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Issue 1,646: August 10, 2022
Top Stories
* Immunize.org releases new “Vaccines: Monkeypox" main page connecting you to resources from CDC, FDA, Immunize.org, and professional organizations
* HHS Secretary declares monkeypox a public health emergency to strengthen and accelerate the federal response
* Immunize.org issues important update of “Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools.” Check your document versions today.
* “Interim Recommendation of the Advisory Committee on Immunization Practices for Use of the Novavax COVID-19 Vaccine in Persons Aged ≥18 Years—United States, July 2022” published in MMWR
* Hepatitis B Foundation releases its National Immunization Awareness Month Partner Toolkit 2022 with resources for providers and content for sharing on social media
* Spotlight: Immunize.org’s “Standing Orders Templates for Administering Vaccines” main page helps you simplify your vaccination practice (#IZ6)
* Vaccines in the news
Immunize.org Pages and Handouts
* Immunize.org updates its online clinical questions and answers on its "Ask the Experts: Haemophilus influenzae type b (Hib)" web page
* Immunize.org updates printable "Zoster Vaccine: Immunize.org Answers Your Questions" to encourage vaccination of immunocompromised people age 19 and older
* Immunize.org revises “When Do Children and Teens Need Vaccinations?” to include the routine recommendation for COVID-19 vaccination of children age 6 months and older
* Immunize.org updates "Hepatitis B and Healthcare Personnel" to include PreHevbrio and links to recent CDC recommendation for routine HepB vaccination of adults
* Immunize.org revises “Vaccines Work!,” the CDC table showing how rates of each vaccine-preventable disease have dropped since introduction of routine vaccination
* Immunize.org updates “Administering Vaccines: Dose, Route, Site, and Needle Size” table for healthcare providers and staff to include COVID-19 vaccines
Featured Resources
* Immunize.org’s new social media program highlights our educational resources; please like and share on your own channels
* AIM offers new COVID-19 Vaccination Social Media Toolkit to encourage vaccination among racial and ethnic minority adults
Notable Publications
* “Interim Guidance for Prevention and Treatment of Monkeypox in Persons with HIV Infection—United States, August 2022” published in MMWR Early Release
* “Post-COVID Symptoms and Conditions among Children and Adolescents—United States, March 1, 2020–January 31, 2022” published in MMWR
Upcoming Events
* On-demand: CDC’s recorded chapter-by-chapter webinars on vaccine-preventable diseases and best practices from “The Pink Book,” now rolling out weekly; CE available
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Top Stories
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Immunize.org releases new “Vaccines: Monkeypox" main page connecting you to resources from CDC, FDA, Immunize.org, and professional organizations
Immunize.org released its new Vaccines: Monkeypox ([link removed]) main page that provides links to key monkeypox vaccine resource pages from CDC, FDA, Immunize.org, and other professional organizations. Information is provided about the live, non-replicating vaccine against monkeypox and smallpox, Jynneos (Bavarian Nordic), the primary vaccine used to prevent monkeypox, as well as the alternative live, replication competent vaccinia vaccine, ACAM2000 (Emergent).
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Bookmark Immunize.org's new Vaccines: Monkeypox ([link removed]) main page for key links to important resources. The page will be updated as new guidelines and resources for vaccine administration are developed.
Related Links
* CDC: Monkeypox ([link removed]) main page
* CDC: Monkeypox: Considerations for Monkeypox Vaccination ([link removed]) web page
* CDC: Jynneos Smallpox and Monkeypox Vaccine Standing Orders for Administering Vaccine ([link removed]) (PDF)
* CDC: Jynneos Smallpox and Monkeypox Vaccine Storage and Handling Summary ([link removed]) (PDF)
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HHS Secretary declares monkeypox a public health emergency to strengthen and accelerate the federal response
On August 4, U.S. Department of Health and Human Services Secretary Xavier Becerra declared the monkeypox outbreak in the United States a Public Health Emergency (PHE). The declaration strengthened and accelerated the federal government’s response to monkeypox in the United States and globally. Portions of the press release ([link removed]) are reprinted below:
The PHE declaration is in concert with the Food and Drug Administration’s (FDA) work to explore new strategies that could help get vaccines to affected communities across the country...
The public health emergency also carries important implications for data sharing with the federal government. Fifty-one jurisdictions have already signed data use agreements that will provide the Centers for Disease Control and Prevention (CDC) with information related to vaccine administration. Declaring the outbreak an emergency may provide the justification that the remaining jurisdictions need to sign their agreements. Additionally, it provides authorities to the Centers for Medicare & Medicaid Services to collect testing and hospitalization data.
Related Links
* HHS: Biden-Harris Administration Bolsters Monkeypox Response; HHS Secretary Becerra Declares Public Health Emergency ([link removed]) (8/4/22)
* Immunize.org: Vaccines: Monkeypox ([link removed]) main page
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Immunize.org issues important update of “Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools.” Check your document versions today.
