From Immunization Action Coalition <[email protected]>
Subject IZ Express #1,627: Ask the Experts updates on Diphtheria, Tetanus, Pertussis Vaccines, and more
Date April 13, 2022 11:15 AM
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Issue 1,627: April 13, 2022

Top Stories
* “Ask the Experts: Diphtheria, Tetanus, Pertussis Vaccines” web page updated with recent pertussis trends and evidence on effectiveness of Tdap during pregnancy
* Haitian Creole and Portuguese translations of 18 Vaccine Information Statements posted by Immunize​.org
* Meningococcal disease outbreak: Florida Department of Health recommends vaccination for men who have sex with men and people with HIV living in Florida
* National Infant Immunization Week is April 24–30; prepare using CDC’s 2022 digital media toolkit
* Spotlight: Immunize​.org's resources focused on vaccine-preventable diseases, one disease at a time
* Influenza activity remains elevated in central and south-central United States; vaccination warranted if your unvaccinated patients are at risk
* Journalists interview Immunize​.org experts
* Vaccines in the news

Immunize​.org Pages and Handouts
* “Hepatitis B Facts: Testing and Vaccination” handout updated to reflect ACIP recommendations
* “Hepatitis A and Hepatitis B Vaccines: Be Sure Your Patients Get the Correct Dose” handout updated to reflect ACIP recommendations
* “Hepatitis A, B, and C: Learn the Differences” handout updated to reflect ACIP recommendations

Featured Resources
* Use new “Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools” and updated COVID-19 main page to keep up to date
* Order Immunize​.org's redesigned child, adult, and lifetime immunization record cards—wallet-sized, designed to last!
* Order today! Laminated versions of CDC’s 2022 immunization schedules available while supplies last.

Notable Publications
* "Increased Risk of Herpes Zoster in Adults ≥50 Years Old Diagnosed with COVID-19 in the United States" published in Open Forum Infectious Diseases
* "Protection by a Fourth Dose of BNT162b2 against Omicron in Israel" published in New England Journal of Medicine
* MMWR Recap: Articles regarding COVID-19 complications after infection and vaccination, Hep B vaccine recommendations

Global News
* “COVID-19 Mortality and Vaccine Coverage—Hong Kong Special Administrative Region, China, January 6, 2022–March 21, 2022” published in MMWR Early Release
* “Monkeypox in a Traveler Returning from Nigeria—Dallas, Texas, July 2021” published in MMWR

Upcoming Events
* Virtual: April 20 ACIP meeting announced
* Virtual: AIRA hosts its 2022 National Meeting on April 26 and 27; registration closes on April 22

Editorial Information (#Editorial)
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Top Stories
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“Ask the Experts: Diphtheria, Tetanus, Pertussis Vaccines” web page updated with recent pertussis trends and evidence on effectiveness of Tdap during pregnancy

Immunize​.org updated its popular Ask the Experts: Diphtheria, Tetanus, Pertussis Vaccines ([link removed]) web page on March 31. Updates include the following:
* Recent epidemiological trends of pertussis
* Evidence that Tdap vaccination during pregnancy is highly effective at protecting newborns from pertussis illness or hospitalization
* “Cocooning” (vaccination of close contacts of infants with Tdap to protect the infant) is no longer recommended because evidence now suggests that Tdap vaccination does not prevent transmission
* When considering post-exposure chemoprophylaxis or symptom monitoring, healthcare personnel vaccinated with Tdap who are at high risk themselves or likely to expose patients at high risk of pertussis complications should be managed like those who have not had Tdap

Immunize​.org's Ask the Experts ([link removed]) main page leads you to 30 distinct web pages on a variety of topics with more than 1,100 common or challenging questions and answers about vaccines and their administration. Immunize​.org's team of experts includes Kelly L. Moore, MD, MPH (team lead), Carolyn B. Bridges, MD, FACP, and Iyabode Beysolow, MD, MPH.

