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Issue 1,603: December 1, 2021
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Top Stories
* IAC’s popular “Ask the Experts: COVID-19” web page fully updated with answers to questions about latest CDC recommendations for booster doses and vaccination of young children
* National Influenza Vaccination Week is December 5–11. Register now for IAC’s December 9 Influenza Vaccination Webinar and promote flu vaccination with influenza resources from CDC and IAC.
* Influenza activity is increasing; CDC urges vaccination now
* Five minutes? We need you! Help us improve your Immunize.org experience.
* IAC Spotlight: Review of Immunize.org resources focused on childhood vaccination
* Journalists interview IAC experts
* Vaccines in the news

Vaccine Information Statements
* Recap: IAC posts new translations in Burmese, Russian, Somali, and Vietnamese of Vaccine Information Statements (VISs) released by CDC on October 15, 2021

Featured Resources
* Going fast! IAC offers FREE “I Got My COVID-19 Vaccine” buttons and stickers in English and Spanish.
* Explore the updated www.Give2MenACWY.org website to increase coverage for the MenACWY booster and other adolescent vaccinations

Notable Publications
* “Association of Discrimination and Health Care Experiences with Incomplete Infant Vaccination during COVID-19” published in JAMA Pediatrics
* CHOP's Vaccine Education Center publishes November issue of Vaccine Update for Providers newsletter

Upcoming Events
* IAC webinar December 9 at 1:00 p.m. (ET): “Fight the Flu and COVID-19 Too: Influenza Vaccination in December and beyond and Practical Approaches to Coadministration of Vaccines in Adults”

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Top Stories
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IAC’s popular “Ask the Experts: COVID-19” web page fully updated with answers to questions about latest CDC recommendations for booster doses and vaccination of young children

On November 24, IAC again fully 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:

* Pfizer-BioNTech COVID-19 Vaccine (age 5 through 11 years, “orange cap”)
* COVID-19 vaccination of children age 5 through 11 years
* Current booster dose recommendations for all adults age 18 and older
* CDC Emergency Use Instructions (EUI) for certain recipients of vaccines not authorized by FDA

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

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 and Carolyn Bridges, MD, FACP.

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
* IAC’s Vaccines: COVID-19 ([link removed]) main page
* 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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National Influenza Vaccination Week is December 5–11. Register now for IAC’s December 9 Influenza Vaccination Webinar and promote flu vaccination with influenza resources from CDC and IAC.

As part of National Influenza Vaccination Week (NIVW), Immunize.org ([link removed]) (IAC) will hold an interactive webinar addressing flu vaccination in December and beyond ([link removed]) on Thursday, December 9, from 1:00 to 2:00 p.m. (ET).

The objectives of the webinar are to:
* Discuss CDC’s new influenza surveillance tool, the Weekly National Influenza (Flu) Vaccination Dashboard ([link removed]) and review this season’s vaccination coverage to date
* Describe the science of the safety and effectiveness of co-administering vaccines, featuring basic immunology you should understand to answer recipients’ questions confidently
* Detail practical techniques for administering multiple shots to an adult, including how to deliver two vaccines in one deltoid, which vaccines should be given in separate limbs if possible, and use of the anterolateral thigh as an injection site

Webinar speakers will include:
* JoEllen Wolicki, BSN, RN, nurse educator, National Center for Immunization and Respiratory Diseases (NCIRD), CDC
* Suchita Patel, DO, MPH, medical officer, NCIRD, CDC
* Jason Goldman, MD, FACP, regent, American College of Physicians (ACP); ACP liaison to Advisory Community on Immunization Practices (ACIP)

Registration is open now ([link removed])! This webinar is hosted by IAC with support from Sanofi Pasteur.

National Influenza Vaccination Week ([link removed]) (NIVW), observed December 5–11 this year, was established by CDC in 2005 to highlight the importance of continuing influenza vaccination activities throughout the holiday season and beyond. It's a great time to send reminder messages and vaccinate all those not yet protected for the coming viral season. Vaccination efforts should continue into the spring because influenza activity often does not peak until February.

Visit the NIVW website ([link removed]) to access the 2021 NIVW Digital Media Toolkit ([link removed]) and other resources to promote flu vaccination.

