Issue 1410: February 6, 2019


TOP STORIES

 
IAC HANDOUTS


VACCINE INFORMATION STATEMENTS


FEATURED RESOURCES


JOURNAL ARTICLES AND NEWSLETTERS


EDUCATION AND TRAINING


CONFERENCES AND MEETINGS

 


TOP STORIES


2019 U.S. recommended immunization schedules for children and adolescents as well as for adults now available on CDC's website  

On February 5, CDC posted the 2019 recommended immunization schedules for children and adolescents, as well as for adults, on CDC's Immunization Schedules for Health Care Providers web page.

For children and adolescents

The immunization schedule information for children and adolescents is available on the CDC web page titled Table 1. Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger, United States, 2019.

Access the full-color 8-page PDF of the child/adolescent schedule.



View what has changed on the child schedule for 2019

For adults

The immunization schedule information for adults is available on the CDC web page titled Table 1. Recommended Adult Immunization Schedule for Ages 19 Years or Older, United States, 2019.

Access the full-color 6-page PDF of the adult schedule.



View what has changed on the adult schedule for 2019.  

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Influenza now widespread in 45 states; CDC reports 2 additional pediatric deaths from influenza in the U.S., bringing total to 24

CDC stated in its Weekly U.S. Influenza Surveillance Report, FluView, that during the week ending January 26, the geographic spread of influenza in 45 states was reported as widespread; Puerto Rico and 3 states reported regional activity; two states reported local activity; the District of Columbia and the U.S. Virgin Islands reported sporadic activity; and Guam did not report.

CDC has reported 2 additional pediatric deaths from influenza in the U.S. this season, for a total of 24. Last season, there was a record-setting number of pediatric deaths in the U.S. (185), so be sure to protect all your patients for whom vaccination is recommended.

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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State of Washington measles outbreak grows, with 49 cases confirmed; number of measles cases rises to 130 in Rockland County, New York 

The measles outbreak in Clark County, southwest Washington State, has continued to increase, with 49 cases now confirmed since January 1.

The Bismarck Tribune reported that the North Dakota Department of Health Emergency Preparedness and Response will deploy a five-member unit to assist the Washington state response group. Washington submitted a request for the specialized team through the Emergency Management Assistance Compact. The mutual aid agency enables a disaster-impacted state to request and receive aid from other member states swiftly and efficiently.

Over forty public exposure locations have been identified. Clark County Public Health is urging anyone who has been exposed and believes they have symptoms of measles to call their health care provider prior to visiting the medical office to make a plan that avoids exposing others in the waiting room. 

Access up-to-date information about this outbreak as well as a Measles Outbreak Toolkit for the public from the State of Washington Department of Health.

Elsewhere, in Rockland County, New York, the number of measles cases rose to 130 by February 4.

Related Links

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CDC publishes report on postlicensure safety surveillance of recombinant zoster vaccine

CDC published Postlicensure Safety Surveillance of Recombinant Zoster Vaccine (Shingrix)—United States, October 2017–June 2018 in the February 1 issue of MMWR (pages 91–94).  A summary for the press is reprinted below.

Healthcare providers and patients can be reassured by early results from a post-licensure safety study of the Shingrix recombinant zoster vaccine (RZV). Serious adverse events were rare, and no unexpected patterns were detected. This is the first report covering post-licensure safety monitoring of the recombinant zoster vaccine (RZV; Shingrix, GSK) in the Vaccine Adverse Event Reporting System (VAERS) during the initial eight months of use in the United States. From October 2017–June 2018, VAERS received 4,381 adverse event reports related to Shingrix; 4,251 (97%) were classified as non-serious. During that timeframe, about 3.2 million doses of Shingrix were distributed in the United States. The most common signs and symptoms reported were fever, injection site pain, and redness. These findings are consistent with pre-licensure clinical trial data, and no unexpected patterns were detected. Clinicians should counsel patients to expect common reactions such as pain, swelling, and redness at the injection site, along with possible body aches, fever, and chills. These reactions usually resolve on their own in two to three days.
 

