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Issue 1,570: June 2, 2021

Top Stories
* CDC posts clinical considerations on myocarditis and pericarditis after mRNA COVID-19 vaccination
* “COVID-19 Vaccine Breakthrough Infections Reported to CDC—U.S., January 1–April 20, 2021” published in MMWR
* “Patterns in COVID-19 Vaccination Coverage, by Social Vulnerability and Urbanicity—United States, December 14, 2020–May 1, 2021” published in MMWR
* IAC updates Ask the Experts: COVID-19 web page to answer questions about latest ACIP recommendations and revised CDC clinical considerations (#IACX4)
* “Be Sure You Know the Anatomical Landmarks for Administering Intramuscular Injections in the Arm,” Dr. Wexler’s Technically Speaking monthly column, available on immunize.org
* Stay current! With all the changes in COVID-19 vaccination in the last few months, make sure you are using the most recent CDC and FDA document versions
* Voices for Vaccines releases new podcast, "Kids and COVID-19 Vaccines," with ACIP liaison Patsy Stinchfield, MS, CPNP
* IAC experts called on by news media
* Not-to-miss immunization articles in the news
* Celebrating the legacy of Deborah L. Wexler, MD

Featured Resources
* Hepatitis B Foundation launches first global registry of discrimination against people living with hepatitis B
* Families Against COVID-19 Initiative posts a pro-vaccine video showing perspective of families who lost a loved one to a vaccine-preventable disease
* Check out the www.Give2MenACWY.org website to increase rates of MenACWY booster and other adolescent vaccinations
* Father’s Day is June 20. Order IAC’s “I Got My COVID-19 Vaccine” buttons and stickers for fathers who value prevention
* Vaccinated against COVID-19? Encourage friends to follow your lead by adding IAC’s “I Got My COVID-19 Vaccine” Facebook profile photo frame!

Journal Articles and Newsletters
* CHOP's Vaccine Education Center publishes May issue of Vaccine Update newsletter
* “Factors Associated with Racial/Ethnic Group-Based Medical Mistrust and Perspectives on COVID-19 Vaccine Trial Participation and Vaccine Uptake in the U.S.” published in JAMA (#IACX16)
* “Effect of Training Pediatric Clinicians in Human Papillomavirus Communication Strategies on Human Papillomavirus Vaccination Rates” published in JAMA Pediatrics

Education and Training
* NFID offers webinar “Strategies for Increasing Routine Adult Vaccination Rates” on June 9, CME available
* New Jersey Immunization Network will conduct virtual 2021 Adult Immunization Conference June 14–15, CME available

Immunization PSAs from the Archive
* In this informative 2004 PSA from Utah Department of Health, mom lets dad know that if insurance doesn’t cover vaccines, then the Vaccines For Children program can help


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Top Stories
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CDC posts clinical considerations on myocarditis and pericarditis after mRNA COVID-19 vaccination

CDC posted Clinical Considerations: Myocarditis and Pericarditis after Receipt of mRNA COVID-19 Vaccines among Adolescents and Young Adults ([link removed]) , as well as related resources for the public ([link removed]) . Several cases of myocarditis and pericarditis have been reported in the United States after mRNA COVID-19 vaccination (Pfizer-BioNTech and Moderna). There has not been a similar reporting pattern observed after receipt of the Janssen COVID-19 Vaccine (Johnson & Johnson).

In most cases, vaccinated patients who presented for medical care have responded well to medications and rest and had prompt improvement of symptoms. Reported cases have occurred predominantly in male adolescents and young adults age 16 years and older. Onset was typically within several days after mRNA COVID-19 vaccination, and cases have occurred more often after the second dose than the first dose. CDC and its partners are investigating these reports of myocarditis and pericarditis following mRNA COVID-19 vaccination.

CDC continues to recommend COVID-19 vaccination for everyone age 12 years and older, given the greater risk of COVID-19 illness and related, possibly severe complications.

