Immunization Action Coalition

“There are no material differences in voting rights among members of the governing body, and the governing body has not delegated broad authority to an executive committee or similar committee.”

“Iac's bylaws provide that deborah l. Wexler, md, is the sole member of the corporation. She is entitled to elect the board of directors and to take other member action, including adding other members to the corporation. Dr. Wexler has not taken any action as the sole member of the organization other than to appoint professionals to the board of directors for the purpose of promoting iac's goals and mission.”

“See comment above for part vi, line 6.”

“The organization has a small board of directors. There are no separate committees of the board of directors.”

“Review of form 990. The organization's staff provides necessary documentation and data via questionnaires to the accountant. Once the draft of the form 990 has been prepared by the accountant, the organization's management reviews the form for accuracy. When the draft is approved by management, the 990 is sent by electronic means to each board member for review and approval. If there are any changes, they will be incorporated into the draft. Once the board has approved the 990, management conveys approval to the accountant to finalize the draft. The final form 990 is signed by the executive director and filed in a timely manner with the appropriate state and federal authorities. Form 990 is available for public review on www.guidestar.org”

“Written conflict of interest policy. Annually the board, management and all employees review and sign their copies of the conflict of interest policy to disclose any conflicts. Copies are reviewed by management for reportable conflicts. Any conflicts are noted in the board minutes. Board members that have conflicts of interest are prohibited from participating or voting in board activities related to the conflict.”

“Compensation of executive director. Annual review of executive director's salary and benefits is approved by the board, with the executive director excused from the conversation and voting. The executive director received the same percentage increase in her salary as did the rest of the staff. This process was last conducted in july 2020. Compensation of chief strategy officer: in december 2018, the organization obtained an independent review of the chief strategy officers compensation and found it to be reasonable and appropriate. During its december 2018 meeting, the board reviewed and approved the independent report.”

“The immunization action coalition does not make its articles of incorporation, bylaws, conflict of interest policy, or financial statements available to the general public.”

“The immunization action coalition (iac) works to increase immunization rates and prevent disease by creating and distributing educational materials for healthcare professionals and the public that enhance the delivery of safe and effective immunization services. Iac also facilitates communication about the safety, efficacy, and use of vaccines within the broad immunization community of patients, parents, healthcare organizations, and government health agencies. For more than two decades, the centers for disease control and prevention (cdc) has worked in concert with and provided financial support to iac for the purpose of educating healthcare professionals about u.s. Vaccine recommendations. Cdc first recognized iac's accomplishments in 1997 by awarding it the prestigious partners in public health award "for efforts instrumental in achieving high levels of routine infant hepatitis b immunization." physicians, nurses, and other healthcare professionals at every level of the immunization community, including both the public and private sectors, rely on many of the following projects in their daily work to increase immunization rates across the lifespan.”

