through sexual contact. To access CDC’s guidance, go to www.cdc.gov/mmwr/PDF/wk/mm5920.pdf Highlights and see pages 630–631. Recommendations, schedules, and more (zoster) vaccine news Editor’s note: The information in “Vaccine High- licensed inactivated trivalent for On May 5, CDC updated information about the lights” is current as of June 21, 2010. use in people age 65 years and older. To access the supply of shingles vaccine (Zostavax; Merck). ACIP guidance for use of Fluzone High-Dose, go Zostavax is currently available for order; however, to www.cdc.gov/mmwr/PDF/wk/mm5916.pdf and providers will experience backorders, or periods Influenza vaccine news see pages 485–486. where they are unable to place orders for Zostavax, Important for the 2010–11 influenza season: throughout 2010 and possibly into 2011. For con- • ACIP recommends annual influenza tinuing supply information, go to www.cdc.gov/ for all people ages 6 months and older. To read HPV vaccine news /vac-gen/shortages. the provisional influenza vaccination recommen- On May 28, CDC published updated recommen- dations, go to www.cdc.gov/vaccines/recs/provi- dations for human papillomavirus (HPV) vac- sional/downloads/flu-vac-mar-2010-508.pdf. cination of females with bivalent HPV vaccine • CDC encourages providers to begin offering in- (HPV2; ; GSK) and quadrivalent HPV Find all IAC’s Quick Links at fluenza vaccine to people of all ages as soon as it vaccine (HPV4; ; Merck). Routine vac- becomes available (usually mid-to-late summer). cination with 3 doses of either HPV2 or HPV4 is www.immunize.org/quicklinks recommended for females ages 11 or 12 years and On April 30, CDC published ACIP’s guidance for can be started in females age 9 years. Vaccination use of a high-dose injectable inactivated trivalent These Quick Links are popular is recommended for females ages 13 through 26 influenza vaccine (Fluzone High-Dose; sanofi years who have not been vaccinated previously with IAC’s web users: pasteur). The vaccine, which will be available for or who have not completed the 3-dose series. If a www.immunize.org/vis female reaches age 26 years before the vaccination series is complete, remaining doses can be admin- www.immunize.org/subscribe Stay current! Subscribe to the istered after age 26 years. Ideally, vaccine should www.immunize.org/handouts be administered before potential exposure to HPV Action Coalition’s www.immunize.org/askexperts free weekly email immunization through sexual contact. To access the updated rec- ommendations, go to: www.cdc.gov/mmwr/PDF/ www.immunize.org/standingorders news service, IAC Express. wk/mm5920.pdf and see pages 626–629. www.immunize.org/vaccines www.immunize.org/subscribe On May 28, CDC published guidance for human www.immunize.org/acip papillomavirus (HPV) vaccination of males with quadrivalent HPV vaccine (HPV4; Gardasil; Mer- www.immunize.org/photos ck). The 3-dose series of HPV4 may be given to the 2010–11 influenza season, was licensed as a www.immunize.org/concerns single dose for use in people age 65 years and older males age 9 through 26 years to reduce their likeli- by FDA in Dec. 2009. ACIP has not expressed a hood of acquiring genital warts. HPV4 would be www.immunize.org/shop preference for Fluzone High-Dose or any specific most effective when given before exposure to HPV

Ask the Experts . . . continued from page 1

() and Menveo (Novartis). It polysaccharide vaccine (MPSV4; Menomune; would be useful to know if they are inter- sanofi pasteur) when vaccinating or revaccinating changeable when repeat doses of MCV4 are people age 56 years and older. To receive “Ask the Experts” by needed. To access updated recommendations for revac- email, subscribe to IAC’s news Although both vaccines are licensed for single- cinating people at prolonged increased risk for me- service, IAC Express. dose use, you can use either vaccine to revaccinate ningococcal disease, go to: www.cdc.gov/mmwr/ Special “Ask the Experts” issues people ages 11 through 55 years who are at pro- PDF/wk/mm5837.pdf, and see pages 1042–43. longed increased risk for meningococcal disease. are published five times per year. Only Menactra is licensed for vaccinating children If an adult or child has not had documented ages 2 through 10 years. Use only meningococcal but has had shingles, is varicella www.immunize.org/subscribe vaccination recommended? No. Shingles is caused by varicella zoster, the same virus that causes chickenpox. A history of Vaccinate Adults correction policy To find hundreds of “Ask the If you find an error, please notify us immediately by shingles based on a healthcare provider diagnosis sending an email message to [email protected]. is evidence of immunity to chickenpox. Therefore, Experts” questions answered We publish notification of significant errors in our a person who has had shingles does not need to by CDC experts, go to email announcement service, IAC Express. Be sure be vaccinated against varicella. He/she should still you’re signed up for this service. To subscribe, visit receive zoster vaccine, however, if it is not contra- www.immunize.org/subscribe. www.immunize.org/askexperts indicated and he/she is age 60 or older.

4 Vaccinate Adults! • June 2010 • Immunization Action Coalition • (651) 647-9009 • www.immunize.org • www.vaccineinformation.org