From Immunize.org <[email protected]>
Subject IZ Express #1,676: Revised Checklist of U.S. COVID-19 Vaccination Guidance and Clinic Tools, and more
Date February 8, 2023 11:00 AM
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Issue 1,676: February 8, 2023
Top Stories
* Stay up to date: Immunize​.org expands its "Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools"
* February is American Heart Month; a heart-healthy lifestyle includes vaccination
* February is National Cancer Prevention Month; arm your patients with HPV and hepatitis B vaccinations to prevent cancer
* Influenza activity is trending downward across the country; keep vaccinating
* Immunize​.org's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination now features 1,298 organizations, including one new facility
* Spotlight: Immunize​.org resources focused on enhancing clinic and practice operations
* Vaccines in the news


Immunize​.org Pages and Handouts
* Immunize​.org updates handout titled “Hepatitis B and Healthcare Personnel”
* Immunize.org updates "Hepatitis B: Questions and Answers"
* Immunize.org updates two handouts for pneumococcal vaccines used in children and teens
* Immunize.org updates "Standing Orders for Administering Diphtheria, Tetanus, and Acellular Pertussis (DTaP) Vaccine to Children Younger than Age 7 Years"


Featured Resources
* AAP and FrameWorks Institute publish “Reframing the Conversation about Child and Adolescent Vaccinations,” with recommendations for communicating
* Order Immunize​.org’s child, adult, and lifetime immunization record cards—wallet-sized, designed to last!


Notable Publications
* “What Happens When COVID-19 Emergency Declarations End? Implications for Coverage, Costs, and Access” published by Kaiser Family Foundation
* MMWR Recap: Articles regarding COVID-19 infection and vaccination


Upcoming Events
* Virtual: “Improving the Vaccination Experience: Reducing Pain and Anxiety for Children and Adults”; Join Immunize.org February 28 for our webinar


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Top Stories
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Stay up to date: Immunize​.org expands its "Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools"

Immunize​.org expanded its job aid, Checklist of Current Versions of U.S. COVID-19 Vaccination Guidance and Clinic Support Tools ([link removed]) , on February 5, to help you keep up with changes to COVID-19 vaccine guidance and resources.

This expanded version now includes:
* Links to translations of COVID vaccine fact sheets for recipients and caregivers
* New storage and handling sections providing links to expiration-date tools, storage-temperature logs, and guidance for transporting vaccine to off-site locations

Immunize​.org updates this checklist at least monthly, prominently indicating when it was last updated at the top of the page.

All COVID-19 vaccination providers should 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 ([link removed]) main page summarizing use of COVID-19 vaccines in the United States

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February is American Heart Month; a heart-healthy lifestyle includes vaccination
February is American Heart Month ([link removed]) , a time for people to focus on their cardiovascular health. Every year, thousands of people with heart disease and those who suffered stroke are at increased risk of serious complications from vaccine-preventable infections. Vaccines of particular importance for people with heart disease include:
* COVID-19
* Influenza
* Pneumococcal
* Zoster

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Visit CDC's American Heart Month Toolkits 2023 ([link removed]) main page for resources you can use to help encourage people to reduce risks for cardiovascular disease.

Related Links
* CDC: American Heart Month Toolkits 2023 ([link removed]) main page
* CDC: Heart Disease, Stroke, or Other Cardiovascular Disease and Adult Vaccination ([link removed]) web page
* NFID: A Heart-Healthy Lifestyle Includes Vaccination ([link removed]) web page
* NFID: American Heart Month ([link removed]) main page
* NIH: February is American Heart Month ([link removed]) web page

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February is National Cancer Prevention Month; arm your patients with HPV and hepatitis B vaccinations to prevent cancer

February is National Cancer Prevention Month ([link removed]) , a great time to spread the word about the link between certain vaccine-preventable viral infections and cancer.

Each year in the United States, almost 36,000 men and women are diagnosed with cancers associated with human papillomavirus (HPV) infection. HPV vaccination is recommended for everyone age 26 years and younger, and may be considered for adults through age 45.

Chronic hepatitis B virus infection is a leading cause of liver cancer worldwide. CDC now recommends catch-up hepatitis B vaccination of every adult through age 59 years and anyone age 60 or older at increased risk or who wishes to be protected.

Vaccination is the simplest, best way to prevent the infections that cause these cancers. Make sure to promote vaccination according to the recommended vaccination schedules ([link removed]) .

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View American Cancer Society's Cancer Risk, Prevention, and Screening ([link removed]) main page for more.

Related Links
* American Cancer Society website ([link removed])
* American Cancer Society: Prevent 6 Cancers with the HPV Vaccine ([link removed]) main page
* Immunize​.org: Vaccines: Hepatitis B ([link removed]) main page
* Immunize​.org: Vaccines: HPV ([link removed]) main page

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Influenza activity is trending downward across the country; keep vaccinating

Keep encouraging influenza vaccination for those not yet protected. Although this influenza season peaked early, a late season resurgence is possible.