Providers of COVID-19 vaccines are any serious adverse event ([link removed]) (including myocarditis and pericarditis) after vaccination to the Vaccine Adverse Event Reporting System (VAERS) ([link removed]) .

Related Links
* CDC's Clinical Considerations: Myocarditis and Pericarditis after Receipt of mRNA COVID-19 Vaccines among Adolescents and Young Adults ([link removed]) web page
* WHO press release: COVID-19 subcommittee of the WHO Global Advisory Committee on Vaccine Safety (GACVS) reviews cases of mild myocarditis reported with COVID-19 mRNA vaccines ([link removed]) (5/26/21)
* CDC's Myocarditis and Pericarditis Following mRNA COVID-19 Vaccination ([link removed]) web page
* CDC's Selected Adverse Events Reported after COVID-19 Vaccination ([link removed]) web page

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“COVID-19 Vaccine Breakthrough Infections Reported to CDC—U.S., January 1–April 20, 2021” published in MMWR

CDC published COVID-19 Vaccine Breakthrough Infections Reported to CDC—United States, January 1–April 30, 2021 ([link removed]) in the May 28 issue of MMWR. For this surveillance, a vaccine breakthrough infection was defined as the detection of SARS-CoV-2 RNA or antigen in a respiratory specimen collected from a person at least 14 days after receipt of all recommended doses of an FDA-authorized COVID-19 vaccine. State health departments voluntarily reported vaccine breakthrough infections to CDC.

A total of 10,262 SARS-CoV-2 vaccine breakthrough infections had been reported from 46 U.S. states and territories as of April 30, 2021. Among these cases, 63% occurred in females, and the median patient age was 58 years. Based on preliminary data:
* 27% were asymptomatic
* 10% were known to be hospitalized (Among these patients, 29% were asymptomatic or hospitalized for a reason unrelated to COVID-19.)
* 2% died (Among these patients, median age was 82 years; 18% were asymptomatic or died from a cause unrelated to COVID-19.)

Access the MMWR article in HTML format ([link removed]) or in PDF format ([link removed]) .
Related Link
* MMWR's gateway page ([link removed]) provides access to MMWR Weekly, MMWR Recommendations and Reports, MMWR Surveillance Summaries, and MMWR Supplements

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“Patterns in COVID-19 Vaccination Coverage, by Social Vulnerability and Urbanicity—United States, December 14, 2020–May 1, 2021” published in MMWR

CDC published Patterns in COVID-19 Vaccination Coverage, by Social Vulnerability and Urbanicity—United States, December 14, 2020–May 1, 2021 ([link removed]) in the May 28 issue of MMWR. A portion of the article appears below.

Counties with higher levels of social vulnerability have been disproportionately affected by COVID-19....

...Disparities in county-level vaccination coverage by social vulnerability have increased as vaccine eligibility has expanded, especially in large fringe metropolitan (areas surrounding large cities, e.g., suburban) and nonmetropolitan counties. By May 1, 2021, vaccination coverage among adults was lower among those living in counties with lower socioeconomic status and with higher percentages of households with children, single parents, and persons with disabilities....

...Outreach efforts, including expanding public health messaging tailored to local populations and increasing vaccination access, could help increase vaccination coverage in counties with high social vulnerability.

Access the MMWR article in HTML format ([link removed]) or in PDF format ([link removed]) .
Related Link
* MMWR's gateway page ([link removed]) provides access to MMWR Weekly, MMWR Recommendations and Reports, MMWR Surveillance Summaries, and MMWR Supplements

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IAC updates Ask the Experts: COVID-19 web page to answer questions about latest ACIP recommendations and revised CDC clinical considerations

