From Immunization Action Coalition <[email protected]>
Subject IZ Express #1,615: Immunize.org summarizes Feb. 4 ACIP meeting and more
Date February 9, 2022 11:00 AM
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Issue 1,615: February 9, 2022 Formerly IAC Express

Top Stories
* Immunize​.org summarizes ACIP’s February 4 meeting on full licensure of primary series of Moderna COVID-19 Vaccine (Spikevax)
* CDC issues new pneumococcal conjugate Vaccine Information Statement (VIS) that covers PCV13, PCV15, and PCV20, and issues revised recombinant zoster VIS that covers immunocompromised patients
* Immunize.org updates "You Must Provide Patients with Vaccine Information Statements (VISs) – It’s Federal Law!" and "Dates of Current Vaccine Information Statements (VISs)" to reflect new VIS version dates
* CDC issues updates to its "General Best Practice Guidelines for Immunization" for dengue vaccine, influenza vaccine allergies, and storage temperature of MMR vaccine
* February is Black History Month; Immunize.org celebrates the contribution of Black Americans in vaccinology
* Influenza activity has declined, but continues; encourage vaccination as long as influenza is a threat in your community
* Spotlight: Expedite vaccination by using Immunize​.org's screening checklists
* Journalists interview Immunize​.org experts
* Vaccines in the News


Immunize​.org Pages and Handouts
* Reminder! Immunize​.org introduces new, print-ready patient handout "Not Sure If You Can Get an Influenza Vaccine?"


Featured Resources
* Immunize Kansas Coalition offers new interactive online education for vaccination during pregnancy
* Newly updated “65+ Flu Defense” website offers resources for healthcare professionals serving older adults
* FREE! Immunize​.org offers COVID-19 and flu buttons and stickers. Free shipping! Place your order now!
* “Mass-Vaccination-Resources​.org” can help you excel at mass vaccination activities
* Order Immunize​.org’s child, adult, and lifetime immunization record cards—wallet-sized, designed to last!


Notable Publications
* “SARS-CoV-2 Infection and Hospitalization among Adults Aged ≥18 Years, by Vaccination Status, before and during SARS-CoV-2 B.1.1.529 (Omicron) Variant Predominance—Los Angeles County, California, November 7, 2021–January 8, 2022” published in MMWR
* “COVID-19 Vaccination among Persons Living with Diagnosed HIV Infection—New York, October 2021” published in MMWR
* “COVID-19 Vaccination Coverage and Vaccine Confidence by Sexual Orientation and Gender Identity—United States, August 29–October 30, 2021” published in MMWR
* “Indirect Protection of Children from SARS-CoV-2 Infection through Parental Vaccination” published in Science
* “Vaccination with BNT162b2 Reduces Transmission of SARS-CoV-2 to Household Contacts in Israel” published in Science

#IZ20
Upcoming Events
* Watch February 23–24 ACIP meeting on tick-borne encephalitis, cholera, influenza, MMR, and pneumococcal vaccines
* Virtual: PA-AAP Medical Home Program hosts 3-part webinar series on provider communications with adolescents


Editorial Information (#Editorial)
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Top Stories
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Immunize​.org summarizes ACIP’s February 4 meeting on full licensure of primary series of Moderna COVID-19 Vaccine (Spikevax)

Thehttps://www.cdc.gov/vaccines/acip/index.htmlAdvisory Committee on Immunization Practices (ACIP) ([link removed] ) met on February 4, 2022 ([link removed]) , to review the January 31 FDA licensure ([link removed]) of Moderna COVID-19 Vaccine (Spikevax) for people age 18 years and older. Spikevax joins Comirnaty (Pfizer-BioNTech) as the second COVID-19 vaccine to obtain full FDA approval for its two-dose primary series. Emergency use authorization (EUA) continues to cover administration of a third primary dose for people with moderate to severe immunocompromise and administration of a booster dose following the primary series for all adults. ACIP voted unanimously to approve routine use of the vaccine as licensed by FDA.

Spikevax has the same formulation as the EUA-labeled Moderna COVID-19 Vaccine and can be used interchangeably with the EUA vaccine to provide the two-dose primary series in people age 18 years and older. Now that Spikevax is fully licensed, CDC will also issue emergency use instructions (EUI) ([link removed]) , as it did for Comirnaty. The CDC’s EUI document will address the use of Comirnaty or Spikevax as additional doses or booster doses for people who received a primary series using a COVID-19 vaccine not authorized in the United States, either in another country or as part of a clinical trial.