Related Links
* IAC: Ask the Experts: Influenza ([link removed]) main page
* IAC: free educational materials and patient handouts related to influenza ([link removed])
* IAC: Influenza: Vaccines ([link removed]) main page
* 65+ Flu Defense website at www.influenza-defense.org
* National Adult and Influenza Immunization Summit ([link removed]) (NAIIS) website
* Influenza vaccination resources ([link removed]) created by the NAIIS Influenza Workgroup
* The Summit Buzz: ([link removed]) Newsletter of the NAIIS

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Influenza activity is increasing; CDC urges vaccination now

Influenza Surveillance
On November 15, CDC announced ([link removed]) that Weekly U.S. Influenza Surveillance Report, FluView ([link removed]), showed increasing flu activity, consistent with typical influenza seasonal activity. More than 90% of cases have been found in young adults and children, who are key to community spread of flu virus. Anyone who has not received flu vaccine this season should get vaccinated now.

Influenza Vaccination Dashboard
CDC's new Weekly Flu Vaccination Dashboard ([link removed]) shares preliminary vaccination data, including key facts, such as:
* 70.6% of adults who are vaccinated or definitely plan to get a COVID-19 vaccine have received or intend to receive a flu vaccine for the 2021–22 season
* 10.9% of adults who probably or definitely will NOT get COVID-19 vaccine have received or intend to receive a flu vaccine for the 2021–22 season

CDC recommends everyone age 6 months and older get an annual flu vaccine. Influenza and COVID-19 vaccines may be given at the same visit, if needed. COVID-19 vaccination alone provides no protection from influenza or any other respiratory virus.

Vaccine Finder
If you don’t provide influenza vaccine at your site, please strongly recommend vaccination and refer people to sites that do vaccinate. Boston Children’s Hospital, in partnership with CDC, has developed VaccineFinder, a user-friendly website to help people of all ages find influenza, COVID-19, and other vaccines ([link removed]). Participating providers can now update their vaccine inventory estimates on VaccineFinder. For questions or more information, contact [email protected].

Related Links
* CDC: Weekly Flu Vaccination Dashboard ([link removed]) main page
* CDC: FluView ([link removed]) main page
* CDC: Influenza (Flu) ([link removed]) main page
* IAC: free educational materials and patient handouts related to influenza ([link removed])
* IAC: Influenza: Vaccines ([link removed]) main page
* IAC: Ask the Experts: Influenza ([link removed]) main page
* VaccineFinder ([link removed]) website
* Families Fighting Flu: Flu Resources for Healthcare Professionals ([link removed]) main page

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Five minutes? We need you! Help us improve your Immunize.org experience.

Your feedback will help us improve your experience on the Immunize.org ([link removed]) website. Please take 5 minutes to complete this Immunize.org website user experience survey ([link removed]) to help us shape the next generation of our website.

Launched in 1994, Immunize.org ([link removed]) is the premier non-profit web-based resource for practical, user-friendly immunization information available today, serving about 35,000 visitors per day. The website houses IAC's collection of more than 250 healthcare professional immunization education materials and patient handouts. These materials are available free of charge, and users are encouraged to download them, make copies, and distribute them widely. This website also makes available all U.S. Vaccine Information Statements with translations available in 46 languages. Each year users download more than 8 million print-ready documents from Immunize.org.

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IAC Spotlight: Review of Immunize.org resources focused on childhood vaccination

In this week's IAC Spotlight, we illuminate three Immunize.org ([link removed]) resources designed to help parents and clinicians who care for children.

Our CDC Schedules ([link removed]) main page provides print PDFs of the recommended immunization schedules, including the 8-page schedule for children and adolescents ([link removed]).

Our Handouts: Schedules for Patients ([link removed]) main page contains vaccine schedule information for different age groups and for people with underlying medical conditions. We include, for example, a simple table on Immunizations for Babies ([link removed]), an alphabetical list of Vaccinations for Infants and Children, Age 0–10 Years ([link removed]), and a table by age of When Do Children and Teens Need Vaccinations? ([link removed])

Our Handouts: Parents ([link removed]) main page leads to handouts explaining individual vaccines or addressing frequently asked questions (e.g., Evidence shows vaccines unrelated to autism; Personal belief exemptions for vaccination put people at risk; Questions parents ask about vaccinations for babies).

Bookmark your favorites, share them in your office, and link to them on your website.

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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 is a selection of our recent citations.

* Central Recorder: The Diseases You Forgot about after Vaccines ([link removed]) (11/23/21)

* Medscape: Flu/Shingles Shot Combo May Hurt Future Flu Vaccine Uptake ([link removed]) (11/22/21)

* Nature: Cuba’s Bet on Home-Grown COVID Vaccines Is Paying Off ([link removed]) (11/22/21)

Related Link
* IAC in the News ([link removed]) main 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.

