Issue 1299: April 19, 2017
Ask the Experts—Question of the Week:
Tenivac Td (Sanofi Pasteur) for adults is expected to be unavailable . . . read more
TOP STORIES
IAC HANDOUTS
VACCINE INFORMATION STATEMENTS
OFFICIAL RELEASES AND
ANNOUNCEMENTS
WORLD NEWS
FEATURED RESOURCES
JOURNAL ARTICLES AND NEWSLETTERS
EDUCATION AND TRAINING
CONFERENCES AND MEETINGS
TOP STORIES
Reminder: April issues of
Needle Tips and Vaccinate Adults are available online
The April 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. These issues highlight IAC’s updated summaries of
immunization recommendations, as well as the 2017 U.S. immunization schedules.
The April issues also feature the always popular “Ask the Experts” column, with
Q&As by experts from CDC’s National Center for Immunization and Respiratory
Diseases.
Click on the images below to download the April issues (PDF) of Needle Tips and/or 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 posts updated Td VIS
On April 11, CDC posted an updated Td VIS. This update corrects an error in the 2/24/2015 Td VIS. The instruction to talk to your doctor if you "have seizures or
another nervous system problem" has been removed. This precaution applies to Tdap vaccine but not to Td, and was inadvertently included on the Td VIS.
Providers may use up existing stocks of the outgoing VIS, but should make patients aware that this is NOT a precaution for Td.
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CDC offers new promotional materials for National Infant Immunization Week
scheduled for April 22–29
National Infant Immunization Week (NIIW) is an annual observance to highlight
the importance of protecting infants from vaccine-preventable diseases and
celebrate the achievements of immunization programs and their partners in
promoting healthy communities. NIIW will be held this year on April 22–29.
CDC has developed many resources to help you promote NIIW in your community. New promotional materials include:
- Media tools, including audio/video, print ads, sample drop-in articles, key messages, and a media toolkit
- Logos, letterhead, and certificate
- Web and e-tools, including web banners and buttons, video PSAs, e-cards, radio PSAs, and sample social media messages
- Event signage, including customizable banners and podium signs
- Coloring sheets
Access all these resources on the
NIIW Promotional Materials web page.
Visit CDC's updated
NIIW website to find promotional and educational materials to help you plan your NIIW activities, and tailor them to the needs of your community.
CDC would like to hear from organizations planning a 2017 NIIW activity. Please complete the
NIIW Activity Form so others can learn what you're doing to
educate and inspire parents and providers to protect infants and toddlers from vaccine-preventable diseases. If you're looking for ideas, you can access events
scheduled for 2017, and NIIW events held in past years from CDC's NIIW Activities around the World web page.
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NFID launches campaign focused on vaccine
science, timed to coincide with the March for Science on April 22
The National Foundation for Infectious Diseases (NFID) has launched a new campaign focused on vaccine science, timed to coincide with the March for Science on
April 22. To promote greater public understanding about the science, safety, and efficacy of vaccines, NFID's campaign features shareable and engaging
materials on vaccine science and safety. NFID encourages everyone to participate in the campaign by sharing materials and using the hashtag #ShotOfScience.
Campaign materials are available at www.nfid.org/vaccine-science including:
- Five animated infograms
- Infographic detailing a brief history of key achievements in vaccine science
- Sample social media posts
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So far in 2017, 42 states and D.C. have
reported 1,965 mumps cases; learn more
From January 1 to March 25, 2017, 42 U.S. states and the District of Columbia reported 1,965 mumps cases to CDC. Some information from CDC's website
follows.
Mumps is no longer very common in the United States. From year to year, mumps cases can range from roughly a couple hundred to a couple thousand. For
example in 2016, there were approximately 5,748 cases reported to CDC, and in 2012, there were 229. Before the U.S. mumps vaccination program started in 1967,
about 186,000 cases were reported each year, but the actual number of cases was likely much higher due to underreporting. Since the pre-vaccine era, there has been
a more than 99% decrease in mumps cases in the United States....
In some years, there are more cases of mumps than usual because of outbreaks. Mumps outbreaks can occur any time of year. A major factor contributing to outbreaks
is being in a crowded environment, such as attending the same class, playing on the same sports team, or living in a dormitory with a person who has mumps. Also,
certain behaviors that result in exchanging saliva, such as kissing or sharing utensils, cups, lipstick or cigarettes, might increase spread of the virus.
