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Happy New Year to all immunizing pharmacists from the VCH immunization program team! The purpose of this bulletin is to provide further information on the expanding role of the immunizing pharmacist in vaccine delivery and to summarize the vaccination campaigns currently underway in VCH.

Expanded Access to Publicly Funded Vaccines Now Starting We welcome the interest of pharmacists in participating in the delivery of more publicly funded vaccines. In addition to HPV (Cervarix™), influenza and pneumococcal polysaccharide vaccines, pharmacists can now routinely order Td and MMR vaccines. Please use the attached VCH order form and place your orders directly with your local designated community health office. New VCH order form The new VCH order form alphabetically lists vaccines in two categories. These two categories are based on five specific circumstances as outlined in the Pharmacist Access to Publicly Funded Vaccine in British Columbia: Implementation Guideline available at: http://www.health.gov.bc.ca/pharmacare/suppliers.html. The two categories are as follows:

Routine ordering: Category one is for all eligible clients and includes the following vaccines: Td (tetanus diphtheria), MMR (measles, mumps, rubella), pneumococcal polysacharride, influenza, and HPV (Cervarix™).

Vaccines by special request: Category two lists vaccines available by special request on a case-by-case basis only, not for routine stocking of your vaccine fridge, as these vaccines are usually provided by public health in schools or available for limited eligibility criteria. When you order, please provide your client’s age and reason for request. Vaccines by special request include: Hepatitis A and B, HPV-Gardasil®, meningococcal C conjugate, polio, Tdap (Adacel®), Td/IPV (tetanus, diphtheria, polio), and varicella.

Outbreak and post exposure situations: Ordering will be directed by a VCH Medical Health Officer.

Seasonal influenza ordering for 2013/2014: Seasonal flu campaign ordering will be initiated by a separate communication and will include a seasonal influenza order form. This process usually takes place in the first quarter of the year. Annual flu product return details will be announced in the same time period.

Clinical practice and BCCDC Immunization Manual Pharmacists interested in administering more publicly funded vaccines are encouraged to start planning and updating their knowledge about vaccines administered within public vaccination programs. You should be familiar with and follow the general immunization guidelines located in the BCCDC Communicable Disease Control Manual, Chapter 2: Immunization Program at: www.bccdc.ca/dis-cond/comm-manual/default.htm. For your support, a VCH developed adult immunization quick reference tool has also been included. Reporting of immunizations provided by you to clients 5-19 years of age We ask that you submit one report form per client following immunizations given by you to children & youth up to 19 years of age. Reporting this information to public health will allow us to maintain a comprehensive client immunization record in the VCH electronic immunization registry. The registry serves as a source of information for the client and plans future immunizations to keep them protected for all recommended and publicly funded vaccines. This information is collected under and is subject to the provisions of the Freedom of Information and Protection of Privacy Act. Client consent is required before reporting to public health. A new client reporting form is included with this package, please destroy older versions. Please note, you do not need to report on influenza vaccine delivery.

Pharmacists’ Update January 9, 2013

From the Office of the Chief Medical Health Officer

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Adverse events following immunization (AEFIs) reporting Report AEFIs via fax to your local community health centre using the Report of Adverse Event Following Immunization form available at: www.bccdc.ca/NR/rdonlyres/0F7FC86E-924C-4232-87DD-F5859E41A7A2/0/Epid_imms_adverse_events_form_june_09.pdf Please pay specific attention to completing the following fields: client’s physician details, interval between vaccination and onset of adverse event (provide duration information in comments), event outcome, and FOI field. As AEFIs are reported under a voluntary scheme, client consent must be received and noted on the FOI box prior to submitting a report to public health.

