Email
IAC Express #1,585 – Adult vaccine call to action. IAC webinar. Pfizer COVID-19 vaccine licensed, and more.
| From | Immunization Action Coalition <[email protected]> |
| Subject | IAC Express #1,585 – Adult vaccine call to action. IAC webinar. Pfizer COVID-19 vaccine licensed, and more. |
| Date | August 25, 2021 10:01 AM |
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Issue 1,585: August 25, 2021
Top Stories
* IAC and other National Adult and Influenza Immunization Summit members issue Call to Action to improve routine vaccination of adults
* Register now to prepare for flu season! IAC will hold "The Continued Threat of Influenza and How to Sustain Influenza Vaccination Efforts” webinar on September 9
* FDA licenses Comirnaty, the Pfizer-BioNTech COVID-19 Vaccine, for individuals 16 years of age or older; FDA issues new consolidated Fact Sheets
* CMS and CDC are developing emergency regulation to require staff COVID-19 vaccination in Medicare- and Medicaid-participating nursing homes
* Wrapping up National Immunization Awareness Month: promote vaccination with helpful resources for all ages
* “New COVID-19 Cases and Hospitalizations among Adults, by Vaccination Status—New York, May 3–July 25, 2021” published in MMWR Early Release
* Watch the virtual ACIP meeting on COVID-19 vaccination on August 30–31; no registration is required
* FDA licenses Ticovac to prevent tick-borne encephalitis (TBE) in individuals 1 year of age and older
* IAC’s Hepatitis B Birth Dose Honor Roll recognizes 539 institutions, including two new honorees. Four previously honored institutions qualify for additional years' honors.
* IAC Spotlight! “Ask the Experts” gateway page offers more than a thousand questions on vaccines and vaccination answered by IAC experts
* Journalists interview IAC experts
* Vaccines in the news
Vaccine Information Statements
* Update Your VISs! CDC releases 14 updated Vaccine Information Statements; translations in progress
Featured Resources
* National Nurse-Led Care Consortium releases COVID-19 toolkit for nurses to decrease vaccine hesitancy and increase vaccination rates in the community
* AMA releases AMA STEPS Forward toolkit containing resources facilitating team-based adult vaccination
* Immunize Kansas Coalition posts “Truth about Vaccines” handout designed for refugee audiences in ten languages
* Great gift idea! IAC's elegantly designed "Vaccines Save Lives" black enamel pins make wonderful holiday gifts or workplace recognitions!
* Encourage others to get vaccinated by ordering IAC's “Me Vacuné…” and “I Got My COVID-19 Vaccine” buttons and stickers, now FREE to all organizations promoting or offering COVID-19 vaccination!
* Fall is around the corner; so is flu season! Stock up on IAC's flu vaccine buttons and stickers for staff and patients.
* Vaccinated? Encourage friends by adding IAC’s “Me Vacuné…” or “I Got My COVID-19 Vaccine” Facebook profile photo frame.
Notable Publications
* “Sustained Effectiveness of Pfizer-BioNTech and Moderna Vaccines against COVID-19 Associated Hospitalizations among Adults—United States, March–July 2021” published in MMWR Early Release
* “Effectiveness of Pfizer-BioNTech and Moderna Vaccines in Preventing SARS-CoV-2 Infection among Nursing Home Residents before and during Widespread Circulation of the SARS-CoV-2 B.1.617.2 (Delta) Variant—National Healthcare Safety Network, March 1–August 1, 2021” published in MMWR Early Release
* “Confronting the Delta Variant of SARS-CoV-2, Summer 2021” published in JAMA
* “COVID-19 Vaccine Breakthrough Cases: Data from the States” published by Kaiser Family Foundation
* CHOP's Vaccine Education Center publishes August issue of Vaccine Update newsletter
Upcoming Events
* CHOP Vaccine Education Center’s Current Issues in Vaccines webinar on September 22 features Dr. Paul Offit discussing myths and misinformation surrounding COVID-19 vaccines; CE available
Immunization PSAs from the Archive
* In this entertaining PSA from Scottish Rite Children’s Medical Center (Georgia), children lip synch a Gladys Knight song to remind us that they are able to use their imaginations when they are protected
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Top Stories
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IAC and other National Adult and Influenza Immunization Summit members issue Call to Action to improve routine vaccination of adult
Given the tremendous health benefits yet low rates of adult vaccination, lowered further by the COVID-19 pandemic, the National Adult and Influenza Immunization Summit ([link removed]) (NAIIS) members call on providers ([link removed]) across the healthcare spectrum to take actions to improve routine vaccination of adults. NAIIS calls on all frontline clinicians, other healthcare providers, and clinical subspecialists to follow the National Vaccine Advisory Committee (NVAC) Standards for Adult Immunization Practice ([link removed]) including:
* Assess the vaccination status of patients at each clinical encounter, including assessment by clinicians and other providers who do not stock vaccines
+ Use the jurisdiction’s immunization information system (IIS) to view patients’ prior vaccinations to support vaccine needs assessment
* Identify the vaccines each patient needs, then clearly recommend those needed vaccines
* Offer needed vaccines or refer patients to another provider for vaccination
* Document vaccinations given, including in the jurisdiction’s IIS
+ Many electronic health record (EHR) systems already link to the jurisdiction’s IIS; providers should check with their EHR administrators if uncertain
+ Providers not already utilizing an IIS should contact their local or state immunization programs ([link removed]) to inquire about enrolling in their IIS
* Measure vaccination rates of each provider’s patient panels; make changes to clinic patient flow and take other steps to address barriers to patient vaccination
Taking these actions will help protect adults across the U.S. against preventable illness, disability, and death.
Join the movement: add your organization's support to the Call to Action. ([link removed])
Related Links
* NAIIS: A Call to Action to Protect All Adults from Vaccine-Preventable Disease and Disability ([link removed]) web page
* NAIIS: Support the Call to Action for Adult Immunizations ([link removed]) form
* NAIIS: Organizations Supporting the Call to Action for Improving Adult Vaccination ([link removed]) web page
* CDC: Strategies for Increasing Adult Vaccination Rates ([link removed]) gateway page
* CDC: Adult Vaccination Information for Healthcare and Public Health Professionals ([link removed]) gateway page
* CDC: Adult Vaccination Resources: For Provider Practices ([link removed]) gateway page
* IAC: Strategies to Improve Adult Vaccination Coverage ([link removed]) (PDF)
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Register now to prepare for flu season! IAC will hold "The Continued Threat of Influenza and How to Sustain Influenza Vaccination Efforts” webinar on September 9
Even as COVID-19 vaccination efforts continue, seasonal influenza vaccination remains essential to protect health and ease the burden on healthcare systems. IAC will host a webinar titled The Continued Threat of Influenza and How to Sustain Influenza Vaccination Efforts ([link removed]) on September 9 at 1:00 p.m. (ET). Topics will include:
* Influenza surveillance in U.S. and worldwide
* Changes in circulation of other common respiratory pathogens, e.g., RSV
* Changes in influenza vaccine strains and changes in influenza ACIP recommendations
* Communication issues providers may face regarding perceptions of the need for influenza vaccination
* A public perspective on the importance of influenza vaccination and advocacy for vulnerable populations (chronic issues)
These topics will be addressed by speakers:
* Alicia Budd, MPH, Influenza Division of CDC’s National Center for Immunization and Respiratory Diseases (NCIRD)
* Robert H. Hopkins Jr., MD, University of Arkansas for Medical Sciences
* Gary Stein, MBA, Families Fighting Flu
Register now ([link removed]) to be sure you don’t miss this informative session.
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FDA licenses Comirnaty, the Pfizer-BioNTech COVID-19 Vaccine, for individuals 16 years of age or older; FDA issues new consolidated Fact Sheets
On August 23, FDA licensed ([link removed]) the Pfizer-BioNTech COVID-19 Vaccine for individuals 16 years of age or older with the trade name Comirnaty ([link removed]) . Vaccination for 12- to 15-year-olds continues to be authorized via Emergency Use Authorization (EUA), as does use of third doses in certain immunocompromised individuals. The storage, handling, and ordering process for the vaccine remain unchanged.
ACIP recommendations and CDC clinical considerations ([link removed]) for use of the Pfizer-BioNTech COVID-19 Vaccine (Comirnaty) remain the same.
With some uses of the Pfizer-BioNTech Vaccine in licensed status and some in EUA status, FDA has issued a new consolidated Fact Sheet for Recipients and Caregivers ([link removed]) , as well as a revised Fact Sheet for Healthcare Providers ([link removed]) . FDA offers the Fact Sheet for Recipients and Caregivers translated into 27 languages ([link removed] ) , although translations currently available are dated June 25, 2021.
Other COVID-19 vaccines produced by Moderna or Janssen (Johnson & Johnson) continue to be delivered under EUA status ([link removed]) .