MMR vaccine prevents most, but not all, cases of mumps and complications caused by the disease. Two doses of the vaccine are 88% (range: 66 to 95%) effective at
protecting against mumps; one dose is 78% (range: 49% to 92%) effective. The MMR vaccine protects against currently circulating mumps strains. Outbreaks can still
occur in highly vaccinated U.S. communities, particularly in close-contact settings. In recent years, outbreaks have occurred in schools, colleges, and camps. However,
high vaccination coverage helps limit the size, duration, and spread of mumps outbreaks.
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New edition of The Vaccine
Handbook: A Practical Guide for Clinicians, a.k.a. "The Purple Book," by Dr. Gary Marshall available for purchase from IAC; free app for iPhones and
iPads available from IAC
The 6th edition of The Vaccine Handbook: A Practical Guide for Clinicians ("The Purple Book") is considered a vital source of
practical, up-to-date information for vaccine providers and educators. Now printed in color and updated with the latest vaccine information through early 2017, "The
Purple Book" draws together the latest vaccine science and guidance into a concise, user-friendly, practical resource for the private office, public health clinic,
academic medical center, and hospital.
The sixth edition of this valuable guide (592 pages) is available on IAC's website at www.immunize.org/vaccine-handbook. The price of the handbook is $34.95 per copy, plus
shipping charges. Order copies for your staff or for distribution at an upcoming conference.
Discount pricing is available for more than 10 copies. For quotes on larger quantities, email admininfo@immunize.org.
Order your copy today! Click on the image below to visit the "Shop IAC: The Vaccine Handbook" web page.
The Vaccine Handbook App for Apple iPhones and iPads is available free from IAC. Sorry, the app is not available for android
devices. Book purchase is not necessary but registration to obtain the app is required.
The app is fully searchable, allows for bookmarking, highlighting and annotation, and contains hyperlinks to valuable content from nonprofit and governmental
sources.
Click on the image below to visit the The Vaccine Handbook App page in the iTunes store.
About the Author
Gary S. Marshall, MD, is professor of pediatrics at the University of Louisville School of Medicine in Kentucky, where he serves as chief of the Division of Pediatric
Infectious Diseases and director of the Pediatric Clinical Trials Unit. In addition to being a busy clinician, he is nationally known for his work in the areas of vaccine
research, advocacy, and education.
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IAC Spotlight! IAC's
"What's New" page provides links to new and recently updated IAC handouts, VISs and their translations, and immunize.org web sections
IAC's What's New at
IAC web section is a fast way to check out what has been recently added to the immunize.org website. This page lists IAC's new and recently updated
free print materials, Vaccine Information Statements (VISs) and translations, and changes to IAC web sections such as "Ask the Experts." Just click on the
"What's New at IAC" link in the box at the top of the home page, or bookmark www.immunize.org/new for an easy way to check what's new.
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Now available! IAC's sturdy laminated versions of the 2017 U.S. child/teen
immunization schedule and the 2017 U.S. adult immunization schedule—order a
supply for your healthcare setting today!
IAC's laminated versions of the 2017 U.S. child/teen immunization schedule and the 2017 U.S. adult immunization schedule are covered with a tough, washable
coating; they will stand up to a year's worth of use in every area of your healthcare setting where immunizations are given. Both schedules are eight pages (i.e.,
four double-sided pages) and are folded to measure 8.5" x 11".
Laminated schedules are printed in color for easy reading, come complete with
essential tables and footnotes, and include contraindications and precautions—a
feature that will help you make an on-the-spot determination about the safety of
vaccinating patients of any age.
PRICING
1–4 copies: $7.50 each
5–19 copies: $5.50 each
20–99 copies: $4.50 each
100–499 copies: $4.00 each
500–999 copies: $3.50 each
For quotes on customizing or placing orders for 1,000 copies or more, call (651) 647-9009 or email admininfo@immunize.org.
You can access specific information on both schedules, view images of both, order online, or download an order form at the Shop IAC: Laminated
Schedules web page.
