From Immunize.org <[email protected]>
Subject IZ Express #1,652: COVID-19 resources to prepare for bivalent booster doses, and more
Date September 14, 2022 11:01 AM
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Issue 1,652: September 14, 2022

Top Stories
* Time for a reset! Updated COVID-19 vaccination resources from Immunize​.org and CDC to prepare for this fall’s bivalent booster dose program.
* Happy Mexican Independence Day, September 16! Here’s an orientation to vaccination information and advocacy in Mexico.
* Spanish translations of Immunize​.org’s 2022–2023 influenza vaccination recipient screening forms for contraindications and precautions now available
* Applications due September 15 to become one of several local health departments to gain access to a customized version of the vaccine information research assistant (VIRA) chatbot
* Spotlight: Immunize​.org resources focused on enhancing clinic and practice operations
* Immunize​.org's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination now features 1,292 organizations, including one new facility
* Journalists interview Immunize​.org experts
* Vaccines in the news


Immunize​.org Pages and Handouts
* Reminder: Immunize​.org posts eight printable resources to kick off the new influenza vaccination season. All now feature QR codes for easy access on mobile devices.

Vaccine Information Statements
* Immunize​.org posts Turkish translations of seven Vaccine Information Statements


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


Notable Publications
* Three recent publications in Pediatrics showcase the value of routine childhood immunization in averting vaccine-preventable diseases
* "Trends in Parents’ Confidence in Childhood Vaccines during the COVID-19 Pandemic" published in Pediatrics


Global News
* “Detection of a Highly Divergent Type 3 Vaccine-Derived Poliovirus in a Child with a Severe Primary Immunodeficiency Disorder—Chongqing, China, 2022” published in MMWR


Upcoming Events
* Virtual: Children's Hospital of Philadelphia hosts webinar to honor winners of the 2022 Maurice R. Hilleman Essay Contest on September 23
* On-demand: CDC’s “The Pink Book” chapter webinars on vaccine-preventable diseases and best practices roll out weekly. Varicella chapter now available, with CE.


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Top Stories
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Time for a reset! Updated COVID-19 vaccination resources from
Immunize​.org and CDC to prepare for this fall’s bivalent booster dose program.

The September 1, 2022, recommendation for bivalent COVID-19 booster doses for all people age 12 years and older who have completed a primary series, regardless of previous booster doses, represents a major reset in the U.S. COVID-19 vaccination program. Every practice involved in administering or recommending COVID-19 vaccination needs to review and update its practices and patient materials now. CDC and FDA have issued important updated fact sheets, immunization schedules, clinical considerations, and vaccine administration resources. Immunize​.org helps you access all of this new information easily. Here are resources and links you need to have at hand:

* Immunize​.org updated four-page job aid, Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools ([link removed]). This checklist links you to the latest version of all CDC and FDA COVID-19 vaccine guidance and resources for all ages.

* Immunize​.org Ask the Experts: COVID-19 ([link removed]) web page has dozens of clinical questions and answers, all up to date with CDC guidance as of September 8

* Immunize​.org’s Vaccines: COVID-19 ([link removed]) main page will be updated on or before September 16 with a comprehensive list of links to CDC, FDA, and partner resources for COVID-19 vaccination programs.

You will see in our materials that bivalent mRNA vaccine resources have been added and links to most resources for the original monovalent Pfizer-BioNTech “purple cap” formulation have been removed. All remaining doses of this purple cap formulation expire at the end of this month. As guidelines for COVID-19 vaccines are updated and new CDC materials are released, the page will continue to be updated.

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

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Happy Mexican Independence Day, September 16! Here’s an orientation to vaccination information and advocacy in Mexico.

¡Viva México! September 16 is the 212th anniversary of Mexico’s independence. We celebrate the people of Mexico by sharing select Mexican resources for vaccination information and advocacy. Best wishes to all our friends delivering vaccinations to the people of Mexico!

Expert committees:
* Consejo Nacional de Vacunación (CONAVA) ([link removed]), National Advisory Committee for Vaccination, counterpart to ACIP

Advocacy groups and resources:
* Asociación Mexicana de Vacunología ([link removed])
* Alianza por la Vacunación ([link removed])

Helpful resources:
* Boletín Epidemiológico ([link removed]): Sistema Nacional de Vigilancia Epidemiológica Sistema Único de Información (Epidemiological Bulletin: National Epidemiological Surveillance System Unique Information System), counterpart to MMWR
* Lineamientos Generales del Programa de Vacunación Universal y Jornadas de Salud Pública 2020 ([link removed]) (General Guidelines of the Universal Vaccination Program and Public Health Conference 2020)
* Esquema Nacional de Vacunación ([link removed]) (routine immunization schedule)

