Issue 1273: November 2, 2016

Ask the Experts
Ask the Experts—Question of the Week: A 32-year-old patient with ulcerative colitis is taking high-dose immunosuppressive…read more


TOP STORIES


IAC HANDOUTS


VACCINE INFORMATION STATEMENTS


WORLD NEWS


FEATURED RESOURCES


JOURNAL ARTICLES AND NEWSLETTERS



TOP STORIES


Reminder! October issues of Needle Tips and Vaccinate Adults are available online

The October issues of Needle Tips and Vaccinate Adults are now available online. Vaccinate Adults is an abbreviated version of Needle Tips with the pediatric content removed. Both publications feature important information about the 2016–17 influenza recommendations, including related "Ask the Experts" Q&As from CDC medical officer Andrew T. Kroger, MD, MPH, and nurse educator Donna L. Weaver, RN, MN, both with the National Center for Immunization and Respiratory Diseases, CDC. In addition, they include many immunization resources that healthcare professionals can use in their practice settings, including IAC's standing orders templates for administering influenza and pneumococcal vaccines (PCV13 and PPSV23).

Click on the images below to download the October issues (PDF) of Needle Tips and/or Vaccinate Adults.

Download the November issue of Needle TipsDownload the November issue of Vaccinate Adults

Needle Tips: View the Table of Contents, Ask the Experts section, magazine viewer, and back issues.

Vaccinate Adults: View the Table of Contents, Ask the Experts section, magazine viewer, and back issues.

If you would like to receive immediate email notification whenever new issues of Needle Tips or Vaccinate Adults are released, visit IAC's subscribe page to sign up.

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CDC reports on outbreak of influenza A (H3N2) variant virus among persons attending agricultural fairs

CDC published Outbreak of Influenza A (H3N2) Variant Virus Infections Among Persons Attending Agricultural Fairs Housing Infected Swine—Michigan and Ohio, July–August 2016 in the October 28 issue of MMWR (pages 1157–60). A summary made available to the press is reprinted below.

During August 2016, 18 laboratory-confirmed infections with an influenza A(H3N2) variant virus were reported among people who had attended agricultural fairs in Michigan and Ohio. Most infections (16/18) were in children younger than 18 years. The majority of people were infected with a variant virus that had not previously been detected in people. All 18 patients reported exposure to swine before their illness; there was no evidence of person-to-person transmission. One person was hospitalized; all infected people fully recovered. Agricultural fair organizers should implement measures to minimize exposure to swine among people at high risk for influenza complications along with measures to reduce the risk of transmission of influenza between swine and people. These include shortening the time swine are on the fairgrounds, strategically placing handwashing stations, and discouraging eating and drinking in animal barns.

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AAP releases immunization social media toolkit

The AAP Childhood Immunization Program has developed an Immunization Social Media Toolkit. This toolkit helps pediatric offices build support for immunizations in their own practices and answer common questions outside of the visit while using their role as trusted professionals to inform families about vaccines. The toolkit offers guidance for choosing a social media platform and setting up and managing an account. Pre-written tweets and posts with resources are also available for practices to copy and paste to make social media simpler.

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Vaccine Education Center plans Current Issues in Vaccines webinar on November 16
 
The Vaccine Education Center (VEC) at the Children's Hospital of Philadelphia, together with the Pennsylvania chapter of the American Academy of Pediatrics, will present a one-hour webinar, beginning at 12:00 p.m. (ET) on November 16. Part of its Current Issues in Vaccines series, the webinar will feature Paul Offit, MD, director of VEC. Dr. Offit's topics for this webinar are:
  • HPV vaccine: The new two-dose schedule
  • Meningococcal B vaccines: Change in Trumenba recommendation
  • Tdap: Change in emphasis in pregnancy recommendation
  • Herpes zoster vaccines: A new vaccine on the way
  • Pneumococcal conjugate vaccine (PCV13): Evidence for herd immunity

Free continuing education credits (CME, CEU, and CPE) will be available for both the live and archived events.

Registration (required) is open now.

Dates for 2017 webinars are:

  • March 22, 2017
  • Sept. 13, 2017
  • Nov. 15, 2017

Topics are yet to be determined.

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Association of Immunization Managers Awards nominations open

Each year, the Association of Immunization Managers (AIM) presents awards to its members in recognition of their outstanding initiatives, service, dedication, and leadership. The awards will be presented at the 2017 AIM Leadership in Action conference in Charleston, South Carolina in February 2017. The following awards will be presented: Natalie J. Smith, MD Award; AIM Bull’s-Eye Awards; AIM Rising Star Award; AIM Impact Award; and AIM Partnership Award (new for 2017!). The Natalie J. Smith Award, Bull’s-Eye Awards, and Rising Star Awards have an open nomination process.

Eligible candidates must be program managers from one of the 64 city, state, or territorial immunization programs directly funded by the CDC's National Center for Immunization and Respiratory Diseases. There are additional restrictions on eligibility for various awards, so please consult the nomination forms for details. For more detailed information about each award and the nomination process, visit the awards page on AIM website. Nominations are due by December 2, 2016.

If you have questions about the AIM awards process, please email Mary Waterman at mwaterman@immunizationmanagers.org.

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IAC HANDOUTS


IAC updates “It's Federal Law! You must give your patients current Vaccine Information Statements"

IAC recently updated It's Federal Law! You must give your patients current Vaccine Information Statements to clarify that healthcare providers have up to six months to use up remaining stock of VISs when an updated version is issued.