“Program: education iac creates publications and educational materials for healthcare professional staff, their patients, and the public. All of these publications and materials are available online and copyright-free. Iac express: currently emailed free of charge to nearly 52,000 opt-in subscribers every wednesday, iac express provides up-to-date information about new and updated cdc/acip vaccine recommendations, new fda licensures, newly released vaccine information statements and translations, new immunization education materials, current events in the vaccine world, continuing education opportunities, and journal articles. Special editions of iac express are also published when there are urgent matters to be reported. During fiscal year 2020, ending june 30, 2020 (fy2020), iac published 70 issues of iac express, which included a total of 905 articles on topics related to vaccines and vaccine-preventable diseases. The current issue, as well as the more than 1,500 issues published since iac express's beginning in 1997, is available online at www.immunize.org/express. Ask the experts: ask the experts (ate) is a recurring feature of iac express, in which iac experts answer challenging and timely questions about vaccines and their use. Questions are gathered from iac's close communications with clinicians who provide immunization services as well as from iac and cdc staff who closely monitor the latest changes to vaccine recommendations. More than 1,100 ate questions and answers are available and searchable in the ask the experts web section available online at www.immunize.org/askexperts. Unprotected people stories: since 1998, iac has collected and published personal stories and case reports about people who have suffered or died from vaccine-preventable diseases. We believe that our collection called unprotected people stories is extremely important in helping parents and the media understand the value of vaccines. These stories can be particularly effective in countering stories claiming harm from vaccines. Currently, 109 reports are available online at www.immunize.org/stories. Educational materials for healthcare professionals, their patients, and the public: iac is the most relied-upon source of free immunization materials for healthcare professionals, their patients, and the public. During fy2020, 3.5 million copies of iac's 329 educational pieces (including translations) were downloaded from iac's "handouts" web section. All of iac's educational materials are available online free of charge and ready to copy at www.immunize.org/handouts. Iac believes it is very important to provide information for non-english speaking patients and the public. We currently provide spanish translations of 50 of our patient/parent handouts. Many of these patient/parent handouts are also translated into seven additional languages. Translations of vaccine information statements (viss): for two decades, iac has maintained an online index of the federally mandated viss, for which hundreds of translations are available. The index can be viewed at www.immunize.org/vis and can be sorted alphabetically or by vaccine or language. Visitors can also find tips on how to use viss, news about viss, and links to related cdc resources. In october 2016, iac entered into a five-year cooperative agreement with cdc to support iac's role as the official clearinghouse for vis translations. As a result of the federal funding, iac provides translations in a minimum of nine languages within 30 days of cdc's release of a new or updated vis for a routinely recommended vaccine. The languages provided within the current grant year are arabic, burmese, simplified chinese, traditional chinese, french, russian, spanish, somali, and vietnamese. In addition, iac posts spanish vis translations online in both pdf and rtf versions. Rtf versions enable electronic records systems (that cannot utilize pdfs) to provide spanish translations within their systems. The iac staff coor”

“Website for healthcare professionals: www.immunize.org : launched in 1995 as one of the first websites devoted to immunization, www.immunize.org is the largest resource of practical, user-friendly immunization information available today, serving an average of more than 26,000 visitors per day in fy2020. The website makes available more than 1,500 web pages and 1,400 pdf files dedicated to educating healthcare professionals and the public about vaccines and vaccine-preventable diseases. Currently, the site ranks number one in google when searching on the word "immunize." this website houses the complete collection of iac's publications and educational materials, all of which are available free of charge. Users are encouraged to copy and distribute them. The collection includes all viss published in the united states in dozens of languages. During fy2020, users downloaded 7 million ready-to-copy pdf documents from the website, including approximately 3.5 million viss and their translations and 3.5 million copies of iac-created educational materials. Other noteworthy sections of the website include ask the experts, acip recommendations, package inserts, vaccines, clinic tools, state vaccination laws, image library (of vaccine-preventable diseases), and video of the week. Website for the public, vaccine information you need: www.vaccineinformation.org: developed in consultation with cdc, this website for the general public presents straightforward information about vaccine-preventable diseases and their vaccines. Launched in august 2002, it currently hosts an average of 3,500 visits per day. Consisting of 230 pages, this website provides basic information about vaccination, vaccine safety, and the overall importance of immunization. It features 196 vaccine-preventable disease photos and 172 video clips. Major sections include infants/children, preteens, teens, and adults, vaccine basics, and diseases. The website offers parents and people of all ages timely, accurate, and proven information about vaccines and the diseases they prevent. The site also features hundreds of valuable resources, including personal testimonies of suffering and loss due to vaccine-preventable diseases; vaccine-related videos; public service announcements; and educational materials from trusted organizations. Website for immunization coalitions: www.immunizationcoalitions.org: this website provides access to an interactive online database of local, state, regional, and national immunization coalitions. The database allows interested healthcare professionals, parents, immunization advocates, and others to contact immunization coalitions for resources, ideas, or volunteer opportunities. Currently, 137 immunization coalitions have entered information about their organizational structures and activities. Repository of resources for maintaining immunization during the covid-19 pandemic: in may 2020, iac launched the repository of resources for maintaining immunization during the covid-19 pandemic to provide a rich collection of resources to healthcare professionals and others to help them in their routine vaccination efforts during the pandemic. The repository includes links to both national and state-level policies and guidance; advocacy materials, including talking points, webinars, press releases, articles, and social media posts; and telehealth resources. These resources are intended to support the immunization efforts of healthcare settings, state and local health departments, professional societies, immunization coalitions, and advocacy organizations. Vaccinating adults: a step-by-step guide (guide): this 142-page guide was released in november 2018 and provides practical information in an easy-to-use format to help practitioners implement or enhance adult immunization services in their healthcare settings. The guide also includes an abundance of web addresses and references to assist in staying up to date with the most current information. Developed by”