Related Links
* FDA: Comirnaty Approval Letter ([link removed]) (PDF)
* FDA: Comirnaty ([link removed]) [link removed] page
* FDA: Comirnaty Package Insert ([link removed]) [link removed](8/23/21, PDF)
* FDA: COVID-19 Vaccines ([link removed]) [link removed] page
* CDC: U.S. COVID-19 Vaccine Product Information ([link removed]) gateway page
* CDC: Interim Clinical Considerations for Use of COVID-19 Vaccines Currently Authorized in the United States ([link removed]) [link removed] page
* Pfizer: Pfizer-BioNTech COVID-19 Vaccine Comirnaty Receives Full U.S. FDA Approval for Individuals 16 Years and Older ([link removed]) (8/23/21)
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CMS and CDC are developing emergency regulation to require staff COVID-19 vaccination in Medicare- and Medicaid-participating nursing homes
On August 18, Centers for Medicare and Medicaid Services (CMS), in collaboration with CDC, announced the development of an emergency regulation ([link removed]) to require staff of Medicare- and Medicaid-participating nursing homes to be vaccinated against COVID-19. A portion of the media statement appears below.
This new requirement is a key component of protecting the health and safety of nursing home residents and staff by ensuring that all nursing home staff receive COVID-19 vaccinations....
Today’s action is in keeping with CMS’s authority to establish requirements to ensure the health and safety of individuals receiving care from all providers and suppliers participating in the Medicare and Medicaid programs. About 62% of nursing home staff are currently vaccinated as of August 8 nationally, and vaccination among staff at the state level ranges from a high of 88% to a low of 44%. The emergence of the Delta variant in the United States has driven a rise in cases among nursing home residents from a low of 319 cases on June 27, to 2,696 cases on August 8, with many of the recent outbreaks occurring in facilities located in areas of the United States with the lowest staff vaccination rates....
CMS strongly encourages nursing home residents and staff members to get vaccinated as the Agency undergoes the necessary steps in the rule-making process over the course of the next several weeks. CMS expects nursing home operators to act in the best interest of residents and their staff by complying with these new rules, which the Agency expects to issue in September. CMS also expects nursing home operators to use all available resources to support employees in getting vaccinated, including employee education and vaccination clinics, as they work to meet this staff vaccination requirement.
Related Link
* CMS: Biden-Harris Administration Takes Additional Action to Protect America’s Nursing Home Residents from COVID-19 ([link removed]) (8/18/21)
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Wrapping up National Immunization Awareness Month: promote vaccination with helpful resources for all ages
August is National Immunization Awareness Month ([link removed]) (NIAM). This annual observance highlights the efforts of healthcare professionals to protect patients of all ages against vaccine-preventable diseases through on-time vaccination.
It is critical to maintain routine vaccination during the COVID-19 pandemic to protect both individuals and communities. Routine vaccination prevents illnesses that lead to additional medical visits, hospitalizations, and further strain on the healthcare system. This year, CDC calls on its partners to amplify these important messages when communicating with parents, pregnant individuals, healthcare professionals, and other adults.
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CDC’s NIAM web page includes two toolkits, one for reaching healthcare professionals ([link removed]) and the other for reaching parents and patients ([link removed]) . Each includes key messages, sample social media content, and educational resources. CDC encourages its partners to share these messages and resources throughout August using the hashtag #ivax2protect. Stay tuned for more resources to be released throughout the coming weeks.
Related Links
* Made to Save and We Can Do This National Back to School Week of Action ([link removed]) web page
* The White House press release: Fact Sheet: Biden Administration Announces Additional Actions to Help Kids Go Back to School Safely ([link removed]) (8/5/21)
* The White House: Back to School Vaccination Week of Action Kickoff ([link removed]) video on YouTube
* Made to Save ([link removed]) website
* HHS: We Can Do This ([link removed]) website
* HHS: Back-to-School Social Media Toolkit ([link removed]) web page
* CDC: Toolkit for Reaching Healthcare Professionals ([link removed]) gateway page
* CDC: Toolkit for Reaching Parents and Patients ([link removed]) gateway page
* CDC: NIAM ([link removed]) gateway page
* HRSA:Maternal and Child Health ([link removed]) website
* HRSA: Bright Futures ([link removed]) web page
* HRSA: Child Health ([link removed]) web page
* HRSA: Adolescent and Young Adult Health ([link removed]) web page
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“NEW COVID-19 CASES AND HOSPITALIZATIONS AMONG ADULTS, BY VACCINATION STATUS—NEW YORK, MAY 3–JULY 25, 2021” published in MMWR Early Release
CDC published New COVID-19 Cases and Hospitalizations among Adults, by Vaccination Status—New York, May 3–July 25, 2021 ([link removed]) [link removed] the August 18 MMWR Early Release. A portion of the summary appears below.
Real-world studies of population-level vaccine effectiveness against laboratory-confirmed SARS-CoV-2 infection and COVID-19 hospitalizations are limited in the United States....
During May 3–July 25, 2021, the overall age-adjusted vaccine effectiveness against hospitalization in New York was relatively stable (91.9%–95.3%). The overall age-adjusted vaccine effectiveness against infection for all New York adults declined from 91.7% to 79.8%....
These findings support the implementation of multicomponent approach to controlling the pandemic, centered on vaccination, as well as other prevention strategies such as masking and physical distancing.
Access the MMWR article in PDF ([link removed]) format ([link removed]) or ([link removed]) in HTML ([link removed]) format.
Related Link
* MMWR ([link removed]) gateway page provides access to MMWR Weekly and its companion publications
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Watch the virtual ACIP meeting on COVID-19 vaccination on August 30–31; no registration is required
CDC will convene its Advisory Committee on Immunization Practices (ACIP) ([link removed]) on August 30–31, starting at 10:00 a.m. (ET). The committee will discuss COVID-19 vaccination.
No registration is required to watch webcasts of live ACIP meetings or listen via telephone. Opportunities for public comment are described at the website.
Related Link
* ACIP gateway page ([link removed]) for content from previous meetings, as well as information about future meetings
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FDA licenses Ticovac to prevent tick-borne encephalitis (TBE) in individuals 1 year of age and older
On August 13, the FDA licensed Pfizer's Ticovac tick-borne encephalitis (TBE) vaccine ([link removed]) for active immunization to prevent TBE in individuals 1 year of age and older at risk of exposure to ticks that carry the virus. Ticovac is the only FDA-approved vaccine to protect adults and children in the United States from the TBE virus in TBE-endemic areas (e.g., parts of central Europe). TBE does not occur in the United States or elsewhere in the Western Hemisphere.
CDC's Advisory Committee on Immunization Practices (ACIP) will consider recommendations for the use of Ticovac by U.S.-based travelers in its upcoming meetings.
Related Links
* FDA: Ticovac Approval Letter ([link removed]) (PDF)
* FDA: Ticovac ([link removed]) web page
* FDA: Ticovac Package Insert ([link removed]) (PDF)
* Pfizer: U.S. FDA Approves Ticovac, Pfizer’s Tick-Borne Encephalitis (TBE) Vaccine ([link removed]) (8/13/21)
* IAC: Package Inserts and FDA Product Approvals ([link removed]) gateway page
* CDC: ACIP Meeting Information ([link removed]) web page
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IAC’S HEPATITIS B BIRTH DOSE HONOR ROLL RECOGNIZES 539 INSTITUTIONS, INCLUDING TWO NEW HONOREES. FOUR PREVIOUSLY HONORED INSTITUTIONS QUALIFY FOR ADDITIONAL YEARS' HONORS.
The Immunization Action Coalition (IAC) is pleased to announce that two new institutions have been accepted into its Hepatitis B Birth Dose Honor Roll ([link removed]) , for a total of 539 honorees. The birthing institutions are listed below with their reported hepatitis B birth dose coverage rates in parentheses.
* Carthage Area Hospital, Carthage, NY (91%)
* Commonwealth Healthcare Corporation, Saipan, MP (99%)
One institution is being recognized for a second year:
* Sharon Hospital, Sharon, CT (96%)
One institution is being recognized for a fourth year:
* Phoenixville Hospital, Phoenixville, PA (96%)
One institution is being recognized for a fifth year:
* UMass Memorial Medical Center, Worcester, MA (100%)
Finally, one institution is being recognized for a sixth year:
* Bristol Hospital, Bristol, CT (92%)
The Honor Roll now includes 539 birthing institutions from 44 states, Puerto Rico, Guam, Saipan, and an overseas U.S. military base. One hundred twenty-three institutions have qualified for 2 years, 72 institutions have qualified three times, 42 institutions have qualified four times, 24 institutions have qualified five times, 23 institutions have qualified six times, eight institutions have qualified seven times, two institutions have qualified eight times and one institution has qualified nine times.
The Honor Roll is a key part of IAC’s major initiative urging the nation’s hospitals to Give Birth to the End of Hep B ([link removed]) . Hospitals and birthing centers are recognized for attaining high coverage rates for administering hepatitis B vaccine at birth and meeting specific additional criteria. The initiative urges qualifying healthcare organizations to apply for the Hepatitis B Birth Dose Honor Roll online ([link removed]).