* Washington Post: Southern States Fall Behind in Vaccinating Kids as Pediatric Infections Climb ([link removed]) (11/26/21)

* Bloomberg: U.S. Vaccine Rates in Kids Mimic Covid-19 Shot Gaps in Adults ([link removed]) (11/22/21)

* MedPage Today: Digging Deeper into Why Fewer Infants Got Vaccinated during the Pandemic ([link removed]) (11/22/21)

* Science: COVID-19 Vaccines for Children ([link removed]) (11/18/21)

* Chattanooga Times Free Press: Cartoon by Clay Bennett ([link removed]) (11/23/21)

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Vaccine Information Statements
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RECAP: IAC POSTS NEW TRANSLATIONS IN BURMESE, RUSSIAN, SOMALI, AND VIETNAMESE OF VACCINE INFORMATION STATEMENTS (VISS) RELEASED BY CDC ON OCTOBER 15, 2021

On October 15th, CDC released updated final versions of the Hepatitis A, ([link removed]) Hepatitis B, ([link removed]) Multi-vaccine Pediatric ([link removed]), and Rotavirus ([link removed]) VISs. These have been translated into four additional languages: Burmese, Russian, Somali, and Vietnamese. All translations are available in PDF.

VIS translations in Burmese ([link removed]):
* Hepatitis A PDF ([link removed]) (view in English ([link removed])
* Hepatitis B PDF ([link removed]) (view in English ([link removed])
* Multi-vaccine Pediatric PDF ([link removed]) (view in English ([link removed])
* Rotavirus PDF ([link removed]) (view in English ([link removed])

VIS translations in Russian ([link removed]):
* Hepatitis A PDF ([link removed]) (view in English ([link removed]) )
* Hepatitis B PDF ([link removed]) (view in English ([link removed])
* Multi-vaccine Pediatric PDF ([link removed]) (view in English ([link removed])
* Rotavirus PDF ([link removed]) (view in English ([link removed])

VIS translations in Somali ([link removed]):
* Hepatitis A PDF ([link removed]) (view in English ([link removed])
* Hepatitis B PDF ([link removed]) (view in English ([link removed])
* Multi-vaccine Pediatric PDF ([link removed]) (view in English ([link removed])
* Rotavirus PDF ([link removed]) (view in English ([link removed])

VIS translations in Vietnamese ([link removed]):
* Hepatitis A PDF ([link removed]) (view in English ([link removed])
* Hepatitis B PDF ([link removed]) (view in English ([link removed])
* Multi-vaccine Pediatric PDF ([link removed]) (view in English ([link removed])
* Rotavirus PDF ([link removed]) (view in English ([link removed])

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]) main page for VISs in 46 languages ([link removed])
* IAC: Dates of Current Vaccine Information Statements ([link removed]) (PDF)
* IAC: You Must Provide Patients with Vaccine Information Statements (VISs) – It's Federal Law! ([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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Going fast! IAC offers FREE “I Got My COVID-19 Vaccine” buttons and stickers in English and Spanish.

Anyone promoting COVID-19 vaccination can order IAC’s FREE “I Got My COVID-19 Vaccine” buttons and stickers ([link removed]), provided with support from CDC. English and Spanish buttons and stickers are available with no charge for materials or shipping, while supplies last. Share them with patients, colleagues and friends to show confidence in COVID-19 vaccination.

Related Links
* IAC: FREE "I Got My COVID-19 Vaccine" buttons and stickers order form ([link removed])
* Shop IAC ([link removed]) main page: All the buttons, stickers, laminated schedules, record cards, and other products offered by IAC

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EXPLORE THE UPDATED WWW.GIVE2MENACWY.ORG WEBSITE TO INCREASE COVERAGE FOR THE MENACWY BOOSTER AND OTHER ADOLESCENT VACCINATIONS

IAC’s www.Give2MenACWY.org ([link removed]) website promotes the importance of adolescent vaccination, including administering the recommended booster dose of MenACWY vaccine at age 16. Many teens are behind on vaccines because of the pandemic, so adolescent vaccination is more important than ever.