ACIP reviewed data from multiple vaccine safety surveillance systems. The Committee extensively discussed the previously identified rare occurrence of myocarditis/pericarditis after receipt of mRNA COVID-19 vaccines, which is somewhat more likely after Moderna than Pfizer-BioNTech vaccination. New data continue to confirm earlier evidence showing the risk to be greatest among younger males following dose 2, with a peak incidence of about 68 cases per million second Moderna doses among males age 18 through 39 years. Long-term follow up studies of people who experienced myocarditis after vaccination are underway; most cases have been clinically mild and most patients have fully recovered within 90 days. Even among younger males, the benefits of vaccination in preventing hospitalization due to COVID-19 greatly outweigh the risks of vaccine-induced myocarditis.

CDC presenters highlighted important proposed changes to its interim clinical considerations for the use of COVID-19 vaccines (key changes noted in bold type). These changes will be in effect once CDC updates its web page entitled "Interim Clinical Considerations for Use of COVID-19 Vaccines Approved or Authorized in the United States":
* For moderately or severely immunocompromised people, the third primary series dose of mRNA vaccine remains recommended 4 weeks after dose 2; however, CDC now recommends that the booster dose (a fourth dose) be given 3 months after dose 3. This replaces the previous recommendation of a 5-month interval.
* For moderately or severely immunocompromised people who have received a single dose of Janssen COVID-19 Vaccine, CDC now recommends an additional dose of Pfizer-BioNTech or Moderna COVID-19 vaccine be given at least 28 days following the Janssen dose. A booster dose (a third dose) of any COVID-19 vaccine product (preferably mRNA vaccine) is recommended at least 2 months after dose 2.
* For recipients of passive antibody products for treatment or post-exposure prophylaxis for COVID-19 infection, there is no longer a recommendation to defer vaccination after receipt of those products
* For immunocompromised people who need pre-exposure prophylaxis with long-acting tixagevimab/cilgavimab (Evusheld, AstraZeneca), defer Evusheld until at least 2 weeks after vaccination

The meeting concluded with presentations on COVID-19 vaccine recommendations in Canada and other countries. Evidence from Canada and other countries indicates extending the interval between doses 1 and 2 of mRNA COVID-19 vaccines to 8 weeks or longer may improve vaccine effectiveness while reducing the risk of myocarditis after the second dose. ACIP will discuss these data and the possibility of altering dosing interval recommendations in future meetings.

Over 212 million people in the United States are fully vaccinated, though coverage varies by age and geography. As of November 2021, when compared to adults who have received a primary series (with or without a booster dose), unvaccinated adults were 4 times more likely to test positive for COVID-19 and 15 times more likely to die. Nonetheless, CDC data from early January 2022 indicate almost 11% of U.S. adults say they probably or definitely will not get vaccinated. Almost half of unvaccinated adults say that nothing would convince them to get a COVID-19 vaccine ([link removed] ) . The estimated cost of preventable COVID-19 hospitalizations among unvaccinated adults in the United States over a period of 6 months, from June through November 2021, was almost $14 billion.

The next scheduled ACIP meeting will be held February 23–24, 2022. However, if FDA approves Pfizer-BioNTech’s application for authorization of its vaccine in children age 6 months through 4 years, ACIP may hold an additional meeting before then. Information about past and future ACIP meetings ([link removed]) may be found on the ACIP website.

Related Links
* CDC: Interim Clinical Considerations for Use of COVID-19 Vaccines Currently Approved or Authorized in the United States ([link removed])
* ACIP main page ([link removed]) for content from previous meetings, as well as information about future meetings
* CDC: ACIP Presentation Slides: February 4, 2022 ([link removed]) Meeting web page
* Spikevax (Moderna) COVID-19 Vaccine Package Inserts:
+ Prescribing Information ([link removed]) (for providers) (1/2022)
+ Information for Recipients and Caregivers ([link removed]) (1/2022)
* Moderna COVID-19 Vaccine Fact Sheets (for EUA)
+ For Healthcare Providers Administering Vaccine ([link removed])
+ For Recipients and Caregivers ([link removed])
* CDC: COVID-19 Vaccine Emergency Use Instructions (EUI) Resources ([link removed])
* CDC: COVID Data Tracker: Trends in COVID-19 Vaccine Confidence in the U.S. ([link removed])