To be included in the Hepatitis B Birth Dose Honor Roll, a birthing institution must have: (1) reported a coverage rate of 90% or greater, over a 12-month period, for administering hepatitis B vaccine before hospital discharge to all newborns, including those whose parents refuse vaccination, and (2) implemented specific written policies, procedures, and protocols to protect all newborns from hepatitis B virus infection before hospital discharge.
Honorees are also awarded an 8.5" x 11" color certificate suitable for framing and their acceptance is announced to IAC Express’s 52,000+ readers.
Please visit the Hepatitis B Birth Dose Honor Roll web page ([link removed]) that lists these institutions and their exceptional efforts to protect infants from perinatal hepatitis B transmission.
Related IAC Resources
* Give Birth to the End of Hep B ([link removed]) gateway page
* Fact sheet about honor roll: Do You Qualify for the Hepatitis B Birth Dose Honor Roll? If So, Apply Today. ([link removed])
* Handout on IAC’s campaign: Give Birth to the End of Hep B ([link removed])
* Hepatitis B Birth Dose Honor Roll ([link removed]) webpage
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IAC SPOTLIGHT! “ASK THE EXPERTS” GATEWAY PAGE OFFERS MORE THAN A THOUSAND QUESTIONS ON VACCINES AND VACCINATION ANSWERED BY IAC EXPERTS
In this week's IAC Spotlight, we highlight the Ask the Experts ([link removed]) gateway page at Immunize.org.
Our Ask the Experts ([link removed]) gateway page offers over a thousand timely questions on vaccines and vaccine administration answered by IAC experts. Topics include specific diseases and their vaccines as well as vaccine delivery guidance (e.g., administration, billing, documenting).
The gateway page is one of the most highly visited destinations on Immunize.org. Whether you're looking for vaccine delivery guidance (e.g., administration, billing, documenting) or information on a specific vaccine, you'll likely find what you're looking for on one of the gateway page's 29 topic links.
New and updated Ask the Experts Q&As are published in special editions of IAC Express five times per year. If you have a question that you think may be of interest to our readers, please send it to us using our online form ([link removed]) . We will consider it for inclusion in an update of the Ask the Experts feature.
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Journalists interview IAC experts
Journalists seek out IAC experts to help explain vaccines to the public and policy makers. We help the media understand and communicate the complex work vaccinators do. Here are two recent citations.
* USA Today: ‘Trust God to Be Our Healer': As COVID-19 Vaccine Mandates Grow, So Are Requests for Religious Exemptions ([link removed]) (8/16/21)
* Healthy Women:When It Comes to Vaccines, Better Data Collection and Coordination of Education Efforts Will Help Close Lifesaving Maternal Immunization Gaps ([link removed]) (8/3/21)
Related Link
* IAC in the News ([link removed]) gateway page
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Vaccines in the news
These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
* JAMA Network Open: Evaluation of a ([link removed]) before Hospital Discharge ([link removed]) (7/22/21)
* Los Angeles Times: As a Doctor in a COVID Unit, I’m Running out of Compassion for the Unvaccinated. Get the Shot. ([link removed]) (8/17/21)
* Ad Council: Pope Francis and Six Cardinals and Archbishops from the U.S. and Latin America Have Come Together for a Message of Unity in Support of COVID-19 Vaccines and Access for All. ([link removed]) (8/17/21)
* New York Times: Can the Vaccinated Develop Long COVID after a Breakthrough Infection? ([link removed]) (8/16/21)
* MIT Technology Review: How to Talk to Vaccine-Hesitant People ([link removed]) (8/16/21)
* Pharmacy Times: Education, Training Are Essential for Successful Flu Vaccination Campaigns ([link removed]) (8/16/21)
* Medical Daily: Is It Safe to Get Vaccinated against COVID-19 and the Flu on the Same Day? ([link removed]) (8/16/21)
* Bloomberg Opinion: The Value of a Vaccination, in Three Charts ([link removed]) (8/15/21)
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Vaccine Information Statements
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UPDATE YOUR VISS! CDC RELEASES 14 UPDATED VACCINE INFORMATION STATEMENTS; TRANSLATIONS IN PROGRESS
On August 9, CDC posted 14 updated Vaccine Information Statements ([link removed]) (VISs). Access these VISs on their respective IAC web pages by clicking on the links below.
* DTaP (Diphtheria, Tetanus, Pertussis) ([link removed])
* Haemophilus influenzae type b (Hib) ([link removed])
* HPV (Human Papillomavirus) ([link removed])
* Influenza, inactivated or recombinant ([link removed])
* Influenza, live intranasal ([link removed])
* Meningococcal ACWY ([link removed])
* Meningococcal B ([link removed])
* MMR (Measles, Mumps, and Rubella) ([link removed])
* MMRV (Measles, Mumps, Rubella, and Varicella) ([link removed])
* Pneumococcal Conjugate (PCV13) ([link removed])
* Polio ([link removed])
* Td (Tetanus, Diphtheria) ([link removed])
* Tdap (Tetanus, Diphtheria, Pertussis) ([link removed])
* Varicella (Chickenpox) ([link removed])
CDC encourages providers to begin using these VISs immediately; however, existing supplies of the previous editions may be used until exhausted.
IAC will produce translations of these new VISs and post them on Immunize.org as they become available over the next several weeks. Translations of previous VIS versions may be used until new translations become available. CDC states that the corresponding up-to-date English-language VIS must also be supplied when providing an out-of-date translation.
Related Links
* IAC: Vaccine Information Statement ([link removed]) gateway page for VISs in 47 languages ([link removed])
* IAC: Dates of Current Vaccine Information Statements ([link removed]) (PDF)
* CDC: What's New with VISs ([link removed]) web page
* CDC: Current VISs ([link removed]) web page
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Featured Resources
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NATIONAL NURSE-LED CARE CONSORTIUM RELEASES COVID-19 TOOLKIT FOR NURSES TO DECREASE VACCINE HESITANCY AND INCREASE VACCINATION RATES IN THE COMMUNITY
The National Nurse-Led Care Consortium created a toolkit ([link removed]) to help nurses do their part in the national vaccination effort. The toolkit is designed to help nurses decrease vaccine hesitancy and increase vaccination rates in their communities.
[link removed]
The toolkit includes facts to raise awareness on social media, infographics to combat misconceptions, shared COVID-19 stories, ways to help get people vaccinated, where to find COVID-19 vaccines, and various other resources. This toolkit is also useful for all individuals looking to combat COVID-19 misinformation and promote getting the vaccine.
Related Link
* National Nurse-Led Care Consortium: COVID Vaccine Toolkit ([link removed]) web page
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AMA releases AMA STEPS Forward toolkit containing resources facilitating team-based adult vaccination
The American Medical Association (AMA) has developed a collection of engaging and interactive educational toolkits that are practical, actionable “how-to” guides to transform and improve your practice. The AMA STEPS Forward ([link removed]) adult vaccination toolkit covers vaccine basics, prioritization and delivery, vaccine delivery equity, ethical implications, and public health safeguards. These resources are customizable and can be used to support the successful implementation of adult vaccine programs and efforts.
Related Link
* AMA: AMA STEPS Forward ([link removed]) website
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IMMUNIZE KANSAS COALITION POSTS “TRUTH ABOUT VACCINES” HANDOUT DESIGNED FOR REFUGEE AUDIENCES IN TEN LANGUAGES
Immunize Kansas Coalition ([link removed]) has developed an easy-to-read 1-page sheet called Truth about Vaccines ([link removed]) . This new handout contains helpful, easy-to-read information regarding the truth about vaccines, originally designed for refugee audiences.
[link removed]
The handout is offered in 10 languages:
* Arabic ([link removed])
* Burmese ([link removed])
* English ([link removed])
* Karen ([link removed])
* Kinyarwanda ([link removed])
* Nepali ([link removed])
* Spanish ([link removed])
* Somali ([link removed])
* Swahili ([link removed])
* Vietnamese ([link removed])
Related Link
* Immunize Kansas Coalition: COVID-19 Vaccine Equity ([link removed]) web page
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GREAT GIFT IDEA! IAC'S ELEGANTLY DESIGNED "VACCINES SAVE LIVES" BLACK ENAMEL PINS MAKE WONDERFUL HOLIDAY GIFTS OR WORKPLACE RECOGNITIONS!
IAC’s elegantly designed “Vaccines Save Lives” pins ([link removed]) are meaningful gifts for people who care about vaccination. The pin makes a refined statement in hard black enamel with gold lettering and edges, measuring 1.125" x 0.75".
[link removed]
The pin is a stick-through-post variety with the back end covered by a round rubber cap that holds the pin securely. A gold metal spring-lock clasp is also provided.
Wear these pins on clothing, ([link removed]) uniforms, and white coats to show that you value vaccines!
