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Issue 1457: November 6, 2019

-TOP STORIES-
* CDC releases 10 updated Vaccine Information Statements
* Two new studies find that measles infection causes an extended period of immunosuppression, increasing the possibility of secondary infections
* First influenza-related pediatric deaths for 2019–20 season reported; make sure all your patients are getting vaccinated
* IAC Spotlight: Just in case you missed them, these IAC materials and web pages were updated during September and October
* It's not too late to order IAC’s new "FLU VACCINE" buttons and stickers!
* IAC's elegantly designed "Vaccines Save Lives" enamel pins make great gifts!
* There are now 1,109 organizations enrolled in IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination

-IAC HANDOUTS-
* IAC updates its staff education materials: "Current Dates of Vaccine Information Statements" and "You Must Give Your Patients Vaccine Information Statements (VISs)—It’s Federal Law!"

WORLD NEWS
* WHO reports on validation of maternal and neonatal tetanus elimination in the Democratic Republic of the Congo

-FEATURED RESOURCES-
* Reminder: Visit IAC's recently updated website, www.Give2MenACWY.org, to enhance your efforts at increasing rates of the MenACWY booster and other adolescent vaccines
* CDC updates the Hib chapter of its Manual for the Surveillance of Vaccine-Preventable Diseases
* IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)

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-TOP STORIES-
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CDC RELEASES 10 UPDATED VACCINE INFORMATION STATEMENTS

On October 30, CDC released new interim Vaccine Information Statements (VISs) for Hib, HPV, PCV13, polio, and rotavirus vaccines. CDC also released final VISs for cholera, PPSV23, typhoid, and zoster (both live and recombinant) vaccines.

Access these VISs on their respective IAC web pages by clicking on the links below.

* Cholera ([link removed])
* Haemophilus influenzae type b (Hib) ([link removed])
* HPV (Human Papillomavirus) ([link removed])
* Pneumococcal Conjugate Vaccine (PCV13) ([link removed])
* Pneumococcal Polysaccharide Vaccine (PPSV23) ([link removed])
* Polio ([link removed])
* Rotavirus ([link removed])
* Typhoid ([link removed])
* Live Zoster (Shingles) ([link removed])
* Recombinant Zoster (Shingles) ([link removed])

For both interim and final VISs, CDC encourages providers to begin using them immediately, but stocks of the previous editions may be used until exhausted.

IAC will provide its regular seven translations for PPSV23 and both zoster VISs; this process takes about a month. Other organizations and state health departments may provide additional languages. Translation of the interim VISs won’t occur until after the final VIS versions are released (in approximately 6 months). The availability of VIS translations will always be announced in IAC Express.

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's VIS web section ([link removed]) for VISs in up to 50 languages ([link removed])
* CDC's What's New with VISs ([link removed]) web section
* CDC's VIS web section ([link removed])
* View more than 300 CDC-reviewed, ready-to-print IACEducational Materials for Patients and Staff ([link removed])
* View IAC's Handouts web section—sorted by topic ([link removed])

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TWO NEW STUDIES FIND THAT MEASLES INFECTION CAUSES AN EXTENDED PERIOD OF IMMUNOSUPPRESSION, INCREASING THE POSSIBILITY OF SECONDARY INFECTIONS

Two recently published studies have found that people can remain immunosuppressed for months to years after recovering from natural infection with measles virus, leaving them susceptible to other infections. Similar immunosuppression was not seen in vaccinated children.

Science published Measles Virus Infection Diminishes Preexisting Antibodies That Offer Protection from Other Pathogens ([link removed]) (Mina et al.) on November 1. A summary of the study is reprinted below.