Related Links
* Immunize​.org: Ask the Experts: Diphtheria, Tetanus, Pertussis Vaccines ([link removed]) web page
* Immunize​.org: Standing Orders for Administering Diphtheria, Tetanus, Acellular Pertussis Vaccine (DTaP) to Children ([link removed])
* Immunize​.org: Standing Orders for Administering Tetanus-Diphtheria Toxoids and Pertussis Vaccine (Td/Tdap) to Adults ([link removed])
* Immunize​.org: Standing Orders for Administering Tetanus-Diphtheria Toxoids and Pertussis Vaccine (Td/Tdap) to Children and Teens ([link removed])
* Immunize​.org: Standing Orders for Administering Tetanus-Diphtheria Toxoids and Pertussis Vaccine (Tdap) to Pregnant Women ([link removed])

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Haitian Creole and Portuguese translations of 18 Vaccine Information Statements posted by Immunize​.org

Immunize​.org posted 18 new translations of Vaccine Information Statements (VISs) ([link removed]) in Haitian Creole ([link removed]) and Portuguese ([link removed]). These translations were generously donated by the Massachusetts Department of Public Health, Immunization Program.

All translations are available in print-ready PDF format.

VIS translations in Haitian Creole ([link removed]):
* Diphtheria, tetanus, pertussis (DTaP) VIS PDF ([link removed])(view in English ([link removed]))
* Haemophilus influenzae type b (Hib) VIS PDF ([link removed])(view in English ([link removed]))
* Hepatitis A VIS PDF ([link removed]) (view in English ([link removed]))
* Hepatitis B VIS PDF ([link removed]) (view in English ([link removed]))
* HPV (human papillomavirus) VIS PDF ([link removed])(view in English ([link removed]))
* Influenza, inactivated or recombinant VIS PDF ([link removed])(view in English ([link removed]))
* Influenza, live intranasal VIS PDF ([link removed])(view in English ([link removed]))
* Measles, mumps, rubella (MMR) VIS PDF ([link removed])(view in English ([link removed]))
* Measles, mumps, rubella, varicella (MMRV) VIS PDF ([link removed])(view in English ([link removed]))
* Meningococcal ACWY VIS PDF ([link removed])(view in English ([link removed]))
* Meningococcal B VIS PDF ([link removed])(view in English ([link removed]))
* Pneumococcal conjugate (PCV) VIS PDF ([link removed]) (view in English ([link removed]))
* Polio VIS PDF ([link removed])(view in English ([link removed]))
* Rotavirus VIS PDF ([link removed]) (view in English ([link removed]))
* Tetanus, diphtheria (Td) VIS PDF ([link removed])(view in English ([link removed]))
* Tetanus, diphtheria, pertussis (Tdap) VIS PDF ([link removed])(view in English ([link removed]))
* Varicella (chickenpox) VIS PDF ([link removed])(view in English ([link removed]))
* Recombinant zoster (shingles) VIS PDF ([link removed])(view in English ([link removed]))

VIS translations in Portuguese ([link removed]):
* Diphtheria, tetanus, pertussis (DTaP) VIS PDF ([link removed])(view in English ([link removed]))
* Haemophilus influenzae type b (Hib) VIS PDF ([link removed])(view in English ([link removed]))
* Hepatitis A VIS PDF ([link removed]) (view in English ([link removed]))
* Hepatitis B VIS PDF ([link removed]) (view in English ([link removed]))
* HPV (human papillomavirus) VIS PDF ([link removed])(view in English ([link removed]))
* Influenza, inactivated or recombinant VIS PDF ([link removed])(view in English ([link removed]))
* Influenza, live intranasal VIS PDF ([link removed])(view in English ([link removed]))
* Measles, mumps, rubella (MMR) VIS PDF ([link removed]) (view in English ([link removed]))
* Measles, mumps, rubella, varicella (MMRV) VIS PDF ([link removed]) (view in English ([link removed]))
* Meningococcal ACWY VIS PDF ([link removed])(view in English ([link removed]))
* Meningococcal B VIS PDF ([link removed])(view in English ([link removed]))
* Pneumococcal conjugate (PCV) VIS PDF ([link removed])(view in English ([link removed]))
* Polio VIS PDF ([link removed])(view in English ([link removed]))
* Rotavirus VIS PDF ([link removed])(view in English ([link removed]))
* Tetanus, diphtheria (Td) VIS PDF ([link removed]) (view in English ([link removed]))
* Tetanus, diphtheria, pertussis (Tdap) VIS PDF ([link removed])(view in English ([link removed]))
* Varicella (chickenpox) VIS PDF ([link removed])(view in English ([link removed]))
* Recombinant zoster (shingles) VIS 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
* Immunize​.org: Vaccine Information Statement ([link removed]) main page for VISs in 46 languages ([link removed])
* Immunize​.org: Dates of Current Vaccine Information Statements ([link removed]) (PDF)
* CDC: What's New with VISs ([link removed]) web page
* CDC: Current VISs ([link removed]) web page