COVID-19 materials:
* Gobierno de México: Vacunación COVID information for the public ([link removed]) as well as technical documents ([link removed])
* COFEPRIS (counterpart to FDA) Actions Regarding COVID-19: Acciones sobre COVID-19 ([link removed])

Government institutions:
* Programa Nacional de Vacunación ([link removed]) (National Vaccination Program)
* Comisión Federal para la Protección contra Riesgos Sanitarios (COFEPRIS) ([link removed]) (Federal Commission for Protection Against Health Risks), counterpart to FDA
* Vacunas Autorizadas en México Incluyendo Fichas Tecnicas ([link removed]) (Vaccines Registered in Mexico, including technical sheets)

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Spanish translations of Immunize​.org’s 2022–2023 influenza vaccination recipient screening forms for contraindications and precautions now available

Spanish translations of Immunize​.org's 2022–2023 recipient screening forms, Screening Checklist for Contraindications to Inactivated Injectable Influenza Vaccination ([link removed]) (English ([link removed]) version) and Screening Checklist for Contraindications to Live Attenuated Intranasal Influenza Vaccination ([link removed]) (English ([link removed]) version), are now available for healthcare providers to print and use.

Both forms display new footers that include a QR code on the first page. Scan the QR code to access the current document on your mobile devices.

Related Links
* Immunize​.org: Screening Checklists about Vaccine Contraindications and Precautions ([link removed]) main page
* Immunize​.org: Vaccines: Influenza ([link removed]) main page
* Immunize​.org: Handouts: Influenza ([link removed]) main page
* Immunize​.org: Handouts: Spanish Translations ([link removed])

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Applications due September 15 to become one of several local health departments to gain access to a customized version of the vaccine information research assistant (VIRA) chatbot

Johns Hopkins University’s International Vaccine Access Center (IVAC), in collaboration with IBM Research, developed VIRA, the Vaccine Information Research Assistant chatbot ([link removed]) that offers trustworthy answers to COVID-19 vaccine questions. Through a collaboration with the National Association of County and City Health Officials (NACCHO) ([link removed]), VIRA is being fully customized for use by several major U.S. health departments.

To be considered, health departments serving over 500,000 people must submit the simple online application form ([link removed]) by September 15.

Health departments selected for the VIRA X NACCHO collaboration will receive technical support to embed VIRA in their organization's web page and related health campaigns, as well as real-time data showing trending and emerging concerns surrounding COVID-19.

Visit and share a link to ([link removed]) VIRA ([link removed]) ([link removed]) on social media or your organization's website.

Related Link
* NACCHO: Apply to Get a Custom AI Chatbot to Fight COVID-19 Misinformation ([link removed])

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Spotlight: Immunize​.org resources focused on enhancing clinic and practice operations

In this week's Spotlight, we summarize Immunize​.org resources that focus on enhancing clinic and practice operations.

Our topic index on our Clinic Tools ([link removed]) main page is a one-stop source of practical information for vaccine providers. You will find "how-to" information about vaccinating in any setting.

Our ([link removed]) Clinic Tools: Storage and Handling ([link removed]) main page offers printable temperature logs to monitor freezers and refrigerators. This site also includes a troubleshooting record to document the occurrence and resolution of questionable or unacceptable vaccine storage events.

Our Clinic Tools: Documenting Vaccination ([link removed]) main page offers forms to document vaccination or declination of vaccination, as well as various forms and checklists useful to healthcare personnel.

Our Key Vaccination Resources for Healthcare Professionals ([link removed]) is a 5-page annotated list of resources for people who vaccinate or oversee vaccination clinics. The document lists foundational content with which every vaccinator should be familiar, supplemental content useful after completing foundational training, and additional tools to help providers grow in vaccination expertise.

Our free downloadable book, Vaccinating Adults: A Step-by-Step Guide ([link removed]), is a "how to" guide that provides easy-to-use, practical information covering essential adult immunization activities.