IAC has again updated its Ask the Experts: COVID-19 ([link removed]) web page to reflect the latest decisions of the ACIP ([link removed]) and changes to CDC’s clinical considerations for the use of COVID-19 vaccines ([link removed]) . Ask the Experts now includes these topics:
* COVID-19 vaccination of children as young as age 12 years
* Guidance from CDC that COVID-19 vaccines may be co-administered with other vaccines or administered separately, without regard to the timing of other vaccines
* Common questions from immunizers related to the Janssen COVID-19 Vaccine (Johnson & Johnson) and thrombosis with thrombocytopenia syndrome (TTS)

The Ask the Experts: COVID-19 ([link removed]) web page is updated regularly as guidance changes and new vaccines are authorized.
[link removed]

IAC's Ask the Experts ([link removed]) gateway page leads you to 29 distinct web pages on a variety of topics comprising a total of more than 1,000 common or challenging questions and answers (Q&As) about vaccines and their administration. IAC wishes to recognize its team of experts: Kelly L. Moore, MD, MPH (lead); Carolyn Bridges, MD, FACP; William Atkinson, MD, MPH; and Deborah Wexler, MD.

Related Links
* IAC’s Ask the Experts: COVID-19 ([link removed]) web page
* IAC's Ask the Experts ([link removed]) gateway page to access more than 1,000 questions answered by IAC experts
* CDC's COVID-19 ACIP Vaccine Recommendations ([link removed]) gateway page
* CDC's Interim Clinical Considerations for Use of COVID-19 Vaccines Currently Authorized in the United States ([link removed]) web page

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“Be Sure You Know the Anatomical Landmarks for Administering Intramuscular Injections in the Arm,” Dr. Wexler’s Technically Speaking monthly column, available on immunize.org

May's Technically Speaking column by IAC's executive director, Deborah L. Wexler, MD, is reprinted below.

Be Sure You Know the Anatomical Landmarks for Administering Intramuscular Injections in the Arm ([link removed])

by Deborah L. Wexler, MD

With tens of thousands of new vaccinators and millions of doses of COVID-19 vaccine being given each month, it is critical that vaccinators—both new and experienced—know how to precisely locate where intramuscular (IM) injections in the arm should be given.

For people age 3 years and older, a correctly placed IM injection is given in the upper arm, in the deltoid muscle, into its middle and thickest part, at a 90-degree angle to the skin. CDC has helpful instructional handouts for vaccinating children age 7 through 18 ([link removed]) and adults ([link removed]) that illustrate the anatomical landmarks for where to inject into the deltoid muscle.

For COVID-19 vaccinators, CDC highlights this same information on web pages specifically addressing vaccine administration of the three COVID-19 vaccines authorized for use in the U.S.:
* Pfizer-BioNTech ([link removed]) ,
* Moderna ([link removed]) , and
* Janssen (Johnson & Johnson) ([link removed])

One of the most common errors in IM injection is introducing the needle either too high on the shoulder or too low on the arm. Injections given too high (into the shoulder joint) or too low (into tendons and soft tissue) have the possibility of leading to serious shoulder or arm pain that can last several months. SIRVA ([link removed]) (shoulder injury related to vaccine administration) is preventable by paying careful attention to the anatomical landmarks for correct placement in the deltoid.

The Immunization Action Coalition ([link removed]) (IAC) has free print materials available on its website that teach vaccine administration techniques. Downloads of these IAC materials have skyrocketed since December 2020 when COVID-19 vaccinations began. Here are IAC’s most popular materials on this topic:
* How to Administer Intramuscular and Subcutaneous Vaccine Injections ([link removed])
* How to Administer Intramuscular and Subcutaneous Vaccine Injections to Adults ([link removed])
* Skills Checklist for Vaccine Administration ([link removed])

Additional IAC materials on vaccine administration
* IAC’s Handouts: Administering Vaccines ([link removed]) gateway page with links to more than 20 print pieces on vaccine administration
* IAC’s Clinic Tools: Administering Vaccines ([link removed]) gateway page provides links to dozens of resources from IAC, CDC, EZIZ, and others