Immunize.org offers a four-page job aid, Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools ([link removed]) , to help you keep up with changes to COVID-19 vaccine guidance and resources. 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 updates this list at least monthly, prominently indicating when it was last updated at the top of the page.
The current checklist, updated through August 3, 2022, was expanded to include each of the important documents related to the recent addition of Novavax COVID-19 Vaccine as an option for primary series vaccination of adults. We encourage COVID-19 vaccination providers to review this checklist each time it is revised to be sure practices stay up to date.
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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: Use of COVID-19 Vaccines in the United States ([link removed]) main page
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“Interim Recommendation of the Advisory Committee on Immunization Practices for Use of the Novavax COVID-19 Vaccine in Persons Aged ≥18 Years—United States, July 2022” published in MMWR
CDC published Interim Recommendation of the Advisory Committee on Immunization Practices for Use of the Novavax COVID-19 Vaccine in Persons Aged ≥18 Years—United States, July 2022 ([link removed]) in the August 5 issue of MMWR. A portion of the summary appears below.
On July 13, 2022, the Food and Drug Administration issued Emergency Use Authorization for the NVX-CoV2373 (Novavax) COVID-19 vaccine....
On July 19, 2022, the Advisory Committee on Immunization Practices made an interim recommendation for use of the Novavax vaccine in persons aged ≥18 years as a primary 2-dose series vaccination for the prevention of COVID-19....
The adjuvanted, protein subunit–based Novavax COVID-19 vaccine provides an additional option for unvaccinated adults, increasing flexibility for the public and for vaccine providers. Vaccination is important for protection against COVID-19.
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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Hepatitis B Foundation releases its National Immunization Awareness Month Partner Toolkit 2022 with resources for providers and content for sharing on social media
In recognition of National Immunization Awareness Month, the Hepatitis B Foundation created a partner toolkit ([link removed]) for social media and promotional materials for the universal adult hepatitis B vaccination recommendation. Featured in the toolkit are social media graphics, sample social media posts, posters, and a hepatitis B vaccine record card.
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View the toolkit ([link removed]) .
Related Links
* Immunize.org: Vaccines: Hepatitis B ([link removed]) main page
* Immunize.org: Ask the Experts: Hepatitis B ([link removed]) main page
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Spotlight: Immunize.org’s “Standing Orders Templates for Administering Vaccines” main page helps you simplify your vaccination practice
Immunize.org’s Standing Orders Templates for Administering Vaccines ([link removed]) main page includes 46 straightforward standing order templates that allow qualified healthcare professionals to assess the need for and administer vaccines to patients meeting certain criteria, such as age or underlying medical condition. In addition to templates developed by Immunize.org, the page includes links to CDC’s standing orders templates for all COVID-19 vaccines and all age groups, as well as CDC’s new standing orders template for monkeypox vaccination with Jynneos (Bavarian Nordic).
Standing orders help you increase vaccination rates by enabling assessment and vaccination of the patient without the need for clinician examination or a direct order from the attending provider at the time of the interaction. Standing orders can be established for the administration of one or more specific vaccines to a broad or narrow set of patients in healthcare settings such as clinics, hospitals, pharmacies, and long-term care facilities.
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Visit the Standing Orders Templates for Administering Vaccines ([link removed]) main page on Immunize.org to view the standing orders templates.
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Vaccines in the news
These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
* STAT: U.S. Declares Monkeypox Outbreak a Public Health Emergency ([link removed]) (8/4/22)
* CNN: What Precautions Should Families Take as Children Return to School? Our Medical Analyst Explains ([link removed]) (8/2/22)
* FDA: Vaccines ([link removed]) Children from Harmful Infectious Diseases ([link removed]) (8/1/22)
* Washington Post: D.C. Schools ([link removed]) COVID Vaccine Mandate, unlike Most Other Districts ([link removed]) (7/30/22)
* STAT: What to Know about Polio, a Disease Once Again Vying for Attention ([link removed]) (7/26/22)
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Immunize.org Pages and Handouts
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Immunize.org updates its online clinical questions and answers on its "Ask the Experts: Haemophilus influenzae type b (Hib)" web page
On July 31, Immunize.org posted its updated clinical questions and answers about Hib vaccination in its popular web section, Ask the Experts: Haemophilus influenzae type b (Hib) ([link removed]) . Immunize.org regularly reviews and updates its content to ensure it stays current. You can find more than 1,200 Q&As about other vaccines and vaccine administration on our "Ask the Experts" main page at www.immunize.org/askexperts.
Immunize.org's team of experts includes Kelly L. Moore, MD, MPH (team lead), Carolyn B. Bridges, MD, FACP, and Iyabode Beysolow, MD, MPH.
