In this issue:
- Free measles vaccination for overseas travellers
- Best practice recommendations for influenza vaccination during pregnancy
- Recent updates to the Australian Immunisation Handbook
- SAEFVIC – Report adverse events following immunisation and access expert advice
- Accurately calculate the dose cut off dates for Rotarix by using the new Rotarix wheel
- Updated Immunisation schedule Victoria – November 2019
- Find out when and what to report for a vaccine cold chain breach
Free measles vaccination for overseas travellers
People planning overseas travel should ensure they have received vaccinations appropriate to travel, including measles-mumps-rubella (MMR) vaccine if they do not have a documented history of two previous MMR vaccinations.
Offer free MMR vaccine to all eligible people born during or since 1966. Patients unsure of their vaccination status, or who are aged over 18 months and have only had one measles-containing vaccine, should be vaccinated.
Infants from 6 months and before 11 months of age can receive free MMR vaccine prior to travel overseas to countries where measles is endemic, or where measles outbreaks are occurring.
Serology is not required before vaccinating.
Report all vaccines administered to the Australian Immunisation Register.
Order MMR vaccine from the Government vaccine order form
Best practice recommendations for influenza vaccination during pregnancy
Influenza vaccine is recommended in every pregnancy and at any stage of pregnancy.
It provides protection to the pregnant woman, foetus and infant. Infant protection lasts for up to 6 months at which time the infant should receive influenza vaccine.
Pregnant women receiving an influenza vaccine late in 2019 or with 2019 stock in early 2020, revaccination is safe with the 2020 influenza vaccine once it becomes available (about April 2020) before the end of their pregnancy.
Continue to order and administer the free 2019 influenza vaccine for pregnant women as some brands do not expire until late February 2020 and early March 2020.
Report vaccines administered to the Australian Immunisation Register.
Order the consumer brochure - Protecting your baby against influenza starts when you're pregnant
Order influenza vacine using the Government vaccine order form
The Handbook’ was updated on 4 October 2019 to reflect changes approved by the Chief Medical Officer, Professor Brendan Murphy in late September.
One update in the ‘Pre-vaccination screening section’ includes guidance on appropriate spacing of inactivated and live parenteral vaccines. In general:
- an inactivated vaccine can be given at any time before or after, or at the same time as, all other vaccines registered in Australia (see disease-specific chapters for exceptions)
- a live parenteral vaccine can be given either at the same time as another live parenteral vaccine, or at least 4 weeks apart
If an individual needs to receive multiple vaccines, these can be given at the same visit or at separate visits with appropriate intervals between vaccines. Co-administration of combination vaccines containing the same antigen is not routinely recommended.
View the Pre-screening immunisation section update
The SAEFVIC reporting system is also known as AEFI-CAN.
An adverse event following immunisation (AEFI) is a serious or unexpected event following the administration of a vaccine(s). AEFIs may be caused by a vaccine(s) or may occur by coincidence (that is, the event would have occurred regardless of vaccination). AEFIs also include conditions that may occur following the incorrect handling or administration of a vaccine.
To receive expert immunisation advice about how to manage future vaccinations for a patient, report AEFIs via the AEFI-CAN website 24 hours a day, 7 days a week or phone 1300 882 924 (choose option 1).
Order the new look Rotarix wheel from GlaxoSmithKline.
There has been no change to the dosing windows or any other aspects regarding the administration of Rotarix.
The cut off age for administering the 1st dose is 14 weeks and 6 days. No catch-up dose or 2nd dose is administered after this period if the first dose was not given.
The cut off age for administering the 2nd dose is 24 weeks and 6 days.
The wheel has been updated to represent 7-day intervals.
Download and display the updated immunisation schedule Victoria – November 2019.
Additional at risk groups
- The free MMR vaccine prior to overseas travel for infants aged 6 months and less than 11 months of age has been added
- The MSM free HPV vaccine program has ceased and been removed.
The website hosts a summary of actions once a vaccine cold chain breach or light exposure breach has occured.
Such as for a heat breach, download the data logger and calculate the hours and minutes the temperature showed 9⁰C and over.
Count the number of doses in stock at the time of the breach for all Government-supplied vaccines.
Document vaccine doses that have been in more than 1 breach, include the quantity previously breached for each brand.
Review the new National Vaccine Storage Guidelines 'Strive for 5'.
Use the Immunisation Calculator for Children under 10 years of age to plan catch-up schedule, if vaccine doses have been delayed or missed.
Download the Victorian immunisation catch-up guidelines for people aged 10 years and older who have no documented history of vaccination to plan a catch-up schedule.
Has your service changed name, address, email or phone number? This will help you to stay up to date with immunisation program changes. Please update any changes by emailing firstname.lastname@example.org