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Issue 1465: December 4, 2019

-TOP STORIES-
* It's National Influenza Vaccination Week; make sure all your patients are protected against flu!
* IAC Spotlight: Just in case you missed them, these IAC materials and web pages were updated during October and November
* IAC's elegantly designed "Vaccines Save Lives" black enamel pins make great gifts for the holidays!
* Flu season is here, so make sure you have IAC's new "FLU VACCINE" buttons for staff and patient stickers on hand!
* There are now 1,113 organizations enrolled in IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination
* National Adult and Influenza Immunization Summit soliciting nominations for its 2020 Immunization Excellence Awards; deadline is February 1

-VACCINE INFORMATION STATEMENTS-
* Small correction made to Japanese-language translation of the varicella VIS

-WORLD NEWS-
* WHO reports on cholera in this week's Weekly Epidemiological Record

-FEATURED RESOURCES-
* Reminder: Women in Government, representing the nation’s women state legislators, releases new podcast titled “Don’t Hesitate, Vaccinate”; IAC’s Dr. Deborah Wexler among featured speakers
* Visit the California Immunization Coalition’s recently updated website, ImmunizeCA.org
* IAC's comprehensive Vaccinating Adults: A Step-by-Step Guide is available for free download either by chapter or in its entirety (142 pages)

-JOURNAL ARTICLES AND NEWSLETTERS-
* Pediatrics publishes “Safety of the 9-Valent Human Papillomavirus Vaccine”

-EDUCATION AND TRAINING-
* CDC’s NCIRD will host the third Current Issues in Immunization webinar on HPV vaccination recommendations on December 11


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-TOP STORIES-
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IT'S NATIONAL INFLUENZA VACCINATION WEEK; MAKE SURE ALL YOUR PATIENTS ARE PROTECTED AGAINST FLU!

National Influenza Vaccination Week ([link removed]) (NIVW), observed this week, was established by CDC in 2005 as an awareness week to highlight the importance of continuing influenza vaccination activities throughout the holiday season and beyond. It's a great time to vaccinate people who have not yet been protected against flu and to call or send a reminder message to those who have not been vaccinated to be sure they get protected. Vaccination efforts should continue through the holiday season and beyond because peak influenza activity generally does not occur until February (with some variability year to year). Providers are encouraged to continue vaccinating patients throughout the influenza season, including into the spring months.

This year, CDC is focusing on groups at high risk of flu-related complications, hospitalizations, and death, such as children younger than 5 years, adults over 65, people with chronic conditions such as asthma, heart disease, and diabetes, and pregnant women. Click on the graphic above to access the NIVW campaign resources from CDC, including web tools, videos, communication hints, matte articles to submit to newspapers, animated images, graphics, and more.

CDC has stated in its Weekly U.S. Influenza Surveillance Report, FluView ([link removed]), that as of the week ending November 23, the geographic spread of influenza was reported as widespread in 10 states, with regional activity in 14 states. Puerto Rico and 19 states reported local activity; the U.S. Virgin Islands and 7 states reported sporadic activity; and District of Columbia and Guam did not report.

One influenza-associated pediatric death was reported to CDC during the week ending November 23. A total of five influenza-associated pediatric deaths have been reported for the 2019–20 season.

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. The HealthMap Vaccine Finder ([link removed]) can help patients 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 web page ([link removed]), ([link removed]) free, ready-to print, and CDC-reviewed
* IAC’s Ask the Experts: Influenza ([link removed]) web page
* IAC’s Vaccines: Influenza ([link removed]) web page
* National Adult and Influenza Immunization Summit ([link removed]) website
* Influenza vaccination resources for providers ([link removed]) from the NAIIS Influenza Workgroup
* 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 OCTOBER AND NOVEMBER

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 October and November, in case you’ve missed any of them.

Educational Materials for Healthcare Professionals

Influenza Educational Materials for Healthcare Professionals
* Communicating the Benefits of Seasonal Influenza Vaccination ([link removed])
* Influenza: Questions and Answers ([link removed])
* Screening Checklist for Contraindications to Inactivated Injectable Influenza Vaccination ([link removed]); also available in Spanish ([link removed])

Other Staff Education Materials
* Leading Medical Organizations Endorse Strong School and Childcare Vaccination Requirements and Elimination of Non-Medical Exemptions ([link removed])
* Current Dates of Vaccine Information Statements (VISs) ([link removed])
* You Must Provide Patients with Vaccine Information Statements (VISs) – It’s Federal Law! ([link removed])
* Standing Orders for Administering Human Papillomavirus Vaccine to Adults ([link removed])
* Personal Belief Exemptions for Vaccination Put People at Risk. Examine the Evidence for Yourself. ([link removed])