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Meningococcal disease outbreak: Florida Department of Health recommends vaccination for men who have sex with men and people with HIV living in Florida

On April 7, CDC reported on an ongoing outbreak of meningococcal disease in Florida, primarily among men who have sex with men, including those living with HIV. Key points from the Meningococcal Disease Outbreak, Florida, 2022 ([link removed]) web page are summarized below.

In response to an ongoing outbreak of meningococcal disease in Florida, state health officials are recommending all gay and bisexual men living in the state get vaccinated with one dose of a MenACWY vaccine to help protect against meningococcal disease.

Florida health officials are also emphasizing the importance of routine vaccination against meningococcal disease for people with HIV. For the best protection, people with HIV should make sure they have gotten their 2-dose primary series of a MenACWY vaccine and are up to date with booster doses.

Related Links
* CDC: Meningococcal Disease Outbreak, Florida, 2022 ([link removed]) web page
* CDC: Vaccines by Disease: Meningococcal Vaccination ([link removed]) web page
* Immunize​.org: Vaccines: Meningococcal ACWY ([link removed]) main page

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National Infant Immunization Week is April 24–30; prepare using CDC’s 2022 digital media toolkit

National Infant Immunization Week (NIIW) ([link removed]), April 24–30, highlights the importance of protecting infants from vaccine-preventable diseases and celebrates the achievements of immunization partners. This year, it’s particularly critical to ensure that families stay on track for routine checkups and recommended vaccinations following disruptions from COVID-19.

A CDC report ([link removed]) released in May 2020 found a troubling drop in routine childhood vaccination as a result of families missing many in-person clinical visits during the pandemic.

Save time by using CDC's 2022 NIIW Digital Media Toolkit ([link removed]) for your organization's NIIW activities. The toolkit includes updated logos, sample social media content, social graphics, and key messages. Please share them, using the hashtags #NIIW and #ivax2protect.

Related Links
* CDC: National Infant Immunization Week ([link removed]) main page
* CDC: 2022 NIIW Digital Media Toolkit ([link removed]) main page
* Immunize​.org: Parent Handouts ([link removed]) main page

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Spotlight: Immunize​.org's resources focused on vaccine-preventable diseases, one disease at a time

Immunize​.org offers a host of materials that focus on specific vaccine-preventable diseases. Here are some highlights.

Our Ask the Experts ([link removed]) main page gives you access more to than 1,100 questions answered by Immunize​.org experts. Topics include specific diseases and their vaccines as well as vaccine delivery guidance (e.g., administration, billing, documenting).

Our Advisory Committee on Immunization Practices (ACIP) ([link removed]) main page links to all current ACIP vaccine recommendations as well as most dating back to 1991. You can sort the ACIP recommendations by diseases or publication date.

Our Handouts for Patients and Staff ([link removed]) main page leads to hundreds of free patient handouts and fact sheets for healthcare professionals. All items are ready to print, copy, and distribute widely.

Our Unprotected People Stories ([link removed]) main page features more than a hundred real-life accounts of people who suffered or died from vaccine-preventable diseases. There are compelling personal testimonies, remembrances, case reports, and newspaper articles.

Our Image Library ([link removed]) main page offers hundreds of photos of people affected by vaccine-preventable diseases; micrographs of viruses, bacteria, and pathology specimens; and pictures of people being vaccinated. Please follow noted copyright requirements.

