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Issue 1,561: April 21, 2021

Top Stories
* ACIP discusses safety of Janssen COVID-19 Vaccine (Johnson & Johnson); recommendations for clinicians issued by CDC
* New! Order IAC’s “I Got My COVID-19 Vaccine” buttons and stickers
* Reminder: National Infant Immunization Week is April 24–May 1; prepare using CDC's 2021 digital media toolkit
* World Immunization Week is the last week of April; this year's theme is "Vaccines Bring Us Closer"
* AAP launches new PSA urging parents to get their children caught up on all vaccinations
* AAP announces that 2021–22 influenza vaccination guidance remains unchanged from last season
* Licensed yellow fever vaccine is again available for purchase in the U.S.; CDC updates Health Information for International Travel ("The Yellow Book") accordingly
* National Immigration Law Center posts “Answers to Common Questions about Immigrants’ Access to the COVID-19 Vaccines”
* Fifteen colleges and universities announce they will require COVID-19 vaccination for staff and students this fall. Do you know of others?
* Ready to ship! Order IAC’s laminated versions of CDC’s 2021 immunization schedules today!
* IAC Spotlight! IAC’s recently updated Vaccine Timeline web page features historic dates and events related to vaccines and immunization
* IAC experts called on by news media
* Not-to-miss immunization articles in the news

Featured Resources
* In IAC’s “Video of the Week,” California's VFC Program shares helpful information on intramuscular injections for adults
* Vaccinated against COVID-19? Encourage friends to follow your lead by adding IAC’s “I Got My COVID-19 Vaccine” Facebook profile photo frame!
* Organizing a new vaccination program? Use IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide—free to download by chapter or in its entirety (142 pages)

Journal Articles and Newsletters
* “Differences in Administration of Influenza Vaccine to Elderly Adults by Physician Sex, 2006–2016” published in JAMA Internal Medicine
* “SARS-CoV-2–Specific Antibodies in Breast Milk after COVID-19 Vaccination of Breastfeeding Women” published in JAMA
* “Progress in Immunization Safety Monitoring—Worldwide, 2010–2019” published in MMWR

Education and Training
* Immunize Colorado hosts “The Impact of Climate Change on Vaccine-Preventable Diseases” webinar on May 5 at 12:00 p.m. (ET)
* Unity Consortium to offer "The Imperative to Vaccinate Adolescents and Young Adults Now" discussion, moderated by Chelsea Clinton, on May 6 at 12:00 p.m. (ET); IAC's L.J Tan to serve as a panelist

Conferences and Meetings
* AIRA 2021 National Meeting scheduled on August 3–5 in Portland and online; registration open; content submissions due by May 16 (#IACX24)

Immunization PSAs from the Archive
* In this fun, animated PSA from the California Department of Health Services in 1999, "California Kids" are urged to get their adolescent vaccines

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Top Stories
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ACIP discusses safety of Janssen COVID-19 Vaccine (Johnson & Johnson); recommendations for clinicians issued by CDC

On April 14, the Advisory Committee on Immunization Practices (ACIP) ([link removed]) held an emergency meeting ([link removed] ) to review new information on adverse events following receipt of the Janssen COVID-19 Vaccine (Johnson & Johnson). The meeting was called in response to the April 13 joint statement ([link removed]) issued by FDA and CDC calling for a pause in administration of the Janssen vaccine. The agencies recommended the pause due to reports of six women who developed a rare and severe type of blood clot (cerebral venous sinus thrombosis [CVST]) occurring in combination with low levels of platelets (thrombocytopenia) after receiving the Janssen vaccine. The pause was called to allow time to collect and review additional data and to prepare healthcare providers (HCPs) to recognize, diagnose, properly treat, and report patients exhibiting these symptoms after recent vaccination with Janssen COVID-19 Vaccine. On April 13, CDC also issued a Health Alert Network (HAN) ([link removed]) statement outlining recommendations for clinicians, public health agencies, and the general public.