CDC’s Weekly U.S. Influenza Surveillance Report, FluView ([link removed]) , provides a valuable snapshot of influenza activity state by state. For week 4, ending January 28,FluView ([link removed]) reports that 2.6% of outpatient visits nationwide were due to respiratory illness that included fever plus a cough or sore throat (i.e., influenza-like illness [ILI]). The national baseline is 2.5%. Multiple respiratory viruses are co-circulating; the relative contribution of influenza virus infection to ILI varies by location. So far this season, 97 children have died from influenza-associated causes.

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Influenza Vaccination Dashboard
CDC’s Weekly Flu Vaccination Dashboard ([link removed]) shows that vaccination coverage for all children age 6 months to age 17 years is similar to the past two seasons but is 6.3 percentage points lower than in January 2020, during the last pre-pandemic season (51.1% compared with 57.4%).

CDC recommends everyone age 6 months and older get annual influenza vaccination. “Vaccines.gov” offers VaccineFinder ([link removed]) , a service of Boston Children’s Hospital, to help people find influenza and COVID-19 vaccines for any age group. To be listed as a provider by VaccineFinder, see the information at this website ([link removed]) .

Related Links
* CDC: Weekly National Flu Vaccination Dashboard ([link removed]) main page
* CDC: FluView ([link removed]) main page
* CDC: Influenza (Flu) ([link removed]) main page
* Immunize​.org: free educational materials and patient handouts related to influenza ([link removed])
* Immunize​.org: Vaccines: Influenza ([link removed]) main page
* Immunize​.org: Ask the Experts: Influenza ([link removed]) main page
* Families Fighting Flu: Flu Resources for Healthcare Professionals ([link removed]) main page

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Immunize​.org's Influenza Vaccination Honor Roll for mandatory healthcare worker vaccination now features 1,298 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 1,298 organizations enrolled. Since December 7, 2022, Immunize​.org welcomed one additional healthcare organization.
* Greene County Medical Center, Jefferson, IA

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

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

The Topic index on the 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.

C ([link removed]) linic 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.

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.

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.

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

These recent articles convey the potential risks of vaccine-preventable diseases and the importance of vaccination.
* NBC: How Costs for COVID Tests and Treatments Will Change after Federal Emergency Declarations End in May ([link removed]) (1/31/23)
* CNBC: COVID-19 Vaccines, Boosters Keep Kids Out of the ER: Study ([link removed]) (1/31/23)
* CNBC: Biden Administration Plans to End COVID Public Health Emergency on May 11 ([link removed]) (1/30/23)
* The Hill: Getting Vaccinated at Pharmacies Works: It Could Soon Disappear ([link removed]) (1/30/23)

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Immunize​.org Pages and Handouts
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Immunize​.org updates handout titled “Hepatitis B and Healthcare Personnel”

Immunize​.org updated its handout titled Hepatitis B and Healthcare Personnel ([link removed]) to incorporate a new option for hepatitis B vaccination (PreHevbrio by VBI) and add a QR code linking to the online version.

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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 updates "Hepatitis B: Questions and Answers"

Immunize​.org revised Hepatitis B: Questions and Answers ([link removed]) to incorporate information on the burden of hepatitis B cases and use of PreHevbrio vaccine (VBI Vaccines). A question was added to address the fact that screening for hepatitis B infection or immunity in adults is not required before vaccination. A QR code linking to the online version of the document was added.

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Related Links
* Immunize​.org: Vaccines: Hepatitis B ([link removed]) main page
* Immunize​.org: Handouts: Q&As: Diseases and 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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Immunize​.org updates two handouts for pneumococcal vaccines used in children and teens

Immunize​.org revised two handouts for pneumococcal vaccination in both children and teens. Pneumococcal conjugate vaccine 15-valent (PCV15) is now included as an option. PCV15 can be used interchangeably with PCV13 for children. QR codes linking to the online versions of the document were added. Links and additional changes are shown below.
* Recommendations for Pneumococcal Vaccines Use in Children and Teens ([link removed]) : Deleted "chronic liver disease" and "alcoholism," as they are no longer considered risk factors for pneumococcal disease in children
* Standing Orders for Administering Pneumococcal Conjugate Vaccine to Children ([link removed]) : Inserted the updated tables of “Recommendations for Pneumococcal Vaccines Use in Children and Teens” as page 4

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Related Links
* Immunize​.org: Vaccines: Pneumococcal Conjugate (PCV) ([link removed]) main page
* Immunize​.org: Vaccines: Pneumococcal Polysaccharide (PPSV) ([link removed]) main page
* Immunize​.org: Standing Orders Templates for Administering Vaccines ([link removed]) main page
* Immunize​.org: Handouts: Adolescent Vaccination ([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 "Standing Orders for Administering Diphtheria, Tetanus, and Acellular Pertussis (DTaP) Vaccine to Children Younger than Age 7 Years"

Immunize​.org revised Standing Orders for Administering Diphtheria, Tetanus, and Acellular Pertussis (DTaP) Vaccine to Children Younger than Age 7 Years ([link removed]) to include a QR code linking to the online version of the document.