Many of the deaths attributable to measles virus are caused by secondary infections because the virus infects and functionally impairs immune cells. Whether measles infection causes long-term damage to immune memory has been unclear. This question has become increasingly important given the resurgence in measles epidemics worldwide. Using a blood test called VirScan, Mina et al. comprehensively analyzed the antibody repertoire in children before and after natural infection with measles virus as well as in children before and after measles vaccination. They found that measles infection can greatly diminish previously acquired immune memory, potentially leaving individuals at risk for infection by other pathogens. These adverse effects on the immune system were not seen in vaccinated children.

Science Immunology published Incomplete Genetic Reconstitution of B Cell Pools Contributes to Prolonged Immunosuppression after Measles ([link removed]) (Petrova et al.) also on November 1. An excerpt from the abstract is reprinted below.

Measles is a disease caused by the highly infectious measles virus (MeV) that results in both viremia and lymphopenia. Lymphocyte counts recover shortly after the disappearance of measles-associated rash, but immunosuppression can persist for months to years after infection, resulting in increased incidence of secondary infections....Our results show that MeV infection causes changes in naïve and memory B lymphocyte diversity that persist after the resolution of clinical disease and thus contribute to compromised immunity to previous infections or vaccinations. This work highlights the importance of MeV vaccination not only for the control of measles but also for the maintenance of herd immunity to other pathogens, which can be compromised after MeV infection.

Related Links
* Washington Post: Measles Makes Your Body Forget How to Fight Other Diseases ([link removed]) (10/31/19)
* New York Times: Measles Can Cause ‘Immune Amnesia,’ Increasing Risk of Other Infections ([link removed]) (10/31/19)
* CNN Health: Measles Wipe Immune System's Memory of Other Illnesses, Studies Find ([link removed]) (11/1/19)

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FIRST INFLUENZA-RELATED PEDIATRIC DEATHS FOR 2019–20 SEASON REPORTED; MAKE SURE ALL YOUR PATIENTS ARE GETTING VACCINATED

Influenza season has now begun. Nationally, flu activity is low and similar to what has been observed during recent previous seasons at the same time, but Louisiana and Puerto Rico are both continuing to experience high levels of influenza-like illness. Two influenza-associated pediatric deaths were reported to CDC during the week ending October 19; no new influenza-related pediatric deaths were reported during the week ending October 26.

Visit the CDC’s Weekly U.S. Influenza Surveillance Report, FluView ([link removed]), for details.

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Influenza vaccination is recommended for everyone six months of age and older, so please continue to vaccinate all your patients in this age range. If you don't provide influenza vaccination in your clinic, please recommend vaccination to your patients and refer them to a clinic or pharmacy that provides vaccines or to the HealthMap Vaccine Finder ([link removed]) to locate influenza vaccination services near them.

Related Links:
* CDC's Seasonal Flu web section ([link removed])
* CDC's FluView web section ([link removed])
* CDC's Free Resources related to influenza ([link removed])
* IAC's Influenza Educational Materials ([link removed]) , ([link removed]) free, ready-to print, and CDC-reviewed
* IAC’shttps://www.immunize.org/askexperts/experts_inf.aspAsk the Experts: Influenza ([link removed]) web page
* IAC’s Vaccines: Influenza ([link removed]) web page
* National Adult and Influenza Immunization Summit ([link removed]) website
* The Summit Buzz: ([link removed]) Newsletter of the National Adult and Influenza Immunization Summit (NAIIS)
* Influenza Vaccine Availability Tracking System—IVATS: ([link removed]) a resource for healthcare settings looking to purchase influenza vaccine (made available from NAIIS)

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

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

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

Educational Materials for Healthcare Professionals

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

Other Staff Education Materials
* Leading Medical Organizations Endorse Strong School and Childcare Vaccinations Requirements and Elimination of Non-Medical Exemptions ([link removed])
* Personal Belief Exemptions for Vaccination Put People at Risk. Examine the Evidence for Yourself. ([link removed])
* Administering Vaccines: Dose, Route, Site, and Needle Size ([link removed])
* Standing Orders for Administering Human Papillomavirus Vaccine to Adults ([link removed])
* Screening Checklist for Contraindications to Vaccines for Children and Teens ([link removed]); also available in:
+ Spanish ([link removed])
+ Arabic ([link removed])
+ Chinese–Simplified ([link removed])
+ French ([link removed])
+ Korean ([link removed])
+ Russian ([link removed])
+ Vietnamese ([link removed])