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Related Links
* Immunize.org: Ask the Experts: Haemophilus influenzae type b (Hib) ([link removed]) web page
* Immunize.org: Vaccines: ([link removed]) Haemophilus influenzae type b (Hib) ([link removed]) main page
* Immunize.org: Ask the Experts ([link removed]) main page to answer more than 1,200 questions
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Immunize.org updates printable "Zoster Vaccine: Immunize.org Answers Your Questions" to encourage vaccination of immunocompromised people age 19 and older
Immunize.org recently updated its Zoster Vaccine: ([link removed]) Immunize.org ([link removed]) Answers Your Questions ([link removed]) printable resource for healthcare personnel. It now incorporates the recommendation to give Shingrix routinely to immunocompromised people age 19 and older, and adds two references that provide more detail on this recommendation.
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Related Links
* Immunize.org: Vaccines: Zoster (Shingles) ([link removed]) main page
* Immunize.org: Handouts for Patients and Staff ([link removed]) main page, where you can sort materials by topic, vaccine, or language
* Immunize.org: Educational Materials for Patients and Staff ([link removed]) —an alphabetical listing of more than 230 ready-to-print staff educational materials and patient handouts
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Immunize.org revises “When Do Children and Teens Need Vaccinations?” to include the routine recommendation for COVID-19 vaccination of children age 6 months and older
Immunize.org updated When Do Children and Teens Need Vaccinations? ([link removed]) to indicate that COVID-19 vaccine is routinely recommended for infants and children, beginning at age 6 months.
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Related Links
* Immunize.org: Handouts: Adolescent Vaccination ([link removed]) main page
* Immunize.org: Vaccines: COVID-19 ([link removed]) main page
* Immunize.org: Handouts for Patients and Staff ([link removed]) main page, where you can sort materials by topic, vaccine, or language
* Immunize.org: Educational Materials for Patients and Staff ([link removed]) —an alphabetical listing of more than 230 ready-to-print staff educational materials and patient handouts
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Immunize.org updates "Hepatitis B and Healthcare Personnel" to include PreHevbrio and links to recent CDC recommendation for routine HepB vaccination of adults
Immunize.org updated its Hepatitis B and Healthcare Personnel ([link removed]) five-page document to incorporate the use of the newest recommended hepatitis B vaccine option, PreHevbrio (VBI Vaccines). It clarifies considerations for healthcare personnel with documentation of a complete series of HepB vaccination but no documentation of protective levels of anti-HBs antibody. In addition, a link was added to the April 2022 CDC recommendation for routine HepB vaccination of all adults ([link removed]) 19 through 59 years old.
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Related Links
* Immunize.org: Vaccines: Hepatitis B ([link removed]) main page
* Immunize.org: Handouts: Healthcare Personnel ([link removed]) main page
* Immunize.org: Handouts for Patients and Staff ([link removed]) main page, where you can sort materials by topic, vaccine, or language
* Immunize.org: Educational Materials for Patients and Staff ([link removed]) —an alphabetical listing of more than 230 ready-to-print staff educational materials and patient handouts
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Immunize.org revises “Vaccines Work!,” the CDC table showing how rates of each vaccine-preventable disease have dropped since introduction of routine vaccination
Immunize.org updated its popular Vaccines Work! ([link removed]) print-ready document with revised CDC data on how rates of each vaccine-preventable disease dropped after introduction of routine vaccination.
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Related Links
* Immunize.org: H ([link removed]) andouts: Vaccine Confidence ([link removed]) main page
* Immunize.org: Handouts for Patients and Staff ([link removed]) main page, where you can sort materials by topic, vaccine, or language
* Immunize.org: Educational Materials for Patients and Staff ([link removed]) —an alphabetical listing of more than 230 ready-to-print staff educational materials and patient handouts
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Immunize.org updates “Administering Vaccines: Dose, Route, Site, and Needle Size” table for healthcare providers and staff to include COVID-19 vaccines
Immunize.org updated its Administering Vaccines: Dose, Routine, Site, and Needle Size ([link removed]) table for healthcare providers and staff. The popular resource now:
* Incorporates use of COVID-19 vaccines in infants and children age 6 months and older
* Specifies the different types of inactivated influenza vaccines
* Adds PreHevbrio (VBI Vaccines) to the list of hepatitis B vaccines
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Related Links
* Immunize.org: Handouts: Administering Vaccines ([link removed]) main page
* Immunize.org: Handouts for Patients and Staff ([link removed]) main page, where you can sort materials by topic, vaccine, or language
* Immunize.org: Educational Materials for Patients and Staff ([link removed]) —an alphabetical listing of more than 230 ready-to-print staff educational materials and patient handouts
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Featured Resources
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Immunize.org’s new social media program highlights our educational resources; please like and share on your own channels
Immunize.org launched a new social media program to highlight our educational resources. Our social media channels now feature our most popular printable resources and Ask the Experts questions, as well as announcements important to frontline vaccinators.
