The following information is provided to assist practices in managing influenza.
Seasonal Flu Vaccine and young children
Due to a spike in the numbers of young children in Western Australia experiencing fever and convulsions following seasonal flu vaccinations, Australia's Chief Medical Officer, Professor Jim Bishop, is advising all GPs and immunisation providers to stop giving seasonal flu vaccine to children five years and under until a cause is established.
Due to a spike in the numbers of young children in Western Australia experiencing fever and convulsions following seasonal flu vaccinations, Australia's Chief Medical Officer, Professor Jim Bishop, is advising all GPs and immunisation providers to stop giving seasonal flu vaccine to children five years and under until a cause is established.
"This is a precautionary measure while the matter is being urgently investigated by health experts and the Therapeutic Goods Administration (TGA)," Professor Bishop said.
"Until it can be established what factors are causing the apparent rise in fevers in some children in WA, I am writing to all immunisation providers to advise them not to administer seasonal flu vaccine to all children 5 years of age and under until further notice."
Professor Bishop said the medicines regulator, the TGA, is investigating the WA data as a matter of urgency to determine whether the adverse reactions reported in WA relate to the vaccine, or whether factors related to the program delivery in WA are involved.
"The TGA has contacted CSL Ltd to confirm which batches of vaccine were used in WA and is obtaining samples of the vaccine to test in its laboratories to determine if there are any abnormalities in the batches of vaccine used in WA," Professor Bishop said.
"The TGA will be urgently reviewing data from WA Health about the adverse events and the vaccine distribution data to see if the rates of fever and convulsions are truly higher than expected. The TGA is convening an expert scientific advisory panel to review the information from WA, and is seeking additional information from the manufacturer, CSL Ltd, and from regulatory colleagues internationally.
"TGA will test batches of the vaccine used in WA for any abnormalities.
"The Department of Health and Ageing has sought advice from the Australian Technical Advisory Group on Immunisation. which is currently reviewing the available information on cases and the Department will be seeking its further advice. States and territories have been asked to report any adverse events related to seasonal influenza urgently to the Therapeutic Goods Administration. States and territories have also been asked to provide details on batch numbers and type of vaccine."
Professor Bishop said people over five years of age can continue to be vaccinated against seasonal influenza as per usual. Flu can be a serious disease especially in people who are in high risk categories including people aged 65 years and over; all Aboriginal and Torres Strait Islander people aged 15 years and over and pregnant women. The Commonwealth Government provides the seasonal flu vaccine free for these at risk groups.
Professor Bishop said that there do not appear to be implications for the swine flu vaccine Panvax®.
"It is safe to have the swine flu vaccine. The TGA’s assessment of clinical trials and the advice of its expert committees is that Panvax® is a safe, effective vaccine for prevention of the H1N1 influenza.
“It is expected that the dominant flu this winter season will be swine flu and the specific Panvax vaccine is available free for all Australians.”
New Seasonal Flu Definition
The following definition is now recommended for determining eligibility for free seasonal flu vaccination.
'People over 6 mths of age with medical conditions which predispose them to influenza infection, including:
- Cardiac disease
- respiratory disease
- endocrine and renal disease
- neurological disease and conditions that restrict movement and respiratory function,?
- impaired immunity
- long term aspirin therapy in children'
Click herefor a copy of the seasonal flu presentation for GPs and staff
New Seasonal Flu Vaccine Available
(Includes H1N1 09 Swine Flu)
Deliveries of the new seasonal flu vaccine are starting to be received by general practices this week. Initially it was expected that the release would be delayed, but stock is now being delivered. The vaccine is suitable for those older than 6 months of age and this seasonal influenza vaccine protects against three virus strains likely to circulate in this year’s flu season, including:
• Influenza A (H1N1) (pandemic strain)
• Influenza A (H3N2)
• Influenza B
In 2010, the following groups are eligible for free seasonal influenza vaccine:
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All people aged 65 years and older
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All Aboriginal and Torres Strait Islander peoples aged 15 years and over
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All people aged 6 months and over who are at risk of severe outcomes from seasonal influenza, such as those with chronic conditions, including cardiac disease, cystic fibrosis and other chronic respiratory diseases, diabetes, renal failure, chronic neurological conditions, and people with impaired immunity (as outlined in The Australian Immunisation Handbook, 9th Ed, pp190- 191).
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Pregnant women.
GP Access has been at the forefront of the Pandemic response in general practice in our region and encourages all patients, especially those in the vulnerable patient groups and has provided free swine flu vaccination clinics to the public. With the arrival of the new seasonal vaccine containing H1N1 there will now be a change in focus of our efforts.
Everyone who has not yet been vaccinated against the H1N1 virus should contact their GP’s office to make an appointment for the seasonal vaccination. All patients who are in any of the above groups will qualify for free seasonal vaccination from their GP.
Free vaccination with Panvax (for H1N1 Swine Flu only) can still be obtained free from general practices and GP Access.
New Seasonal Flu Resources
Instructions for administering Paediatric Vaccine
GP Seasonal Flu Update 5 March 2010
GP Seasonal Flu Order form
Panvax Junior Resources
Panvax Junior Order Form
Pandemic Summary Sheet for GPs
Australian Technical Advisory Group on Immunisation (ATAGI) Recommendations
H1N1 Info sheet for use in children
Panvax product information
Vaccine Provider information sheet
Resources
H1N1 Poster
H1N1 Brochure
Vaccine Consent Form
MDA Statement on Consent
Thiomersal Statement
GP Vaccination Order Form
CMO GP vaccination letter
Definition of vulnerable groups
Using the PEN CAT to identify vulnerable groups
Guidelines for using MDFs
Patient information sheet - Panvax
Entering Panvax into Medical Director - Information
Using MDF in a large clinic setting
Using MDF in a small clinic setting
Using Multidose Vials
For the latest information video for General Practitioners, please see:
http://www.health.nsw.gov.au/publichealth/swine_flu.asp
FluTracking:
FluTracking is a pilot online health surveillance system to detect epidemics of influenza. By signing up you will receive weekly information on influenza-like activity in the region based on our analysis of the data. Participation is voluntary and your information will be kept confidential.
Sign up to FluTracking at: http://www.flutracking.net/