Archived Immunization MMWRs 2018
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January 17, 2019: Content on this page kept for historical reasons.
Current MMWRs Related to Immunization News
December 2018
CDC. QuickStats: Percentage of Adults Aged ≥18 Years Who Had an Influenza Vaccination in the Past 12 Months, by Diagnosed Diabetes Status and Age Group — National Health Interview Survey, 2017 MMWR. 2018;67(49);1374.
Regardless of diabetes status, influenza vaccination rates were higher among those aged ≥65 years than among those aged 18–64 years…-
Budd AP, Elal AIA, Alabi N, Barnes J, Blanton L, Brammer L, et al. Influenza Activity — United States, September 30–December 1, 2018 MMWR. 2018;67(49);1369-71.
Influenza activity in the United States was low during October 2018, and, although it increased slowly during November, activity remains low across most of the country…
November 2018
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CDC. QuickStats: Percentage of U.S. Adults Aged ≥18 Years Who Have Had a Flu Vaccination in the Past 12 Months, by Sex and Age Group — National Health Interview Survey, 2017 MMWR. 2018;67(47);1330.
Overall, 46.7% of women and 39.9% of men aged ≥18 years have had a flu vaccination in the past 12 months… -
Dabbagh A, Laws RL, Steulet C, Dumolard L, Mulders MN, Kretsinger K, et al. Progress Toward Regional Measles Elimination — Worldwide, 2000–2017 MMWR. 2018;67(47);1323-9.
This report describes progress toward global measles control milestones and regional measles elimination goals during 2000–2017 and updates a previous report… -
Lee G, Carr W, ACIP Evidence-Based Recommendations Work Group. Updated Framework for Development of Evidence-Based Recommendations by the Advisory Committee on Immunization Practices MMWR. 2018;67(45);1271-2.
This report briefly summarizes an update to the ACIP process for developing evidence-based recommendations that ACIP adopted at its February 2018 meeting… -
VanderEnde K, Gacic-Dobo M, Diallo MS, Conklin LM, Wallace AS. Global Routine Vaccination Coverage — 2017 MMWR. 2018;67(45);1261-4.
This report updates previous reports and presents global, regional, and national vaccination coverage estimates and trends as of 2017… -
Hsu C, Mahamud A, Safdar M, Nikulin J, Jorba J, Bullard K, et al. Progress Toward Poliomyelitis Eradication — Pakistan, January 2017–September 2018 MMWR. 2018;67(44);1242-5.
This report documents Pakistan’s activities and progress toward polio eradication during January 2017–September 2018 and updates previous reports… -
Nelson NP, Link-Gelles R, Hofmeister MG, Romero JR, Moore KL, Ward JW, et al. Update: Recommendations of the Advisory Committee on Immunization Practices for Use of Hepatitis A Vaccine for Postexposure Prophylaxis and for Preexposure Prophylaxis for International Travel MMWR. 2018;67(43);1216-20.
This report updates and supersedes previous ACIP recommendations for HepA vaccine for PEP and for international travel… -
Foster M, Ramachandran S, Myatt K, Donovan D, Bohm S, Fiedler J, et al. Hepatitis A Virus Outbreaks Associated with Drug Use and Homelessness — California, Kentucky, Michigan, and Utah, 2017 MMWR. 2018;67(43);1208-10.
Increasing vaccination among groups at risk for hepatitis A infection might halt ongoing outbreaks and prevent future outbreaks…
October 2018
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Jorba J, Diop OM, Iber J, Henderson E, Zhao K, Sutter RW, et al. Update on Vaccine-Derived Polioviruses — Worldwide, January 2017–June 2018 MMWR. 2018;67(42);1189-94.
This report presents data on VDPVs detected during January 2017–June 2018 and updates previous VDPV summaries… -
Avramovich E, Indenbaum V, Haber M, Amitai Z, Tsifanski E, Farjun S, et al. Measles Outbreak in a Highly Vaccinated Population — Israel, July–August 2017 MMWR. 2018;67(42);1186-8.
