Ankara and Sibel Bostancıoğlu, MD, Ankara Occupational and Environmental Diseases Hospital, Ankara, Turkey, for generously providing the translation.

Related Links
* Access IAC's Screening Checklists ([link removed]) web page
* Access all Turkish-language versions of IAC materials ([link removed])
* From IAC Express, Sept. 18, 2019: Seven translations of IAC's recently updated “Screening Checklist for Contraindications to Vaccines for Children and Teens” and “Screening Checklist for Contraindications to Vaccines for Adults” ([link removed])

IAC's Handouts for Patients & Staff ([link removed]) 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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VACCINE INFORMATION STATEMENTS
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IAC POSTS THAI-LANGUAGE TRANSLATION OF THE MENACWY VIS

IAC recently posted an updated Thai translation of the MenACWY VIS ([link removed]). IAC thanks Asian Pacific Health Care Venture Inc. for generously providing the translation.

The new Thai translation is for the MenACWY VIS published on August 24, 2018. On August 15, 2019, CDC released a new interim VIS for MenACWY; a translation of this new interim VIS is not available. CDC states that it is acceptable to use the out-of-date VIS translation since there have not been significant content changes in the 2019 "interim" version compared with the August 24, 2018 VIS.

CDC also states that the corresponding up-to-date English-language VIS ([link removed]) must also be provided when providing an out-of-date translation.
* Thai-language version of the MenACWY VIS ([link removed])

Related Links
* Access all Thai-language VISs ([link removed])
* Access all MenACWY VIS translations ([link removed]), as well as the English-language version ([link removed])
* Visit IAC's VIS web section ([link removed]) for VISs in up to 50 languages

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-WORLD NEWS-
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CDC and WHO report on worldwide progress toward poliovirus containment in this week's MMWR and Weekly Epidemiological Record, respectively

CDC published Progress Towards Poliovirus Containment Implementation—Worldwide, 2018–2019 ([link removed]) in the September 27 issue of MMWR ([link removed]) (pages 825–829). On the same day, WHO's Weekly Epidemiological Record published a similar article titled Progress Towards Poliovirus Containment Worldwide, 2018–2019 ([link removed]). A media summary of the MMWR article is reprinted below.

Retaining eradicated polioviruses is a risk and responsibility. Countries around the world have committed to implementing and monitoring safeguards for the long-term containment of polioviruses once wild poliovirus is eradicated. It is imperative that this work be accelerated for type 2 poliovirus, which was declared eradicated in 2015. Containment of eradicated polioviruses is critical to sustaining a polio-free world. Following the certification of eradication of each poliovirus type, remaining poliovirus stocks must be destroyed. However, some stocks will be needed and kept for vaccine manufacture and key research in a limited number of laboratories and facilities worldwide. Ensuring the safe and secure handling and storage (containment) of these viruses is essential to minimize risk of them being released into communities, where they could once again cause paralysis and death in susceptible populations. This report provides an update on global progress for the containment of the already-eradicated type 2 wild poliovirus, containment action that will be required for type 3 wild poliovirus for which declaration of eradication is anticipated, and containment implications for the continued use of live type 2 containing polio vaccine.

Related Links
* MMWR main page ([link removed]) provides access to MMWR Weekly, MMWR Recommendations and Reports, MMWR Surveillance Summaries, and MMWR Supplements
* Current issue and archives of the Weekly Epidemiological Record ([link removed])

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-FEATURED RESOURCES-
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CDC POSTS FLU FIGHTER PROFILES AS PART OF THEIR #WHYIFIGHTFLU CAMPAIGN, FEATURING MEMBERS OF THE PUBLIC DESCRIBING WHY THEY FIGHT FLU AND HOW FLU HAS IMPACTED THEIR LIVES

Every year people around the world work to study, track, and prevent flu. As part of the #WhyIFightFlu campaign, CDC has posted a series of flu fighter profiles, featuring members of the public ([link removed]) describing why they fight flu and how flu has impacted their lives.

If you are interested in sharing your own flu fighter profiles online or on social media, here’s how:
* Pick 1–3 images demonstrating your work as a flu fighter.
* Write a 2–4 sentence post about why you fight flu.
* Share these images and message on social media!

Be sure to include the hashtag #WhyIFightFlu or #FightFlu and tag @CDCFlu in your post!

