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Issue 1472: January 8, 2020

-TOP STORIES-
* FDA approves first U.S.-licensed vaccine for prevention of Ebola virus disease, a critical public health milestone
* CDC publishes “Ebola Virus Disease Outbreak—Democratic Republic of the Congo, August 2018–November 2019” in December 20 MMWR
* CDC releases "Recommendations for Providing Quality Sexually Transmitted Diseases Clinical Services, 2020" in MMWR Recommendations and Reports
* IAC Spotlight! Just in case you missed them, these IAC materials and web pages were updated during November and December
* There are now 1,121 organizations enrolled in IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination
* Reminder: National Adult and Influenza Immunization Summit soliciting nominations for its 2020 Immunization Excellence Awards
* Voices for Vaccines releases new Vax Talk podcast episode titled “Madi's Influenza Story”
* IAC's elegantly designed "Vaccines Save Lives" black enamel pins are a great way to show you value immunization!
* Flu season is ongoing, so make sure you have IAC's new "FLU VACCINE" buttons for staff and patient stickers on hand!

-IAC HANDOUTS-
* IAC posts new Spanish translation of “Which Vaccines Do I Need Today?”

-VACCINE INFORMATION STATEMENTS-
* IAC posts updated translations of both zoster recombinant and zoster live VISs in Portuguese and Haitian Creole, as well as the cholera VIS in Turkish
* New translations of the PPSV23 VIS are now available in Italian, Polish, Urdu, and Yiddish, and updated translations are available in Bengali, Haitian Creole, Korean, and Portuguese

-FEATURED RESOURCES-
* Influenza season is here; please continue vaccinating through the winter months to prevent flu from spreading further
* CDC updates the meningococcal disease chapter of its Manual for the Surveillance of Vaccine-Preventable Diseases
* 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-
* Vaccine Education Center at Children's Hospital of Philadelphia publishes December issue of its newsletter Vaccine Update
* December issue of CDC’s Immunization Works newsletter now available; subscribe for monthly immunization resources and information
* CDC publishes “Estimating the Incidence of Influenza at the State Level—Utah, 2016–17 and 2017–18 Influenza Seasons” in MMWR


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TOP STORIES
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FDA APPROVES FIRST U.S.-LICENSED VACCINE FOR PREVENTION OF EBOLA VIRUS DISEASE, A CRITICAL PUBLIC HEALTH MILESTONE

On December 19, the FDA issued a news release ([link removed]) on Ervebo, the first FDA-approved vaccine for the prevention of the Ebola virus. The approval was granted to Merck & Co. The first paragraph of the press announcement is reprinted below.

The U.S. Food and Drug Administration announced today the approval of Ervebo, the first FDA-approved vaccine for the prevention of Ebola virus disease (EVD), caused by Zaire ebolavirus in individuals 18 years of age and older. Cases of EVD are very rare in the U.S., and those that have occurred have been the result of infections acquired by individuals in other countries who then traveled to the U.S., or health care workers who became ill after treating patients with EVD.

Access the full article: First FDA-Approved Vaccine for the Prevention of Ebola Virus Disease, Marking a Critical Milestone in Public Health Preparedness and Response ([link removed])

Related Links
* FDA approval letter for Ervebo vaccine ([link removed])
* Package insert for Ervebo vaccine ([link removed])
* FDA web page for Ervebo vaccine ([link removed])
* Merck news release: Merck Announces FDA Approval for Ervebo (Ebola Zaire Vaccine, Live)(12/20/19) ([link removed])
* Visit IAC’s Package Inserts & FDA Product Approvals web page([link removed])


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CDC publishes “Ebola Virus Disease Outbreak—Democratic Republic of the Congo, August 2018–November 2019” in December 20 MMWR

CDC published Ebola Virus Disease Outbreak—Democratic Republic of the Congo, August 2018–November 2019 ([link removed]) in the December 20 issue of MMWR (pages 1162–1165). A summary made available to the press is reprinted below.

The Democratic Republic of Congo’s (DRC) Ministry of Health (MoH), along with international partners, have improved the MoH’s ability to respond to the DRC’s current Ebola epidemic and to identify targeted intervention strategies for affected health zones. However, because this outbreak is happening in the context of more violence than seen in earlier outbreaks, there is a need for innovative approaches beyond the conventional Ebola response. On August 1, 2018, the DRC MoH declared the tenth outbreak of Ebola virus disease (Ebola) in DRC, in the North Kivu Province in eastern DRC on the border with Uganda. From the beginning of the outbreak to November 17, 2019, a total of 3,296 Ebola cases and 2,196 (67%) deaths were reported, making this the second largest documented outbreak after the 2014–2016 epidemic in West Africa. Since August 2018, the DRC MoH has been collaborating with international partners to control the outbreak. Although the DRC has successfully contained Ebola outbreaks in
the past, challenges specific to North Kivu and Ituri provinces have complicated outbreak control. Limited infrastructure and resources, armed conflict, and community distrust of local authorities and international partners are major challenges faced by the Ebola response.