([link removed])
Click here for "Vaccines Save Lives" pin pricing and ordering information. ([link removed])
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Encourage others to get vaccinated by ordering IAC's “Me Vacuné…” and “I Got My COVID-19 Vaccine” buttons and stickers, now FREE to all organizations promoting or offering COVID-19 vaccination!
All organizations promoting or offering COVID-19 vaccination may order IAC’s FREE “Me Vacuné…” and “I Got My COVID-19 Vaccine” buttons and stickers ([link removed]) , provided with support from CDC. Access this order form ([link removed]) to request the FREE buttons and stickers for your outreach efforts while supplies last.
[link removed] [link removed]
Related Links
* IAC: FREE “Me Vacuné…” and "I Got My COVID-19 Vaccine" buttons and stickers order form ([link removed]) for promoting vaccination
* Shop IAC ([link removed]) gateway page: All the buttons, stickers, laminated schedules, record cards, and other products offered by IAC
* Vaccines.gov: COVID-19 Vaccine Incentives ([link removed]) web page
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FALL IS AROUND THE CORNER; SO IS FLU SEASON! STOCK UP ON IAC'S FLU VACCINE BUTTONS AND STICKERS FOR STAFF AND PATIENTS.
After you order your vaccine, don’t forget to order your buttons and stickers. IAC “FLU VACCINE” buttons and stickers ([link removed]) are ready to ship! Their bright red color helps broadcast your important message about the need for influenza vaccination. And the cost is reasonable.
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“FLU VACCINE” BUTTONS
The button measures 1.25" across and carries a bold message! Pin on lab coats, uniforms, other clothing, tote bags, or backpacks to show support for flu vaccine.
Buttons are delivered in bags of 10 buttons per bag.
Click here for pricing and ordering information for "FLU VACCINE" buttons ([link removed]) .
“FLU VACCINE” STICKERS
Measuring 1.5" across, these stickers adhere well to clothing and have an easy-peel-off backing.
Stickers are delivered to you cut individually (not on rolls)—available in bundles of 100.
Click here for pricing and ordering information for “FLU VACCINE” stickers. ([link removed])
Visit Shop IAC for additional items ([link removed]) , including "Vaccines Save Lives" enamel pins, patient record cards, and a vaccine administration training video.
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VACCINATED? ENCOURAGE FRIENDS BY ADDING IAC’S “ME VACUNÉ…” OR “I GOT MY COVID-19 VACCINE” FACEBOOK PROFILE PHOTO FRAME.
Share your excitement about COVID-19 vaccination and inspire your friends! Add IAC's “Me Vacuné Contra el COVID-19” or "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
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Notable Publications
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“Sustained Effectiveness of Pfizer-BioNTech and Moderna Vaccines against COVID-19 Associated Hospitalizations among Adults—United States, March–July 2021” published in MMWR Early Release
CDC published Sustained Effectiveness of Pfizer-BioNTech and Moderna Vaccines against COVID-19 Associated Hospitalizations among Adults—United States, March–July 2021 ([link removed]) in the August 18 MMWR Early Release. A portion of the summary appears below.
COVID-19 mRNA vaccines provide strong protection against severe COVID-19; however, the duration of protection is uncertain....
Among 1,129 patients who received 2 doses of a mRNA vaccine, no decline in vaccine effectiveness against COVID-19 hospitalization was observed over 24 weeks. Vaccine effectiveness was 86% 2–12 weeks after vaccination and 84% at 13–24 weeks. Vaccine effectiveness was sustained among groups at risk for severe COVID-19....
mRNA vaccine effectiveness against COVID-19–associated hospitalizations was sustained over 24 weeks; ongoing monitoring is needed as new SARS-CoV-2 variants emerge. To reduce hospitalization, all eligible persons should be offered COVID-19 vaccination.
Access the MMWR article in PDF ([link removed]) format ([link removed]) or ([link removed]) in HTML ([link removed]) format.
Related Link
* MMWR ([link removed]) gateway page provides access to MMWR Weekly and its companion publications
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“EFFECTIVENESS OF PFIZER-BIONTECH AND MODERNA VACCINES IN PREVENTING SARS-COV-2 INFECTION AMONG NURSING HOME RESIDENTS BEFORE AND DURING WIDESPREAD CIRCULATION OF THE SARS-COV-2 B.1.617.2 (DELTA) VARIANT—NATIONAL HEALTHCARE SAFETY NETWORK, MARCH 1–AUGUST 1, 2021” published in MMWR Early Release
CDC published Effectiveness of Pfizer-BioNTech and Moderna Vaccines in Preventing SARS-CoV-2 Infection among Nursing Home Residents before and during Widespread Circulation of the SARS-CoV-2 B.1.617.2 (Delta) Variant—National Healthcare Safety Network, March 1–August 1, 2021” published in MMWR Early Release ([link removed]) [link removed] the August 18 MMWR Early Release. A portion of the summary appears below.
Two doses of mRNA vaccines were 74.7% effective against infection among nursing home residents early in the vaccination program (March–May 2021). During June–July 2021, when B.1.617.2 (Delta) variant circulation predominated, effectiveness declined significantly to 53.1%....
Additional evaluations are needed to understand protection against severe disease in nursing home residents over time.
Access the MMWR article in PDF ([link removed]) format ([link removed]) or ([link removed]) in HTML ([link removed]) format.
Related Link
* MMWR ([link removed]) gateway page provides access to MMWR Weekly and its companion publications
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“Confronting the Delta Variant of SARS-CoV-2, Summer 2021” published in JAMA
In the August 18 issue, JAMA published Confronting the Delta Variant of SARS-CoV-2, Summer 2021 ([link removed]) . The conclusions section appears below.
The Delta variant presents a serious challenge to controlling the COVID-19 pandemic in the US and worldwide. Effectively responding to this formidable variant will require an evidence-based response that, unfortunately, has not been the case for many US states. Vaccines are the only way forward that will preserve the health care infrastructure and the economy, and eventually contain the pandemic. Increasing uptake among vaccine-hesitant populations will require full participation and complete commitment by everyone, including government officials, clinicians, public health practitioners, and members of the community. Elected officials and other policy makers can do their part now by lending strong support to vaccination and public health mitigation strategies.
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“COVID-19 VACCINE BREAKTHROUGH CASES: DATA FROM THE STATES==” PUBLISHED BY KAISER FAMILY FOUNDATION
On July 30, Kaiser Family Foundation published COVID-19 Vaccine Breakthrough Cases: Data from the States ([link removed]) . A portion of the article appears below.
While COVID-19 vaccines are highly effective at preventing severe disease, hospitalization, and death from COVID-19 and also reduce the likelihood of mild or asymptomatic infection, a small share of fully vaccinated individuals do become infected, and some become hospitalized or have died. These rare occurrences are known as “breakthrough cases” which are to be expected, and historically known to occur with other vaccines as none is 100% effective.
Figure 1 of the report shows how rare breakthrough cases, hospitalizations, and deaths are among those who are fully vaccinated against COVID-19, in those states reporting breakthrough data.
Figure 2 shows that almost all (more than 9 in 10) COVID-19 cases, hospitalizations, and deaths occurred among people who are unvaccinated or not yet fully vaccinated, in those states reporting breakthrough data.
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CHOP's Vaccine Education Center publishes August 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 for Healthcare Providers. The August issue ([link removed]) includes the following articles:
* COVID-19 Vaccination—What the Provincetown Experience Did and Did Not Tell Us ([link removed]) by Paul A. Offit, MD
* Technically Speaking—Back to School 2021 and Beyond: 8 Habit-Forming Tips for Improving Your Vaccination Rates ([link removed]) by Sharon G. Humiston, MD, MPH
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 for Healthcare Providers.
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Upcoming Events
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CHOP Vaccine Education Center’s Current Issues in Vaccines webinar on September 22 features Dr. Paul Offit discussing myths and misinformation surrounding COVID-19 vaccines; CE available
The Vaccine Education Center (VEC) at Children's Hospital of Philadelphia will present a 1-hour webinar on myths and misinformation related to COVID-19 vaccines, beginning at 12:00 p.m. (ET) on September 22. Part of its Current Issues in Vaccines ([link removed]) series, the webinar will feature Paul Offit, MD, director of the VEC.
Free continuing-education credits (CME, CEU, and CPE) will be available for both the live and archived events.
Register for the webinar ([link removed]).
Related Link
* VEC's Vaccine Webinar Archive ([link removed]) web page
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Immunization PSAs from the Archive
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IN THIS ENTERTAINING PSA FROM SCOTTISH RITE CHILDREN’S MEDICAL CENTER (GEORGIA), CHILDREN LIP SYNCH A GLADYS KNIGHT SONG TO REMIND US THAT THEY ARE ABLE TO USE THEIR IMAGINATIONS WHEN THEY ARE PROTECTED
In this 1996 entertaining public service announcement ([link removed]) (PSA) from the Scottish Rite Children’s Medical Center (Georgia), children lip synch a Gladys Knight song to remind us that they are able to use their imaginations when they are protected. This PSA is part of a collection curated by vaccine expert William L. Atkinson, MD, MPH, that spans a period of more than 50 years.