During the meeting, ACIP reviewed available data, including:
* Use of the Janssen COVID-19 Vaccine began in the U.S. on March 2, and 6.85 million doses had been administered by April 12
* Between March 19–April 8, 6 cases of CVST in combination with thrombocytopenia were reported to the Vaccine Adverse Events Reporting System (VAERS). All 6 cases occurred in white females age 18–48 years within 6–13 days of the Janssen vaccination. No obvious patterns of risk factors were noted among these women. The combination of CVST and thrombocytopenia is so rare that the background rate in the general population is not known.
* Treatment with heparin is common for ordinary blood clots but worsens this condition: heparin should not be given to patients with CVST with thrombocytopenia
* Similar reports of serious blood clots with low platelet counts have been reported after receipt of the AstraZeneca COVID-19 Vaccine in Europe; both the AstraZeneca and Janssen vaccines are based on an adenovirus vector platform
* No reports of CVST with thrombocytopenia have been reported following receipt of the mRNA COVID-19 vaccines manufactured by Pfizer-BioNTech or Moderna; as of April 12, more than 182 million doses of these vaccines had been administered in the U.S.

ACIP members favored extending the pause for up to 10 days to obtain additional information before voting on any changes to its recommendations for the use of Janssen COVID-19 Vaccine. As of April 13, 52% of Janssen vaccine recipients remained in the 2-week risk window after vaccination; additional cases are possible among these recipients.

In the interim, HCPs should follow guidance outlined in the HAN:
* Be alert for symptoms that may represent serious blood clots and/or low platelet counts in patients who recently received the Janssen vaccine; if suspected, consultation with a hematologist is strongly recommended
* Evaluate patients with a blood clot and thrombocytopenia after Janssen vaccine with a screening PF4 antibody ELISA assay as would be performed for autoimmune heparin-induced thrombocytopenia (HIT)
* Do not treat these patients with heparin unless the HIT testing is negative. See CDC guidance for treatment considerations, including non-heparin anticoagulants and high dose intravenous immune globulin.
* Report serious adverse events such as these to VAERS ([link removed])

ACIP will reconvene for further evaluation of the Janssen vaccine on Friday, April 23, from 11:00–5:00 p.m. (ET). Information on attending this meeting is posted on the ACIP website ([link removed]. ACIP also will meet on May 5 to discuss rabies and dengue vaccines. No registration is required to watch live ACIP meetings or listen via telephone. Opportunities for public comment are described on the website ([link removed]).

Related Links
* CDC Health Alert Network message ([link removed]), April 13, 2021
* ACIP Presentation Slides ([link removed]): April 14, 2021 meeting gateway page
* Joint CDC and FDA Statement on Johnson & Johnson COVID-19 Vaccine ([link removed])
* CDC webpage for the general public: Recommendation to Pause Use of Johnson & Johnson’s COVID-19 Vaccine ([link removed])
* ACOG Statement on Johnson & Johnson COVID-19 Vaccine ([link removed])
* ACIP gateway page ([link removed]) for recordings and content from previous meetings, as well as information about future meetings

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New! Order IAC’s “I Got My COVID-19 Vaccine” buttons and stickers

IAC now offers “I Got My COVID-19 Vaccine ([link removed]) ” buttons and stickers for purchase. Place them on lab coats, uniforms, jackets, lanyards, ID badges, or backpacks to show your confidence in COVID-19 vaccination.

Buttons: Wear them to reassure your patients and remind those around you to protect themselves from COVID-19.
* Description: Bright yellow, black and blue text, metal pin that clasps on the back
* Packaging: Bag of 25 buttons
* Dimension: 1.5" across
* To order: See Shop IAC: COVID-19 Vaccine Buttons and Stickers ([link removed]) for quantity and pricing options

Stickers: Give away to COVID-19 vaccine recipients or vaccinated clinic staff!
* Description: Bright yellow stickers on a roll with an easy-peel-off back and perforations between stickers to make them easy to tear off and share
* Packaging: Roll of 200 stickers
* Dimension: 1.5" across
* To order: See Shop IAC: COVID-19 Vaccine Buttons and Stickers ([link removed]) for quantity and pricing options

Please note: Through a separate program supported by CDC, public health departments and selected CDC nonprofit Vaccinate with Confidence ([link removed]) campaign partners have been notified about how to receive limited supplies of these items at no cost.