Related Link


IAC Spotlight! IAC's “Clinic Tools: Screening for Vaccine Contraindications and Precautions" web page provides resources from IAC and CDC to help you assess if it is safe to vaccinate your patient at that day's visit 

On IAC's Clinic Tools: Screening for Vaccine Contraindications and Precautions web page on immunize.org, you will find a comprehensive collection of resources from IAC and CDC related to vaccine contraindications and precautions. This web page can be found by selecting the "Clinic Tools" tab (third from the left) in the blue banner across the top of every immunize.org web page and then selecting "Screening for Contraindications" in the drop-down menu.

In the left-hand column of the page, you will find IAC's educational materials related to screening for contraindications and precautions. From here, you can access IAC's screening checklists for vaccination as well as links to other related resources available on immunize.org. The right-hand column of the page includes resources from CDC.

Visit the Clinic Tools: Screening for Vaccine Contraindications and Precautions on immunize.org.

Related Links

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AAP invites all immunizers to join its Community of Immunizers Listserv and to subscribe to the AAP Immunization Initiatives Newsletter

The American Academy of Pediatrics (AAP) would like to invite all immunizers to join its Community of Immunizers Listserv. The Community of Immunizers Listserv is currently comprised of approximately 180 immunizers, including physicians, physician assistants, nurse practitioners, nurses, medical assistants, and other office staff. It allows users to communicate with fellow immunizers, ask questions, and share ideas, resources, and successes! Email immunize@aap.org, and include IZCOMMUNITY and your role as an immunization advocate to request to be added to the Community of Immunizers Listserv.

AAP also provides information and many resources through its AAP Immunization Initiatives Newsletter, including updates, events, research, and other resources for healthcare professionals. To subscribe, send an email to immunize@aap.org, with the word "newsletter" in the "subject" field.

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IAC HANDOUTS


IAC updates its popular handout for parents titled "After the Shots: What to Do If Your Child Has Discomfort"

IAC recently revised its frequently downloaded 2-page handout for parents titled After the Shots: What to Do If Your Child Has Discomfort. This piece provides tips for parents about how to reduce fever and discomfort in children following vaccination. Page two contains practical information about the use of acetaminophen (e.g.,Tylenol) and ibuprofen (e.g., Advil, Motrin), including correct dosages to use based on the child's age or weight as well as instructions on the safe use of these over-the-counter medications.
 
Changes to the piece include notes to parents that three different formulations of these pain and fever-reducing products are no longer being distributed in the U.S. and that the products are beyond their expiration dates and should all be discarded. These formulations include acetaminophen 80 mg/0.8 mL concentrated infant drops, acetaminophen 80 mg children's chewable tablets, and ibuprofen 50 mg children's chewable tablets.



Related Link

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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VACCINE INFORMATION STATEMENTS


IAC posts updated Japanese translation of the Meningococcal ACWY VIS

IAC recently updated the Japanese translation of the VIS for the Meningococcal ACWY vaccine. IAC thanks the Oregon Health Authority for their generosity in providing the translation.

Related Links

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FEATURED RESOURCES


New AAP video promotes "HPV Vaccine: Same Way, Same Day," its role-play simulation app that helps providers introduce HPV vaccine and address parents' concerns 

AAP has recently released a brief video to promote its "HPV Vaccine: Same Way, Same Day" app. The new animated video presents an example of a conversation between a provider and a mother and her teen daughter that exemplifies some of the effective strategies for discussing HPV vaccine that are featured in the app. 

The free app HPV Vaccine: Same Way, Same Day presents brief, interactive role-play simulations designed to enhance healthcare providers’ ability to introduce the HPV vaccine and address parents’ concerns. It can be a valuable educational tool for clinicians involved in residency training, quality improvement collaboratives, and office in-service training. The simulation was developed by the Academic Pediatric Association, and AAP. 