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CDC issues new pneumococcal conjugate Vaccine Information Statement (VIS) that covers PCV13, PCV15, and PCV20, and issues revised recombinant zoster VIS that covers immunocompromised patients

On February 4, CDC issued two Vaccine Information Statements (VISs) for:
* Pneumococcal conjugate vaccine – The new interim VIS should be provided with any pneumococcal conjugate vaccine (PCV13, PCV15, and PCV20) and outlines new recommendations for adults
* Recombinant zoster (shingles) vaccine – The updated VIS incorporates the expanded indications for this vaccine for adults age 19 years or older who are immunocompromised because of disease or treatment for a disease

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CDC encourages providers to begin using these VISs immediately, but printed stocks of the previous editions may be used until exhausted.

Related Links
* Immunize​.org: Vaccine Information Statements ([link removed]) main page
* Immunize​.org: P ([link removed]) neumococcal Conjugate (PCV) VIS ([link removed]) [link removed] page
* Immunize​.org: Zoster (Shingles) Vaccine, Recombinant VIS ([link removed]) main page
* CDC: What's New with VISs ([link removed]) main page
* CDC: Current VISs ([link removed]) main page
* CDC: Facts about VISs ([link removed]) web page
* CDC: Instructions for Using VISs ([link removed]) web page



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Immunize.org updates "You Must Provide Patients with Vaccine Information Statements (VISs) – It’s Federal Law!" and "Dates of Current Vaccine Information Statements (VISs)" to reflect new VIS version dates

Immunize​.org has updated two key documents to help you manage your inventory of VISs.
* You Must Provide Patients with Vaccine Information Statements (VISs) – It’s Federal Law! ([link removed])
* Dates of Current Vaccine Information Statements (VISs) ([link removed])

The revisions reflect changes to the current VIS dates of the pneumococcal conjugate vaccine (PCV) VIS, and the recombinant zoster (shingles) vaccine VIS, as detailed in a separate story.

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Related Links
* Immunize​.org: Vaccine Information Statements ([link removed]) main page for VISs in 46 languages ([link removed])
* Immunize​.org: Handouts: Documenting Vaccination ([link removed]) main page
* CDC: Facts about VISs ([link removed]) web page
* CDC: Instructions for Using VISs ([link removed]) web page


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CDC issues updates to its "General Best Practice Guidelines for Immunization" for dengue vaccine, influenza vaccine allergies, and storage temperature of MMR vaccine

CDC recently updated their "General Best Practice Guidelines for Immunization" for dengue vaccine, influenza vaccines, and measles-mumps-rubella (MMR) vaccine. The January 24 changes are listed below.
* Dengue – Contraindications and precautions have been added for the newly recommended dengue vaccine. View page 52, table 4–1. ([link removed])
* Influenza – A new footnote for inactivated influenza vaccine and live attenuated influenza vaccine describes the change in allergy-related contraindications and precautions. The classification of a history of severe allergic reaction (e.g., anaphylaxis) is now tied to the history of receiving specific influenza vaccine brands. View page 54, table 4–1 ([link removed]) .
* MMR – The correct storage temperature range has been applied to MMR vaccine. The vaccine portion (but not the diluent) can be stored at freezer or refrigerator temperature. The storage range of the vaccine is -50° C through 8° C (-58° F through 46° F). View page 119, table 7–1 ([link removed]) .