For questions, call 651-647-9009 or email [email protected].

Related Links:
* Shop IAC: COVID-19 Vaccine Buttons and Stickers ([link removed])
* Shop IAC ([link removed]) gateway page: All the buttons, stickers, laminated schedules, record cards, and other products offered by IAC

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Reminder: National Infant Immunization Week is April 24–May 1; prepare using CDC's 2021 digital media toolkit

National Infant Immunization Week ([link removed]) (NIIW), April 24–May 1, highlights the importance of protecting infants from vaccine-preventable diseases and celebrates the achievements of immunization partners. This year, because of the pandemic, it’s critical to ensure that families stay on track for their children’s routine checkups.

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 2021 NIIW Digital Media Toolkit ([link removed]) 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, using the hashtag #ivax2protect.

Related Links
* CDC's National Infant Immunization Week ([link removed]) gateway page
* CDC's 2021 NIIW Digital Media Toolkit ([link removed]) gateway page
* IAC's Parent Handouts ([link removed]) gateway page

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World Immunization Week is the last week of April; this year's theme is "Vaccines Bring Us Closer"

World Vaccination Week (WIW) ([link removed]) is traditionally celebrated the last week of April. A portion of WHO's press release ([link removed]) about WIW appears below.

Immunization saves millions of lives every year and is widely recognized as one of the world’s most successful health interventions. Yet, there are still nearly 20 million children in the world today who are not getting the vaccines they need, and many miss out on vital vaccines during adolescence, adulthood and into old age.

Using the theme ‘Vaccines bring us closer,’ World Immunization Week 2021 will urge greater engagement around immunization globally to promote the importance of vaccination in bringing people together, and improving the health and wellbeing of everyone, everywhere throughout life.

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AAP launches new PSA urging parents to get their children caught up on all vaccinations

On April 6, AAP launched a new PSA ([link removed]) as part of their Call Your Pediatrician campaign ([link removed]) that urges parents to get caught up on all their child’s vaccinations as soon as possible. This new video features a parent taking their child to the pediatrician to be vaccinated, and then turning into an animated superhero. This is a superhero moment!

PSAs are available in English and Spanish. View the Call Your Pediatrician campaign toolkit ([link removed]) to download graphics for social media, videos, and sample social media posts. Be sure to utilize the campaign hashtag, #CallYourPediatrician.

Related Links
* AAP’s Is It Really That Important to See My Pediatrician Right Now? ([link removed])
* AAP’s Why Is It So Important for My Kids to Get Caught Up on Their Childhood Immunizations during the COVID-19 Pandemic? ([link removed])

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AAP announces that 2021–22 influenza vaccination guidance remains unchanged from last season

On March 18, AAP announced that no changes will be made to their influenza vaccination recommendations ([link removed]) for the 2021–22 season. A portion of the announcement appears below.

The Academy is making the announcement now to help inform pediatric practices as they pre-book vaccine orders for the upcoming season. The AAP policy statement on influenza immunization in children will be published later this year in Pediatrics....

The AAP influenza policy for the 2021–22 season remains as follows:
* Annual influenza vaccination is recommended for all children 6 months of age and older.
* Any licensed influenza vaccine appropriate by age and health status can be used for influenza vaccination in children and youths.
* There is no preference for any influenza vaccine product for children with no contraindications to influenza vaccination and for whom more than one licensed, age-appropriate product is available.