In outbreak settings, health care providers should maintain a high index of suspicion for measles, even in vaccinated patients, and conduct a thorough epidemiologic and laboratory investigation of suspected measles cases… -
Chow EJ, Davis CT, Elal AIA, Alabi N, Azziz-Baumgartner E, Barnes J, et al. Update: Influenza Activity — United States and Worldwide, May 20–October 13, 2018 MMWR. 2018;67(42);1178-85.
Fourteen influenza variant virus infections were reported in the United States, and most were associated with exposure to swine… -
Marx GE, Burakoff A, Barnes M, Hite D, Metz A, Miller K, et al. Mumps Outbreak in a Marshallese Community — Denver Metropolitan Area, Colorado, 2016–2017 MMWR. 2018;67(41);1143-6.
During a mumps outbreak, eligible persons should receive prompt MMR vaccinations according to Advisory Committee on Immunization Practices guidelines, including use of a third dose when appropriate… -
Wallin T, Holzschuh E, Kintner E. Notes from the Field: Rubella Infection in an Unvaccinated Pregnant Woman — Johnson County, Kansas, December 2017 MMWR. 2018;67(40);1132-3.
Per the Advisory Committee on Immunization Practices recommendations, health care institutions should ensure that all persons working in health care facilities have documentation of adequate vaccination against measles, mumps, and rubella or evidence of immunity… -
Hill HA, Elam-Evans LD, Yankey D, Singleton JA, Kang Y. Vaccination Coverage Among Children Aged 19–35 Months — United States, 2017 MMWR. 2018;67(40);1123-8.
In 2017, coverage with most recommended vaccines among children aged 19–35 months remained stable and high but was lower in more rural areas and among uninsured or Medicaid-insured children… -
Mellerson JL, Maxwell CB, Knighton CL, Kriss JL, Seither R, Black CL. Vaccination Coverage for Selected Vaccines and Exemption Rates Among Children in Kindergarten — United States, 2017–18 School Year MMWR. 2018;67(40);1115-22.
This report summarizes vaccination coverage and exemption estimates collected by state and local immunization programs for children in kindergarten (kindergartners) in 49 states and the District of Columbia (DC) and kindergartners provisionally enrolled (attending school without complete vaccination or exemption while completing a catch-up vaccination schedule) or in a grace period (a set interval during which a student may be enrolled and attend school without proof of complete vaccination or exemption) for 28 states…
September 2018
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New S, Winter K, Boyte R, Harriman K, Gutman A, Christiansen A, et al. Barriers to Receipt of Prenatal Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis Vaccine Among Mothers of Infants Aged <4 Months with Pertussis — California, 2016 MMWR. 2018;67(38);1068-71.
Promoting on-site prenatal vaccination, educating providers about Tdap recommendations, and strengthening off-site referral likely will improve Tdap vaccination coverage during pregnancy… -
Bozio CH, Blain A, MacNeil J, Retchless A, Weil LM, Wang X, et al. Meningococcal Disease Surveillance in Men Who Have Sex with Men — United States, 2015–2016 MMWR. 2018;67(38);1060-3.
Improved surveillance data are needed to understand the prevalence of and risk for meningococcal disease among MSM and inform policy and prevention strategies… -
Kahn KE, Black CL, Ding H, Williams WW, Lu P, Fiebelkorn AP, et al. Influenza and Tdap Vaccination Coverage Among Pregnant Women — United States, April 2018 MMWR. 2018;67(38);1055-9.
Provider offers or referrals for vaccination in combination with patient education could reduce missed opportunities for vaccination and increase vaccination coverage among pregnant women… -
Black CL, Yue X, Ball SW, Fink RV, de Perio MA, Laney S, et al. Influenza Vaccination Coverage Among Health Care Personnel — United States, 2017–18 Influenza Season MMWR. 2018;67(38);1050-4.