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Previous PSAs featured in "Immunization PSAs from the Archive” are available when viewing this Vimeo video ([link removed]) .
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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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Issue 1,585: August 25, 2021
Top Stories
* IAC and other National Adult and Influenza Immunization Summit members issue Call to Action to improve routine vaccination of adults
* Register now to prepare for flu season! IAC will hold "The Continued Threat of Influenza and How to Sustain Influenza Vaccination Efforts” webinar on September 9
* FDA licenses Comirnaty, the Pfizer-BioNTech COVID-19 Vaccine, for individuals 16 years of age or older; FDA issues new consolidated Fact Sheets
* CMS and CDC are developing emergency regulation to require staff COVID-19 vaccination in Medicare- and Medicaid-participating nursing homes
* Wrapping up National Immunization Awareness Month: promote vaccination with helpful resources for all ages
* “New COVID-19 Cases and Hospitalizations among Adults, by Vaccination Status—New York, May 3–July 25, 2021” published in MMWR Early Release
* Watch the virtual ACIP meeting on COVID-19 vaccination on August 30–31; no registration is required
* FDA licenses Ticovac to prevent tick-borne encephalitis (TBE) in individuals 1 year of age and older
* IAC’s Hepatitis B Birth Dose Honor Roll recognizes 539 institutions, including two new honorees. Four previously honored institutions qualify for additional years' honors.
* IAC Spotlight! “Ask the Experts” gateway page offers more than a thousand questions on vaccines and vaccination answered by IAC experts
* Journalists interview IAC experts
* Vaccines in the news
Vaccine Information Statements
* Update Your VISs! CDC releases 14 updated Vaccine Information Statements; translations in progress
Featured Resources
* National Nurse-Led Care Consortium releases COVID-19 toolkit for nurses to decrease vaccine hesitancy and increase vaccination rates in the community
* AMA releases AMA STEPS Forward toolkit containing resources facilitating team-based adult vaccination
* Immunize Kansas Coalition posts “Truth about Vaccines” handout designed for refugee audiences in ten languages
* Great gift idea! IAC's elegantly designed "Vaccines Save Lives" black enamel pins make wonderful holiday gifts or workplace recognitions!
* Encourage others to get vaccinated by ordering IAC's “Me Vacuné…” and “I Got My COVID-19 Vaccine” buttons and stickers, now FREE to all organizations promoting or offering COVID-19 vaccination!
* Fall is around the corner; so is flu season! Stock up on IAC's flu vaccine buttons and stickers for staff and patients.
* Vaccinated? Encourage friends by adding IAC’s “Me Vacuné…” or “I Got My COVID-19 Vaccine” Facebook profile photo frame.
Notable Publications
* “Sustained Effectiveness of Pfizer-BioNTech and Moderna Vaccines against COVID-19 Associated Hospitalizations among Adults—United States, March–July 2021” published in MMWR Early Release
* “Effectiveness of Pfizer-BioNTech and Moderna Vaccines in Preventing SARS-CoV-2 Infection among Nursing Home Residents before and during Widespread Circulation of the SARS-CoV-2 B.1.617.2 (Delta) Variant—National Healthcare Safety Network, March 1–August 1, 2021” published in MMWR Early Release
* “Confronting the Delta Variant of SARS-CoV-2, Summer 2021” published in JAMA
* “COVID-19 Vaccine Breakthrough Cases: Data from the States” published by Kaiser Family Foundation
* CHOP's Vaccine Education Center publishes August issue of Vaccine Update newsletter
Upcoming Events
* CHOP Vaccine Education Center’s Current Issues in Vaccines webinar on September 22 features Dr. Paul Offit discussing myths and misinformation surrounding COVID-19 vaccines; CE available
Immunization PSAs from the Archive
* In this entertaining PSA from Scottish Rite Children’s Medical Center (Georgia), children lip synch a Gladys Knight song to remind us that they are able to use their imaginations when they are protected
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Top Stories
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IAC and other National Adult and Influenza Immunization Summit members issue Call to Action to improve routine vaccination of adult
Given the tremendous health benefits yet low rates of adult vaccination, lowered further by the COVID-19 pandemic, the National Adult and Influenza Immunization Summit ([link removed]) (NAIIS) members call on providers ([link removed]) across the healthcare spectrum to take actions to improve routine vaccination of adults. NAIIS calls on all frontline clinicians, other healthcare providers, and clinical subspecialists to follow the National Vaccine Advisory Committee (NVAC) Standards for Adult Immunization Practice ([link removed]) including:
* Assess the vaccination status of patients at each clinical encounter, including assessment by clinicians and other providers who do not stock vaccines
+ Use the jurisdiction’s immunization information system (IIS) to view patients’ prior vaccinations to support vaccine needs assessment
* Identify the vaccines each patient needs, then clearly recommend those needed vaccines
* Offer needed vaccines or refer patients to another provider for vaccination
* Document vaccinations given, including in the jurisdiction’s IIS
+ Many electronic health record (EHR) systems already link to the jurisdiction’s IIS; providers should check with their EHR administrators if uncertain
+ Providers not already utilizing an IIS should contact their local or state immunization programs ([link removed]) to inquire about enrolling in their IIS
* Measure vaccination rates of each provider’s patient panels; make changes to clinic patient flow and take other steps to address barriers to patient vaccination
Taking these actions will help protect adults across the U.S. against preventable illness, disability, and death.
Join the movement: add your organization's support to the Call to Action. ([link removed])
Related Links
* NAIIS: A Call to Action to Protect All Adults from Vaccine-Preventable Disease and Disability ([link removed]) web page
* NAIIS: Support the Call to Action for Adult Immunizations ([link removed]) form
* NAIIS: Organizations Supporting the Call to Action for Improving Adult Vaccination ([link removed]) web page
* CDC: Strategies for Increasing Adult Vaccination Rates ([link removed]) gateway page
* CDC: Adult Vaccination Information for Healthcare and Public Health Professionals ([link removed]) gateway page
* CDC: Adult Vaccination Resources: For Provider Practices ([link removed]) gateway page
* IAC: Strategies to Improve Adult Vaccination Coverage ([link removed]) (PDF)
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Register now to prepare for flu season! IAC will hold "The Continued Threat of Influenza and How to Sustain Influenza Vaccination Efforts” webinar on September 9
Even as COVID-19 vaccination efforts continue, seasonal influenza vaccination remains essential to protect health and ease the burden on healthcare systems. IAC will host a webinar titled The Continued Threat of Influenza and How to Sustain Influenza Vaccination Efforts ([link removed]) on September 9 at 1:00 p.m. (ET). Topics will include:
* Influenza surveillance in U.S. and worldwide
* Changes in circulation of other common respiratory pathogens, e.g., RSV
* Changes in influenza vaccine strains and changes in influenza ACIP recommendations
* Communication issues providers may face regarding perceptions of the need for influenza vaccination
* A public perspective on the importance of influenza vaccination and advocacy for vulnerable populations (chronic issues)
These topics will be addressed by speakers:
* Alicia Budd, MPH, Influenza Division of CDC’s National Center for Immunization and Respiratory Diseases (NCIRD)
* Robert H. Hopkins Jr., MD, University of Arkansas for Medical Sciences
* Gary Stein, MBA, Families Fighting Flu
Register now ([link removed]) to be sure you don’t miss this informative session.
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FDA licenses Comirnaty, the Pfizer-BioNTech COVID-19 Vaccine, for individuals 16 years of age or older; FDA issues new consolidated Fact Sheets
On August 23, FDA licensed ([link removed]) the Pfizer-BioNTech COVID-19 Vaccine for individuals 16 years of age or older with the trade name Comirnaty ([link removed]) . Vaccination for 12- to 15-year-olds continues to be authorized via Emergency Use Authorization (EUA), as does use of third doses in certain immunocompromised individuals. The storage, handling, and ordering process for the vaccine remain unchanged.
ACIP recommendations and CDC clinical considerations ([link removed]) for use of the Pfizer-BioNTech COVID-19 Vaccine (Comirnaty) remain the same.
With some uses of the Pfizer-BioNTech Vaccine in licensed status and some in EUA status, FDA has issued a new consolidated Fact Sheet for Recipients and Caregivers ([link removed]) , as well as a revised Fact Sheet for Healthcare Providers ([link removed]) . FDA offers the Fact Sheet for Recipients and Caregivers translated into 27 languages ([link removed] ) , although translations currently available are dated June 25, 2021.
Other COVID-19 vaccines produced by Moderna or Janssen (Johnson & Johnson) continue to be delivered under EUA status ([link removed]) .