Additional CDC resources on vaccine administration
* Video: Intramuscular (IM) Injection: Sites ([link removed])
* CDC Epidemiology and Prevention of Vaccine-Preventable Diseases ("The Pink Book"), Chapter 6: Vaccine Administration ([link removed])
* General Best Practice Guidelines for Immunization: Best Practices Guidance of ACIP, Section 6: Vaccine Administration ([link removed])

Technically Speaking is a monthly column written by Dr. Wexler for Vaccine Update ([link removed]) , a monthly e-newsletter from the Vaccine Education Center (VEC) at Children's Hospital of Philadelphia. All past columns are available on IAC’s Technically Speaking ([link removed]) gateway page at www.immunize.org/technically-speaking.

Access the complete article here ([link removed]). ([link removed])

To subscribe to VEC's Vaccine Update ([link removed]) e-newsletter, go to the sign-up form ([link removed]).

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STAY CURRENT! WITH ALL THE CHANGES IN COVID-19 VACCINATION IN THE LAST FEW MONTHS, MAKE SURE YOU ARE USING THE MOST RECENT CDC AND FDA DOCUMENT VERSIONS

COVID-19 vaccinations have been underway for 6 months and key documents have been revised several times. Be certain your patients benefit from the most recent updates by ensuring that staff are using the most recent versions. This includes Fact Sheets, standing orders, screening forms, training and reference materials, summaries on walls or refrigerator doors, and other memory aids.

Applicable to All COVID-19 Vaccines
* COVID-19 Vaccine Quick Reference Guide for Healthcare Professionals ([link removed])
* Summary Document for Interim Clinical Considerations for Use of COVID-19 Vaccines Currently Authorized in the United States ([link removed])
* COVID-19 Vaccine Administration Errors and Deviations ([link removed])
* Identification, Disposal, and Reporting of COVID-19 Vaccine Wastage ([link removed])

Vaccine Preparation and Administration by Manufacturer
* Pfizer-BioNTech COVID-19 Vaccine Preparation and Administration Summary ([link removed])
* Moderna COVID-19 Vaccine Preparation and Administration Summary ([link removed])
* Janssen COVID-19 Vaccine (Johnson & Johnson) Vaccine Preparation and Administration Summary ([link removed])

Standing Orders by Manufacturer
* Pfizer-BioNTech COVID-19 Vaccine Standing Orders for Administering Vaccine to Persons 12 Years of Age and Older ([link removed])
* Moderna COVID-19 Vaccine Standing Orders for Administering Vaccine to Persons 18 Years of Age and Older ([link removed])
* Janssen COVID-19 Vaccine (Johnson & Johnson) Standing Orders for Administering Vaccine to Persons 18 Years of Age and Older ([link removed])

EUA Fact Sheets by Manufacturer
* Pfizer-BioNTech COVID-19 Vaccine Fact Sheet for Healthcare Providers ([link removed]) and Fact Sheet for Patients and Caregivers ([link removed])
* Moderna COVID-19 Vaccine Fact Sheet for Healthcare Providers ([link removed]) and Fact Sheet for Patients and Caregivers ([link removed])
* Janssen COVID-19 Vaccine (Johnson & Johnson) Fact Sheet for Healthcare Providers ([link removed]) and Fact Sheet for Patients and Caregivers ([link removed])

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Voices for Vaccines releases new podcast, "Kids and COVID-19 Vaccines," with ACIP liaison Patsy Stinchfield, MS, CPNP

Voices for Vaccines (VFV) has posted a new entry in its Vax Talk podcast series: Kids and COVID-19 Vaccines (with Patsy Stinchfield) ([link removed]). A description from their web page appears below.

CDC’s Advisory Committee on Immunization Practices (ACIP) voted unanimously to recommend the Pfizer vaccine be given to kids ages 12–15.