Related Links
* AAP’s HealthyChildren.org The Flu ([link removed])
* AAP’s HealthyChildren.org Vaccine Preventable Diseases ([link removed])

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Licensed yellow fever vaccine is again available for purchase in the U.S.; CDC updates Health Information for International Travel ("The Yellow Book") accordingly

On April 5, CDC updated Health Information for International Travel ([link removed]) (also known as "The Yellow Book") with the following statement ([link removed]):

Sanofi Pasteur announced that YF-VAX (yellow fever vaccine) is once again available for purchase in the United States. Providers with a current Yellow Fever Vaccination Stamp issued by their state or territorial health department may now order YF-VAX from the manufacturer.

Health Information for International Travel ([link removed]) is published every 2 years as a reference for those who advise international travelers about health risks. "The Yellow Book" is written primarily for healthcare professionals, but is a useful resource for anyone interested in healthy international travel. The fully revised and updated edition codifies the U.S. government's most current travel health guidelines, including pre-travel vaccine recommendations; destination-specific health advice; and easy-to-reference maps, tables, and charts.

The current edition of "The Yellow Book" is available online at [link removed] ([link removed]). The full list of updates to the print version ([link removed]) are posted at this web page.

The print version of Health Information for International Travel 2020 is also available for sale from Oxford University Press ([link removed]〈=en&cc=us), and can also be ordered from major online booksellers.

Related Links
* CDC’s Clinical Update: Return of US Licensed Yellow Fever Vaccine (YF-VAX) to the Market ([link removed]) webpage
* CDC's Health Information for International Travel ([link removed]) ("The Yellow Book") online
* CDC's Travelers' Health ([link removed]) website

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National Immigration Law Center posts “Answers to Common Questions about Immigrants’ Access to the COVID-19 Vaccines”

The National Immunization Law Center posted an article titled Answers to Common Questions about Immigrants’ Access to the COVID-19 Vaccines ([link removed]). A portion of the article appears below.

People in immigrant communities and advocates have expressed concern about barriers that many people face when attempting to access COVID-19 vaccines. These barriers frequently are related to the concerns immigrants generally have when trying to access health care—concerns about documentation requirements, data privacy, eligibility, cost, and whether resources are available in their native language. This article provides answers to common questions regarding such concerns.

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Fifteen colleges and universities announce they will require COVID-19 vaccination for staff and students this fall. Do you know of others?

Colleges and universities across the nation are announcing that they will mandate COVID-19 vaccine to protect staff and students.

IAC is aware of 15 institutions of higher education that will require COVID-19 vaccine this fall: American University ([link removed]), Boston University ([link removed]), Brown University ([link removed]), Cleveland State University ([link removed]), Cornell University ([link removed]) (3 campuses), Duke University ([link removed]), Ft. Lewis College ([link removed]), Georgetown University ([link removed]), Johns Hopkins University
([link removed]), Manhattanville College ([link removed]), Northeastern University ([link removed]), Nova Southeastern University ([link removed]), Rutgers University ([link removed]), St. Edward's University ([link removed]), and University of Notre Dame ([link removed]).

If you know of additional colleges or universities that require COVID-19 vaccination, please send the name of the institution, as well as a link to the relevant policy (if available) to [email protected].

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Ready to ship! Order IAC’s laminated versions of CDC’s 2021 immunization schedules today!

IAC's laminated versions of the 2021 U.S. child/adolescent immunization schedule ([link removed]) and the 2021 U.S. adult immunization schedule ([link removed]) are available for order.

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.

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].

Visit the Shop IAC: Laminated Schedules ([link removed]) web page for more information on the schedules, to view images of all the pages, and to download the order form today!

Related Links
* IAC’s laminated Child/Adolescent Immunization Schedules (0–18 years) ([link removed]) web page
* IAC’s laminated Adult Immunization Schedules (19 and older) ([link removed]) web page
* IAC’s Shop IAC ([link removed]) section on immunize.org
* CDC’s Immunization Schedules for 2021 ([link removed])

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IAC Spotlight! IAC’s recently updated Vaccine Timeline web page features historic dates and events related to vaccines and immunization

The IAC Vaccine Timeline ([link removed]) web page is a wonderful resource to use when updating immunization presentations, documents, and websites.