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Immunize​.org's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination now features 1,292 organizations, including one new facility

Immunize​.org's Influenza Vaccination Honor Roll ([link removed]) recognizes facilities that take a stand for patient safety by implementing policies for mandatory healthcare personnel influenza vaccination. There are now 1,292 organizations enrolled. Since July 21, 2022, one additional healthcare organization has been recognized.
* UCLA Arthur Ashe Student Health & Wellness Center, Los Angeles, CA

Eligibility:
* Eligible organizations: Hospitals, long-term care facilities, medical practices, pharmacies, professional organizations, health departments, and other government entities
* Requirements:
+ Your policy must require influenza vaccination for all staff
+ The application ([link removed]) must describe measures to prevent transmission of influenza from unvaccinated personnel to patients (e.g., masking for the entire work shift)

Related Links
* Immunize​.org: List of Influenza Vaccination Honorees, all healthcare settings ([link removed]), by state
* Immunize​.org: Long-Term Care/Assisted Living Influenza Vaccination Honorees ([link removed]) by state
* Immunize​.org: Influenza Vaccination Honor Roll program ([link removed]), including:
+ Position statements ([link removed]) from professional societies and leading healthcare organizations in support of mandatory influenza vaccination
+ Application form for Influenza Vaccination Honor Roll ([link removed])
* Immunize​.org: Honor Roll for Patient Safety ([link removed]) web 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.

* USA Today: Providers Report Dozens of Errors Giving Pfizer’s COVID Vaccine. Experts Worry New Boosters Will Fuel More ([link removed]) (9/7/22)

Back to top (#Top)
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Vaccines in the news

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

* CNN: Black and Hispanic People Are More Likely to Get Monkeypox but Less Likely to Be Vaccinated ([link removed]) (9/3/22)

* AAP: American Academy of Pediatrics Urges Families to Get Children Vaccinated for Influenza to Prevent and Control Illness in 2022–23 ([link removed]) (9/6/22)

* Politico: COVID Vaccine Drive for Youngest Kids off to Underwhelming Start, Data Shows ([link removed]) (9/1/22)

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Immunize​.org Pages and Handouts
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Reminder: Immunize​.org posts eight printable resources to kick off the new influenza vaccination season. All now feature QR codes for easy access on mobile devices.

In addition to its very popular standing orders templates and screening checklists for contraindications, Immunize​.org posted eight additional influenza vaccination resources updated for the 2022–2023 season. Scanning the QR code in the footer of each document gives you immediate access to that document on your mobile devices.

All of these resources are designed to support your efforts to ensure high rates of influenza vaccination this season and protect the public from the seasonal epidemic threat of influenza.

The updated resources include:

Understanding contraindications and precautions
* Influenza Vaccination of People with a History of Egg Allergy ([link removed])
* Not Sure If You Can Get an Influenza Vaccine? ([link removed])
* Talking with Your Patient about Contraindications and Precautions to Influenza Vaccination ([link removed])

Other influenza-related resources
* Don't Take Chances with Your Family's Health – Make Sure You All Get Vaccinated against Influenza Every Year! ([link removed])
* Declination of Influenza Vaccination ([link removed])
* Guide for Determining the Number of Doses of Influenza Vaccine to Give to Children Age 6 Months through 8 Years ([link removed])
* How to Administer Intramuscular and Intranasal Influenza Vaccines ([link removed])
* Influenza: Questions and Answers ([link removed]) (also updated to include ACIP’s new preference for enhanced vaccines for adults age 65 and older)

Related Links
* Immunize​.org: Vaccines: Influenza ([link removed]) main page
* Immunize​.org: Handouts: Influenza ([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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Vaccine Information Statements
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Immunize​.org posts Turkish translations of seven Vaccine Information Statements

Immunize​.org posted Turkish translations ([link removed]) of Vaccine Information Statements ([link removed]) (VISs) issued by CDC on August 6, 2021 and October 15, 2021. These translations were generously donated by Betül Polatdemir, MD, Losante Children’s and Adult Hospital, Ankara, Turkey, and Nur Polatdemir Çevik, Near East University, Nicosia, Cyprus.

All translations are available in print-ready PDF format.

VIS translations in Turkish ([link removed]):
* Adenovirus vaccine VIS PDF ([link removed]) (view in English ([link removed]) )

* Anthrax vaccine VIS PDF ([link removed]) (view in English ([link removed]) )

* Japanese encephalitis vaccine VIS PDF ([link removed]) (view in English ([link removed]) )

* Multi pediatric vaccines VIS PDF
([link removed]) (view in English ([link removed]) )

* Pneumococcal conjugate vaccine VIS PDF ([link removed]) (view in English ([link removed]) )

* Yellow fever vaccine VIS PDF ([link removed]) (view in English ([link removed]) )

* Recombinant zoster (shingles) vaccine PDF ([link removed]) (view in English ([link removed]) )

Related Links
* Immunize​.org: Vaccine Information Statement ([link removed]) main page for VISs in 47 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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Featured Resources
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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 fit in a wallet when folded. Give the record cards to your patients as a permanent personal vaccination record.

