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Immunisation newsletter – July 2019

In this issue:

  • Immunisation schedule Victoria - July 2019
  • Increased reports of shoulder injury related to vaccine administration
  • What do I do when a full dose of vaccine is not given?
  • Can a person with an egg allergy receive the influenza vaccine?
  • Translated Pertussis vaccine brochure for pregnant women
  • Victorian Government Supercare Pharmacy nurses can administer free government funded vaccines after hours
  • Translating overseas immunisation encounters

Immunisation schedule Victoria - July 2019

The Hepatitis A vaccine program ceased on 30 June 2019 - Havrix 1440® (hepatitis A vaccine) was used for a Victorian Government funded two dose course for all men who have sex with men, homeless people sleeping rough, adult prisoners and people who have injected drugs in the past 12 months.

Download and use the July 2019 Immunisation Schedule

Download and use the updated Government vaccine order form


Increased reports of shoulder injury related to vaccine administration (SIRVA)

To avoid causing a shoulder injury related to vaccine administration:

  • Ensure you can visualise the deltoid muscle from the shoulder to the elbow
  • Be familiar with the anatomical landmarks and surrounding structures
  • Follow recommended immunisation administration techniques

Report all cases of SIRVA to the Victorian vaccine safety service, SAEFVIC

Avoiding shoulder injury related to immunisation


What do I do when a full dose of vaccine is not given?

Injected vaccine

If the process of administering a vaccine is interrupted (such as by syringe-needle disconnection) and most of the dose (more than 50%) has not been given, repeat the whole dose at that visit.

Oral vaccine

If an infant spits out or vomits most of an oral rotavirus vaccine dose within minutes of administration, they can receive a single repeat dose during the same visit.

If an infant spits out or vomits only a small part of an oral rotavirus vaccine dose, there is no need to repeat the dose. The regurgitated (and incomplete volume) dose is still considered a valid dose.

Administration of vaccines - vaccine injection techniques - interruption to vaccination


Can a person with an egg allergy receive influenza vaccine?

Egg allergy is not a contraindication to receiving the influenza vaccine and people with egg allergy, including anaphylaxis, can be safely vaccinated with influenza vaccines.

People with a history of anaphylaxis to egg can be vaccinated with a full vaccine dose in medical facilities with staff experienced in recognising and treating anaphylaxis. All staff performing vaccinations should be able to recognise and treat anaphylaxis.

All Immunisation providers must have an anaphylaxis response kit on hand at all times.

Review the ASCIA Guidelines - Vaccination of the egg-allergic individual

Preparing an anaphylaxis response kit


Translated Pertussis vaccine brochure for pregnant women

The 'Protect your baby from whooping cough' brochure is now available in the following 10 translated languages:

  • Simplified Chinese
  • Traditional Chinese
  • Arabic
  • Greek
  • Punjabi
  • Italian
  • Hindi
  • Korean
  • Vietnamese

Victorian Government Supercare Pharmacy nurses can administer free government funded vaccines after hours

Supercare Pharmacies are a Victorian Government initiative provided by 20 pharmacies across the state that are open 24 hours a day, seven days a week. A free on-site nursing service, in a private consulting room, is also available every evening from 6 pm to 10 pm. The nurses can provide the following free government funded vaccines to eligible people aged 16 and over:

  • Hepatitis B
  • Human papillomavirus
  • Influenza
  • Measles-mumps-rubella
  • Meningococcus
  • Pertussis
  • Streptococcus pneumoniae

More information about Supercare Pharmacies and their locations around the state


Translating overseas immunisation encounters

The Australian Government Department of Settlement Services offer a free translating service that can be used by anyone who holds a permanent visa. GPs and medical specialists can also access the Australian Government Department of Home Affairs Free Interpreting Service when providing Medicare-rebate services.

Find out more about free document translations


Links

Clinical Vaccinology Update April 2019 - presentations now available

The Victorian Immunisation Nurses Special Interest Group would like to invite you and your colleagues to the INSIG Biennial Immunisation Conference on Thursday 29 August 2019.

Varicella vaccine effectiveness over 10 years in Australia; moderate protection from 1-dose program

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