Not too many years ago, we celebrated the 200th anniversary of Edward Jenner's first smallpox vaccination in 1796. The development of vaccines continued at a fairly slow rate until the 1960s, when new scientific discoveries and technologies led to rapid advances in virology, molecular biology, and vaccinology.

The timeline displays many of the vaccine-related events that have occurred since Jenner's critical discovery. This list is by no means exhaustive.

The web page can be easily accessed at www.immunize.org/timeline.

Related Link
* IAC's Vaccine Timeline ([link removed]) web page

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IAC EXPERTS CALLED ON BY NEWS MEDIA

With vaccines in the news so much lately, journalists have sought out IAC experts to communicate the intricacies of running a quality vaccination program. Our insights have helped explain vaccines to the public and policy makers. We want to help them understand the complex work vaccinators do. We've reached mass markets and local stations, across the U.S. and overseas, via print, radio, television, blogs, and more. Here is a selection of our recent citations:

* USA Today: America Reaches Milestone with COVID-19 Vaccine Widely Available to Those Who Want It, but Hesitancy Still Casts a Shadow ([link removed]) (4/19/21)
* Washington Post: All about Your Coronavirus Vaccine Card (and What to Do If You Lose It) ([link removed]) (4/17/21)
* LA Times: COVID-19 Vaccines—minus the Needle? Researchers Working on Capsules, Nasal Sprays ([link removed]) (4/16/21)
* The Atlantic: The mRNA Vaccines Are Looking Better and Better ([link removed]) (4/14/21)
* USA Today: ‘Don’t Panic’ over Johnson & Johnson Vaccine Pause, Experts Say. Chances of Blood Clot Is Less than 1 in a Million. ([link removed]) (4/13/21)

Related Link
* IAC in the News ([link removed]) gateway page

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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.
* New York Times: Covid-19: On Capitol Hill, Top Health Officials Urge Americans to Get Shots ([link removed]) (4/18/21)
* Times Square Chronicles: Two-Time Paralympic Medalist, Nick Springer Has Gone to Play with the Angels ([link removed]) (4/17/21)
* Washington Post: American, Georgetown Universities Join Growing List of Campuses to Require Coronavirus Vaccines ([link removed]) (4/16/21)
* DailyMail: Duke Researchers Are Developing a Flu Shot Using Coronavirus Vaccines' New mRNA Technology That Could Offer Protection for up to Five Years ([link removed]) (4/16/21)
* Verywell Health: Vaccine Confidence Rises alongside a Fourth Wave ([link removed]) (4/16/21)
* CNBC: Pfizer CEO Says Third COVID Vaccine Dose Likely Needed within 12 Months ([link removed]) (4/15/21)
* New York Times: What Women Need to Know about the COVID Vaccine ([link removed]) (4/14/21)
* New York Times: Moderna Reports Its Vaccine Remains More than 90 Percent Effective after Six Months ([link removed]) (4/13/21)
* New Yorker: The Last Time a Vaccine Saved America ([link removed]) (4/12/21)
* NPR: More Colleges Say They'll Require Students to Have COVID-19 Vaccines for Fall ([link removed]) (4/11/21)

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Featured Resources
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IN IAC’S “VIDEO OF THE WEEK,” CALIFORNIA'S VFC PROGRAM SHARES HELPFUL INFORMATION ON INTRAMUSCULAR INJECTIONS FOR ADULTS

California's Vaccines For Children program developed this brief video, Intramuscular Injections for Adults ([link removed]), showing how to identify the deltoid muscle and administer intramuscular (IM) injections to adults. Produced before the COVID-19 pandemic, the video does not show the vaccinator and patient wearing masks, but all the other content applies to COVID-19 vaccine IM injection.

Visit the whole collection at the VOTW archive ([link removed]).