Implementing comprehensive evidence-based worksite intervention strategies is important to ensure health care personnel and patients are protected against influenza… -
Cervantes D, Honza H, Lynch D, Janoski N, Asghar J, Lockwood L, et al. Notes from the Field: Mumps Outbreak Associated with Cheerleading Competitions — North Texas, December 2016–February 2017 MMWR. 2018;67(36);1019-20.
Because mumps outbreaks can occur in persons who have received mumps-containing vaccine, contact tracing should include vaccinated persons, and in some outbreak settings, a third dose of MMR vaccine is recommended… -
Murhekar M, Bavdekar A, Benakappa A, Santhanam S, Singh K, Verma S, et al. Sentinel Surveillance for Congenital Rubella Syndrome — India, 2016–2017 MMWR. 2018;67(36);1012-6.
The Government of India is committed to eliminating measles and controlling rubella and CRS by 2020… -
Fournier-Caruana J, Previsani N, Singh H, Boualam L, Swan J, Llewellyn A, et al. Progress Toward Poliovirus Containment Implementation — Worldwide, 2017–2018 MMWR. 2018;67(35);992-5.
This report summarizes containment progress since the previous report and outlines remaining challenges…
August 2018
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Tiffany A, Shannon D, Mamtchueng W, Castrodale L, McLaughlin J. Notes from the Field: Mumps Outbreak — Alaska, May 2017–July 2018 MMWR. 2018;67(33);940-1.
As of July 31, 2018, the outbreak is ongoing, with 391 confirmed and probable cases reported; 94% of cases have been in Anchorage residents… -
Walker TY, Elam-Evans LD, Yankey D, Markowitz LE, Williams CL, Mbaeyi SA, et al. National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13–17 Years — United States, 2017 MMWR. 2018;67(33);909-17.
This report summarizes national vaccination coverage for 20,949 adolescents (9,845 females [47%] and 11,104 males [53%]) aged 13–17 years with adequate provider data… -
Grohskopf LA, Sokolow LZ, Broder KR, Walter EB, Fry AM, Jernigan DB. Prevention and Control of Seasonal Influenza with Vaccines: Recommendations of the Advisory Committee on Immunization Practices—United States, 2018–19 Influenza Season MMWR. 2018;67(RR-3);1-20.
This report updates the 2017–18 recommendations of the Advisory Committee on Immunization Practices (ACIP) regarding the use of seasonal influenza vaccines in the United States (MMWR Recomm Rep 2017;66[No. RR-2])… -
Martinez M, Shukla H, Ahmadi M, Inulin J, Widodo MS, Ahmed J, et al. Progress Toward Poliomyelitis Eradication — Afghanistan, January 2017–May 2018 MMWR. 2018;67(30);833-7.
This report describes polio eradication activities, progress, and challenges to eradication in Afghanistan during January 2017–May 2018 and updates previous reports…
July 2018
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Golwalkar M, Pope B, Stauffer J, Snively A, Clemmons N. Mumps Outbreaks at Four Universities — Indiana, 2016 MMWR. 2018;67(29);793-7.
The Advisory Committee on Immunization Practices currently recommends a third dose of MMR for persons at increased risk during a mumps outbreak… -
Eboh VA, Makam JK, Chitale RA, Mbaeyi C, Jorba J, Ehrhardt D, et al. Notes from the Field: Widespread Transmission of Circulating Vaccine-Derived Poliovirus Identified by Environmental Surveillance and Immunization Response — Horn of Africa, 2017–2018 MMWR. 2018;67(28);787-9.
Horn of Africa region showing environmental surveillance sites for detection of polioviruses in Ethiopia, Kenya, and Somalia during 2017–2018… -
Gurnani V, Haldar P, Khanal S, Bhatnagar P, Singh B, Ahmed D, et al. Measles-Rubella Supplementary Immunization Activity Readiness Assessment — India, 2017–2018 MMWR. 2018;67(26);742-6.
This report describes the results and experience gained from conducting SIA readiness assessments in 24 districts of three Indian states (Andhra Pradesh, Kerala, and Telangana) during the second phase of the SIA…
June 2018
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Mbaeyi C, Wadood ZM, Moran T, Ather F, Stehling-Ariza T, Nikulin J, et al. Strategic Response to an Outbreak of Circulating Vaccine-Derived Poliovirus Type 2 — Syria, 2017–2018 MMWR. 2018;67(24);690-4.