Access the complete report:
* In PDF format ([link removed])
* In HTML format ([link removed])

Related Links
* MMWR Weekly, December 20, 2019, in PDF format ([link removed])
* MMWR main page ([link removed]) provides access to MMWR Weekly, MMWR Recommendations and Reports, MMWR Surveillance Summaries, and MMWR Supplements


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CDC releases "Recommendations for Providing Quality Sexually Transmitted Diseases Clinical Services, 2020" in MMWR Recommendations and Reports

CDC released Recommendations for Providing Quality Sexually Transmitted Diseases Clinical Services, 2020 ([link removed]) in the January 3 issue of MMWR Recommendations and Reports. A summary made available to the press is reprinted below.

Health care settings can use CDC’s recommendations to assess and identify opportunities to build, maintain, or enhance their delivery of STD care. Approximately 20 million new cases of sexually transmitted diseases (STDs) occur every year in the United States, and the rates for most STDs have increased in recent years. Timely diagnosis and treatment are critical to reduce STD transmission. A new CDC report, Recommendations for Providing Quality Sexually Transmitted Diseases Clinical Services (STD QCS), highlights the services healthcare settings can offer to provide the highest-quality STD clinical care for patients, including on-site testing and treatment and other services that should be available on the same day of the patient visit. Healthcare settings can use the recommendations to assess which STD care services they should offer and identify opportunities to build, maintain or enhance their delivery of STD care. STD QCS complements CDC’s 2015 Sexually Transmitted Diseases Treatment
Guidelines, which provides guidance on the clinical management of patients with or at risk for STDs in the United States.

Access the complete report:
* In PDF format ([link removed])
* In HTML format ([link removed])

Related Links
* CDC's 2015 STD Treatment Guidelines ([link removed]) pdf ([link removed])
* MMWR Recommendations and Reports main page ([link removed])


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IAC SPOTLIGHT! JUST IN CASE YOU MISSED THEM, THESE IAC MATERIALS AND WEB PAGES WERE UPDATED DURING NOVEMBER AND DECEMBER

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 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 ([link removed]) .

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

Educational Materials for Healthcare Professionals
* Current Dates of Vaccine Information Statements (VISs) ([link removed])
* You Must Provide Patients with Vaccine Information Statements (VISs) – It’s Federal Law! ([link removed])
* Communicating the Benefits of Seasonal Influenza Vaccination ([link removed])
* Screening Checklist for Contraindications to Live Attenuated Intranasal Influenza Vaccination ([link removed]) ; also available in Spanish ([link removed])
* Declination of Influenza Vaccination Form ([link removed])

Handouts for 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]); also available in Spanish ([link removed])
* Hepatitis A Is a Serious Disease…Make Sure Your Child Is Protected! ([link removed]); also available in Spanish ([link removed])
* Hepatitis B Is a Serious Disease…Make Sure Your Child Is Protected! ([link removed]); also available in Spanish ([link removed])
* Hib Is a Serious Disease…Make Sure Your Child Is Protected! ([link removed]) ; also available in Spanish ([link removed])
* HPV Is a Serious Disease…Make Sure Your Child Is Protected! ([link removed]); also available in Spanish ([link removed])
* Influenza Is a Serious Disease…Make Sure Your Child Is Protected! ([link removed]); also available in Spanish ([link removed])
* Measles, Mumps, and Rubella Are Serious Diseases…Make Sure Your Child Is Protected!; ([link removed]) also available in Spanish ([link removed])
* Meningococcal Disease Is Serious…Make Sure Your Child Is Protected! ([link removed]); also available in Spanish ([link removed])
* Pneumococcal Disease Is Serious…Make Sure Your Child Is Protected! ([link removed]); also available in Spanish ([link removed])
* Polio Is a Serious Disease…Make Sure Your Child Is Protected! ([link removed]); also available in Spanish ([link removed])
* Rotavirus Is a Serious Disease…Make Sure Your Child Is Protected! ([link removed]); also available in Spanish ([link removed])
* Whooping Cough, Tetanus, and Diphtheria Are Serious Diseases…Make Sure Your Child Is Protected! ([link removed]); also available in Spanish ([link removed])