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Related Links
* Immunize​.org: Vaccines: Diphtheria ([link removed]) main page
* Immunize​.org: Vaccines: Tetanus ([link removed]) main page
* Immunize​.org: Vaccines: Pertussis ([link removed]) main page
* Immunize​.org: Standing Orders Templates for 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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AAP and FrameWorks Institute publish “Reframing the Conversation about Child and Adolescent Vaccinations,” with recommendations for communicating

American Academy of Pediatrics (AAP) and FrameWorks Institute released Reframing the Conversation about Child and Adolescent Vaccinations ([link removed]) in January 2023. This strategic brief includes five evidence-based recommendations for communicating about vaccinations:
1. Talk about the benefits of vaccination for the common good
2. Talk about improving vaccination access as a preventive public health measure
3. Focus on how vaccines benefit children’s and adolescents’ long-term health and wellbeing
4. Use a computer updates metaphor to explain how the immune system improves its performance through vaccination
5. Use a literacy metaphor to explain how the immune system learns how to respond to viruses through vaccination

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Related Link
* MMWR: Vaccination Coverage by Age 24 Months among Children Born during 2018–2019—National Immunization Survey–Child, United States, 2019–2021 ([link removed]) (1/13/23)

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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. The record cards are for you to give to your patients as a permanent personal vaccination record and are sold in boxes of 250.
* Child & Teen Immunization Record Card ([link removed])
* Adult Immunization Record Card ([link removed])
* Lifetime Immunization Record Card ([link removed])

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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] (mailto:[email protected]) .
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Notable Publications
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“What Happens When COVID-19 Emergency Declarations End? Implications for Coverage, Costs, and Access” published by Kaiser Family Foundation

On January 31, Kaiser Family Foundation published What Happens When COVID-19 Emergency Declarations End? Implications for Coverage, Costs, and Access ([link removed]) .

This brief reports that the Biden administration announced that the COVID-19 public health emergency declarations will end on May 11. The brief provides an overview of the major health-related COVID-19 federal emergency declarations that have been made since early on in the pandemic and summarizes the flexibilities triggered by each.

[link removed]

Related Link
* Office of Management and Budget: Statement of Administration Policy (H.R. 382, H.J. Res. 7) ([link removed]) (1/30/23)

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MMWR Recap: Articles regarding COVID-19 infection and vaccination

CDC recently published three articles first distributed in MMWR Early Release.
* "Spike Gene Target as Amplification in a Diagnostic Assay as a Marker for Public Health Monitoring of Emerging SARS-CoV-2 Variants—United States, November 2021–January 2023" (MMWR, February 3, HTML ([link removed]) or PDF ([link removed]) )
* "Early Estimates of Bivalent mRNA Booster Dose Vaccine Effectiveness in Preventing Symptomatic SARS-CoV-2 Infection Attributable to Omicron BA.5- and XBB/XBB.1.5-Related Sublineages among Immunocompetent Adults—Increasing Community Access to Testing Program, United States, December 2022–January 2023" (MMWR, February 3, HTML ([link removed]) or PDF ([link removed]) )
* "Information for Persons Who Are Immunocompromised regarding Prevention and Treatment of SARS-CoV-2 Infections in the Context of Currently Circulating Omicron Sublineages—United States, January 2023" (MMWR, February 3, 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: “Improving the Vaccination Experience: Reducing Pain and Anxiety for Children and Adults”; Join Immunize.org February 28 for our webinar

Anxiety about needles and injections affects as many as 2 out of 3 children and 1 out of 4 adults. This anxiety can contribute to dreading, delaying, or avoiding vaccinations, even when the importance of preventing illness is understood. Good news: there are safe, effective, and practical steps that vaccinators, vaccine recipients, and caregivers can take to reduce vaccination-related pain and anxiety. Creating a less stressful vaccination experience increases confidence in vaccination.

Attend this live, 1-hour webinar hosted by Immunize​.org, Improving the Vaccination Experience: Reducing Pain and Anxiety for Children and Adults ([link removed]) at 1:00 p.m. (ET) on February 28 to learn more about the principles behind vaccination pain and anxiety. Learn simple, evidence-based strategies to reduce apprehension. These strategies were developed by the experts from HELP Eliminate Pain in Kids and Adults ([link removed]) . Their work was used by the World Health Organization (WHO), Public Health Canada, and others to develop guidelines for reducing vaccination pain.

The panelists will be:
* Anna Taddio, BScPhm, PhD; Professor, Faculty of Pharmacy, University of Toronto; Senior Associate Scientist, The Hospital for Sick Children (SickKids), Toronto, Ontario
* Kelly L. Moore, MD, MPH; President and CEO, Immunize​.org
* Lucie Marisa Bucci, MA; Director, Policy and Government Relations, Society for Infodemic Management (SIM), Québec, Québec
* Sharon Humiston, MD, MPH; Director for Research, Immunize​.org

Following the presentation, ample time is reserved for your questions.

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Register now ([link removed]) to be sure you don’t miss this important session to help you make vaccination a more positive experience for everyone.
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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
Kayla Ohlde

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.

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