We invited long-time ACIP [liaison] member Patsy Stinchfield on the podcast to talk us through how this decision was made and when other age groups might be eligible.
* Visit VFV website podcast page ([link removed])
* Subscribe to Vax Talk via Apple Podcasts ([link removed]) or PodBean ([link removed])

[link removed]

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, use VFV tools in their own community, and sign up for VFV’s free newsletter ([link removed]) . Please spread the word to your friends and colleagues to join VFV!

Related Links
* Voices for Vaccines ([link removed]) website
* Voices for Vaccines Tools ([link removed]) gateway page
* JoinVoices for Vaccines ([link removed]) and receive weekly email updates
* FollowVoices for Vaccines on Facebook ([link removed])

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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. This is our most recent citation:

* Health: COVID Vaccines for Kids 12 to 15: Your Biggest Fears Addressed by Experts ([link removed]) (5/20/21)

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: A Nashville Hat Store Sold ‘Not Vaccinated’ Star of David Patches ([link removed]) (5/29/21)
* CBS: Half of U.S. Adults Are Now Fully Vaccinated, CDC Says ([link removed]) (5/26/21)
* Forbes: Nick Offerman: The All-American Hero of Vaccine Hesitancy ([link removed]) (5/26/21)
* Washington Post: Resistance to Vaccine Mandates Is Building. A Powerful Network Is Helping ([link removed]) (5/26/21)
* USA Today: Moderna Says Its COVID-19 Vaccine Found to Be 100% Effective in Children 12 to 17 Two Weeks after Second Dose ([link removed]) (5/25/21)
* Forbes: Hit Hard by the Pandemic, Orthodox Jews Are Choosing the COVID-19 Vaccine ([link removed]) (5/24/21)
* New York Times: How Vaccine Hesitancy Spread in My Prison ([link removed]) (5/24/21)
* New York Times: The Vaccine Class Gap ([link removed]) (5/24/21)
* NBC: Faced with Anti-vaccination Parents, Teens Are Helping One Another Get COVID Shots ([link removed]) (5/23/21)
* AHA Newsroom: COVID-19 Vaccine Benefits Still Outweigh Risks, despite Possible Rare Heart Complications ([link removed]) (5/23/21)

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Celebrating the legacy of Deborah L. Wexler, MD

On June 30, 2021, IAC founder and Executive Director Deborah L. Wexler, MD will be retiring and turning the leadership of IAC over to Kelly L. Moore, MD, MPH. We celebrate Deborah’s extraordinary legacy of immunization advocacy in our IAC Express Special Edition article, “Never a Dull Moment: A Celebration of the Legacy of Deborah L. Wexler, MD ([link removed]) .”

Personal messages and best wishes may be shared with Deborah at [email protected] (mailto:[email protected]) , noting “Retirement” in the subject line. Those who wish to honor Deborah’s career with a donation are invited to contribute to either her specially selected project to preserve and record the history of IAC or to IAC’s general fund, to help ensure that the important work of the organization she founded continues long into the future. Both options are available on the Support IAC ([link removed]) page.

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Featured Resources
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HEPATITIS B FOUNDATION LAUNCHES FIRST GLOBAL REGISTRY OF DISCRIMINATION AGAINST PEOPLE LIVING WITH HEPATITIS B

The Hepatitis B Foundation ([link removed]) launched its Hepatitis B Discrimination Registry ([link removed]) ,
a database with a worldwide communications campaign to encourage people living with hepatitis B to share their stories. The registry allows people around the world to document their hepatitis B-related discrimination stories anonymously. A portion of the press release appears below.

The Hepatitis B Foundation has successfully worked to improve protections against discrimination in the U.S., such as winning inclusion of hepatitis B as a protected condition under the Americans with Disabilities Act (ADA) in 2013.