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Influenza activity remains elevated in central and south-central United States; vaccination warranted if your unvaccinated patients are at risk

Influenza Surveillance
For week 13, ending on April 2, CDC's Weekly U.S. Influenza Surveillance Report, FluView ([link removed]) summary reports that seasonal influenza activity in the United States continues to gradually increase again this week, with the highest activity in central and south-central regions of the country and increasing activity in northeastern regions.

Influenza Vaccination Dashboard
CDC's new Weekly Flu Vaccination Dashboard ([link removed]) shares preliminary vaccination data. This week’s key fact: among adults 18 and older, 40.4 million flu vaccinations were administered in pharmacies and 30.8 million flu vaccinations were administered in physician medical offices as of week ending March 12, 2022. Both of these estimates are lower than the estimates at the same time last year.

CDC recommends everyone age 6 months and older get an annual influenza 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. 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].

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: Vaccines: Influenza ([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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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 a recent citation.

* Kaiser Health News: Why Black and Hispanic Seniors Are Left with a Less Powerful Flu Vaccine ([link removed]) (4/6/22)

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Vaccines in the news

These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.

* WHO: Open to All, Anytime, Anywhere: Free Online Courses Bring Vaccine Knowledge to the Global Community ([link removed]) (4/7/22)

* Washington Post: As Deadline Looms, FDA Advisers Debate Coronavirus Boosters for Fall ([link removed]) (4/6/22)

* Nature: COVID Vaccine plus Infection Can Lead to Months of Immunity ([link removed]) (4/6/22)

* The Conversation: The 1 in 10 U.S. Doctors with Reservations about Vaccines Could Be Undermining the Fight against COVID-19 ([link removed]) (4/5/22)

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Immunize.org Pages and Handouts
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“Hepatitis B Facts: Testing and Vaccination” handout updated to reflect ACIP recommendations

Immunize​.org updated its Hepatitis B Facts: Testing and Vaccination ([link removed]) handout for healthcare providers. Changes were made to incorporate the newest ACIP recommendations for hepatitis B vaccine:
* Expanding universal vaccination to all adults through age 59 years, in addition to adults age 60 or older with risk factors
* Noting that any adult age 60 or older who does not meet the risk-based recommendations may be vaccinated

Related Links
* Immunize​.org: Handouts ([link removed]) main page to see educational materials sorted by category
* Immunize​.org: Clinic Tools ([link removed]) main page and its nine subtopics
* 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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“Hepatitis A and Hepatitis B Vaccines: Be Sure Your Patients Get the Correct Dose” handout updated to reflect ACIP recommendations

Immunize​.org updated its Hepatitis A and Hepatitis B Vaccines: Be Sure Your Patients Get the Correct Dose ([link removed]) handout for healthcare providers. Changes were made to add PreHevbrio and Vaxelis to the list of vaccines containing a HepB component and to update the references.

Related Links
* Immunize​.org: Handouts ([link removed]) main page to see educational materials sorted by category
* Immunize​.org: Clinic Tools ([link removed]) main page and its nine subtopics
* 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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“Hepatitis A, B, and C: Learn the Differences” handout updated to reflect ACIP recommendations

Immunize​.org updated its Hepatitis A, B, and C: Learn the Differences ([link removed]) handout for healthcare providers. Changes were made to incorporate the newest ACIP recommendations for hepatitis B vaccine:
* Expanding universal vaccination to all adults through age 59 years, in addition to adults age 60 or older with risk factors
* Noting that any adult age 60 or older who does not meet the risk-based recommendations may be vaccinated

Related Links
* Immunize​.org: Handouts ([link removed]) main page to see educational materials sorted by category
* Immunize​.org: Clinic Tools ([link removed]) main page and its nine subtopics
* 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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Use new “Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools” and updated COVID-19 main page to keep up to date

It is challenging to keep up with changes to COVID-19 vaccine guidance and the numerous fact sheets and job aids available. To address this, Immunize​.org published a new 2-page job aid, Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools ([link removed]). The checklist includes the most recent revision dates of CDC’s primary COVID-19 vaccination websites, as well as print-ready PDF documents from CDC and FDA. Each date is hyperlinked to the original document or web page. Immunize.org will update this list at least monthly, prominently indicating when it was last updated at the top of the page.