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Like, follow, and share Immunize.org’s social media accounts and encourage colleagues and others interested in vaccination to do likewise:
* Facebook at ImmunizeOrg ([link removed])
* Instagram at ImmunizeOrg ([link removed])
* LinkedIn at ImmunizeOrg ([link removed])
* Twitter at ImmunizeOrg ([link removed])
* YouTube at ImmunizeOrg ([link removed])
Each additional follower extends the reach of our work to help healthcare professionals deliver quality vaccination services to people of all ages.
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AIM offers new COVID-19 Vaccination Social Media Toolkit to encourage vaccination among racial and ethnic minority adults
The Association of Immunization Managers (AIM) offers a new COVID-19 Vaccination Social Media Toolkit ([link removed]) in both English and Spanish, with tips and sample posts for encouraging COVID-19 vaccination among racial and ethnic minority adults. The messages and images in this toolkit were developed based on feedback from community health workers in Alabama, Arizona, Georgia, Florida, Kentucky, Michigan, and Texas. Additional sample messages and graphics that can be used for Facebook and Instagram Stories will be released in coming months.
[link removed]
If you have questions about the toolkit, want to co-brand, or need help getting started, email
[email protected] (mailto:
[email protected]).
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Notable Publications
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“Interim Guidance for Prevention and Treatment of Monkeypox in Persons with HIV Infection—United States, August 2022” published in MMWR Early Release
CDC published Interim Guidance for Prevention and Treatment of Monkeypox in Persons with HIV Infection—United States, August 2022 ([link removed]) on August 5 in an MMWR Early Release. A portion of the summary appears below.
A multinational monkeypox outbreak disproportionately affecting men who have sex with men, including persons with HIV infection, is ongoing worldwide....
CDC has developed clinical considerations for prevention and treatment of monkeypox in persons with HIV infection, including pre-exposure and postexposure prophylaxis with JYNNEOS vaccine, treatment with tecovirimat, and infection control....
Persons with advanced HIV might be at increased risk for severe monkeypox. Postexposure prophylaxis and antiviral treatments are available for persons with HIV infection. Prompt diagnosis and treatment and enhanced prevention efforts might reduce the risk for severe outcomes.
Access the MMWR article in HTML ([link removed]) or PDF ([link removed]) .
Related Links
* CDC: Considerations for Monkeypox Vaccination ([link removed]) web page
* CDC MMWR Early Release: Epidemiologic and Clinical Characteristics of Monkeypox Cases — United States, May 17–July 22, 2022 ([link removed]) (8/5/22)
* Immunize.org: Vaccines: Monkeypox ([link removed]) main page
* MMWR's main page ([link removed]) provides access to MMWR Weekly and its companion publications
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“Post-COVID Symptoms and Conditions among Children and Adolescents—United States, March 1, 2020–January 31, 2022” published in MMWR
CDC published Post-COVID Symptoms and Conditions among Children and Adolescents—United States, March 1, 2020–January 31, 2022 ([link removed]) on August 5 in MMWR. A portion of the summary appears below.
Children and adolescents might be at risk for certain post-COVID symptoms and conditions....
Compared with patients aged 0–17 years without previous COVID-19, those with previous COVID-19 had higher rates of acute pulmonary embolism (adjusted hazard ratio = 2.01), myocarditis and cardiomyopathy (1.99), venous thromboembolic event (1.87), acute and unspecified renal failure (1.32), and type 1 diabetes (1.23), all of which were rare or uncommon in this study population....
COVID-19 prevention strategies, including vaccination for all eligible persons aged ≥6 months, are critical to preventing SARS-CoV-2 infection and subsequent illness, and reducing the public health impact of post-COVID symptoms and conditions among persons aged 0–17 years.
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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Upcoming Events
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On-demand: CDC’s recorded chapter-by-chapter webinars on vaccine-preventable diseases and best practices from “The Pink Book,” now rolling out weekly; CE available
CDC continues its 19-part pre-recorded webinar series ([link removed]) to provide a chapter-by-chapter overview of the 14th edition of Epidemiology and Prevention of Vaccine-Preventable Diseases ([link removed]) (also known as "The Pink Book").
The seventh webinar, on DTaP and Tdap, was released on August 9; no registration is required. Additional webinars will be released weekly, concluding on November 1, 2022.
Information and program details are available on CDC's Pink Book Webinars series ([link removed]) web page.
CME, CNE, CPE, and CEU credits are available for each event. Questions about the material can be submitted to
[email protected] (mailto:
[email protected]) .
Back to top (#Top)
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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])
ISSN: 2771-8085
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