The Discrimination Registry’s data will be used to develop policy and advocacy efforts intended to eliminate hepatitis B-related discrimination in the future. The Foundation will share the data through reports that will include high-level information (country-level, type of discrimination, etc.) on what is reported through the Registry. No identifiable information submitted by a person experiencing discrimination will be made available under any circumstances. The Foundation’s public health staff, which regularly publishes articles in scholarly journals, will publish analyses of the data....

...According to the Foundation, discrimination is defined as the unjust, unfair or prejudicial treatment of a person on the grounds of their hepatitis B status. In other words, being treated differently because of one’s hepatitis B infection. People with hepatitis B often face discrimination in many ways: denied employment or education, treated unfairly while at work or in school, not allowed to enter certain countries, not permitted to serve in the military or treated unfairly by health care providers and institutions.
[link removed]
Related Links
* Hepatitis B Foundations' press release: Hepatitis B Foundation Launches the First Global Registry of Discrimination against People Living with Hepatitis B ([link removed]) (5/13/21)
* Hepatitis B Foundation's Hepatitis B Foundation's Discrimination Registry ([link removed]) web page
* Hepatitis B Foundation ([link removed]) website

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FAMILIES AGAINST COVID-19 INITIATIVE POSTS A PRO-VACCINE VIDEO SHOWING PERSPECTIVE OF FAMILIES WHO LOST A LOVED ONE TO A VACCINE-PREVENTABLE DISEASE

The Families Against COVID-19 Initiative ([link removed]) , a joint initiative of The Kimberly Coffey Foundation ([link removed]) and The Emily Stillman Foundation ([link removed]) , hasposted a pro-vaccine video ([link removed]) from the perspective of families across the United States who have each lost a loved one to a vaccine-preventable disease. The video highlights the importance of getting your family the COVID-19 vaccine so that you do not lose a loved one to a disease that is now preventable.

[link removed]

The initiative encourages coalitions and advocates to use the video for their own COVID-19 vaccine outreach efforts. Please share this video across your social media platforms!

Related Links
* Families Against COVID-19 Initiative's Wondering Why You Should Get the COVID-19 Vaccine? ([link removed]) YouTube video
* Families Against COVID-19 Initiative ([link removed]) website
* The Kimberly Coffey Foundation ([link removed]) website
* The Emily Stillman Foundation ([link removed]) website

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CHECK OUT THE WWW.GIVE2MENACWY.ORG WEBSITE TO INCREASE RATES OF MENACWY BOOSTER AND OTHER ADOLESCENT VACCINATIONS

The website www.Give2MenACWY.org ([link removed]) promotes the importance of adolescent vaccination and administering a booster dose of MenACWY vaccine at age 16.

[link removed]

Designed for healthcare professionals, the site incorporates materials and highlights the importance of all recommended vaccines for 16-year-olds. A simplified navigation structure makes locating information a breeze.

The colorful Give2MenACWY.org website ([link removed]) is divided into five easy-to-access sections:
* Vaccinate Teens ([link removed]) – Teen vaccination schedules and tips for improving adolescent vaccination rates
* Give 2 Doses ([link removed]) – Tools to help improve second dose coverage of MenACWY
* 16-Year-Old Visit ([link removed]) – Resources to help providers and patients remember the important vaccines recommended for 16-year-olds
* Tools for Providers ([link removed]) – Tools to explain meningococcal ACWY vaccine recommendations and improve coverage for all adolescent vaccines
* Resources ([link removed]) – This section offers print materials ([link removed]) , links to organizations ([link removed]) involved in adolescent vaccination, personal stories ([link removed]) about the importance of vaccination, and additional resources ([link removed]) of interest

The site’s design categorizes materials ([link removed]) according to whether they are primarily of interest to providers or to teens or their parents.

Visit Give2MenACWY.org ([link removed]) and enjoy browsing (and deploying) its bountiful resources, brought to you by IAC's collaboration with Sanofi Pasteur.