Related Links
* CDC: Vaccine Recommendations and Guidelines of the ACIP: List of Errata/Updates ([link removed]) main page
* CDC: General Best Practice Guidelines for Immunization ([link removed]) main page
* Immunize​.org: Clinic Tools: Screening for Vaccine Contraindications and Precautions ([link removed]) main page
* Immunize​.org: Clinic Tools: Storage and Handling ([link removed]) main page



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February is Black History Month; Immunize.org celebrates the contribution of Black Americans in vaccinology

February is Black History Month, and Immunize​.org would like to recognize the contributions of Black Americans to vaccinology throughout history, including:
* Onesimus, an enslaved man, introduced the idea of smallpox variolation in the United States in the 1700s
* Louis Tompkins Wright, the first Black surgeon on staff at Harlem Hospital in New York City, developed a new way to give the smallpox vaccine in the 1920–1930s
* Loney Clinton Gordon was one of three women to develop the pertussis vaccine in the 1940s
* Henrietta Lacks' cancer cells from the 1950s contributed to the development of the first polio vaccine, the HPV vaccine, and the COVID-19 vaccine
* Mae C. Jemison, the first Black astronaut, worked in vaccine research at CDC in the 1980s–1990s

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Early in the COVID-19 pandemic, Kizzmekia S. Corbett, PhD ([link removed]) , a viral immunologist, played a key role in developing the Moderna mRNA COVID-19 vaccine while at the National Institutes of Health (NIH). Today, she is an assistant professor of immunology and infectious diseases at the Harvard T.H. Chan School of Public Health, focused on viral immunology research for pandemic preparedness efforts and the development of universal vaccines.

The pandemic has had a disproportionate impact on Black communities, resulting in higher case rates, death rates, and severe illness. Encourage Black Americans to get vaccinated and take advantage of these shareable resources:
* National Foundation for Infectious Diseases: Black History Month: Vaccine Voices for COVID-19 Vaccine Choices ([link removed]) web page
* Vaccinate Your Family: "Celebrating African Americans' Contributions to Vaccines" video on Facebook ([link removed]) , Twitter ([link removed] ) , and Instagram ([link removed])
* Ad Council: Black Community Education Toolkit ([link removed]) website
* National Academy of Medicine: Promoting COVID-19 Vaccination Uptake in Communities of Color ([link removed]) website


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Influenza activity has declined, but continues; encourage vaccination as long as influenza is a threat in your community

Influenza Surveillance
For week 4 ending on January 29, CDC's Weekly U.S. Influenza Surveillance Report, FluView ([link removed]) summary reports that activity has decreased in recent weeks, with a decline in outpatient visits and hospitalizations. Activity varies across the country, with four jurisdictions reporting high or very high levels of activity.

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Influenza Vaccination Dashboard
CDC's new Weekly Flu Vaccination Dashboard ([link removed]) shares preliminary vaccination data. This week’s key fact: As of the week of January 8, overall influenza vaccination coverage for all children age 6 months–17 years is 2.8 percentage points lower than last season. Coverage is 5.2 percentage points lower for non-Hispanic White children this season compared to last season. Compared to non-Hispanic White children, coverage is 11.3 percentage points lower for non-Hispanic Black children (40.1% vs. 51.4%).

CDC recommends everyone age 6 months and older get an annual flu vaccination. 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. Use VaccineFinder, a user-friendly website to help people of all ages find influenza, COVID-19, and other vaccines ([link removed]) . Participating providers can update their vaccine inventory estimates on VaccineFinder. For questions or more information, contact [email protected] (mailto:[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
* Immunize​.org: free educational materials and patient handouts related to influenza ([link removed])
* Immunize​.org Influenza: Vaccines ([link removed]) main page
* Immunize​.org: 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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Spotlight: Expedite vaccination by using Immunize​.org's screening checklists

Immunize​.org's Screening Checklist ([link removed]) main page links to forms that patients may fill out to simplify and speed up assessment of vaccination needs and contraindications. The back of the screening checklist provides detailed guidance to help healthcare personnel interpret patient answers so they know if a vaccine is contraindicated or can be given with confidence. Several are available in multiple languages.

Screening checklists are especially useful in settings where standing orders or batched orders are used, as well as in settings where the patient’s full medical record is not readily available.