* Child & Teen Immunization Record Card ([link removed])

* Adult Immunization Record Card ([link removed])

* Lifetime Immunization Record Card ([link removed])

They are sold in boxes of 250. 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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Notable Publications
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Three recent publications in Pediatrics showcase the value of routine childhood immunization in averting vaccine-preventable diseases

In the August 22 issue, Pediatrics published three journal articles focused on the value of routine childhood immunization and the effectiveness of vaccines in reducing vaccine-preventable diseases.

* Impact of Routine Childhood Immunization in Reducing Vaccine-Preventable Diseases in the United States ([link removed])

* Value of the Immunization Program for Children in the 2017 U.S. Birth Cohort ([link removed])

* Vaccines Are Profoundly Effective, and We Can’t Stop There (Commentary) ([link removed])

A highlight from the results section of the "Value" article ([link removed]) appears below.

Over the cohort’s lifetime, routine childhood immunization prevented over 17 million cases of disease and 31 000 deaths; 853 000 life years and 892 000 quality-adjusted life-years were gained. Estimated vaccination costs ($8.5 billion) were fully offset by the $63.6 billion disease-related averted costs. Routine childhood immunization was associated with $55.1 billion ([benefit-cost ratio] BCR of 7.5) and $13.7 billion (BCR of 2.8) in averted costs from a societal and healthcare payer perspective, respectively.

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"Trends in Parents’ Confidence in Childhood Vaccines during the COVID-19 Pandemic" published in Pediatrics

In the August 30 issue, Pediatrics published Trends in Parents’ Confidence in Childhood Vaccines during the COVID-19 Pandemic ([link removed]). A portion of the discussion appears below.

In this national sample, the proportion of parents concerned about the safety and side effects of routine childhood vaccines increased significantly between April 2020 and March 2022; this trend was also observed for most parent subgroups. However, parent confidence in the benefits and effectiveness of childhood vaccines remained high. Our findings underscore the important role of pediatricians in addressing parents’ concerns about childhood vaccines, as they are highly trusted by parents about vaccinations and can address vaccine hesitancy. Pediatricians should therefore ask hesitant parents about their particular concerns and be prepared to address safety concerns.

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Global News
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“Detection of a Highly Divergent Type 3 Vaccine-Derived Poliovirus in a Child with a Severe Primary Immunodeficiency Disorder—Chongqing, China, 2022” published in MMWR

CDC published Detection of a Highly Divergent Type 3 Vaccine-Derived Poliovirus in a Child with a Severe Primary Immunodeficiency Disorder—Chongqing, China, 2022 ([link removed]) on September 9 in MMWR ([link removed]). A summary appears below.

Surveillance of acute flaccid paralysis (AFP) and wastewater (environmental) are critical to polio eradication efforts. Children with primary immunodeficiency disorders (PIDs) can excrete vaccine-derived polioviruses (VDPVs), which can hamper eradication efforts....

In March 2022, a type 3 VDPV was detected in stool specimens from an infant with PID who was hospitalized in Children’s Hospital of Chongqing Medical University, China. Surveillance for poliovirus in PID patients has increased detection of immunodeficiency-related (iVDPV) cases....

Integrated systematic poliovirus surveillance, including AFP, environmental, and iVDPV surveillance, is critical to the detection and containment of all polioviruses and achievement of global polio eradication.

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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Virtual: Children's Hospital of Philadelphia hosts webinar to honor winners of the 2022 Maurice R. Hilleman Essay Contest on September 23

Children's Hospital of Philadelphia (CHOP) will host a virtual webinar titled Determination in Science ([link removed]) on September 23 from 3:00 to 5:00 p.m. (ET). This event will celebrate the legacy of prolific vaccine developer, Dr. Maurice Hilleman, and honor the winners of the 2022 Maurice R. Hilleman Essay Contest ([link removed]). The winners will each receive $1,000, a certificate, a VEC prize bag, and recognition during this virtual event.

Register for the Determination in Science ([link removed]) virtual event.

Related Links
* The Vaccine Makers Project ([link removed]) website
* VEC: Hilleman Film ([link removed]) website

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On-demand: CDC’s “The Pink Book” chapter webinars on vaccine-preventable diseases and best practices roll out weekly. Varicella chapter now available, with CE.

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").

Webinar #12, "Varicella," was released on September 13. Additional webinars will be released weekly, concluding on November 1, 2022.

No registration is required to view the sessions. Information and program details are available on CDC's Pink Book Webinars ([link removed]) series web page.

CME, CNE, CPE, and CEU credits are available for each event. Questions about the material can be submitted to [email protected].

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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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