“Program: partnering for immunization iac is broadly and deeply connected to every level of the u.s. Immunization community. We serve as an independent communications hub through our publications, websites, email news services, conference organizing and participation, contributions to policymaking, and as a direct contact with every vaccine-involved federal agency, state health department, professional medical association, and vaccine manufacturer. Virtually all of america's professional medical societies partner with iac as members of our advisory board. A list of these societies is available online at www.immunize.org/aboutus/advisoryboard.asp. National adult and influenza immunization summit (naiis): a partnership of cdc, the u.s. Department of health and human services' office of infectious disease and hiv/aids policy, and iac, naiis comprises more than 130 organizations including nearly 700 individuals. Naiis maintains three work groups that take specific actions aimed at improving vaccine uptake. Since 2003, iac has been the leading member of naiis, continuing to serve as the naiis fiscal agent and managing its website at www.izsummitpartners.org. Naiis is led by iac chief strategy officer dr. L.j tan. National network of immunization coalitions: iac founded the national network of immunization coalitions in 2012. Iac manages the group's communications and deliberations, including an email listserv, newsletters, and website. Iac also conducts monthly teleconference calls of the coalition directors and arranges speakers for quarterly webinars attended by an average of more than 100 participants. Currently, the network comprises more than 600 immunization advocates, including representatives from 137 immunization-related coalitions and nonprofit leaders. Iac has served on the planning committee for the biennial national conference for immunization coalitions and partnerships since the conference began in 1998. Immunization policy and conferences: iac is deeply involved in state and national vaccine policymaking. Some examples: for more than a decade, dr. Wexler, dr. Tan, iac medical consultant dr. William l. Atkinson, and iac associate director for immunization projects ms. Diane peterson have filled important consulting positions on many advisory committee on immunization practices (acip) working groups, including childhood immunization schedule, adult immunization schedule, general principles of vaccination, combination vaccines, influenza, herpes zoster, evidence-based, pneumococcal, hepatitis, pertussis, and meningococcal-hib. Dr. Kelly moore, iac associate director for immunization education, and dr. Carolyn bridges, iac associate director for adult immunization, have recently been added to iac's team of consultants participating in acip working groups. Dr. Tan is a former voting member of the national vaccine advisory committee (nvac) and has served as chair of its immunization infrastructure working group, as well as serving on the vaccine safety, maternal immunization, adult immunization, health care personnel, and vaccine confidence working groups. Iac staff members attend or give presentations at cdc's national immunization conference, the immunization program managers conference, and meetings of nvac and acip, as well as at many state immunization conferences. During fy2020, iac staff attended six state or national and two international conferences, reflecting a reduction in face-to-face meetings due to the covid-19 pandemic. Dr. Wexler and dr. Tan are members of the 317 coalition steering committee, which advocates for increased federal funding for those who are uninsured or underinsured, as well as for increased financial support for the infrastructure of immunization programs in public health departments. Dr. Wexler, dr. Tan, iac associate director for research dr. Sharon humiston, iac coordinator for public health ms. Laurel wood, and ms. Peterson participate in several monthly conference calls hosted by iac”