Related Links

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IAC's 142-page book, Vaccinating Adults: A Step-by-Step Guide, describes how to implement adult vaccination services in your healthcare setting and provides a review for staff who already vaccinate adults; IAC Guide available for free download

In late 2017, the Immunization Action Coalition (IAC) announced the publication of its new book, Vaccinating Adults: A Step-by-Step Guide (Guide).



This completely updated guide on adult immunization (originally published in 2004) provides easy-to-use, practical information covering important “how-to” activities to help providers enhance their existing adult immunization services or introduce them into any clinical setting, including:
  • 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 entire Guide is available to download/print free of charge at www.immunize.org/guide. The downloaded version is suitable for double-sided printing. Options are available online to download the entire book or selected chapters. The development of the Guide was supported by the National Vaccine Program Office (NVPO) and the Centers for Disease Control and Prevention (CDC). Expert staff from both agencies also provided early technical review of the content.

The Guide is a uniquely valuable resource to assist providers in increasing adult immunization rates. Be sure to get a copy today!

Related Links

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JOURNAL ARTICLES AND NEWSLETTERS


January issue of CDC's Immunization Works newsletter now available

CDC recently released the January issue of its monthly newsletter Immunization Works. The newsletter offers the immunization community information about current topics. The information is in the public domain and can be reproduced and circulated widely.

Related Links

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CDC publishes “Notes from the Field: Mumps Outbreak in a Recently Vaccinated Population—Kosrae, Federated States of Micronesia, August–December, 2017" in this week’s MMWR

CDC published Notes from the Field: Mumps Outbreak in a Recently Vaccinated Population—Kosrae, Federated States of Micronesia, August–December, 2017 in this week’s MMWR (pages 95–96). 

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EDUCATION AND TRAINING


Today! NFID offers webinar on February 6 at noon on strategies for increasing adult vaccination rates
 
Today, February 6, the National Foundation for Infectious Diseases (NFID) will present a webinar titled Strategies to Increase Adult Vaccination Rates at 12:00 p.m. (ET). NFID medical director William Schaffner, MD, will moderate the webinar. The webinar presenter will be Robert H. Hopkins, Jr., MD, chair, National Vaccine Advisory Committee, and professor of Internal Medicine and Pediatrics and director of the Division of General Internal Medicine at the University of Arkansas for Medical Sciences College of Medicine.

New email course for learning about immunization information systems available from Public Health Informatics Institute

The Public Health Informatics Institute (PHII) is offering an innovative email course for those interested in learning about immunization information systems (IIS). This new, free course, titled Welcome to IIS Email Course, can provide a solid foundation of knowledge for anyone who wants to learn more about what IIS are, how they work, and how they're supported. The course consists of one bite-sized (5- to 10-minute) email delivered to your inbox each day for 18 weekdays.  Each email contains a basic lesson about an IIS-related topic and includes resources and interactive activities that you can use to better understand your IIS and how they fit in to the big picture of immunizations.

PHII is a program of the Task Force for Global Health, a non-profit program affiliated with Emory University. A strategic partner since 1992 with major industry associations, foundations, and government agencies, PHII supports public health programs in the U.S. and around the world. Its mission is to transform health practitioners’ ability to use information effectively. 
 
Sign up at phii.org/welcome-to-iis to receive the first email by the end of the day.  It's completely free, and you can unsubscribe at any time.  

Sign up for the Welcome to IIS Email Course.

Email informatics.academy@phiii.org with any questions or comments.

Related Link

Draft agenda for February ACIP meeting now available

The Advisory Committee on Immunization Practices (ACIP) will hold its next meeting on February 27–28 in Atlanta. The draft agenda is now available online. Registration for in-person attendance at the meeting has closed because registration for the meeting has reached the meeting space capacity.

Registration is not required to watch the meeting via webcast or listen to the proceedings via phone. Instructions for tuning in to the February 27 and 28 meeting via live webcast will be posted when they become available.

Related Link

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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.

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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.

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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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