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VACCINATED AGAINST COVID-19? ENCOURAGE FRIENDS TO FOLLOW YOUR LEAD BY ADDING IAC’S “I GOT MY COVID-19 VACCINE” FACEBOOK PROFILE PHOTO FRAME!

Share your excitement about COVID-19 vaccination and inspire your friends! When you have received your COVID-19 vaccine, add IAC's new "I Got My COVID-19 Vaccine" Facebook photo frame to liven up your profile picture!

You can obtain the frame in two ways:
* Click your profile picture, select “update picture,” and then select “add a frame.” Search for #igotmycovid19vaccine and select it.
* Accept the frame by clicking this link: www.facebook.com/profilepicframes/? selected_overlay_id=2361854253958052 ([link removed])

Together we can end the COVID-19 pandemic!

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Organizing a new vaccination program? Use IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide—free to download by chapter or in its entirety (142 pages)

Download IAC's free book on all aspects of adult immunization, to help train your team and refresh your leaders: Vaccinating Adults: A Step-by-Step Guide (Guide) ([link removed]).

This up-to-date, thorough "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.

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 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 vaccination rates. Be sure to get a copy today!

Related Links
* Vaccinating Adults: A Step-by-Step Guide ([link removed]) gateway page, permitting download of entire Guide (142 pages, PDF) ([link removed])
* View the table of contents and individual chapters (PDF):
– 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) on adult immunization ([link removed])

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Journal Articles and Newsletters
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“Differences in Administration of Influenza Vaccine to Elderly Adults by Physician Sex, 2006–2016” published in JAMA Internal Medicine

In the April 12 issue, JAMA Internal Medicine published Differences in Administration of Influenza Vaccine to Elderly Adults by Physician Sex, 2006–2016 ([link removed]). A portion of the article appears below.

Female physicians spend more time with patients during outpatient visits than their male counterparts. Some of this difference may be due to differences by physician sex in time spent on patient counseling, including discussions about vaccinations, such as influenza vaccination. The influenza vaccination rate among minority patients, particularly Black patients, is significantly lower than among White patients, and more time may be needed with minority patients to discuss vaccine concerns. Using nationwide Medicare data, this study estimated differences in influenza vaccination rates by patient race and sex between patients of female and male physicians working in the same outpatient practice.

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“SARS-CoV-2–Specific Antibodies in Breast Milk after COVID-19 Vaccination of Breastfeeding Women” published in JAMA

In the April 12 issue, JAMA published SARS-CoV-2–Specific Antibodies in Breast Milk after COVID-19 Vaccination of Breastfeeding Women ([link removed]). A portion of the discussion section appears below.

This study found robust secretion of SARS-CoV-2 specific IgA and IgG antibodies in breast milk for 6 weeks after vaccination. IgA secretion was evident as early as 2 weeks after vaccination followed by a spike in IgG after 4 weeks (a week after the second vaccine). A few other studies have shown similar findings in women infected with COVID-19. Antibodies found in breast milk of these women showed strong neutralizing effects, suggesting a potential protective effect against infection in the infant.

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“Progress in Immunization Safety Monitoring—Worldwide, 2010–2019” published in MMWR

CDC published Progress in Immunization Safety Monitoring—Worldwide, 2010–2019 ([link removed]) in MMWR on April 16 ([link removed]). A portion of the summary appears below.

What is already known about this topic?
Assessing vaccination safety is important to maintaining public confidence in immunization programs. Reporting of adverse events following immunization (AEFI) can be hampered by uncoordinated action between national regulatory authorities and national Expanded Programmes on Immunization.

What is added by this report?
During 2010–2019, countries with AEFI review committees increased from 94 (48.5%) to 129 (66.5%) of 194, and those reporting ≥10 AEFI per 100,000 surviving infants increased from 80 (41.2%) to 109 (56.2%). In 2019, however, only 46 (23.7%) reported combined data from national regulatory authorities and Expanded Programmes on Immunization.