* Screening Checklist for Contraindications to Vaccines for Adults ([link removed]) Also available in:
+ Spanish ([link removed])
+ Arabic ([link removed])
+ Chinese–Traditional ([link removed])
+ French ([link removed])
+ Korean ([link removed])
+ Russian ([link removed])
+ Turkish ([link removed])
+ Vietnamese ([link removed])

Handouts for Your Patients
* Vaccinations for Pregnant Women ([link removed])
* You're 16…We Recommend These Vaccines for You! ([link removed])
* Hepatitis B Shots Are Recommended for All New Babies ([link removed]) ; also available in Spanish ([link removed])
* Chickenpox Is a Serious Disease…Make Sure Your Child Is Protected! ([link removed])
* Hepatitis A Is a Serious Disease…Make Sure Your Child Is Protected! ([link removed])
* Hepatitis B Is a Serious Disease…Make Sure Your Child Is Protected! ([link removed])
* Hib Is a Serious Disease…Make Sure Your Child Is Protected! ([link removed])
* HPV Is a Serious Disease…Make Sure Your Child Is Protected! ([link removed])
* Influenza Is a Serious Disease…Make Sure Your Child Is Protected! ([link removed])
* Measles, Mumps, and Rubella Are Serious Diseases…Make Sure your Child Is Protected! ([link removed])
* Meningococcal Disease Is Serious…Make Sure Your Child Is Protected! ([link removed])
* Pneumococcal Disease Is Serious…Make Sure Your Child Is Protected! ([link removed])
* Polio Is a Serious Disease…Make Sure Your Child Is Protected! ([link removed])
* Rotavirus Is a Serious Disease…Make Sure Your Child Is Protected! ([link removed])
* Whooping Cough, Tetanus, and Diphtheria Are Serious Diseases…Make Sure your Child Is Protected! ([link removed])

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

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

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IT'S NOT TOO LATE TO ORDER IAC’S NEW "FLU VACCINE" BUTTONS AND STICKERS!

IAC's new “FLU VACCINE” buttons and stickers ([link removed]) are ready to ship! The buttons and stickers are bright red to help broadcast your important vaccination message. And the cost is nominal.

“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 and printed on Avery labels, theses stickers adhere well to clothing and have an easy-peel-off back.

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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IAC'S ELEGANTLY DESIGNED "VACCINES SAVE LIVES" ENAMEL PINS MAKE GREAT GIFTS!

IAC has designed an elegant new “Vaccines Save Lives” pin on hard black enamel with gold lettering and edges.

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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. The pin makes a refined statement, measuring 1.125" x 0.75".

Wear these pins on clothing, ([link removed]) uniforms, lab coats, tote bags, and backpacks to show that you value vaccines!

Click here for "Vaccines Save Lives" pins pricing and ordering information. ([link removed])

Visit Shop IAC for additional items ([link removed]), including "FLU VACCINE" buttons and stickers, patient record cards, and a vaccine administration training video.

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THERE ARE NOW 1,109 ORGANIZATIONS ENROLLED IN IAC'S INFLUENZA VACCINATION HONOR ROLL FOR MANDATORY HEALTHCARE WORKER VACCINATION

There are now 1,109 organizations enrolled in IAC's Influenza Vaccination Honor Roll ([link removed]). The honor roll recognizes hospitals, long-term care facilities (LTCFs), medical practices, pharmacies, professional organizations, health departments, and other government entities that have taken a stand for patient safety by implementing mandatory influenza vaccination policies for healthcare personnel.