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Immunize​.org offers nine screening checklists, including:
* Screening Checklist for Contraindications to Vaccines for Adults ([link removed])
* Screening Checklist for Contraindications to Vaccines for Children and Teens ([link removed])
* Screening Checklist for Contraindications to HPV, MenACWY, MenB, and Tdap Vaccines for Teens ([link removed])
* COVID-19 Prevaccination Checklist (CDC) ([link removed])
* Screening Checklist for Contraindications to Inactivated Injectable Influenza Vaccination ([link removed])
* Screening Checklist for Contraindications to Live Attenuated Intranasal Influenza Vaccination ([link removed])
* Should You Be Vaccinated against Hepatitis A? (for adults) ([link removed])
* Labor and Delivery HBsAg Administration Checklist for Birthing Mother ([link removed])

Related Links
* Immunize​.org: Screening Checklist ([link removed]) main page (showing language options)
* Immunize​.org: Handouts for Patients and Staff ([link removed]) main page



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Journalists interview Immunize​.org experts

Journalists seek out Immunize​.org 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 one of our recent citations.
* USA Today: In a Break with Federal Guidelines, San Francisco Allows Second COVID-19 Booster for All J&J Takers ([link removed]) (1/31/22)


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Vaccines in the News

These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
* The Atlantic: What Actually Changed for Little Kids’ Vaccines? ([link removed]) (2/2/22)
* Washington Post: 7 of the Most-Vaccinated Places You Can Travel in the U.S. ([link removed]) (2/2/22)
* Global Circulate: Some Cancers Are Preventable with a Vaccine—A Virologist Explains ([link removed]) (2/2/22)
* Physician’s Weekly: Administering COVID-19, Flu Vaccines Together ([link removed]) (2/1/22)
* Nature: Ten Billion COVID Vaccinations: World Hits New Milestone ([link removed]) (1/31/22)
* CNET: Everything to Know about Johnson & Johnson’s COVID Vaccine ([link removed]) (1/31/22)
* FOX: CDC: Third COVID-19 Vaccine Shots Reduce Risk of Hospitalization for Immunocompromised ([link removed]) (1/30/22)



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Immunize.org Pages and Handouts
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Reminder! Immunize​.org introduces new, print-ready patient handout "Not Sure If You Can Get an Influenza Vaccine?"

Do you talk with people who think they should not receive (or give) influenza vaccine because of an egg allergy or pregnancy? Do you feel uncertain about influenza vaccination of those with a history of Guillain-Barré syndrome?

Immunize.org has created a new patient handout Not Sure If You Can Get an Influenza Vaccine? ([link removed]) to address these issues. This handout, which can be printed as a two-sided single page, addresses a variety of concerns (e.g., egg allergy, Guillain-Barré syndrome, pregnancy, weakened immune system) with clear guidance reflecting CDC’s most recent recommendations.

[link removed] [link removed]

Related Links
* Immunize​.org: Handouts: Influenza ([link removed]) main page
* Immunize​.org: Handouts ([link removed]) main page to see educational materials sorted by category
* Immunize​.org: Ask the Experts: Influenza ([link removed]) main page
* Immunize​.org: Educational Materials for Patients and Staff ([link removed]) —an alphabetical list of more than 230 ready-to-print staff educational materials and patient handouts

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Featured Resources
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Immunize Kansas Coalition offers new interactive online education for vaccination during pregnancy

The Immunize Kansas Coalition (IKC) now offers two interactive online modules designed for increasing vaccination during pregnancy.
* Increasing Vaccine Uptake in Pregnant Women ([link removed]) is designed for clinical personnel who care for pregnant individuals. It focuses on confidently recommending vaccines during pregnancy, using evidence-based communication techniques, and evaluating workflow changes to increase vaccination rates.
* The Vaccines for My Baby During Pregnancy ([link removed]) module is a great resource to share with people who are pregnant now, are trying to get pregnant, or who may want to be pregnant someday. The module focuses on the importance of getting influenza, Tdap, and COVID-19 vaccines, and on answers to common questions about vaccination during pregnancy.

[link removed]

IKC also offers modules for clinicians on HPV vaccines ([link removed]) , influenza vaccines ([link removed]) (CME available for these two), and for adolescents ([link removed]) on adolescent vaccination, infant vaccination, and vaccine information. All modules can be viewed on a smartphone, tablet, or computer. Immunize.org’s Sharon Humiston, MD, MPH, was part of the multi-disciplinary team that developed these innovative modules.


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Newly updated “65+ Flu Defense” website offers resources for healthcare professionals serving older adults

Confident recommendations for influenza vaccine from healthcare providers are powerfully persuasive. To assist you in maximizing protection for your patients, Immunize.org, in collaboration with Seqirus, has updated the "65+ Flu Defense" website at www.influenza-defense.org ([link removed]) .