Handouts for Your Patients
* Vaccinations for Pregnant Women ([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])
* You're 16…We Recommend These Vaccines for You! ([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
* Current Issues in Influenza webinar ([link removed] ) from Dr. L.J Tan and slide set ([link removed])
* Talking About Vaccines: Responding to Parents ([link removed])

Updated VIS Web Pages
* Hib VIS web page ([link removed]) includes new interim Hib VIS
* HPV (Human Papillomavirus) VIS web page ([link removed]) includes new interim HPV VIS
* Pneumococcal Conjugate (PCV13) VIS web page ([link removed]) includes new interim PCV13 VIS
* Pneumococcal Polysaccharide (PPSV) VIS web page ([link removed]) includes new final PPSV VIS
* Polio VIS web page ([link removed]) includes new interim Polio VIS
* Rotavirus VIS web page ([link removed]) includes new interim Rotavirus VIS
* Zoster Live VIS web page ([link removed]) includes new final Zoster Live VIS
* Zoster Recombinant VIS web page ([link removed]) includes new final Zoster Recombinant VIS
* Cholera VIS web page ([link removed]) includes new final Cholera VIS
* Typhoid VIS web page ([link removed]) includes new final Typhoid VIS

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 questions 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 web pages 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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IAC'S ELEGANTLY DESIGNED "VACCINES SAVE LIVES" BLACK ENAMEL PINS MAKE GREAT GIFTS FOR THE HOLIDAYS!

IAC’s new elegantly designed “Vaccines Save Lives” pin ([link removed]) on hard black enamel with gold lettering and edges makes a meaningful gift for people who care about immunization.

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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FLU SEASON IS HERE, SO MAKE SURE YOU HAVE IAC'S NEW "FLU VACCINE" BUTTONS FOR STAFF AND PATIENT STICKERS ON HAND!

IAC's “FLU VACCINE” buttons and stickers ([link removed]) are ready to ship! Their bright red color helps broadcast your important message about the need for flu vaccination. 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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THERE ARE NOW 1,113 ORGANIZATIONS ENROLLED IN IAC'S INFLUENZA VACCINATION HONOR ROLL FOR MANDATORY HEALTHCARE WORKER VACCINATION

There are now 1,113 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 November 6, when IAC Express last reported on the Influenza Vaccination Honor Roll, four additional healthcare organizations have been enrolled.

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

Newly added healthcare organizations, hospitals, government agencies, medical practices, long-term care facilities, and pharmacies
* Mason County Health Department, Havana, IL
* The Manor Health and Rehabilitation Center, Freehold, NJ
* Washoe Tribal Health Center, Gardnerville, NV
* Eagle Valley Children’s Home, Carson City, NV

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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NATIONAL ADULT AND INFLUENZA IMMUNIZATION SUMMIT SOLICITING NOMINATIONS FOR ITS 2020 IMMUNIZATION EXCELLENCE AWARDS; DEADLINE IS FEBRUARY 1

The National Adult and Influenza Immunization Summit (NAIIS) is soliciting nominations for the 2020 NAIIS Immunization Excellence Awards ([link removed]). The 2020 awards recognize individuals and organizations that have made extraordinary contributions towards improving vaccination rates within their communities during 2019. Awardees exemplify the meaning of the "immunization neighborhood" (collaboration, coordination, and communication among immunization stakeholders dedicated to meeting the immunization needs of the patient and protecting the community from vaccine-preventable diseases). Unless an award criterion is specifically focused on influenza, it is the intent of the Summit to recognize broader adult immunization activities.

A National Winner will be selected for each award category, and where appropriate, an Honorable Mention recipient. The winners will be presented with their awards at the NAIIS meeting to be held on May 18 in Atlanta, GA, in conjunction with CDC’s National Immunization Conference. The National Winner in each category will be invited to present their programs at the NAIIS meeting.

Access information on the award categories and the nomination form. ([link removed])

Related Links
* NAIIS website ([link removed])
* NAIIS newsletter: The Summit Buzz ([link removed])

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-VACCINE INFORMATION STATEMENTS-
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SMALL CORRECTION MADE TO JAPANESE-LANGUAGE TRANSLATION OF THE VARICELLA VIS

A small correction has been made to the Japanese-language translation of the varicella VIS ([link removed]). In "Section 1: Why Get Vaccinated?" the VIS translation now correctly states “some children who get chickenpox stay home from school or childcare for at least 5–6 days.”

Many thanks to the sharp-eyed immunization staff at the Michigan Department of Health and Human Services for pointing out the error.