Since October 2, when IAC Express last reported on the Influenza Vaccination Honor Roll, 162 additional healthcare organizations have been enrolled.

The Evangelical Lutheran Good Samaritan Society implemented a system-wide mandatory influenza vaccination policy August 1, 2019, in 156 agencies in 22 states (including long-term care, rehabilitation/skilled care, senior living, and home care agencies).

Other newly added healthcare organizations include:

* Kaweah Delta Healthcare District, Visalia, CA
* Los Angeles Jewish Home, Reseda, CA
* Lakeland Regional Health, Lakeland, FL
* Church Home Rehabilitation and Healthcare LLC, Ft. Valley, GA
* Decatur County Memorial Hospital, Greensburg, IN
* Weisman Children's, Marlton, NJ

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

Related Links
* Listing of all Influenza Vaccination honorees ([link removed]) by state
* Long-term care/assisted living Influenza Vaccination honorees ([link removed]) by state
* Position statements ([link removed]) from professional societies and leading healthcare organizations in support of mandatory influenza vaccination
* Application form for the Influenza Vaccination Honor Roll ([link removed])
* Influenza Vaccination Honor Roll ([link removed]) section on immunize.org ([link removed]) , which includes access to the application form (see the gold honor badge in right column, and click on the words "Apply for the Influenza Vaccination Honor Roll")
* IAC'sHonor Roll for Patient Safety ([link removed]) web page
* IAC'sHepatitis B Birth Dose Honor Roll ([link removed]) section on immunize.org ([link removed])

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-IAC HANDOUTS-
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IAC UPDATES ITS STAFF EDUCATION MATERIALS: "CURRENT DATES OF VACCINE INFORMATION STATEMENTS" AND "YOU MUST GIVE YOUR PATIENTS VACCINE INFORMATION STATEMENTS (VISS)—IT’S FEDERAL LAW!"

IAC recently revised Current Dates of Vaccine Information Statements ([link removed]) as well as You Must Give Your Patients Vaccine Information Statements (VISs)—It’s Federal Law! ([link removed]) to reflect the 10/30/2019 date of the recently updated Cholera, Hib, HPV, PCV13, PPSV23, Polio, Rotavirus, Typhoid, Zoster–live, and Zoster–recombinant VISs.

Related Links
* IAC's VIS web section ([link removed]) with VISs in up to 50 languages ([link removed])
* IAC’s Handouts: Documenting Vaccination ([link removed]) web page
* View IAC'shttp://www.immunize.org/handouts/Handouts web section—sorted by topic ([link removed])
* View all IACEducational Materials for Patients and Staff ([link removed]) —an alphabetical listing of more than 300 CDC-reviewed, ready-to-print resources

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WORLD NEWS
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WHO REPORTS ON VALIDATION OF MATERNAL AND NEONATAL TETANUS ELIMINATION IN THE DEMOCRATIC REPUBLIC OF THE CONGO

On November 1, WHO's Weekly Epidemiological Record published an article titled Validation of Maternal and Neonatal Tetanus Elimination in the Democratic Republic of the Congo ([link removed]). The first paragraph is reprinted below.

As of March 2019, 46/59 (78%) countries with a high burden of maternal and neonatal tetanus (MNT) had been validated as having eliminated this major cause of neonatal deaths; 13 countries remain to be validated, of which 11 are in the African and Eastern Mediterranean regions. Elimination of MNT is defined as <1 case of neonatal tetanus (NT) per 1000 live births (LBs) per district over 1 year.