Updated Web Sections and Pages
* Talking About Vaccines: Responding to Parents web page ([link removed])
* Current Issues in Influenza webinar ([link removed]) from Dr. L.J Tan and slide set ([link removed])
* To Err Is Human: Not to Err Is Better! Vaccination Errors and How to Prevent Them ([link removed]) ([link removed]) slide set

Updated VISs and 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 and updated translations
* 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 and updated translations
* Zoster Recombinant VIS web page ([link removed]) includes new final Zoster Recombinant VIS and updated translations
* Cholera VIS web page ([link removed]) includes new final Cholera VIS and Turkish translation
* Typhoid VIS web page ([link removed]) includes new final Typhoid VIS and Turkish translation
* Japanese Encephalitis VIS web page ([link removed]) includes new final JE VIS (8/15/2019) and Hindi translation
* Varicella VIS web page ([link removed]) has correction to Japanese translation

Related Links
* Visit IAC’s View 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 IAC 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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There are now 1,121 organizations enrolled in IAC's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination

There are now 1,121 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 December 4, when IAC Express last reported on the Influenza Vaccination Honor Roll, eight 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
* Eskenazi Health, Indianapolis, IN
* Excelsior Springs Medical Center, Excelsior Springs, MO
* Tulia Rural Health Clinic, Tulia, TX
* Moab Regional Hospital, Moab, UT
* The Auberge at Aspen Park, Salt Lake City, UT
* Ho-Chunk Nation Department of Health, Baraboo, WI
* Casper Children’s Center, Casper, WY
* U.S. Naval Hospital, Naples, Italy

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's Honor Roll for Patient Safety ([link removed]) web page
* IAC's Hepatitis B Birth Dose Honor Roll ([link removed]) section on immunize.org ([link removed])


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REMINDER: NATIONAL ADULT AND INFLUENZA IMMUNIZATION SUMMIT SOLICITING NOMINATIONS FOR ITS 2020 IMMUNIZATION EXCELLENCE AWARDS

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).

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 Winners in each category will be invited to present their programs at the NAIIS meeting.

Nominations deadline is February 1, 2020.

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

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


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Voices for Vaccines releases new Vax Talk podcast episode titled “Madi's Influenza Story”

Voices for Vaccines (VFV) ([link removed]) has posted a new entry in its Vax Talk podcast series: Madi's Influenza Story ([link removed]). Karen Ernst, executive director, VFV, and Shelle Allen, President of Families Fighting Flu ([link removed]) and Madi's mother, engage in a lively, in-depth discussion of Madi's months-long battle with influenza.

If you or your organization would like information about how to become a sponsor of a VFV Vax Talk podcast, please contact VFV's executive director Karen Ernst, at [email protected] (mailto:[email protected]).

Voices for Vaccines is a national organization of parents and others who are dedicated to raising the level of the voices of immunization supporters. VFV invites everyone who values vaccines to become a member. Please spread the word to your friends and colleagues to join VFV!

Related Links
* Visit the VFV website podcast page ([link removed])
* Subscribe to Vax Talk via iTunes ([link removed]) or Google Play ([link removed])
* Visit the Voices for Vaccines website ([link removed])
* Join Voices for Vaccines ([link removed]) and receive weekly email updates
* Follow Voices for Vaccines on Facebook ([link removed])
* Visit the Families Fighting Flu ([link removed]) website


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IAC'S ELEGANTLY DESIGNED "VACCINES SAVE LIVES" BLACK ENAMEL PINS ARE A GREAT WAY TO SHOW YOU VALUE IMMUNIZATIONS!

IAC’s new elegantly designed “Vaccines Save Lives” pin ([link removed]) on hard black enamel with gold lettering and edges makes the statement that you care about immunization.

[link removed]

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!

[link removed]

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 ONGOING, 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.

[link removed]

“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, these 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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IAC HANDOUTS
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IAC POSTS NEW SPANISH TRANSLATION OF “WHICH VACCINES DO I NEED TODAY?”

IAC recently posted a new Spanish-language version of its “Which Vaccines Do I Need Today?” This version now matches the English-language version which was revised in January 2019.