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IAC HANDOUTS
IAC updates "Screening Checklist for
Contraindications to Vaccines for Children and Teens"
IAC recently revised Screening Checklist for Contraindications to Vaccines for Children and Teens. Changes were made to item #8 on page 1 and page 2 to include immune
system problems in family members of the potential vaccine recipient.
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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 updates its staff education materials:
"Current Dates of Vaccine Information Statements" and "It's Federal Law! You must give your patients current Vaccine Information
Statements"
IAC recently revised Current
Dates of Vaccine Information Statements as well as It's Federal Law! You must give your patients current Vaccine Information Statements to reflect the 4/11/2017 date of the
updated Td VIS.
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VACCINE INFORMATION STATEMENTS
IAC offers 48 new VIS translations!
IAC has recently added the following VIS translations to its website.
Hepatitis A VIS
Armenian
Cambodian (Khmer)
Farsi
Haitian
Creole
Hmong
Korean
Portuguese
Tagalog
Hepatitis B VIS
Armenian
Cambodian (Khmer)
Farsi
Haitian
Creole
Hmong
Korean
Portuguese
Tagalog
HPV (Human papillomavirus) VIS
Armenian
Cambodian (Khmer)
Farsi
Haitian
Creole
Hmong
Korean
Portuguese
Tagalog
Meningococcal B VIS
Armenian
Cambodian
(Khmer)
Farsi
Haitian
Creole
Hmong
Korean
Portuguese
Tagalog
Polio (IPV) VIS
Armenian
Cambodian (Khmer)
Farsi
Haitian
Creole
Hmong
Korean
Portuguese
Tagalog
Pneumococcal Polysaccharide Vaccine (PPSV) VIS
Armenian
Cambodian (Khmer)
Farsi
Haitian Creole
Hmong
Korean
Portuguese
Tagalog
Visit IAC's VIS web section for VISs
in more than 35 languages
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OFFICIAL RELEASES AND
ANNOUNCEMENTS
Mississippi Immunization Task
Force launches GiveMeAShot website
The Mississippi Immunization Task Force has produced a new public health campaign, Give Me a Shot. Their website at www.givemeashot.org includes useful information for those looking to
advocate for vaccination at the legislative level.
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WORLD NEWS
WHO reports on Immunization and Vaccine-
Related Implementation Research Advisory Committee February meeting
WHO published Immunization and Vaccine-Related Implementation Research Advisory
Committee (IVIR-AC): summary of conclusions and recommendations, 1–2 February
2017 meeting in the April 14 issue of its Weekly Epidemiological Record. The theme of the meeting was research to minimize
barriers and improve coverage of vaccines currently in use.
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Every Child By Two
and Young Minds Inspired develop a Vaccinate Your Family program for daycare providers
Every Child By Two (ECBT) has collaborated with Young Minds Inspired (YMI) to develop the Vaccinate Your Family program for daycare providers. The goal of the
program is to help daycare providers inform and educate the parents and grandparents of children in their care about the key role they play in protecting children against
serious vaccine-preventable diseases by keeping their own vaccinations up to date. Daycare providers and other vaccine advocates can use these fun activities, take-
home handouts, and wall poster to raise awareness of the importance of vaccines for people of all ages, not just children.
The program materials can be downloaded from
ECBT’s Vaccinate Your Family website or the YMI Classroom website. ECBT also has a limited number of hard copies of the posters
available. If you are interested in receiving one, please contact ECBT at info@ecbt.org.
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JOURNAL ARTICLES AND
NEWSLETTERS
CDC reports on complications of mumps in 20
college students who had received 2 doses of MMR
CDC published Notes from the Field:
Complications of Mumps During a University Outbreak Among Students Who Had
Received 2 Doses of Measles-Mumps-Rubella Vaccine—Iowa, July 2015–May 2016 in the April 14 issue of
MMWR (pages 390–1). The first paragraph is reprinted below.
During July 2015–May 2016, a mumps outbreak occurred at the University of
Iowa, which is located in Johnson County. A total of 301 cases of mumps were
diagnosed among students. To characterize the outbreak, the Johnson County
Public Health Department, the Iowa Department of Public Health, and the
University of Iowa, with assistance from CDC, conducted an investigation through
telephone interviews, medical chart abstractions, and review of immunization
records. Among 287 (95%) students with mumps for whom clinical information was
available, 20 (7%) patients with complications were identified (16 self-reported
and four clinician- diagnosed). The 20 cases included 15 (5%) cases of orchitis,
three (1%) of transient hearing loss, two of mastitis, and one of meningitis
(one patient had both orchitis and transient hearing loss). All 20 patients had
documentation of receipt of at least 2 doses of measles-mumps-rubella vaccine.