Related Links
* FDA: Comirnaty Approval Letter ([link removed]) (PDF)
* FDA: Comirnaty ([link removed]) [link removed] page
* FDA: Comirnaty Package Insert ([link removed]) [link removed](8/23/21, PDF)
* FDA: COVID-19 Vaccines ([link removed]) [link removed] page
* CDC: U.S. COVID-19 Vaccine Product Information ([link removed]) gateway page
* CDC: Interim Clinical Considerations for Use of COVID-19 Vaccines Currently Authorized in the United States ([link removed]) [link removed] page
* Pfizer: Pfizer-BioNTech COVID-19 Vaccine Comirnaty Receives Full U.S. FDA Approval for Individuals 16 Years and Older ([link removed]) (8/23/21)
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CMS and CDC are developing emergency regulation to require staff COVID-19 vaccination in Medicare- and Medicaid-participating nursing homes
On August 18, Centers for Medicare and Medicaid Services (CMS), in collaboration with CDC, announced the development of an emergency regulation ([link removed]) to require staff of Medicare- and Medicaid-participating nursing homes to be vaccinated against COVID-19. A portion of the media statement appears below.
This new requirement is a key component of protecting the health and safety of nursing home residents and staff by ensuring that all nursing home staff receive COVID-19 vaccinations....
Today’s action is in keeping with CMS’s authority to establish requirements to ensure the health and safety of individuals receiving care from all providers and suppliers participating in the Medicare and Medicaid programs. About 62% of nursing home staff are currently vaccinated as of August 8 nationally, and vaccination among staff at the state level ranges from a high of 88% to a low of 44%. The emergence of the Delta variant in the United States has driven a rise in cases among nursing home residents from a low of 319 cases on June 27, to 2,696 cases on August 8, with many of the recent outbreaks occurring in facilities located in areas of the United States with the lowest staff vaccination rates....
CMS strongly encourages nursing home residents and staff members to get vaccinated as the Agency undergoes the necessary steps in the rule-making process over the course of the next several weeks. CMS expects nursing home operators to act in the best interest of residents and their staff by complying with these new rules, which the Agency expects to issue in September. CMS also expects nursing home operators to use all available resources to support employees in getting vaccinated, including employee education and vaccination clinics, as they work to meet this staff vaccination requirement.
Related Link
* CMS: Biden-Harris Administration Takes Additional Action to Protect America’s Nursing Home Residents from COVID-19 ([link removed]) (8/18/21)
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Wrapping up National Immunization Awareness Month: promote vaccination with helpful resources for all ages
August is National Immunization Awareness Month ([link removed]) (NIAM). This annual observance highlights the efforts of healthcare professionals to protect patients of all ages against vaccine-preventable diseases through on-time vaccination.
It is critical to maintain routine vaccination during the COVID-19 pandemic to protect both individuals and communities. Routine vaccination prevents illnesses that lead to additional medical visits, hospitalizations, and further strain on the healthcare system. This year, CDC calls on its partners to amplify these important messages when communicating with parents, pregnant individuals, healthcare professionals, and other adults.
[link removed]
CDC’s NIAM web page includes two toolkits, one for reaching healthcare professionals ([link removed]) and the other for reaching parents and patients ([link removed]) . Each includes key messages, sample social media content, and educational resources. CDC encourages its partners to share these messages and resources throughout August using the hashtag #ivax2protect. Stay tuned for more resources to be released throughout the coming weeks.
Related Links
* Made to Save and We Can Do This National Back to School Week of Action ([link removed]) web page
* The White House press release: Fact Sheet: Biden Administration Announces Additional Actions to Help Kids Go Back to School Safely ([link removed]) (8/5/21)
* The White House: Back to School Vaccination Week of Action Kickoff ([link removed]) video on YouTube
* Made to Save ([link removed]) website
* HHS: We Can Do This ([link removed]) website
* HHS: Back-to-School Social Media Toolkit ([link removed]) web page
* CDC: Toolkit for Reaching Healthcare Professionals ([link removed]) gateway page
* CDC: Toolkit for Reaching Parents and Patients ([link removed]) gateway page
* CDC: NIAM ([link removed]) gateway page
* HRSA:Maternal and Child Health ([link removed]) website
* HRSA: Bright Futures ([link removed]) web page
* HRSA: Child Health ([link removed]) web page
* HRSA: Adolescent and Young Adult Health ([link removed]) web page
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“NEW COVID-19 CASES AND HOSPITALIZATIONS AMONG ADULTS, BY VACCINATION STATUS—NEW YORK, MAY 3–JULY 25, 2021” published in MMWR Early Release
CDC published New COVID-19 Cases and Hospitalizations among Adults, by Vaccination Status—New York, May 3–July 25, 2021 ([link removed]) [link removed] the August 18 MMWR Early Release. A portion of the summary appears below.
Real-world studies of population-level vaccine effectiveness against laboratory-confirmed SARS-CoV-2 infection and COVID-19 hospitalizations are limited in the United States....
During May 3–July 25, 2021, the overall age-adjusted vaccine effectiveness against hospitalization in New York was relatively stable (91.9%–95.3%). The overall age-adjusted vaccine effectiveness against infection for all New York adults declined from 91.7% to 79.8%....
These findings support the implementation of multicomponent approach to controlling the pandemic, centered on vaccination, as well as other prevention strategies such as masking and physical distancing.
Access the MMWR article in PDF ([link removed]) format ([link removed]) or ([link removed]) in HTML ([link removed]) format.
Related Link
* MMWR ([link removed]) gateway page provides access to MMWR Weekly and its companion publications
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Watch the virtual ACIP meeting on COVID-19 vaccination on August 30–31; no registration is required
CDC will convene its Advisory Committee on Immunization Practices (ACIP) ([link removed]) on August 30–31, starting at 10:00 a.m. (ET). The committee will discuss COVID-19 vaccination.
No registration is required to watch webcasts of live ACIP meetings or listen via telephone. Opportunities for public comment are described at the website.
Related Link
* ACIP gateway page ([link removed]) for content from previous meetings, as well as information about future meetings
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FDA licenses Ticovac to prevent tick-borne encephalitis (TBE) in individuals 1 year of age and older
On August 13, the FDA licensed Pfizer's Ticovac tick-borne encephalitis (TBE) vaccine ([link removed]) for active immunization to prevent TBE in individuals 1 year of age and older at risk of exposure to ticks that carry the virus. Ticovac is the only FDA-approved vaccine to protect adults and children in the United States from the TBE virus in TBE-endemic areas (e.g., parts of central Europe). TBE does not occur in the United States or elsewhere in the Western Hemisphere.
CDC's Advisory Committee on Immunization Practices (ACIP) will consider recommendations for the use of Ticovac by U.S.-based travelers in its upcoming meetings.
Related Links
* FDA: Ticovac Approval Letter ([link removed]) (PDF)
* FDA: Ticovac ([link removed]) web page
* FDA: Ticovac Package Insert ([link removed]) (PDF)
* Pfizer: U.S. FDA Approves Ticovac, Pfizer’s Tick-Borne Encephalitis (TBE) Vaccine ([link removed]) (8/13/21)
* IAC: Package Inserts and FDA Product Approvals ([link removed]) gateway page
* CDC: ACIP Meeting Information ([link removed]) web page
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IAC’S HEPATITIS B BIRTH DOSE HONOR ROLL RECOGNIZES 539 INSTITUTIONS, INCLUDING TWO NEW HONOREES. FOUR PREVIOUSLY HONORED INSTITUTIONS QUALIFY FOR ADDITIONAL YEARS' HONORS.
The Immunization Action Coalition (IAC) is pleased to announce that two new institutions have been accepted into its Hepatitis B Birth Dose Honor Roll ([link removed]) , for a total of 539 honorees. The birthing institutions are listed below with their reported hepatitis B birth dose coverage rates in parentheses.
* Carthage Area Hospital, Carthage, NY (91%)
* Commonwealth Healthcare Corporation, Saipan, MP (99%)
One institution is being recognized for a second year:
* Sharon Hospital, Sharon, CT (96%)
One institution is being recognized for a fourth year:
* Phoenixville Hospital, Phoenixville, PA (96%)
One institution is being recognized for a fifth year:
* UMass Memorial Medical Center, Worcester, MA (100%)
Finally, one institution is being recognized for a sixth year:
* Bristol Hospital, Bristol, CT (92%)
The Honor Roll now includes 539 birthing institutions from 44 states, Puerto Rico, Guam, Saipan, and an overseas U.S. military base. One hundred twenty-three institutions have qualified for 2 years, 72 institutions have qualified three times, 42 institutions have qualified four times, 24 institutions have qualified five times, 23 institutions have qualified six times, eight institutions have qualified seven times, two institutions have qualified eight times and one institution has qualified nine times.
The Honor Roll is a key part of IAC’s major initiative urging the nation’s hospitals to Give Birth to the End of Hep B ([link removed]) . Hospitals and birthing centers are recognized for attaining high coverage rates for administering hepatitis B vaccine at birth and meeting specific additional criteria. The initiative urges qualifying healthcare organizations to apply for the Hepatitis B Birth Dose Honor Roll online ([link removed]).
