Immunisation Update

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Immunisation Update

• Kim Riley
• Program Consultant
• GPV

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Overview

• How can divisions work with ACCHOs?
• What support can Divisions offer to ACCHOs
• Immunisation Update
• Changes to the Victorian Immunisation Schedule
• 9th Edition Immunisation Handbook

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Division of General Practice Collaborative
Immunisation Approach

• Divisions work with many community immunisation
  services and providers
• General Practice
• Local Government
• Aboriginal Health services
• Community Health Centers
• Maternal and Child Health Services
• Maternal Birthing/Pediatric units
• Aged care facilities

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Why work collaboratively?

• To ensure ALL children are immunised
• Individual and community protection
• To reduce reproduction of work
• Sharing resources you are able to produce more
  and a greater variety of resources
• Everyone's efforts affects everyone's outcomes
• Statistics based on ALL children in area

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What support can Divisions provide

• Resources
• Updates
• Access to education
• Assistance with development of immunisation
  policies and procedures eg cold chain
• Resource to link into other wider organisations
• Chance to become part of a collective voice
• Support

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Changes to immunisation 2007-2008

• New Victorian Immunisation Schedule
• 1st March 2008
• Introduction or Rota Virus and Gardasil
• Release of the new 9th Edition Immunisation
  Handbook
• Changes to the GPII payments
• Maternity Immunisation Allowance Split into 2

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Changes 2008New Victorian Immunisation Schedule

• Due to a vaccine production error, Merk (CSL)
  could not supply Comvax or Pedvax
• 1St March 2008 Victoria moved to using
  Infanrix-hexa and Hiberix
• From 1st March 2008 ALL children are to use
• Infanrix-hexa at 2, 4, 6 months
• Hiberix at 12 months
• COMVAX IS ONLY TO BE GIVEN TO CHLDREN AT
• 12 MONTHS UNTIL STOCKS RUN OUT.

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Hib vaccines

• Comvax / Pedvax
• 3 dose course
• 2, 4, 12 months
• Immunogenic after dose 1
• PRP-OMP
• Protein sugars from Hib capsule joined to outer
  membrane of meningococcal protein
• Liquid in vial

• Infanrix hexa / Hiberix
• 4 dose course
• 2, 4, 6, 12 months
• Immunogenic after dose 2
• PRP T
• Protein sugars from Hib capsule joined to tetanus
  toxoid protein
• Lyophilised pellet plus pre-filled syringe of
  saline for reconstitution

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Infanrix hexa(Diptheria, Tetanus,
Pertussis,Polio, Hib, Hep B)

• Single dose blister tray
• Infanrix Penta prefilled syringe
• Vial with Hib pellet
• Needle for reconstitution (25g, 16mm in length)
• Needle for injection
• (23g, 25 mm in length)
• Single dose packs initially

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When Comvax runs out

• This effectively means that children at 12months
  require 4 needles instead of 3
• The schedule can be mixed as they are the same
  antigen
• Likely that this schedule will remain even after
  Comvax stocks are available

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Rota Virus vaccine - RotaTeq

• ORAL vaccine
• 2, 4, 6 months
• Must be given in the correct time frame
• Dose 1 - 6-12 weeks
• Dose 2 10-28 weeks
• Dose 3 14-32 weeks
• Parents need to be reminded to be vaccinated on
  time!

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Gardasil

• Funded vaccination program for females 12-26
  years UNTIL June 2009
• 3 doses 0, 1, 4 / 0, 2, 6
• Leaves 8-10 months for this population to receive
  FREE vaccine
• 450 for 3 dose course
• After then only for year 7 students

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Whats newMajor revisions

• Part 1, Vaccination Procedures and Schedule
• Re-ordered and more detail
• Catch-up vaccination updated additional tools
• Recommended injection angle 90 (not less than 70
  )
• Injection technique much more detail, photos
  diagrams
• Part 2, Vaccination for Special Risk Groups
• Expanded section for ATSI and International
  Travel
• Separate sections on special vaccination
  requirements for pregnant, planning pregnancy and
  breastfeeding women preterm infants people with
  impaired immunity oncology patients and
  transplant recipients
• Immunisation of certain occupational groups have
  been expanded
• Part 3, Vaccines Listed by Disease
• Hepatitis B
• Influenza
  
• Measles (and Mumps and Rubella)
• Meningococcal Infections
• Pneumococcal Infections
• Pertussis
• Varicella

• HPV
• Rotavirus
• Zoster

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Whats the same in the 9th Edition?

• Overall layout is the same
• front cover
• Parts 1, 2, and 3
• Appendices
• Contains information on all the vaccines
  available in Australia at June 2007
• National Immunisation Program (NIP)
• PBS
• Private prescription