IAC's Handouts for Patients & Staff web section offers healthcare professionals and the public more than 250 FREE English-language handouts (many also available in translation), which we encourage website users to print out, copy, and distribute widely.

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IAC revises "Screening Checklist for Contraindications to Vaccines for Children and Teens" and "Screening Checklist for Contraindications to Vaccines for Adults"

IAC recently updated Screening Checklist for Contraindications to Vaccines for Children and Teens and Screening Checklist for Contraindications to Vaccines for Adults to reflect the change in recommendations to receive any influenza vaccine for those with history of egg allergy without hives. Those with severe egg allergy are recommended to receive any influenza vaccine in a medical setting with supervision by a healthcare provider who is able to recognize and manage severe allergic conditions.

All of the changes are on page 2, the page of explanation for healthcare providers. There are no changes on page 1, the questions for patients or parents.

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VACCINE INFORMATION STATEMENTS


IAC posts Hmong-, Korean-, and Tagalog-language translations of the Haemophilus influenzae type b (Hib) VIS

IAC recently posted three translations of the Haemophilus influenzae type b (Hib) VIS, dated 4/2/2015. IAC thanks the California Department of Public Health for the translations.

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WORLD NEWS


On World Polio Day, U.N. begins vaccination campaign aimed at 5.8 million Iraqi children

Beginning on World Polio Day, October 24, the United Nations (U.N.) began a campaign to vaccinate 5.8 million Iraqi children. A selection from the United Nations News Centre's article On World Polio Day, UN kicks off weeklong campaign to immunize 5.8 million Iraqi children is reprinted below.

Two United Nations agencies will support the Iraqi Ministry of Health in marking World Polio Day by launching a weeklong nationwide campaign to immunize Iraq’s children against the infectious viral disease...

Under the slogan “two drops can change a life,” the five-day campaign aims to reach an estimated 5.8 million children below the age of five in Iraq, regardless of previous vaccination status.


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FEATURED RESOURCES


Just the Vax provider toolkit available from the Vaccine Education Center

The Vaccine Education Center at the Children's Hospital of Philadelphia released a toolkit for providers based on its game Just the Vax. The Just the Vax Provider Toolkit is designed to help healthcare professionals engage their staff, enhance their print and digital materials, present vaccine information to their patients and their families in fun way, and keep everyone having fun with vaccine trivia.

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Influenza is serious; many resources are available to help healthcare professionals vaccinate patients

Influenza vaccination is recommended for everyone six months of age and older. 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 to locate sites near their workplaces or homes that offer influenza vaccination services.

Following is a list of resources related to influenza disease and vaccination for healthcare professionals and the public:

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JOURNAL ARTICLES AND NEWSLETTERS


Vaccine Education Center's newsletter for healthcare professionals includes a review of intussusception and rotavirus research, the Technically Speaking column reviewing hepatitis B vaccine schedules and intervals for adults, and resources for countering the movie Vaxxed

The Vaccine Education Center (VEC) at the Children's Hospital of Philadelphia publishes a monthly immunization-focused newsletter titled Vaccine Update for Healthcare Professionals. The October issue includes the following:

Additional resources, including information booklets for patients, are available in the full newsletter.

Access the sign-up form to subscribe to Vaccine Update for Healthcare Professionals.

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WHO publishes rabies fact sheet

WHO published an article titled 10 Facts on Rabies in the October 28 issue of Weekly Epidemiological Record (pages 5156). An excerpt is reprinted below.

Rabies causes thousands of deaths every year in over 100 countries mostly affecting underserved communities with limited access to health and veterinary systems. Successful rabies control programmes comprise of three pillars: community participation; education, public awareness and access to mass vaccination of dogs; and access to post-bite treatment.

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ASK THE EXPERTS

Question of the Week

A 32-year-old patient with ulcerative colitis is taking high-dose immunosuppressive medications (6-mercaptopurine). Should he receive meningococcal vaccine?

There is no specific indication for meningococcal vaccine in this patient. He is older than 21 years, and the risk–based recommendations are restricted to specific forms of altered immunocompetence (persistent complement component deficiency, functional or anatomic asplenia, use of eculizumab and HIV infection) and are not inclusive of other forms of altered immunocompetence.


About IAC's Question of the Week

Each week, IAC Express highlights a new, topical, or important-to-reiterate Q&A. This feature is a cooperative venture between IAC and CDC. William L. Atkinson, MD, MPH, IAC's associate director for immunization education, chooses a new Q&A to feature every week from a set of Q&As prepared by experts at CDC’s National Center for Immunization and Respiratory Diseases.

We hope you enjoy this feature and find it helpful when dealing with difficult real-life scenarios in your vaccination practice. Please encourage your healthcare professional colleagues to sign up to receive IAC Express at www.immunize.org/subscribe.

If you have a question for the CDC immunization experts, you can email them directly at nipinfo@cdc.gov. There is no charge for this service.

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About IZ Express

IZ Express is supported in part by Grant No. 1NH23IP922654 from CDC’s National Center for Immunization and Respiratory Diseases. Its contents are solely the responsibility of Immunize.org and do not necessarily represent the official views of CDC.

IZ Express Disclaimer
ISSN 2771-8085

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

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