Related Links
* CDC Digital Media Toolkit: 2019–20 Flu Season ([link removed])
* CDC's Free Resources for Influenza Prevention ([link removed])

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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) ([link removed]).

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

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-JOURNAL ARTICLES AND NEWSLETTERS-
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September issue of CDC's Immunization Works newsletter now available

CDC recently released the September issue of its monthly newsletter Immunization Works ([link removed]). The newsletter offers the immunization community information about current topics. The information is in the public domain and can be reproduced and circulated widely.

Related Links
* September issue of Immunization Works ([link removed])
* Immunization Works archive of back issues ([link removed])

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Vaccine Education Center at Children's Hospital of Philadelphia publishes September issue of its newsletter Vaccine Update

The Vaccine Education Center (VEC) ([link removed]) at Children's Hospital of Philadelphia publishes a monthly immunization-focused newsletter titled Vaccine Update ([link removed]). The September issue includes the following articles:

* News & Views: Beyond the Obvious—Benefits of Measles Vaccine ([link removed]) by Charlotte A. Moser, BS, and Paul A. Offit, MD

* In the Journals: HPV Vaccine and Herd Immunity ([link removed]) by Paul A. Offit, MD

* “Dear Colleague" Call-to-Action Letter Stresses Importance of Implementing Immunization Visit at 16 Years of Age ([link removed]) by IAC Executive Director Deborah L. Wexler, MD

Additional resources, including information booklets for patients, are available in the full newsletter ([link removed]).

Access the sign-up form ([link removed]) to subscribe to Vaccine Update.

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-CONFERENCES AND MEETINGS-
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REMINDER: NATIONAL CONFERENCE FOR IMMUNIZATION COALITIONS AND PARTNERSHIPS WILL TAKE PLACE NOVEMBER 13–15 IN HONOLULU

The 14th National Conference for Immunization Coalitions and Partnerships (NCICP) ([link removed]) will take place in beautiful Honolulu from November 13–15. Conference attendees will 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.

Click on the graphic below for more information about the conference, including registration.

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Video of the Week
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Lil Nas Vax—Vaccine Road: Austin Jordan, a student at the University of St. Thomas in St. Paul, Minnesota, recently made a video parody of Lil Nas X's "Old Town Road" by changing the lyrics to advocate for getting vaccinated. The video features Jordan singing and dancing in support of vaccinations. He wants to combat any myths about vaccinations.
Visit the VOTW archive ([link removed])

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Follow Us
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[link removed]
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Technically Speaking
[link removed]
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
[link removed]
IAC's 142-page book available for free download ([link removed]).

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Calendar of Events
[link removed]
Conferences, meetings, and training opportunities

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Patient Record Cards
[link removed]
Record cards for patients -- child & teen ([link removed]), adult ([link removed]), and lifetime ([link removed]) -- are printed on durable paper and sized to fit in a wallet when folded

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DVD: Immunization Techniques
[link removed]
Every practice should have this award winning, "how-to" training video

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Protect Newborns Guidebook
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 ([email protected])
Managing Editor
Teresa Anderson, DDS, MPH ([email protected])
Consulting Editors
Marian Deegan, JD ([link removed])
Courtnay Londo, MA ([email protected])
Jane Myers, MA, EdM ([email protected])
Assistant Managing Editor
Liv Augusta Anderson, MPP ([email protected])

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Abbreviations
AAFP: American Academy of Family Physicians
AAP: American Academy of Pediatrics
ACIP: Advisory Committee on Immunization Practices
CDC: Centers for Disease Control and Prevention
FDA: Food and Drug Administration
IAC: Immunization Action Coalition
MMWR: Morbidity and Mortality Weekly Report
NCIRD: National Center for Immunization and Respiratory Diseases
VIS: Vaccine Information Statement
WHO: World Health Organization

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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])

If you have trouble receiving or displaying IAC Express messages, visit our online help section ([link removed]).

IAC Express is supported in part by Grant No.
6NH23IP922550 from the National Center for Immunization and Respiratory Diseases, CDC. Its contents are solely the responsibility of IAC and do not necessarily represent the official views of CDC. IAC Express is also supported by educational grants from the following companies: AstraZeneca, Inc.; Merck Sharp & Dohme Corp.; Pfizer, Inc.; and Sanofi Pasteur.

IAC Express Disclaimer ([link removed])
ISSN: 1526-1786

Our mailing address is
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Copyright (C) 2018 Immunization Action Coalition
All rights reserved.

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