A new fact sheet on the site, ([link removed]) The Importance of Preventing Influenza during a Pandemic, ([link removed]) [link removed] responses to help guide discussions with patients on the increased importance of flu vaccination during the COVID-19 pandemic. Age increases risks associated with COVID-19 infection, including hospitalization and death. Preliminary studies suggest coinfection with influenza B and SARS-CoV-2 may elevate the risk of poor outcomes.

[link removed]

This helpful site includes information, tools, and tips for communicating with these adults about the scope and severity of influenza, for example:
* Influenza in Adults 65+: The Facts ([link removed])
* Influenza Vaccination: Questions Patients Age 65 and Older Frequently Ask Their HCP ([link removed])

Check out the updated "65+ Flu Defense" website at www.influenza-defense.org ([link removed]) to assist your efforts in protecting this vulnerable population.


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FREE! Immunize​.org offers COVID-19 and flu buttons and stickers. Free shipping! Place your order now!

Kids love buttons and stickers! As COVID-19 vaccination programs vaccinate children age 5 and older and offer booster doses to more people, now is the time to stock up on Immunize​.org’s FREE “I Got My COVID-19 Vaccine” buttons and stickers ([link removed]) , provided at no cost for product or shipping thanks to support from CDC. Stickers are available in English and Spanish. Buttons are available in Spanish. These buttons and stickers are perfect for people of all ages who want to show their confidence in COVID-19 vaccination.

Click the picture to place your order now:

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Immunize​.org also has a limited supply of our popular “Vacuna Contra LA GRIPE” buttons and stickers ([link removed]) , available at no charge for product or shipping, thanks to funding from Seqirus. Now more than ever, it is important to step up our efforts to eliminate disparities in influenza vaccination rates. This bright red Spanish button can help.

Click the picture to place your order now:

[link removed]

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“Mass-Vaccination-Resources​.org” can help you excel at mass vaccination activities

Immunize​.org's website www.Mass-Vaccination-Resources.org ([link removed]) assists you in finding ideas for developing your own high-volume clinics. Mass vaccination efforts are useful for influenza and COVID-19 vaccination.

Many of the documents were written in the pre-pandemic era and need modification to ensure that additional protections (e.g., social distancing, personal protective equipment) help safeguard against COVID-19 transmission.

More resources have been added, including:
* CDC: COVID-19 Vaccination Program Provider Requirements and Support ([link removed])
* CDC: COVID-19 Vaccination Clinical & Professional Resources ([link removed])
* CMS: Enrollment for Administering COVID-19 Vaccine Shots (billing process) ([link removed])
* Illinois: COVID-19 Mass Vaccination Planning Guide ([link removed])

[link removed]

In addition, Immunize​.org's on-demand full-length webinar (1 h. 46 min.) highlighting best practices and offering practical information, Mass Vaccination Clinics: Challenges and Best Practices ([link removed]) , can be viewed on www.Mass-Vaccination-Resources.org ([link removed]) .

The www.Mass-Vaccination-Resources.org ([link removed]) website includes a Related Resources ([link removed]) web page linking to three articles by Immunize​.org authors that appeared in Becker’s Hospital Review.

If you have a resource to suggest for the website, please send a message to [email protected] (mailto:[email protected]).

The webinar and the website are supported by a medical education grant from Seqirus.

Related Links
* Immunize​.org: Mass Vaccination Resources ([link removed]) website
* Immunize​.org: Mass Vaccination Clinics: Challenges and Best Practices ([link removed]) archived webinar
* CDC: Guidance for Planning Vaccination Clinics Held at Satellite, Temporary, or Off-Site Locations ([link removed])


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Order Immunize​.org’s child, adult, and lifetime immunization record cards—wallet-sized, designed to last!

Immunize​.org's personal immunization record cards ([link removed]) , printed on rip-proof, smudge-proof, water-proof paper are designed to last a lifetime. They’re sized to fit in a wallet when folded. The record cards are for you to give to your patients as a permanent and personal vaccination record and are sold in boxes of 250.
* Child & Teen Immunization Record Cards ([link removed])
* Adult Immunization Record Cards ([link removed])
* Lifetime Immunization Record Cards ([link removed])

[link removed]

Make bulk purchases and receive quantity discounts. For quotes on larger quantities or customizing, or to request sample cards, call 651-647-9009 or email [email protected] (mailto:[email protected]) .