High-quality surveillance and targeted vaccination using monovalent OPV type 2 are effective in controlling cVDPV2 outbreaks… -
Grohskopf LA, Sokolow LZ, Fry AM, Walter EB, Jernigan DB. Update: ACIP Recommendations for the Use of Quadrivalent Live Attenuated Influenza Vaccine (LAIV4) — United States, 2018–19 Influenza Season MMWR. 2018;67(22);643-5.
This document provides an overview of the information discussed in the decision-making process leading to this recommendation… -
Garten R, Blanton L, Elal AI, Alabi N, Barnes J, et al. Update: Influenza Activity in the United States During the 2017–18 Season and Composition of the 2018–19 Influenza Vaccine MMWR. 2018;67(22);634-42.
This report summarizes U.S. influenza activity during October 1, 2017–May 19, 2018…
May 2018
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Khanal S, Bahl S, Sharifuzzaman M, Dhongde D, Pattamadilok S, Reef S, et al. Progress Toward Rubella and Congenital Rubella Syndrome Control — South-East Asia Region, 2000–2016 MMWR. 2018;67(21);602-6.
This report summarizes progress toward rubella and CRS control in SEAR during 2000–2016… -
Shimabukuro TT, Miller ER, Strikas RA, Hibbs BF, Dooling K, Goud R, et al. Notes from the Field: Vaccine Administration Errors Involving Recombinant Zoster Vaccine — United States, 2017–2018 MMWR. 2018;67(20);585-6.
Although data from passive reporting to VAERS and inquiries submitted to CDC limit the ability to draw conclusions regarding the cause of the administration errors, early monitoring indicates that vaccine providers might confuse administration procedures and storage requirements of the older ZVL and the newer RZV… -
Tippins A, Murthy N, Meghani M, Solsman A, Apaisam C, Basilius M, et al. Vaccination Coverage Among Children Aged 2 Years — U.S. Affiliated Pacific Islands, April–October, 2016 MMWR. 2018;67(20);579-84.
CDC piloted a method of estimating coverage by medical record abstraction in five USAPI jurisdictions… -
Centers for Disease Control and Prevention. QuickStats: Percentage of Adults Aged ≥60 Years Who Ever Had the Shingles Vaccine, by Sex — National Health Interview Survey, 2008–2016 MMWR. 2018;67(19);565.
For each year during 2008–2016, women were more likely than men to have had the shingles vaccine… -
Harris AM, Link-Gelles R, Kim K, Chandrasekar E, Wang S, Bannister N, et al. Community-Based Services to Improve Testing and Linkage to Care Among Non–U.S.-Born Persons with Chronic Hepatitis B Virus Infection — Three U.S. Programs, October 2014–September 2017 MMWR. 2018;67(19);541-6.
This report describes each program’s operational services and partnerships with primary care centers, community-based organizations, and public health departments to recruit non–U.S.-born persons for HBV testing using the hepatitis B surface antigen (HBsAg) and link those whose test results were positive to HBV-directed care… -
Centers for Disease Control and Prevention. Hepatitis Awareness Month and Testing Day, May 2018 MMWR. 2018;67(19);541.
The United States commemorates National Hepatitis Awareness Month each May, and May 19 is designated as Hepatitis Testing Day… -
Summers A, Humphreys A, Leidman E, Van Mil LT, Wilkinson C, Narayan A, et al. Notes from the Field: Diarrhea and Acute Respiratory Infection, Oral Cholera Vaccination Coverage, and Care-Seeking Behaviors of Rohingya Refugees — Cox’s Bazar, Bangladesh, October–November 2017 MMWR. 2018;67(18);533-5.