* ¿Cuáles vacunas necesito hoy? ([link removed]) (Spanish-language version)
* English-language version ([link removed] ) for reference

Related Links
* IAC's Handouts: ([link removed]) Screening Checklists ([link removed]) web page
* IAC's Handouts for Patients & Staff ([link removed]) web section


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VACCINE INFORMATION STATEMENTS
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IAC POSTS UPDATED TRANSLATIONS OF BOTH ZOSTER RECOMBINANT AND ZOSTER LIVE VISS IN PORTUGUESE AND HAITIAN CREOLE, AS WELL AS THE CHOLERA VIS IN TURKISH

IAC has posted updated Portuguese-language and Haitian Creole-language versions of the zoster recombinant and zoster live VISs as well as an updated cholera Turkish-language VIS. IAC thanks the Massachusetts Department of Public Health, Immunization Program for the updated zoster recombinant and zoster live VIS translations. A special thank you to Betül Polatdemir, MD, and Sibel Bostancıoğlu, MD, both from Ankara, Turkey for the updated cholera VIS translation.

Access these updated translations below.

Zoster recombinant VIS
* Haitian Creole ([link removed])
* Portuguese ([link removed])

Zoster live VIS
* Haitian Creole ([link removed])
* Portuguese ([link removed] )

Cholera VIS
* Turkish ([link removed])

Related Links
* Access all zoster recombinant VIS translations ([link removed]), as well as the English-language version
* Access all zoster live VIS translations ([link removed]), as well as the English-language version
* Access all cholera VIS translations ([link removed]), as well as the English-language version
* 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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NEW TRANSLATIONS OF THE PPSV23 VIS ARE NOW AVAILABLE IN ITALIAN, POLISH, URDU, AND YIDDISH, AND UPDATED TRANSLATIONS ARE AVAILABLE IN BENGALI, HAITIAN CREOLE, KOREAN, AND PORTUGUESE

IAC has posted new translations of the PPSV23 VIS in Italian, Polish, Urdu, and Yiddish, as well as updated translations in Bengali, Haitian Creole, Korean, and Portuguese. The first seven languages above were donated by the New York City Department of Health and Mental Hygiene. The Portuguese translation was donated by the Massachusetts Department of Public Health, Immunization Program.

Access these new and updated PPSV23 VIS translations below.
* Italian ([link removed]) —new!
* Polish ([link removed]) —new!
* Urdu ([link removed]) —new!
* Yiddish ([link removed]) —new!
* Bengali ([link removed]) —updated
* Haitian Creole ([link removed]) —updated
* Korean ([link removed]) —updated
* Portuguese ([link removed]) —updated

Related Links
* Access all PPSV23 VIS translations ([link removed]), as well as the English-language version
* IAC's VIS web section ([link removed]) for VISs in up to 50 languages ([link removed]) ([link removed])


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FEATURED RESOURCES
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INFLUENZA SEASON IS HERE; PLEASE CONTINUE VACCINATING THROUGH THE WINTER MONTHS TO PREVENT FLU FROM SPREADING FURTHER

According to CDC, seasonal influenza activity in the United States is high and continues to increase. Activity has been elevated for eight weeks according to CDC's Weekly U.S. Influenza Surveillance Report, FluView ([link removed]). The number of jurisdictions reporting regional or widespread activity increased to 50 for the week ending December 28 compared to 48 last week.

Five new influenza-associated pediatric deaths were reported to CDC during the week ending December 28. A total of 27 influenza-associated pediatric deaths have been reported for the 2019–20 season.

Visit the CDC’s Weekly U.S. Influenza Surveillance Report, FluView ([link removed]), for details.

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 or to the HealthMap Vaccine Finder ([link removed]) to 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 Handouts: ([link removed]) Influenza ([link removed]) web page, all materials are free to download and ready to print
* IAC’s Ask the Experts: Influenza ([link removed]) ([link removed]) web page ([link removed])
* IAC’s Vaccines: Influenza ([link removed]) ([link removed]) web page
* National Adult and Influenza Immunization Summit ([link removed]) website
* 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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CDC updates the meningococcal disease chapter of its Manual for the Surveillance of Vaccine-Preventable Diseases

CDC recently updated the meningococcal disease chapter ([link removed]) of its Manual for the Surveillance of Vaccine-Preventable Diseases ([link removed]).
* Chapter 8: Meningococcal Disease ([link removed]) has been updated to reflect authorship conservation and elimination of duplication for the Vaccination section, which now refers the reader to the Pink Book and updated epidemiologic information, surveillance data, and corresponding literature reference

The Manual for the Surveillance of Vaccine-Preventable Diseases ([link removed]) provides current guidelines for those directly involved in surveillance of vaccine-preventable diseases, especially personnel at the local health departments.