Because data are limited regarding the presentation and clinical course of mumps
complications in persons who have received 2 doses of mumps-containing vaccine,
three illustrative cases of complications (orchitis, transient hearing loss, and
meningitis) in students with mumps are presented.
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EDUCATION AND TRAINING
CDC to sponsor May 2 NetConference about best practices for holding safe vaccination clinics in temporary
settings
CDC will sponsor a 1-hour NetConference on May 2 at 1:00 p.m. (ET) titled
"'Best Practice' Tools for Holding Safe Vaccination Clinics in Temporary
Settings: Checklist and Pledge 101." Satellite, temporary, and off-site
vaccination clinics play an important role in improving vaccination coverage
rates and vaccinating hard-to-reach populations. However, vaccination clinics
held in these settings also have unique challenges that may lead to vaccine
temperature excursions or vaccine administration errors. In an effort to
standardize the process of holding clinics in these non-traditional settings,
the National Adult and Influenza Immunization Summit Influenza Working Group
developed a checklist of best practices and created a pledge for organizations
that adhere to the checklist. The webinar will also feature a case study from
an industry expert whose organization made efforts to implement the checklist
during last year’s influenza season.
Registration
information
Reminder: CDC's NetConference series about adult immunization runs every
Wednesday, April 12–May 31
CDC is sponsoring a six-part NetConference series on vaccinating adults that will address key
issues related to protecting adults from vaccine-preventable diseases. A
collaborative effort between CDC and Maryland’s adult immunization coalition
and state immunization program, the "Vaccinating Adults" series will feature
six presentations by experts in promoting, administering, and securing
reimbursement for adult immunizations.
- Wednesday, April 12—Burden of Vaccine-Preventable Diseases in Adults:
Medical, Social, and Economic Costs
- Wednesday, April 19—Provider Reimbursement for Adult Immunizations
- Wednesday, April 26—Immunizing Adults: Immunization Schedule, Coverage,
and Challenges
- Wednesday, May 17—Immunizing Older Adults and the Chronically Ill
- Wednesday, May 24—Immunizing Pregnant Women, Health Care Personnel, and
in the Workplace
- Wednesday, May 31—Clinic Logistics: Vaccine Administration, Storage, and
Handling
Each session will start at 12:00 p.m. (ET).
Continuing education will be available for each event. The series will be archived later on CDC's website.
Advanced registration is required
to participate.
Related Link
CDC to sponsor April 25 webinar about polio, measles, and rubella eradication
CDC will sponsor a webinar on April 25 from 12:00 p.m.–1:30 p.m. (ET) titled
"The Path to a World Free of Polio, Measles, and Rubella, and Remaining Risks
for the United States." This session will feature global and domestic
immunization experts discussing the current status of polio, measles, and
rubella immunization worldwide. The speakers will cover strategies that
healthcare providers and public health professionals can use to help eradicate
these diseases worldwide and stay alert to the continuing risk in the United
States. Free continuing education is provided.
Registration information
Next ACIP meeting scheduled for June 21–22; presentation slides and video
footage from February meeting are now available
ACIP will hold its next meeting on June 21–22 in Atlanta. To attend the
meeting, ACIP attendees (participants and visitors) must register online. The
registration deadline for non-U.S. citizens is May 22; for U.S. citizens, it's
June 7. Registration is not required to watch the meeting via webcast or listen
to the proceedings via phone. See the first link below for the toll-free phone
number and passcode.
ACIP recently posted the presentation slides and video footage from the
ACIP meeting held on February 22–23.
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ASK THE EXPERTS
Question of the Week
Tenivac Td (Sanofi Pasteur) for adults is expected to be unavailable until the second half of 2017. Another Td vaccine produced by MassBiologics is available at
our wholesaler, but it looks like the components are slightly different from Tenivac. Are the two products interchangeable during the shortage?
Yes, the Td products are equivalent and interchangeable.
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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