To be included in the Hepatitis B Birth Dose Honor Roll, a birthing institution must have: (1) reported a coverage rate of 90% or greater, over a 12-month period, for administering hepatitis B vaccine before hospital discharge to all newborns, including those whose parents refuse vaccination, and (2) implemented specific written policies, procedures, and protocols to protect all newborns from hepatitis B virus infection before hospital discharge.
Honorees are also awarded an 8.5" x 11" color certificate suitable for framing and their acceptance is announced to IAC Express’s 52,000+ readers.
Please visit the Hepatitis B Birth Dose Honor Roll web page ([link removed]) that lists these institutions and their exceptional efforts to protect infants from perinatal hepatitis B transmission.
Related IAC Resources
* Give Birth to the End of Hep B ([link removed]) gateway page
* Fact sheet about honor roll: Do You Qualify for the Hepatitis B Birth Dose Honor Roll? If So, Apply Today. ([link removed])
* Handout on IAC’s campaign: Give Birth to the End of Hep B ([link removed])
* Hepatitis B Birth Dose Honor Roll ([link removed]) webpage
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IAC SPOTLIGHT! “ASK THE EXPERTS” GATEWAY PAGE OFFERS MORE THAN A THOUSAND QUESTIONS ON VACCINES AND VACCINATION ANSWERED BY IAC EXPERTS
In this week's IAC Spotlight, we highlight the Ask the Experts ([link removed]) gateway page at Immunize.org.
Our Ask the Experts ([link removed]) gateway page offers over a thousand timely questions on vaccines and vaccine administration answered by IAC experts. Topics include specific diseases and their vaccines as well as vaccine delivery guidance (e.g., administration, billing, documenting).
The gateway page is one of the most highly visited destinations on Immunize.org. Whether you're looking for vaccine delivery guidance (e.g., administration, billing, documenting) or information on a specific vaccine, you'll likely find what you're looking for on one of the gateway page's 29 topic links.
New and updated Ask the Experts Q&As are published in special editions of IAC Express five times per year. If you have a question that you think may be of interest to our readers, please send it to us using our online form ([link removed]) . We will consider it for inclusion in an update of the Ask the Experts feature.
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Journalists interview IAC experts
Journalists seek out IAC experts to help explain vaccines to the public and policy makers. We help the media understand and communicate the complex work vaccinators do. Here are two recent citations.
* USA Today: ‘Trust God to Be Our Healer': As COVID-19 Vaccine Mandates Grow, So Are Requests for Religious Exemptions ([link removed]) (8/16/21)
* Healthy Women:When It Comes to Vaccines, Better Data Collection and Coordination of Education Efforts Will Help Close Lifesaving Maternal Immunization Gaps ([link removed]) (8/3/21)
Related Link
* IAC in the News ([link removed]) gateway page
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Vaccines in the news
These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
* JAMA Network Open: Evaluation of a ([link removed]) before Hospital Discharge ([link removed]) (7/22/21)
* Los Angeles Times: As a Doctor in a COVID Unit, I’m Running out of Compassion for the Unvaccinated. Get the Shot. ([link removed]) (8/17/21)
* Ad Council: Pope Francis and Six Cardinals and Archbishops from the U.S. and Latin America Have Come Together for a Message of Unity in Support of COVID-19 Vaccines and Access for All. ([link removed]) (8/17/21)
* New York Times: Can the Vaccinated Develop Long COVID after a Breakthrough Infection? ([link removed]) (8/16/21)
* MIT Technology Review: How to Talk to Vaccine-Hesitant People ([link removed]) (8/16/21)
* Pharmacy Times: Education, Training Are Essential for Successful Flu Vaccination Campaigns ([link removed]) (8/16/21)
* Medical Daily: Is It Safe to Get Vaccinated against COVID-19 and the Flu on the Same Day? ([link removed]) (8/16/21)
* Bloomberg Opinion: The Value of a Vaccination, in Three Charts ([link removed]) (8/15/21)
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Vaccine Information Statements
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UPDATE YOUR VISS! CDC RELEASES 14 UPDATED VACCINE INFORMATION STATEMENTS; TRANSLATIONS IN PROGRESS
On August 9, CDC posted 14 updated Vaccine Information Statements ([link removed]) (VISs). Access these VISs on their respective IAC web pages by clicking on the links below.
* DTaP (Diphtheria, Tetanus, Pertussis) ([link removed])
* Haemophilus influenzae type b (Hib) ([link removed])
* HPV (Human Papillomavirus) ([link removed])
* Influenza, inactivated or recombinant ([link removed])
* Influenza, live intranasal ([link removed])
* Meningococcal ACWY ([link removed])
* Meningococcal B ([link removed])
* MMR (Measles, Mumps, and Rubella) ([link removed])
* MMRV (Measles, Mumps, Rubella, and Varicella) ([link removed])
* Pneumococcal Conjugate (PCV13) ([link removed])
* Polio ([link removed])
* Td (Tetanus, Diphtheria) ([link removed])
* Tdap (Tetanus, Diphtheria, Pertussis) ([link removed])
* Varicella (Chickenpox) ([link removed])
CDC encourages providers to begin using these VISs immediately; however, existing supplies of the previous editions may be used until exhausted.
IAC will produce translations of these new VISs and post them on Immunize.org as they become available over the next several weeks. Translations of previous VIS versions may be used until new translations become available. CDC states that the corresponding up-to-date English-language VIS must also be supplied when providing an out-of-date translation.
Related Links
* IAC: Vaccine Information Statement ([link removed]) gateway page for VISs in 47 languages ([link removed])
* IAC: Dates of Current Vaccine Information Statements ([link removed]) (PDF)
* CDC: What's New with VISs ([link removed]) web page
* CDC: Current VISs ([link removed]) web page
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Featured Resources
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NATIONAL NURSE-LED CARE CONSORTIUM RELEASES COVID-19 TOOLKIT FOR NURSES TO DECREASE VACCINE HESITANCY AND INCREASE VACCINATION RATES IN THE COMMUNITY
The National Nurse-Led Care Consortium created a toolkit ([link removed]) to help nurses do their part in the national vaccination effort. The toolkit is designed to help nurses decrease vaccine hesitancy and increase vaccination rates in their communities.
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The toolkit includes facts to raise awareness on social media, infographics to combat misconceptions, shared COVID-19 stories, ways to help get people vaccinated, where to find COVID-19 vaccines, and various other resources. This toolkit is also useful for all individuals looking to combat COVID-19 misinformation and promote getting the vaccine.
Related Link
* National Nurse-Led Care Consortium: COVID Vaccine Toolkit ([link removed]) web page
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AMA releases AMA STEPS Forward toolkit containing resources facilitating team-based adult vaccination
The American Medical Association (AMA) has developed a collection of engaging and interactive educational toolkits that are practical, actionable “how-to” guides to transform and improve your practice. The AMA STEPS Forward ([link removed]) adult vaccination toolkit covers vaccine basics, prioritization and delivery, vaccine delivery equity, ethical implications, and public health safeguards. These resources are customizable and can be used to support the successful implementation of adult vaccine programs and efforts.
Related Link
* AMA: AMA STEPS Forward ([link removed]) website
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IMMUNIZE KANSAS COALITION POSTS “TRUTH ABOUT VACCINES” HANDOUT DESIGNED FOR REFUGEE AUDIENCES IN TEN LANGUAGES
Immunize Kansas Coalition ([link removed]) has developed an easy-to-read 1-page sheet called Truth about Vaccines ([link removed]) . This new handout contains helpful, easy-to-read information regarding the truth about vaccines, originally designed for refugee audiences.
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The handout is offered in 10 languages:
* Arabic ([link removed])
* Burmese ([link removed])
* English ([link removed])
* Karen ([link removed])
* Kinyarwanda ([link removed])
* Nepali ([link removed])
* Spanish ([link removed])
* Somali ([link removed])
* Swahili ([link removed])
* Vietnamese ([link removed])
Related Link
* Immunize Kansas Coalition: COVID-19 Vaccine Equity ([link removed]) web page
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GREAT GIFT IDEA! IAC'S ELEGANTLY DESIGNED "VACCINES SAVE LIVES" BLACK ENAMEL PINS MAKE WONDERFUL HOLIDAY GIFTS OR WORKPLACE RECOGNITIONS!
IAC’s elegantly designed “Vaccines Save Lives” pins ([link removed]) are meaningful gifts for people who care about vaccination. The pin makes a refined statement in hard black enamel with gold lettering and edges, measuring 1.125" x 0.75".
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The pin is a stick-through-post variety with the back end covered by a round rubber cap that holds the pin securely. A gold metal spring-lock clasp is also provided.
Wear these pins on clothing, ([link removed]) uniforms, and white coats to show that you value vaccines!
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Click here for "Vaccines Save Lives" pin pricing and ordering information. ([link removed])
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Encourage others to get vaccinated by ordering IAC's “Me Vacuné…” and “I Got My COVID-19 Vaccine” buttons and stickers, now FREE to all organizations promoting or offering COVID-19 vaccination!