Related Links
* Dear Colleague Letter: 16-Year-Old Patients: Make Sure They Receive Their Annual Well Visit and Vaccinations ([link removed]) – signed by six medical societies
* Give2MenACWY.org ([link removed]) website
* 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])
* Developing an Immunization Culture in Your Office ([link removed])
* Know Your Rates: Measuring Immunization Success in Your Practice ([link removed])
* You're 16: We Recommend These Vaccines for You ([link removed])
* National Meningitis Association's The16Vaccine.org ([link removed]) website

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Father’s Day is June 20. Order IAC’s “I Got My COVID-19 Vaccine” buttons and stickers for fathers who value prevention

Dad has enough neck ties, so order IAC’s “I Got My COVID-19 Vaccine ([link removed]) ” buttons for him and every vaccinated person who will celebrate Father’s Day with him.

[link removed] [link removed]

Buttons: Wear them in the clinic to demonstrate your support for COVID-19 vaccination and to remind those around you to protect themselves from COVID-19.
* Description: Bright yellow with 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 CDC’s nonprofit Vaccinate with Confidence ([link removed]) campaign, partners are able to receive supplies of these buttons and stickers free of charge. For questions about this program, email [email protected] (mailto:[email protected]) or call 651-647-9009.

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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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 three ways:
* Click your profile picture, select “update picture,” and then select “add a frame.” Search for #igotmycovid19vaccine and select it.
* Accept the frame in English by clicking this link: www.facebook.com/profilepicframes/? selected_overlay_id=2361854253958052 ([link removed])
* Accept the frame in Spanish by clicking this link: www.facebook.com/profilepicframes/?selected_overlay_id=517990259207530

Together we can end the COVID-19 pandemic!

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Journal Articles and Newsletters
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CHOP's Vaccine Education Center publishes May issue of Vaccine Update newsletter

The Vaccine Education Center (VEC) ([link removed]) at Children's Hospital of Philadelphia (CHOP) publishes a monthly immunization-focused newsletter titled Vaccine Update. The May issue ([link removed]) of Vaccine Update includes the following articles:
* "Reproductive Health and COVID-19 Vaccines" by Barbara J. Kuter, PhD, MPH
* "Vaccination after COVID-19—Data Are Starting to Emerge That Might Support Altering the Recommendations" by Paul A. Offit, MD
* "Be Sure You Know the Anatomical Landmarks for Administering Intramuscular Injections in the Arm" by 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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“Factors Associated with Racial/Ethnic Group-Based Medical Mistrust and Perspectives on COVID-19 Vaccine Trial Participation and Vaccine Uptake in the U.S.” published in JAMA

In the May 27 issue, JAMA published Factors Associated with Racial/Ethnic Group-Based Medical Mistrust and Perspectives on COVID-19 Vaccine Trial Participation and Vaccine Uptake in the U.S ([link removed]) . The Conclusions and Relevance section appears below.

In this survey study of US adults, racial/ethnic group–based medical mistrust partially mediated the association between individuals identifying as Black and low rates of acceptance of COVID-19 vaccine trial participation and actual vaccination. The findings suggest that partnerships between health care and other sectors to build trust and promote vaccination may benefit from socially and culturally responsive strategies that acknowledge and address racial/ethnic health care disparities and historical and contemporary experiences of racism.

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“Effect of Training Pediatric Clinicians in Human Papillomavirus Communication Strategies on Human Papillomavirus Vaccination Rates” published in JAMA Pediatrics

In the May 24 issue, JAMA Pediatrics published Effect of Training Pediatric Clinicians in Human Papillomavirus Communication Strategies on Human Papillomavirus Vaccination Rates ([link removed]) . IAC’s associate director for research, Sharon G. Humiston, MD, MPH is an author. The key points appear below.

Question: Can training pediatric clinicians in human papillomavirus (HPV) communication strategies using online modules reduce missed opportunities for HPV vaccination and increase rates of HPV vaccination?