“Hepatitis b vaccine birth dose project for nearly three decades, iac has helped lead the national effort to ensure that every newborn receives a birth dose of hepatitis b vaccine prior to discharge from the newborn nursery. We have completed a guidebook for implementing birth dose policies titled hepatitis b: what hospitals need to do to protect newborns and launched a national campaign in 2013 urging birthing institutions to adopt hepatitis b vaccine birth dose policies. As part of this initiative, iac has developed the hepatitis b vaccine birth dose honor roll. To be included in the honor roll, a birthing institution must have: (1) reported a coverage rate of 90% or greater over a 12-month period for administering hepatitis b vaccine before hospital discharge to all newborns, including those whose parents refuse vaccination, and (2) implemented specific written policies, procedures, and protocols to protect all newborns from hepatitis b virus infection by vaccinating within 24 hours of birth. Honorees are listed on iac's website, awarded a certificate, and featured in iac express. Currently, the honor roll includes more than 500 birthing institutions, all of which are listed online at www.immunize.org/honor-roll/birthdose/honorees.asp. Iac also has developed a related slide set titled "give birth to the end of hep b: what hospitals need to do to protect newborns," available in pdf or powerpoint format at www.immunize.org/resources/res_powerpoint.asp. Honor roll for mandatory influenza vaccination for healthcare personnel: in 2009, iac created the honor roll for mandatory influenza vaccination for healthcare personnel, which recognizes healthcare settings that have implemented mandatory influenza vaccination policies for their healthcare staff. To date, more than 1,100 healthcare settings have been honored. The honorees are listed at www.immunize.org/honor-roll/influenza-mandates. Voices for vaccines: after conceiving the idea for a membership organization of parents dedicated to promoting the value of immunization, dr. Wexler co-founded voices for vaccines (vfv) with dr. Stanley plotkin and dr. Paul offit, all of whom serve on its executive committee. Parent led and national in scope, vfv has become a major vaccination advocacy organization especially on social media and the internet. Iac information and customer service: iac makes a tremendous effort to answer email and phone inquiries from healthcare professionals and the public in a timely manner. Staff members respond to more than 500 email messages and phone calls each month. Iac in the media: iac staff members are often called on to provide accurate information to print, radio, television, and internet news media. Some recent contacts with media include american academy of family physicians news, american medical association covid-19 update, becker's hospital review, cnn, fox news, national public radio, the new york times, pharmacy times, self magazine, the telegraph, usa today, the washington times, the washington post, web md, and yahoo news. When vaccines are portrayed inaccurately in the entertainment or news media, iac often responds with authoritative information about the issue and a reminder about the positive and negative power of the media on american attitudes and beliefs. Closing the meningococcal acwy booster vaccination gap: in collaboration with sanofi pasteur, our website at www.give2menacwy.org aims to raise awareness of the low immunization rates for the meningococcal (menacwy) booster dose at age 16, help healthcare providers know their second-dose menacwy coverage rates, and supply tools for providers to increase rates and help close the menacwy booster dose gap for their adolescent patients. As part of this collaboration, dr. Humiston presented two webinars highlighting the importance of adolescent vaccination. The most recent webinar is archived on www.immunize.org/resources/res_powerpoint.asp. Meningococcal b vaccination honor roll: in may 2020,”

“Database consultant: program service expenses 26,696. Management and general expenses 154. Fundraising expenses 34. Total expenses 26,884. Design consultant: program service expenses 2,187. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,187. Admin consultant: program service expenses 0. Management and general expenses 25,785. Fundraising expenses 2,880. Total expenses 28,665. Misc consultant: program service expenses 11,254. Management and general expenses 548. Fundraising expenses 122. Total expenses 11,924. Writer/epidemiologist consultant: program service expenses 24,350. Management and general expenses 3,619. Fundraising expenses 844. Total expenses 28,813. Research/grant/writer consultant: program service expenses 44,226. Management and general expenses 0. Fundraising expenses 0. Total expenses 44,226. Projects consultant: program service expenses 161,397. Management and general expenses 150. Fundraising expenses 0. Total expenses 161,547. Public health coordinator: program service expenses 71,255. Management and general expenses 0. Fundraising expenses 0. Total expenses 71,255. Creative consultant: program service expenses 52,088. Management and general expenses 852. Fundraising expenses 942. Total expenses 53,882. Director of iz education: program service expenses 52,571. Management and general expenses 0. Fundraising expenses 0. Total expenses 52,571. Translations: program service expenses 20,657. Management and general expenses 0. Fundraising expenses 0. Total expenses 20,657. Benefit service fee: program service expenses 943. Management and general expenses 95. Fundraising expenses 21. Total expenses 1,059. Writer/web content consult: program service expenses 105,905. Management and general expenses 0. Fundraising expenses 0. Total expenses 105,905. Editing consult: program service expenses 35,842. Management and general expenses -103. Fundraising expenses -23. Total expenses 35,716. Medical consult: program service expenses 84,139. Management and general expenses 345. Fundraising expenses 0. Total expenses 84,484. Scientific consultant: program service expenses 38,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 38,000. Payroll service fee: program service expenses 1,873. Management and general expenses 189. Fundraising expenses 42. Total expenses 2,104.”