We encourage COVID-19 vaccination providers to review this list monthly to be sure your practices stay up to date. The most recent checklist update was April 4, 2022.

In addition, Immunize​.org updated its Vaccines: COVID-19 ([link removed]) main page on April 4, 2022. This page provides a comprehensive index to key resources from CDC, Immunize​.org, and other partners. It facilitates access to information on COVID-19 vaccine products, clinic resources and tools, vaccine fact sheets, and other important vaccine-related topics. Links just added to this web page include the new checklist described above and CDC’s Interim COVID-19 Vaccine Immunization Schedule for Ages 5 Years and Older ([link removed]).

Related Links
* Immunize​.org: Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools ([link removed]) (PDF)
* Immunize​.org: Vaccines: COVID-19 ([link removed]) main page
* Immunize​.org: Ask the Experts: COVID-19 ([link removed]) web page
* CDC: Interim Clinical Considerations for Use of COVID-19 Vaccines ([link removed]) main page

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Order Immunize​.org’s redesigned 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 fit in a wallet when folded. Give the record cards to your patients as a permanent and personal vaccination record. They 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])

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].

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Order today! Laminated versions of CDC’s 2022 immunization schedules available while supplies last.

Immunize​.org's laminated versions of the 2022 U.S. child and adolescent immunization schedule ([link removed]) and the 2022 U.S. adult immunization schedule ([link removed]) are in stock and shipping now. Order while supplies last.

While the schedules are available online from CDC at no cost, Immunize​.org’s printed, laminated schedules are ideal for use in any busy healthcare setting where vaccinations are given. Their tough coating can be wiped down, and they’re durable enough to stand up to a year's worth of use.

In 2022, the length of each schedule with appendices was extended by two pages. As a result, the laminated schedules are now published in a standard 8.5” X 11” booklet format.
* The child/adolescent schedule booklet is ten pages (i.e., five double-sided pages) and includes a bonus page with Immunize​.org’s popular 1-page handout summarizing the dose, route, and needle size recommendations for all vaccines and recipients
* The adult schedule booklet is eight pages (i.e., four double-sided pages)

[link removed]

With color coding for easy reading, our laminated schedules replicate the original CDC formatting, including the essential tables and notes.

PRICING
Number of Copies Cost
1–4 copies $7.50 each
5–19 copies $5.50 each
20–99 copies $4.50 each
100–499 copies $4.00 each
500–999 copies $3.50 each

For quotes on customizing or placing orders of 1,000 copies or more, call 651-647-9009 or email [email protected].

Visit the Shop Immunize​.org: Laminated Schedules ([link removed]) web page for more information on the schedules, to view images of all the pages, to download the order form, and to order today!

Related Links
* Immunize​.org: Laminated Child and Adolescent Immunization Schedules (0–18 years) ([link removed]) web page
* Immunize​.org: Laminated Adult Immunization Schedules (19 and older) ([link removed]) web page
* Immunize​.org: Shop Immunize.org ([link removed]) main page

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Notable Publications
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"Increased Risk of Herpes Zoster in Adults ≥50 Years Old Diagnosed with COVID-19 in the United States" published in Open Forum Infectious Diseases

In its March 9 issue, Open Forum Infectious Diseases published Increased Risk of Herpes Zoster in Adults ≥50 Years Old Diagnosed with COVID-19 in the United States ([link removed]). The conclusion appears below.

We found that COVID-19 diagnosis in ≥50-year-olds was associated with a significantly increased risk of developing HZ [herpes zoster], highlighting the relevance of maintaining HZ vaccination.

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"Protection by a Fourth Dose of BNT162b2 against Omicron in Israel" published in New England Journal of Medicine

In its April 5 issue, New England Journal of Medicine published Protection by a Fourth Dose of BNT162b2 against Omicron in Israel ([link removed]). The conclusion appears below.

Rates of confirmed SARS-CoV-2 infection and severe Covid-19 were lower after a fourth dose of BNT162b2 vaccine than after only three doses. Protection against confirmed infection appeared short-lived, whereas protection against severe illness did not wane during the study period.