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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) on adult immunization ([link removed])


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JOURNAL ARTICLES AND NEWSLETTERS
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Vaccine Education Center at Children's Hospital of Philadelphia publishes December issue of its newsletter Vaccine Update

The Vaccine Education Center (VEC) ([link removed]) at Children's Hospital of Philadelphia publishes a monthly immunization-focused newsletter titled Vaccine Update. The December issue ([link removed]) includes several articles, including the following:
* News & Views—5 Takeaways from 2019 Vaccine Update News & Views Articles ([link removed])
* In The Journals Progress Toward a Universal Influenza Vaccine ([link removed]) by Paul A. Offit, MD
* Technically Speaking - ACIP updates its pneumococcal vaccine recommendations for adults 65 years and older by IAC's Deborah L. Wexler, MD ([link removed])
* On the Bookshelf—Let’s Talk Vaccines: A Clinician’s Guide to Addressing Vaccine Hesitancy and Saving Lives ([link removed]) by Charlotte A. Moser, BS
* Vaccine Resources—Tips for working with patients diagnosed with autism, WHO web info, and CDC videos about HPV ([link removed])

Access the sign-up form ([link removed]) to subscribe to Vaccine Update.


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December issue of CDC’s Immunization Works newsletter now available; subscribe for monthly immunization resources and information

CDC recently released the December ([link removed]) issue ([link removed]). The newsletter offers the immunization community information about current topics. The information is in the public domain and can be reproduced and circulated widely.

Subscribe ([link removed]) to CDC's Immunization Works newsletter ([link removed]) for monthly resources and information on vaccination sent straight to your inbox.

Related Links
* December issue of Immunization Works ([link removed])
* Immunization Works main page with links to archives ([link removed])
* CDC newsletter subscription ([link removed]) ([link removed]) web page


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CDC publishes “Estimating the Incidence of Influenza at the State Level—Utah, 2016–17 and 2017–18 Influenza Seasons” in MMWR

CDC published Estimating the Incidence of Influenza at the State Level—Utah, 2016–17 and 2017–18 Influenza Seasons ([link removed]) in the December 20 issue of MMWR (pages 1158–1161). A summary made available to the press is reprinted below.

Timely state- or local-level estimates of the number of people who are ill and seek medical care due to influenza (flu) contribute to preparedness and communication messages needed during flu season and in the event of a flu pandemic. As flu season approaches, pilot work done at the Utah Department of Health and Salt Lake County Health Department to estimate seasonal flu burden and severity may help inspire other health departments to adopt similar measures. Methods used by CDC to estimate the numbers of people who are ill, seek medical care, or who are hospitalized due to flu nationally were applied for the first time at state and local levels. Results showed that in Utah during the 2017–18 flu season, approximately 11% of Utah residents were sick due to flu, and 3,900 of these people had severe flu illness requiring hospitalization. These findings complement a previous report ([link removed]) on real-time flu season severity estimation in Utah that is
now actively used in the state. State or county health departments may consider adapting these reproducible methods in their jurisdictions to estimate local flu disease burden and severity to help public health officials, policymakers, and clinicians tailor flu messaging, planning, and responses for seasonal flu epidemics and pandemics.

Access the complete report:
* In PDF format ([link removed])
* In HTML format ([link removed])

Related Links
* MMWR Weekly, December 20, 2019, ([link removed]) in PDF format
* MMWR main page ([link removed]) provides access to MMWR Weekly, MMWR Recommendations and Reports, MMWR Surveillance Summaries, and MMWR Supplements


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Video of the Week
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Ballad of Regret–Help Protect against the Flu: In this humorous song and dance performance from the Holderness Family Vlogs, Penn is the only one in the family who didn't get the flu vaccine. He thought that since he was a "bro" and healthy, he didn't need it. Penn is very sick, quarantined, tries many meds, and really regrets it. Next year he will get vaccinated.
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
[link removed]
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
[link removed]
Every practice should have this award winning, "how-to" training video

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Protect Newborns Guidebook

[link removed]
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 (mailto:[email protected])

Associate Editors
Carolyn Bridges, MD, MPH (mailto:[email protected])
Sharon Humiston, MD, MPH (mailto:[email protected])

Consulting Editors
Taryn Chapman, MS (mailto:[email protected])
Marian Deegan, JD (mailto:[email protected])
Courtnay Londo, MA (mailto:[email protected])
Jane Myers, MA, EdM (mailto:[email protected])

Assistant Managing Editor
Liv Augusta Anderson, MPP (mailto:[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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