All organizations promoting or offering COVID-19 vaccination may order IAC’s FREE “Me Vacuné…” and “I Got My COVID-19 Vaccine” buttons and stickers ([link removed]) , provided with support from CDC. Access this order form ([link removed]) to request the FREE buttons and stickers for your outreach efforts while supplies last.
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Related Links
* IAC: FREE “Me Vacuné…” and "I Got My COVID-19 Vaccine" buttons and stickers order form ([link removed]) for promoting vaccination
* Shop IAC ([link removed]) gateway page: All the buttons, stickers, laminated schedules, record cards, and other products offered by IAC
* Vaccines.gov: COVID-19 Vaccine Incentives ([link removed]) web page
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FALL IS AROUND THE CORNER; SO IS FLU SEASON! STOCK UP ON IAC'S FLU VACCINE BUTTONS AND STICKERS FOR STAFF AND PATIENTS.
After you order your vaccine, don’t forget to order your buttons and stickers. IAC “FLU VACCINE” buttons and stickers ([link removed]) are ready to ship! Their bright red color helps broadcast your important message about the need for influenza vaccination. And the cost is reasonable.
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“FLU VACCINE” BUTTONS
The button measures 1.25" across and carries a bold message! Pin on lab coats, uniforms, other clothing, tote bags, or backpacks to show support for flu vaccine.
Buttons are delivered in bags of 10 buttons per bag.
Click here for pricing and ordering information for "FLU VACCINE" buttons ([link removed]) .
“FLU VACCINE” STICKERS
Measuring 1.5" across, these stickers adhere well to clothing and have an easy-peel-off backing.
Stickers are delivered to you cut individually (not on rolls)—available in bundles of 100.
Click here for pricing and ordering information for “FLU VACCINE” stickers. ([link removed])
Visit Shop IAC for additional items ([link removed]) , including "Vaccines Save Lives" enamel pins, patient record cards, and a vaccine administration training video.
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VACCINATED? ENCOURAGE FRIENDS BY ADDING IAC’S “ME VACUNÉ…” OR “I GOT MY COVID-19 VACCINE” FACEBOOK PROFILE PHOTO FRAME.
Share your excitement about COVID-19 vaccination and inspire your friends! Add IAC's “Me Vacuné Contra el COVID-19” or "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
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Notable Publications
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“Sustained Effectiveness of Pfizer-BioNTech and Moderna Vaccines against COVID-19 Associated Hospitalizations among Adults—United States, March–July 2021” published in MMWR Early Release
CDC published Sustained Effectiveness of Pfizer-BioNTech and Moderna Vaccines against COVID-19 Associated Hospitalizations among Adults—United States, March–July 2021 ([link removed]) in the August 18 MMWR Early Release. A portion of the summary appears below.
COVID-19 mRNA vaccines provide strong protection against severe COVID-19; however, the duration of protection is uncertain....
Among 1,129 patients who received 2 doses of a mRNA vaccine, no decline in vaccine effectiveness against COVID-19 hospitalization was observed over 24 weeks. Vaccine effectiveness was 86% 2–12 weeks after vaccination and 84% at 13–24 weeks. Vaccine effectiveness was sustained among groups at risk for severe COVID-19....
mRNA vaccine effectiveness against COVID-19–associated hospitalizations was sustained over 24 weeks; ongoing monitoring is needed as new SARS-CoV-2 variants emerge. To reduce hospitalization, all eligible persons should be offered COVID-19 vaccination.
Access the MMWR article in PDF ([link removed]) format ([link removed]) or ([link removed]) in HTML ([link removed]) format.
Related Link
* MMWR ([link removed]) gateway page provides access to MMWR Weekly and its companion publications
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“EFFECTIVENESS OF PFIZER-BIONTECH AND MODERNA VACCINES IN PREVENTING SARS-COV-2 INFECTION AMONG NURSING HOME RESIDENTS BEFORE AND DURING WIDESPREAD CIRCULATION OF THE SARS-COV-2 B.1.617.2 (DELTA) VARIANT—NATIONAL HEALTHCARE SAFETY NETWORK, MARCH 1–AUGUST 1, 2021” published in MMWR Early Release
CDC published Effectiveness of Pfizer-BioNTech and Moderna Vaccines in Preventing SARS-CoV-2 Infection among Nursing Home Residents before and during Widespread Circulation of the SARS-CoV-2 B.1.617.2 (Delta) Variant—National Healthcare Safety Network, March 1–August 1, 2021” published in MMWR Early Release ([link removed]) [link removed] the August 18 MMWR Early Release. A portion of the summary appears below.
Two doses of mRNA vaccines were 74.7% effective against infection among nursing home residents early in the vaccination program (March–May 2021). During June–July 2021, when B.1.617.2 (Delta) variant circulation predominated, effectiveness declined significantly to 53.1%....
Additional evaluations are needed to understand protection against severe disease in nursing home residents over time.
Access the MMWR article in PDF ([link removed]) format ([link removed]) or ([link removed]) in HTML ([link removed]) format.
Related Link
* MMWR ([link removed]) gateway page provides access to MMWR Weekly and its companion publications
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“Confronting the Delta Variant of SARS-CoV-2, Summer 2021” published in JAMA
In the August 18 issue, JAMA published Confronting the Delta Variant of SARS-CoV-2, Summer 2021 ([link removed]) . The conclusions section appears below.
The Delta variant presents a serious challenge to controlling the COVID-19 pandemic in the US and worldwide. Effectively responding to this formidable variant will require an evidence-based response that, unfortunately, has not been the case for many US states. Vaccines are the only way forward that will preserve the health care infrastructure and the economy, and eventually contain the pandemic. Increasing uptake among vaccine-hesitant populations will require full participation and complete commitment by everyone, including government officials, clinicians, public health practitioners, and members of the community. Elected officials and other policy makers can do their part now by lending strong support to vaccination and public health mitigation strategies.
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“COVID-19 VACCINE BREAKTHROUGH CASES: DATA FROM THE STATES==” PUBLISHED BY KAISER FAMILY FOUNDATION
On July 30, Kaiser Family Foundation published COVID-19 Vaccine Breakthrough Cases: Data from the States ([link removed]) . A portion of the article appears below.
While COVID-19 vaccines are highly effective at preventing severe disease, hospitalization, and death from COVID-19 and also reduce the likelihood of mild or asymptomatic infection, a small share of fully vaccinated individuals do become infected, and some become hospitalized or have died. These rare occurrences are known as “breakthrough cases” which are to be expected, and historically known to occur with other vaccines as none is 100% effective.
Figure 1 of the report shows how rare breakthrough cases, hospitalizations, and deaths are among those who are fully vaccinated against COVID-19, in those states reporting breakthrough data.
Figure 2 shows that almost all (more than 9 in 10) COVID-19 cases, hospitalizations, and deaths occurred among people who are unvaccinated or not yet fully vaccinated, in those states reporting breakthrough data.
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CHOP's Vaccine Education Center publishes August 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 for Healthcare Providers. The August issue ([link removed]) includes the following articles:
* COVID-19 Vaccination—What the Provincetown Experience Did and Did Not Tell Us ([link removed]) by Paul A. Offit, MD
* Technically Speaking—Back to School 2021 and Beyond: 8 Habit-Forming Tips for Improving Your Vaccination Rates ([link removed]) by Sharon G. Humiston, MD, MPH
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 for Healthcare Providers.
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Upcoming Events
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CHOP Vaccine Education Center’s Current Issues in Vaccines webinar on September 22 features Dr. Paul Offit discussing myths and misinformation surrounding COVID-19 vaccines; CE available
The Vaccine Education Center (VEC) at Children's Hospital of Philadelphia will present a 1-hour webinar on myths and misinformation related to COVID-19 vaccines, beginning at 12:00 p.m. (ET) on September 22. Part of its Current Issues in Vaccines ([link removed]) series, the webinar will feature Paul Offit, MD, director of the VEC.
Free continuing-education credits (CME, CEU, and CPE) will be available for both the live and archived events.
Register for the webinar ([link removed]).
Related Link
* VEC's Vaccine Webinar Archive ([link removed]) web page
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Immunization PSAs from the Archive
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IN THIS ENTERTAINING PSA FROM SCOTTISH RITE CHILDREN’S MEDICAL CENTER (GEORGIA), CHILDREN LIP SYNCH A GLADYS KNIGHT SONG TO REMIND US THAT THEY ARE ABLE TO USE THEIR IMAGINATIONS WHEN THEY ARE PROTECTED
In this 1996 entertaining public service announcement ([link removed]) (PSA) from the Scottish Rite Children’s Medical Center (Georgia), children lip synch a Gladys Knight song to remind us that they are able to use their imaginations when they are protected. This PSA is part of a collection curated by vaccine expert William L. Atkinson, MD, MPH, that spans a period of more than 50 years.
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Previous PSAs featured in "Immunization PSAs from the Archive” 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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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.
IAC Express Disclaimer ([link removed])
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