Related Link
* New York Times: A Second Booster Helped Protect Older People from Omicron Infection, but Waned Quickly, an Israeli Study Says. ([link removed]) (4/5/22)

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MMWR Recap: Articles regarding COVID-19 complications after infection and vaccination, Hep B vaccine recommendations

CDC recently published several articles first distributed as MMWR Early Releases:

* Cardiac Complications after SARS-CoV-2 Infection and mRNA COVID-19 Vaccination—PCORnet, United States, January 2021–January 2022 (MMWR, April 8, HTML ([link removed]) or PDF ([link removed]))

* Universal Hepatitis B Vaccination in Adults Aged 19–59 Years: Updated Recommendations of the Advisory Committee on Immunization Practices—United States, 2022 (MMWR, April 1, HTML ([link removed]) or PDF ([link removed]))

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

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Global News
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“COVID-19 Mortality and Vaccine Coverage—Hong Kong Special Administrative Region, China, January 6, 2022–March 21, 2022” published in MMWR Early Release

CDC published COVID-19 Mortality and Vaccine Coverage—Hong Kong Special Administrative Region, China, January 6, 2022–March 21, 2022 ([link removed]) on April 8 in an MMWR Early Release. A portion of the summary appears below.

Among persons aged ≥60 years in Hong Kong, 49% had received ≥2 doses of a COVID-19 vaccine, and vaccination coverage declined with age. During January–March 2022, reported COVID-19–associated deaths rose rapidly in Hong Kong. Among these deaths, 96% occurred in persons aged ≥60 years; within this age group, the risk for death was 20 times lower among those who were fully vaccinated compared with those who were unvaccinated.

Related Links
* MMWR's main page ([link removed]) provides access to MMWR Weekly and its companion publications
* Current issue and archives of the Weekly Epidemiological Record ([link removed])

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“Monkeypox in a Traveler Returning from Nigeria—Dallas, Texas, July 2021” published in MMWR

CDC published Monkeypox in a Traveler Returning from Nigeria—Dallas, Texas, July 2021 ([link removed]) on April 8 in MMWR ([link removed]). A portion of the summary appears below.

In July 2021, Monkeypox virus was confirmed in a U.S. resident who had returned from Nigeria....

Continued
Monkeypox virus transmission in Nigeria might lead to additional sporadic U.S. importations. Early clinical suspicion, prompt reporting to public health authorities, and awareness of the types of exposures that might be high risk are among the lessons learned.

The article contains a table summarizing recommendations for monitoring and postexposure prophylaxis with orthopoxvirus vaccine, by risk level of exposure to a monkeypox patient.

Related Links
* MMWR's main page ([link removed]) provides access to MMWR Weekly and its companion publications
* Current issue and archives of the Weekly Epidemiological Record ([link removed])

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Upcoming Events
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Virtual: April 20 ACIP meeting announced

CDC has announced that it will convene its Advisory Committee on Immunization Practices ([link removed]) (ACIP) on April 20, from 11:00 a.m.–4:00 p.m. (ET). The meeting agenda is not yet available, but will be posted on the website.

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

Related 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: AIRA hosts its 2022 National Meeting on April 26 and 27; registration closes on April 22

The American Immunization Registry Association (AIRA) will host its virtual #AIRA2022 National Meeting ([link removed]) on April 26 and 27. This annual opportunity brings together partners to discuss the latest immunization information system (IIS) best practices. This year's event will include keynote speaker, Dr. David A. Ross, ScD, chief executive officer and president of the Task Force for Global Health, along with a panel presentation on data modernization.

The meeting agenda ([link removed]), along with other helpful information, is available online.

Register to attend ([link removed]).

Related Links
* #AIRA2022 National Meeting ([link removed]) web page
* AIRA ([link removed]) website

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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

Associate Editor
Sharon G. 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 IZ Express
Immunize​.org welcomes redistribution of this issue of IZ Express or selected articles. 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]).

IZ 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 Immunize​.org and do not necessarily represent the official views of CDC.

IZ Express Disclaimer ([link removed])
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