Access the MMWR article in HTML format ([link removed]) or in PDF format ([link removed]).

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Education and Training
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IMMUNIZE COLORADO HOSTS “THE IMPACT OF CLIMATE CHANGE ON VACCINE-PREVENTABLE DISEASES” WEBINAR ON MAY 5 AT 12:00 P.M. (ET)

Immunize Colorado will present a webinar titled The Impact of Climate Change on Vaccine-Preventable Diseases ([link removed]) on May 5 from 12:00–1:00 p.m. (ET).

During this webinar, Mary Hayden, Ph.D., research professor, Lyda Hill Institute for Human Resilience, University of Colorado, will present an overview of climate change and its impact on vaccine distribution and increased transmission of certain vector-borne diseases such as Lyme disease, malaria, dengue, Zika, and chikungunya.

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UNITY CONSORTIUM TO OFFER "THE IMPERATIVE TO VACCINATE ADOLESCENTS AND YOUNG ADULTS NOW" DISCUSSION, MODERATED BY CHELSEA CLINTON, ON MAY 6 AT 12:00 P.M. (ET); IAC'S L.J TAN TO SERVE AS A PANELIST

Unity Consortium is hosting a thought-leader discussion titled The Imperative to Vaccinate Adolescents and Young Adults Now ([link removed]) on May 6 from 12:00–1:00 p.m. (ET). Moderated by Chelsea Clinton, PhD, panelists will discuss the urgency of getting adolescents and young adults vaccinated now, before summer when most may be broadly eligible for COVID-19 vaccines.

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Conferences and Meetings
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AIRA 2021 NATIONAL MEETING SCHEDULED ON AUGUST 3–5 IN PORTLAND AND ONLINE; REGISTRATION OPEN; CONTENT SUBMISSIONS DUE BY MAY 16

The American Immunization Registry Association (AIRA) is inviting content submissions for its 2021 National Meeting ([link removed]). The meeting will be a hybrid event with both in-person and virtual components on August 3–5 in Portland, Oregon. The AIRA National Meeting provides an annual opportunity to bring partners together to discuss the latest immunization information system (IIS) best practices on a national stage.

Visit the meeting web page for information about conference and hotel registration, presentations, and more. The deadline for submitting content is May 16 ([link removed]).

Register to attend ([link removed]).

Related Links
* 2021 AIRA National Meeting ([link removed]) web page
* AIRA website ([link removed])

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Immunization PSAs from the Archive
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IN THIS FUN, ANIMATED PSA FROM THE CALIFORNIA DEPARTMENT OF HEALTH SERVICES IN 1999, "CALIFORNIA KIDS" ARE URGED TO GET THEIR ADOLESCENT VACCINES

In this fun, 1999 public service announcement (PSA) ([link removed]) from the California Department of Health Services, "California Kids" are urged to get their adolescent vaccines. This PSA is part of a collection curated by vaccine expert William L. Atkinson, MD, MPH.

Previous PSAs featured in “From the Archives” are available when viewing this Vimeo video ([link removed]).

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Video of the Week
[link removed]

Intramuscular Injections for Adults: California's Vaccines For Children program developed this brief video (available on EZIZ.org, along with other vaccination training materials) about how to identify the deltoid muscle and administer intramuscular (IM) injections to adults. Produced before the COVID-19 pandemic, the video does not show the vaccinator and patient wearing masks, but all the other content applies to COVID-19 vaccine IM injection. [1:38]

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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New! 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 & 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 ([email protected])

Associate Editors
John Grabenstein, RPh, PhD ([email protected])
Sharon Humiston, MD, MPH ([email protected])

Consulting Editors
Taryn Chapman, MS ([email protected])
Marian Deegan, JD ([email protected])
Courtnay Londo, MA ([email protected])

Technical Editor
Robin VanOss ([email protected])

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. Its contents are solely the responsibility of IAC and do not necessarily represent the official views of CDC.

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