To prevent an outbreak of cholera, which is endemic in Bangladesh, a fixed-site, mass oral cholera vaccination (OCV) campaign targeting all persons aged ≥1 year was conducted among Rohingya refugees during October 10–18, with a follow-up campaign targeting children aged 1–4 years November 4–9… -
Khan F, Datta SD, Quddus A, Vertefeuille JF, Burns CC, Jorba J, et al. Progress Toward Polio Eradication — Worldwide, January 2016–March 2018 MMWR. 2018;67(18);524-8.
This report describes global progress toward polio eradication during January 2016–March 2018, and updates previous reports… -
Hofmeister MG, McCready JA, Link-Gelles R, Cramer BG, Nolen LD, et al. Notes from the Field: Increase in Hepatitis A Virus Infections — Marshall Islands, 2016–2017 MMWR. 2018;67(17);504-5.
Health officials are evaluating the potential costs and benefits of incorporating routine hepatitis A vaccination in Marshall Islands as a means of reducing ongoing transmission and preventing outbreaks… -
Hagan JE, Kriss JL, Takashima Y, Mariano KML, Pastore R, Grabovac V, et al. Progress Toward Measles Elimination — Western Pacific Region, 2013–2017 MMWR. 2018;67(17);491-5.
This report updates the previous report (4) and describes progress toward measles elimination in WPR during 2013–2017…
April 2018
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Burke RM, Tate JE, Barin N, Bock C, Bowen MD, Chang D, et al. Three Rotavirus Outbreaks in the Postvaccine Era — California, 2017 MMWR. 2018;67(16);470-2.
This report describes three rotavirus outbreaks that occurred in California in 2017… -
Liang JL, Tiwari T, Moro P, Messonnier NE, Reingold A, Sawyer M, et al. Prevention of Pertussis, Tetanus, and Diphtheria with Vaccines in the United States: Recommendations of the Advisory Committee on Immunization Practices (ACIP) MMWR. 2018;67(RR-2);1-44.
This report compiles and summarizes all recommendations from CDC’s Advisory Committee on Immunization Practices (ACIP) regarding prevention and control of tetanus, diphtheria, and pertussis in the United States… -
Schillie S, Harris A, Link-Gelles R, Romero J, Ward J, Nelson N. Recommendations of the Advisory Committee on Immunization Practices for Use of a Hepatitis B Vaccine with a Novel Adjuvant MMWR. 2018;67(15);455-8.
This report contains ACIP guidance specific to HepB-CpG and augments the 2018 ACIP recommendations for the prevention of HBV infection… -
Gardner TJ, Diop OM, Jorba J, Chavan S, Ahmed J, Anand A. Surveillance to Track Progress Toward Polio Eradication — Worldwide, 2016–2017 MMWR. 2018;67(14);418-23.
This report presents poliovirus surveillance data from 2016–2017, with particular focus on six countries in the Eastern Mediterranean Region and 20 countries in the African Region that reported WPV or circulating VDPVs (cVDPVs) during 2011–2017…
March 2018
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Rozwadowski F, Caulcrick-Grimes M, McHugh L, Haldeman A, Fulton T, Killerby M, et al. Notes from the Field: Fatalities Associated with Human Adenovirus Type 7 at a Substance Abuse Rehabilitation Facility — New Jersey, 2017 MMWR. 2018;67(12);371-2.
A combined HAdV-4 and HadV-7 live oral vaccine is available but is currently limited to military use… -
Davizon ES, Soeters HM, Miller L, Barnes M. Two Cases of Meningococcal Disease in One Family Separated by an Extended Period — Colorado, 2015–2016 MMWR. 2018;67(12);366-8.
Vaccination of close contacts of patients with sporadic meningococcal disease in addition to PEP is not currently recommended in the United States for the prevention of secondary cases… -
Hamer DH, Angelo K, Caumes E, van Genderen PJJ, Florescu SA, Popescu CP, et al. Fatal Yellow Fever in Travelers to Brazil, 2018 MMWR. 2018;67(11);340-1.