Findings: In this cluster randomized clinical trial involving 48 pediatric practices across 19 states, online communication training reduced missed opportunities for HPV vaccination, particularly by improving receipt of the first HPV vaccine dose.

Meaning: Online training of pediatric clinicians focused on effective communication may increase rates of HPV vaccination.

[link removed]

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Education and Training
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NFID OFFERS WEBINAR “STRATEGIES FOR INCREASING ROUTINE ADULT VACCINATION RATES” ON JUNE 9, CME AVAILABLE

National Foundation for Infectious Diseases (NFID) will host a webinar titled Strategies for Increasing Routine Adult Vaccination Rates ([link removed]) from 2:00–3:00 p.m. (ET) on June 9.

Many U.S. adults do not receive all recommended vaccines and, thus, remain unprotected against preventable diseases. This gap in coverage has been exacerbated by the COVID-19 pandemic. This webinar will discuss current adult vaccination recommendations and strategies for increasing coverage among adults in the U.S.

NFID Medical Director William Schaffner, MD will moderate the panel discussion with
* Ruth M. Carrico, PhD, DNP Division of Infectious Diseases, University of Louisville School of Medicine
* Jean-Venable “Kelly” R. Goode, PharmD, BCPS, VCU School of Pharmacy
* Robert H. Hopkins, Jr., MD, National Vaccine Advisory Committee (NVAC) Chair and University of Arkansas for Medical Sciences (UAMS) College of Medicine

There is no fee to participate in this activity, but pre-registration is required. One hour of CME credit will be offered upon completion.

Register for the webinar. ([link removed])

Related Link
* IAC's Calendar of Events ([link removed]) web page

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NEW JERSEY IMMUNIZATION NETWORK WILL CONDUCT VIRTUAL 2021 ADULT IMMUNIZATION CONFERENCE JUNE 14–15, CME AVAILABLE

New Jersey Immunization Network will hold the 2021 Adult Immunization Conference ([link removed]) from 11:00–2:00 p.m. (ET) on both June 14 and June 15. The agenda is as follows:
* June 14: Discussion of and Lessons Learned from the NJ COVID Vaccine Roll-Out (Public Health Focus), Panel: Lessons Learned from Telehealth and How it Relates to Adult Immunization, and Barriers to Vaccine Access in Minority Populations
* June 15: An Update on the COVID-19 Vaccine (Clinical Focus), Vaccines: How to Create a Successful Vaccine Program, and Pregnancy and Vaccinations

Continuing education for healthcare professionals will be offered, including CME/MOC Part 2 credit.

Register for the webinar ([link removed]).

Related Link
* IAC's Calendar of Events ([link removed]) web page

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Immunization PSAs from the Archive
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IN THIS INFORMATIVE 2004 PSA FROM UTAH DEPARTMENT OF HEALTH, MOM LETS DAD KNOW THAT IF INSURANCE DOESN’T COVER VACCINES, THEN THE VACCINES FOR CHILDREN PROGRAM CAN HELP

In this informative 2004 public service announcement ([link removed] ) (PSA) from the Utah Department of Health, busy mom lets dad know that if their insurance doesn't cover their children's vaccines, then the Vaccines For Children program can help. This PSA is part of a collection curated by vaccine expert William L. Atkinson, MD, MPH.

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


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IAC Express

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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-in-Chief
Kelly L. Moore, MD, MPH (mailto:[email protected])
Managing Editor
John Grabenstein, RPh, PhD (mailto:[email protected])
Associate Editor
Sharon Humiston, MD, MPH (mailto:[email protected])
Writer/Publication Coordinator
Taryn Chapman, MS (mailto:[email protected])
Courtnay Londo, MA (mailto:[email protected])
Style and Copy Editor
Marian Deegan, JD (mailto:[email protected])
Web Edition Manager
Sheila M. Franey, MA
Contributing Writer
Laurel H. Wood, MPA (mailto:[email protected])
Technical Reviewer
Robin VanOss (mailto:[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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