Original materials on this colorful website for healthcare professionals have been updated to incorporate the 2020 ACIP meningococcal vaccine recommendations ([link removed]) and the most recent vaccine coverage statistics from CDC’s National Immunization Survey–Teen (NIS–Teen). One particularly popular resource on the site is the updated Algorithm for MenACWY Immunization in Adolescents 11–18 Years of Age ([link removed]).

The website’s navigation structure makes locating information a breeze; it 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 vaccine
* 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]) – Links to print materials ([link removed]), 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 also categorizes materials ([link removed]) according to whether they are primarily of interest to providers, to adolescents, or to parents.

Visit Give2MenACWY.org ([link removed]) and enjoy browsing (and deploying) its bountiful resources.

Related Links
* 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])
* 2020 ACIP Meningococcal Vaccine Recommendations ([link removed])
* National, Regional, State, and Selected Local Area Vaccination Coverage among Adolescents Aged 13–17 Years — United States, 2019 ([link removed])
* Adolescent Vaccination Coverage in the U.S. ([link removed])
* Dear Colleague Letter: 16-Year-Old Patients: Make Sure They Receive Their Annual Well Visit and Vaccinations ([link removed]) – signed by six medical societies
* Ask the Experts: Meningococcal ACWY ([link removed])

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Notable Publications
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“Association of Discrimination and Health Care Experiences with Incomplete Infant Vaccination during COVID-19” published in JAMA Pediatrics

In the November 22 issue, JAMA Pediatrics published Association of Discrimination and Health Care Experiences with Incomplete Infant Vaccination during COVID-19 ([link removed]). Abstract excerpts appear below.

The COVID-19 pandemic has profoundly affected the lives of pregnant individuals and their infants, resulting in prenatal health care disruptions, reduced duration of postpartum hospitalization, a sharp decrease in infant vaccination rates, and other stressful situations…We prospectively investigated how maternal experiences predicted vaccination status among infants born during the COVID-19 pandemic…

RESULTS
…key predictors [of incomplete vaccine uptake at age 3 to 5 months]… included perinatal care limitations (telehealth prenatal care and brief postpartum hospitalization), COVID-19–related income loss, and experiencing discrimination owing to one’s race, gender, sexuality, or body size. Mothers with greater concern about perinatal infection and greater birth satisfaction had decreased risk of incomplete vaccine uptake…

DISCUSSION
…Since vaccination status in early infancy is overwhelmingly predictive of future up-to-date vaccination status, strategies to address perinatal care limitations and discrimination merit serious consideration.

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CHOP's Vaccine Education Center publishes November issue of Vaccine Update for Providers newsletter

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

* New Videos! “Perspectives on COVID-19 Vaccine and Kids” Series ([link removed])

* In the Journals: Rates of Infection vs. Vaccine-Induced Protection against COVID-19 ([link removed]) by Paul A. Offit, MD

* Technically Speaking: New Adult Pneumococcal Vaccine Recommendations ([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 Providers.

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Upcoming Events
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IAC webinar December 9 at 1:00 p.m. (ET): “Fight the Flu and COVID-19 Too: Influenza Vaccination in December and beyond and Practical Approaches to Coadministration of Vaccines in Adults”

In recognition of National Influenza Vaccination Week (NIVW), Immunize.org ([link removed]) (IAC) will hold an interactive webinar titled Fight the Flu and COVID-19 Too: Influenza Vaccination in December and beyond and Practical Approaches to Coadministration of Vaccines in Adults ([link removed]) on Thursday, December 9, from 1:00 to 2:00 p.m. (ET). Speakers include JoEllen Wolicki, BSN, RN, and Suchita Patel, DO, MPH, from CDC’s National Center for Immunization and Respiratory Diseases and Dr. Jason Goldman, ACIP liaison representative of the American College of Physicians.

Register today ([link removed])!

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For more upcoming events, visit our Calendar of Events ([link removed]).

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IAC Express
IAC Express Home ([link removed])
2021 Issues: July–Dec ([link removed])
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2018 ([link removed]) – 1997 Issues ([link removed])

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Follow Us
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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

Managing Editor
John Grabenstein, RPh, PhD

Associate Editor
Sharon Humiston, MD, MPH

Writer/Publication Coordinator
Taryn Chapman, MS
Courtnay Londo, MA

Style and Copy Editor
Marian Deegan, JD

Web Edition Managers
Arkady Shakhnovich
Jermaine Royes

Contributing Writer
Laurel H. Wood, MPA

Technical Reviewer
Robin VanOss

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. 1NH23IP922654 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])
ISSN: 1526-1786

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