The updated Japanese translation ([link removed]) is for the varicella VIS published on August 12, 2018. On August 15, 2019, CDC released a new interim VIS for varicella; a translation of this new interim VIS is not available. CDC states that it is acceptable to use the out-of-date VIS translation since there have not been significant content changes from the 2018 version to the 2019 interim version.

CDC also states that the corresponding up-to-date English-language VIS ([link removed]) must also be provided when providing an out-of-date translation.

When downloading the corrected version, you may have to "refresh" the page or use a different browser if you recently accessed the piece, as the previous version may be cached in your system.

Related Links
* Access all Japanese-language VISs ([link removed])
* Access all varicella VIS translations ([link removed]), as well as the English-language version ([link removed])
* Visit 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 ([link removed]) web section

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WORLD NEWS
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WHO reports on cholera in this week's Weekly Epidemiological Record

The November 29 edition of the WHO periodical Weekly Epidemiological Record featured an article titled Cholera, 2018 ([link removed]). According to the article, in 2018, 34 countries reported a total of 499,447 cholera cases and 2,990 cholera deaths to WHO.

Related Links
* Access the entire article: Cholera, 2018 ([link removed])
* Current issue and archives of the Weekly Epidemiological Record ([link removed])

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-FEATURED RESOURCES-
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REMINDER: WOMEN IN GOVERNMENT, REPRESENTING THE NATION’S WOMEN STATE LEGISLATORS, RELEASES NEW PODCAST TITLED “DON’T HESITATE, VACCINATE”; IAC’S DR. DEBORAH WEXLER AMONG FEATURED SPEAKERS

Women in Government, a national, non-profit, non-partisan organization of women state legislators, has released a new podcast titled Don’t Hesitate, Vaccinate! ([link removed]) The podcast, moderated by Patti Bellock, who has served in the Illinois legislature, features the following panelists: Georgia state senator Gloria Butler; Dr. Deborah Wexler of IAC; Elaine O'Hara of Sanofi Pasteur; and Erica DeWald of Vaccinate Your Family.

Access the podcast as well as links to leading immunization advocacy organizations and governmental websites on the Women in Government's Immunizations/Vaccinations web page ([link removed]).

Related Link
* Women in Government ([link removed]) website

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VISIT THE CALIFORNIA IMMUNIZATION COALITION’S RECENTLY UPDATED WEBSITE, IMMUNIZECA.ORG
The California Immunization Coalition announced the official launch of their updated website, ImmunizeCA.org ([link removed]). The website has been refreshed with updated images and information and is now easier to navigate. Be sure to visit today!

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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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-JOURNAL ARTICLES AND NEWSLETTERS-
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Pediatrics publishes “Safety of the 9-Valent Human Papillomavirus Vaccine”

The journal Pediatrics has published Safety of the 9-Valent Human Papillomavirus Vaccine ([link removed]), by T. Shimabukuro, et al., in its November 2019 issue. The Conclusions section of the abstract is reprinted below.

CONCLUSIONS: No new or unexpected safety concerns or reporting patterns of 9vHPV with clinically important AEs were detected. The safety profile of 9vHPV is consistent with data from prelicensure trials and from postmarketing safety data of its predecessor, the quadrivalent human papillomavirus vaccine.

Access the complete abstract ([link removed]).

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-EDUCATION AND TRAINING-
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CDC’s NCIRD will host the third Current Issues in Immunization webinar on HPV vaccination recommendations on December 11

CDC's National Center for Immunization and Respiratory Diseases will offer a Current Issues in Immunization webinar on December 11 from 12:00–1:00 p.m. (ET). Titled HPV Vaccination Recommendations Update ([link removed]), Lauri Markowitz, MD, MPH, medical officer, NCIRD, CDC, will present and Andrew Kroger, MD, MPH, will moderate.

To register: HPV Vaccination Recommendations Update ([link removed]).

Related Links
* CDC's Current Issues in Immunization Webinar (CIIW) ([link removed]) web page
* CDC's Education and Training ([link removed]) home page

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Video of the Week
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We Share Our Stories to Convince You to Vaccinate: In this video from Families Fighting Flu, produced with moving background music and photographs, families share their personal tragedies to let others know how important it is to get vaccinated against influenza. Last year, 79,400 people died from flu—more than from car crashes and drug overdoses.

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 ([link removed])

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Editorial Information
Editor
Deborah L. Wexler, MD ([email protected])
Managing Editor
Teresa Anderson, DDS, MPH ([email protected])
Consulting Editors
Marian Deegan, JD ([link removed])
Courtnay Londo, MA ([email protected])
Jane Myers, MA, EdM ([email protected])
Assistant Managing Editor
Liv Augusta Anderson, MPP ([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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Copyright (C) 2018 Immunization Action Coalition
All rights reserved.

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