Visit Shop Immunize​.org for additional items ([link removed]) , including "Vaccines Save Lives" enamel pins, flu vaccine buttons and stickers, and a vaccine administration training video.


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Notable Publications
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“SARS-CoV-2 Infection and Hospitalization among Adults Aged ≥18 Years, by Vaccination Status, before and during SARS-CoV-2 B.1.1.529 (Omicron) Variant Predominance—Los Angeles County, California, November 7, 2021–January 8, 2022” published in MMWR

CDC published SARS-CoV-2 Infection and Hospitalization among Adults Aged ≥18 Years, by Vaccination Status, before and during SARS-CoV-2 B.1.1.529 (Omicron) Variant Predominance—Los Angeles County, California, November 7, 2021–January 8, 2022 ([link removed]) on February 4 in MMWR. A summary appears below.

As of January 8, 2022, during Omicron predominance, researchers compared COVID-19 incidence and hospitalization rates in Los Angeles County among people with differing vaccination status.
* Incidence and hospitalization rates were 3.6 and 23.0 times higher, respectively, among unvaccinated people than among people who had received a primary series and a booster dose
* Incidence and hospitalization rates were 2.0 and 5.3 times higher, respectively, among fully vaccinated people without a booster than among people who had received a primary series and a booster dose

During both Delta and Omicron predominance, incidence and hospitalization rates were highest among unvaccinated people and lowest among vaccinated people with a booster. Being up to date with COVID-19 vaccination is critical to protecting against SARS-CoV-2 infection and hospitalization.

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

Related Link
* MMWR's main page ([link removed]) provides access to MMWR Weekly and its companion publications


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“COVID-19 Vaccination among Persons Living with Diagnosed HIV Infection—New York, October 2021” published in MMWR

CDC published COVID-19 Vaccination among Persons Living with Diagnosed HIV Infection—New York, October 2021 ([link removed]) on February 4 in MMWR. A summary appears below.

A study of New York adults from October 2021 found the rate of COVID-19 vaccination among people living with human immunodeficiency virus (HIV) was lower than that of the overall adult population in the state. COVID-19 vaccination coverage was also lower among those with HIV not receiving care and those who were not virally suppressed (having detectable levels of HIV in their blood). Among all people living with HIV, about 1 in 3 had not received any vaccine. CDC recommends people with weakened immune systems, including people with HIV, be up to date on their COVID-19 vaccinations. People with advanced or untreated HIV should [sic] may need an additional primary dose and should get a booster dose, when eligible. Researchers found lower COVID-19 vaccination coverage among New York adults ages 18 years and older with HIV than among the general adult population. Among those with HIV, coverage was lower in women, non-Hispanic Black people, American Indian/Alaska Native people, those who are not
virally suppressed (having detectable levels of HIV in their blood), and people not receiving HIV care. Interventions are needed to help people with HIV get vaccinated and stay up to date on COVID-19 vaccines.

[link removed]

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

Related Link
* MMWR's main page ([link removed]) provides access to MMWR Weekly and its companion publications

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“COVID-19 Vaccination Coverage and Vaccine Confidence by Sexual Orientation and Gender Identity—United States, August 29–October 30, 2021” published in MMWR

CDC published COVID-19 Vaccination Coverage and Vaccine Confidence by Sexual Orientation and Gender Identity—United States, August 29–October 30, 2021 ([link removed]) on February 4 in MMWR. A summary appears below.

The National Immunization Survey–Adult COVID Module asked adults about their sexual orientation and gender identity, vaccination status, and the importance of COVID-19 vaccines. They found a higher percentage of gay and lesbian adults received at least one dose of a COVID-19 vaccine than did heterosexual or bisexual adults. Higher percentages of gay, lesbian, and bisexual people thought the vaccine was very or somewhat important for protection from the virus compared with heterosexual people. Higher percentages of people who identified as transgender or nonbinary thought the vaccine was very or somewhat important for protection compared with those who did not identify as transgender or nonbinary. The report also found that non-Hispanic Black women who were gay or lesbian or bisexual had lower vaccination rates than non-Hispanic Black women who were heterosexual. Understanding COVID-19 vaccination coverage and confidence among LGBTQIA+ populations and identifying the conditions under which
disparities exist can help tailor local efforts to increase vaccination coverage.