Related Link
* Current issue and archives of the Weekly Epidemiological Record ([link removed])

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-FEATURED RESOURCES-
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REMINDER: VISIT IAC'S RECENTLY UPDATED WEBSITE, WWW.GIVE2MENACWY.ORG, TO ENHANCE YOUR EFFORTS AT INCREASING RATES OF THE MENACWY BOOSTER AND OTHER ADOLESCENT VACCINES

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

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

The colorful new Give2MenACWY.org website ([link removed]) is divided into five easy-to-access sections:

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

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

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

Related Links
* Give2MenACWY.org ([link removed]) website
* Dear Colleague Letter: 16-Year-Old Patients: Make Sure They Receive Their Annual Well Visit and Vaccinations ([link removed])
* Algorithm for MenACWY Immunization in Adolescents 11–18 Years of Age ([link removed])
* MenACWY: You're Not Done If You Give Just One: Give 2 Doses to Strengthen Protection ([link removed])
* Recommending MenACWY: What to Say and How to Say it ([link removed])
* Top 10 Ways to Improve Adolescent Immunization Rates ([link removed])
* Developing an Immunization Culture in Your Office ([link removed])
* Know Your Rates: Measuring Immunization Success in Your Practice ([link removed])
* Establishing an Immunization Platform for 16-Year-Olds in the United States ([link removed])
* You're 16: We Recommend These Vaccines for You ([link removed])

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CDC updates the Hib chapter of its Manual for the Surveillance of Vaccine-Preventable Diseases

CDC recently updated the Haemophilus influenzae invasive disease chapter ([link removed]) of its Manual for the Surveillance of Vaccine-Preventable Diseases.

The Manual for the Surveillance of Vaccine-Preventable Diseases ([link removed]) provides current guidelines for those directly involved in surveillance of vaccine-preventable diseases, especially personnel at the local health departments.

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IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)

In late 2017, the Immunization Action Coalition (IAC) announced the publication of its new book, Vaccinating Adults: A Step-by-Step Guide (Guide) ([link removed]).

This completely updated "how to" guide on adult immunization provides easy-to-use, practical information covering essential adult immunization activities. It helps vaccine providers enhance their existing adult immunization services or introduce them into any clinical setting. Topics include:

* setting up for vaccination services,
* storing and handling vaccines,
* deciding which people should receive which vaccines,
* administering vaccines,
* documenting vaccinations (including legal issues), and
* understanding financial considerations and billing information.

In addition, the Guide is filled with hundreds of web addresses and references to help providers stay up to date on the latest immunization information, both now and in the future.

The Guide is available to download/print either by chapter or in its entirety free of charge at www.immunize.org/guide. The downloaded version is suitable for double-sided printing. The National Vaccine Program Office and CDC both supported the development of the Guide and provided early technical review.

The Guide is a uniquely valuable resource to assist providers in increasing adult immunization rates. Be sure to get a copy today!

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

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Video of the Week
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Measles Clinical Features and Diagnosis: In this CDC video for healthcare professionals, medical officer Dr. Manisha Patel describes how measles can be confused with other diseases. She discusses the clinical features of measles and how to make the diagnosis. She also describes possible complications and explains what to do if you suspect a patient has measles.
Visit the VOTW archive ([link removed])

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Follow Us
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Technically Speaking
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Read Dr. Wexler's column for the Vaccine Education Center's monthly newsletter, Vaccine Update

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Vaccinating Adults:
A Step-by-Step Guide
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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

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Editorial Information
Editor
Deborah L. Wexler, MD (mailto:[email protected])
Managing Editor
Teresa Anderson, DDS, MPH (mailto:[email protected])
Consulting Editors
Marian Deegan, JD ([link removed])
Courtnay Londo, MA (mailto:[email protected])
Jane Myers, MA, EdM (mailto:[email protected])
Assistant Managing Editor
Liv Augusta Anderson, MPP (mailto:[email protected])

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

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About IAC Express
The Immunization Action Coalition welcomes redistribution of this issue of IAC Express or selected articles. When you do so, please add a note that the Immunization Action Coalition is the source of the material and provide a link to this issue. ([link removed])

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

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

IAC Express Disclaimer ([link removed])
ISSN: 1526-1786
Our mailing address is
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Saint Paul, MN 55114

Copyright (C) 2019 Immunization Action Coalition
All rights reserved.

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