Yellow fever vaccination is recommended for all eligible persons aged ≥9 months, traveling to many areas in Brazil, including the states of São Paulo and Rio de Janeiro (especially Ilha Grande)… -
Hendrickson B, Kamili S, Timmons T, Iwen PC, Pedati C, Safranek T. Notes from the Field: False-Negative Hepatitis B Surface Antigen Test Results in a Hemodialysis Patient — Nebraska, 2017 MMWR. 2018;67(10);311-2.
This case highlights a unique challenge associated with detecting HBV infections when a surface antigen mutation is present… -
Alleman MM, Chitale R, Burns CC, Iber J, Dybdahl-Sissoko N, Chen Q, et al. Vaccine-Derived Poliovirus Outbreaks and Events — Three Provinces, Democratic Republic of the Congo, 2017 MMWR. 2018;67(10);300-5.
Risk for VDPV emergence in DRC will remain unless population immunity to poliovirus is increased and maintained… -
Centers for Disease Control and Prevention. Progress Toward Poliomyelitis Eradication — Nigeria, January–December 2017 MMWR. 2018;67(8);253-6.
This report describes progress in polio eradication activities in Nigeria during January–December 2017 and updates previous reports… -
Nguyen HTT, Tran CH, Dang AD, Tran HGT, Vu TD, Pham TN, et al. Rabies Vaccine Hesitancy and Deaths Among Pregnant and Breastfeeding Women — Vietnam, 2015–2016 MMWR. 2018;67(8);250-2.
These findings highlight the need for public health messaging about the safety and effectiveness of PEP in preventing rabies among all persons with exposures, including pregnant and breastfeeding women…
February 2018
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Centers for Disease Control and Prevention. QuickStats: Age-Adjusted Percentage, of Adults Aged ≥65 Years Who Had an Influenza Vaccine in the Past 12 Months,§ by Poverty Status — National Health Interview Survey, United States, 1999–2001 and 2014–2016 MMWR. 2018;67(7);233.
During both periods, older adults with income ≥200% poverty level were significantly more likely to receive an influenza vaccine compared with those with lower family income… -
Comer M, Matthias J, Nicholson G, Asher A, Holmberg S, Wilson C. Notes from the Field: Increase in Acute Hepatitis B Infections — Pasco County, Florida, 2011–2016 MMWR. 2018;67(6);180-5.
From 2011 to 2016, the number of acute HBV-infected persons in Pasco County who met the national case definition* increased from 1.5 to 17.28 per 100,000 residents (p<0.001)…
January 2018
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McNeil MM, Hibbs BF, Miller ER, Cano MV. Notes from the Field: Errors in Administration of an Excess Dosage of Yellow Fever Vaccine — United States, 2017 MMWR. 2018;67(3);109-10.
Vaccine providers should follow the instructions provided with YF-VAX; preventive measures such as more distinctive packaging and in-service training in clinics that stock both the single and multidose vials might be helpful… -
Dooling KL, Guo A, Patel M, Lee GM, Moore K,Belongia EA, et al. Recommendations of the Advisory Committee on Immunization Practices for Use of Herpes Zoster Vaccines MMWR. 2018;67(3);103-8.
This report serves as a supplement to the 2008 Prevention of Herpes Zoster Recommendations of ACIP for the use of ZVL in adults aged ≥60 years and subsequent updates; it outlines recent ACIP recommendations as well as guidance for use of RZV and ZVL in adults… -
Marin M, Marlow M, Moore KL, Patel M. Recommendation of the Advisory Committee on Immunization Practices for Use of a Third Dose of Mumps Virus–Containing Vaccine in Persons at Increased Risk for Mumps During an Outbreak MMWR. 2018;67(1);33-8.
This recommendation supplements the existing ACIP recommendations for mumps vaccination… -
Schillie S, Vellozzi C, Reingold A, Harris A, Haber P, Ward JW, et al. Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the Advisory Committee on Immunization Practices MMWR. 2018;67(RR-1);1-33.
his report updates and summarizes previously published recommendations from the Advisory Committee on Immunization Practices (ACIP) and CDC regarding the prevention of HBV infection in the United States…
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