In this issue:
- Free government supplied MMR vaccine – eligibility expanded
- Practice the back-up plan for a cold chain breach
- The second booster DTPa dose is recommended at 4 years of age
- Gardasil®9 – Clinical advice fact sheet for GPs
- Continue to vaccinate pregnant women with influenza vaccine
- Clinical Vaccinology Update (CVU) November 2019
Free government supplied MMR vaccine – eligibility expanded
Infants aged from six months to less than 11 months can receive a free dose of MMR vaccine prior to overseas travel. This dose is in addition to the scheduled MMR vaccine doses usually administered at ages 12 (MMR) and 18 months (MMRV).
One or two doses of free MMR vaccine is available for all adults born during or since 1966 without evidence of receiving two documented doses of valid MMR vaccine or without serological evidence of immunity.
Read the updated eligibility criteria for all the free government supplied vaccines.
Practice the back-up plan for a cold chain breach
The new National Vaccine Storage Guidelines 'Strive for 5' third edition states to have a back-up plan and alternative emergency storage if there is power or refrigerator failure. Practice the back-up plan to know it works.
Domestic refrigerators are not built to store vaccines and must not be used for back-up.
If there is no suitable alternative monitored storage option, isolate the vaccines in the purpose-built vaccine refrigerator with the door closed for the duration of the temperature incursion.
Download the checklist to prepare for mobile or emergency storage of vaccines.
The second booster dose of pertussis-containing vaccine (dose 5), provided as DTPa-IPV, is recommended at 4 years of age. This second booster dose is essential to maximise pertussis immunity during childhood as waning occurs progressively with age.
Parents of children about to receive a booster dose (18 months and 4 years) of a DTPa-containing vaccine, should be informed of the small but well-defined risk of extensive limb swelling and redness which is usually not associated with significant pain or limitation of movement and requires no specific treatment.
Photograph and email the severe local reaction to vaccination when reporting the adverse reaction to SAEFVIC
Confused by DTP or dTp containing vaccines? Download the poster to see which vaccine to use for different age groups
Quickly manage patients presenting for overdue or missed HPV vaccination. The fact sheet provides Gardasil®9 recommendations to vaccination providers including catch-up advice. Gardasil®9 catch-up is free for people under 20 years of age.
The Australian Immunisation Register (AIR) accepts data on vaccines administered to people of all ages. Providers are required to submit data to the AIR on all the vaccines administered, including the HPV vaccine.
Pertussis vaccination of pregnant women in Victoria has increased, but influenza vaccination rates remain moderate and variable. Structural changes at the system level may improve maternal vaccination rates. Embedding the delivery of maternal vaccination programs in antenatal care pathways should be a priority.
Influenza vaccination is recommended at any time during pregnancy. Pertussis vaccination is optimally timed for 20 to 32 weeks gestation (mid 2nd trimester to early 3rd trimester).
The next CVU will be held on Monday 25th November 2019.
This vaccination event will be hosted by the Monash Medical Centre Immunisation team and held at Monash University Caulfield Campus.
Avoid injuring a patient’s shoulder due to poor vaccine technique – download, review, share and display this important poster.
Find out more about vaccination for children, adolescents and adults, including schedule, eligibility and reporting adverse events. Get information on ordering vaccines and access free resources from Immunisation health.vic.