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

Related Link
* MMWR's main page ([link removed]) provides access to MMWR Weekly and its companion publications

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“Indirect Protection of Children from SARS-CoV-2 Infection through Parental Vaccination” published in Science
In the January 27 issue, Science published Indirect Protection of Children from SARS-CoV-2 Infection through Parental Vaccination. ([link removed]) The abstract appears below.

Children unvaccinated against SARS-CoV-2 may still benefit through protection from vaccinated contacts. We estimated the protection provided to children through parental vaccination with the BNT162b2 vaccine. We studied households without prior infection, consisting of two parents and unvaccinated children, estimating the effect of parental vaccination on the risk of infection for unvaccinated children. We studied two periods separately—an early period (January 17, 2021–March 28, 2021, Alpha variant, two doses vs. no vaccination) and a late period (July 11, 2021–September 30, 2021, Delta variant, booster dose vs. two-vaccine doses). We found that having a single vaccinated parent was associated with a 26.0% and 20.8% decreased risk, and having two vaccinated parents was associated with a 71.7% and 58.1% decreased risk, in the early and late periods, respectively. To conclude, parental vaccination confers substantial protection for unvaccinated children in the household.


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“Vaccination with BNT162b2 Reduces Transmission of SARS-CoV-2 to Household Contacts in Israel” published in Science
In the January 27 issue, Science published Vaccination with BNT162b2 Reduces Transmission of SARS-CoV-2 to Household Contacts in Israel ([link removed]) . A summary appears below.

The team estimated the effectiveness of vaccination with BNT162b2 (Pfizer-BioNTech mRNA-based vaccine) against household transmission of SARS-CoV-2 in Israel before and after the Delta variant emerged. They found:
* Vaccination reduced susceptibility to infection by 89.4%
* There was a slight, non-significant reduction in the infectiousness of vaccinated individuals who become infected
* The ability of vaccination to prevent transmission was reduced over time because of waning of vaccine-induced immunity and lower effectiveness against the Delta variant

The authors concluded, “It is highly unlikely that population-level transmission of SARS-CoV-2 can be eliminated through vaccination alone.”


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Upcoming Events
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Watch February 23–24 ACIP meeting on tick-borne encephalitis, cholera, influenza, MMR, and pneumococcal vaccines

CDC will convene its Advisory Committee on Immunization Practices ([link removed]) (ACIP) February 23–24. The meeting will include discussion of tick-borne encephalitis, cholera, influenza, MMR, and pneumococcal vaccines.

[link removed]

No registration is required to watch webcasts of live ACIP meetings or listen via telephone. Opportunities for public comment are described at the website.

View the agenda ([link removed]).

Related Links
* ACIP main page ([link removed]) for access to webcast, agendas
* ACIP Meeting Information ([link removed]) for presentation slides, content from previous meetings, and information about future meetings


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Virtual: PA-AAP Medical Home Program hosts 3-part webinar series on provider communications with adolescents

The PA-AAP Medical Home Program ([link removed]) will host a 3-part webinar series titled "Strategies to Improve Provider Communications with Adolescent Patients: Relationships and Rights." This webinar series will include teen speakers providing perspective on their experiences and recommendations for healthcare professionals. Learning objectives include:
* Describe concerns, preferences, and realities of young people in healthcare settings
* Value diversity among teens and recognize the challenges and opportunities this poses in healthcare settings
* Explain ways to provide high-quality, youth-friendly healthcare services
* Develop confidence and skills to build positive relationships and communicate effectively with teens

The webinar dates are as follows:
* February 23 from 8:00–9:15 p.m. (ET) ([link removed])
* April 13 from 8:00–9:15 p.m. (ET) ([link removed])
* June 22 from 8:00–9:15 p.m. (ET) ([link removed])

Participants may be eligible for CME/CEU.


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For more upcoming events, visit our Calendar of Events ([link removed]) .
Editorial Information
Editor-in-Chief
Kelly L. Moore, MD, MPH
Managing Editor
John D. Grabenstein, RPh, PhD
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Sharon G. Humiston, MD, MPH
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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

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When you do so, please add a note that Immunize​.org is the source of the material and provide a link to this issue ([link removed]) .

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