Vaccine cold chain reminders Vaccine should be stored between 2˚ and 8° C. The vaccine fridge’s maximum and minimum temperatures should be checked twice daily with temperature recorded on the Temperature Form available at: www.bccdc.ca/imm-vac/ForHealthProfessionals/VaccineAndPharmacyServices.htm. Review and follow BC’s Management of Biologicals Guidelines available at: http://www.bccdc.ca/NR/rdonlyres/571A2C6D-8E4A-440E-BB41-35A6725B9FE5/0/SectionVI_ManagementofBiologicals_May.pdf. In the event of a cold chain break, contact your local community health centre for instructions. Vaccination campaigns currently in progress

Influenza vaccination campaign: VCH is experiencing above normal seasonal influenza activity. Circulating strains are covered by the vaccine. Continue to offer vaccine until you hear that the campaign is over; influenza vaccination campaign generally runs until the end of April.

HPV (Cervarix™) vaccination campaign: Continue to offer free vaccine to eligible girls born in the 1991-1993 birth years.

Pertussis outbreak vaccination campaign with Adacel (Tdap) is now over. While you cannot order new inventory from public health, please do use any outstanding inventory in your fridges for previously eligible individuals.

Contact us for support!

Your local Vancouver Coastal Health contacts

Clinical immunization information Contact a CDC on-call nurse: 604.675.3900 (M – F, 8:30 am – 5:00 pm), or your local designated community health centre (see listing below – hours may vary).

Medical Health Officers In Vancouver: 604.675.3900 (M – F, 8:30 am – 5:00 pm). Dr. Patricia Daly (Chief Medical Health Officer) Dr. John Carsley, Dr. Meena Dawar, Dr. Réka Gustafson For public health emergencies after hours contact the Medical Health Officer on call at 604.527.4893.

Vaccine ordering, cold chain break reporting, immunization questions, AEFI reporting

Your local designated community health centre

CHC Address Fax Phone

Evergreen 3425 Crowley Dr 604.871.0174 604.872.2511

Robert & Lily Lee 1669 E. Broadway 604.253.2460 604.675.3980

Pacific Spirit 2110 W. 43rd Ave 604.261.7220 604.261.6366

Raven Song 2450 Ontario St 604.872.5223 604.709.6400

South 6405 Knight St 604.321.2947 604.321.6151

Three Bridges 1292 Hornby St 604.734.5918 604.736.9844

Vist our website: http://www.vch.ca/ Copies of Pharmacists’ Updates, immunization information, vaccine ordering and reporting forms are available at: http://www.vch.ca/your_health/health_topics/communicable_diseases/for_health_professionals/for-pharmacists/for-pharmacists

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Vancouver Community Health Centres (CHC)

CHC Address Fax Phone CHC Address Fax Phone Evergreen 3425 Crowley Dr 604.871.0174 604.872.2511 Raven Song 2450 Ontario St 604.872.5223 604.709.6400

Robert & Lily Lee 1669 E. Broadway 604.253.2460 604.675.3980 South 6405 Knight St 604.321.2947 604.321.6151

Pacific Spirit 2110 W. 43rd

Ave 604.261.7220 604.261.6366 Three Bridges 1292 Hornby St 604.734.5918 604.736.9844

Pharmacy Name: Address: Phone: Fax

Vaccine picked up by: Signature: Print Name:

OFFICE USE ONLY Order filled by:

Release of Vaccine

Biologicals will only be released to pharmacists or their staff who bring a cooler with ice packs and insulating materials to the Health Unit for transport.

Care of Vaccine

Order only what is needed for a month.

Always maintain cold chain. Cold chain breaks/ problems should be reported immediately to your local health unit for instructions.

Return expired biologicals promptly.

Vaccines & schedule information available at www.bccdc.ca

Routine Ordering VACCINE Units

Per box # DOSES in units

# Doses Remaining (Pharmacy fridge)

# doses supplied

HPV (Cervarix™) 1

Influenza (Indicate type)

Varies by product

MMR 10

Pneumococcal PS 10

Td 5

Special Request Vaccines VACCINE #

Doses Age of Client

Reason for Request # doses supplied

Hepatitis A 1

Hepatitis B 1

HPV-Gardasil® 1

Meningococcal C Conjugate

1

Polio 1

TdaP 1

Td/IPV 1

Varicella 1

PHARMACIST VACCINE ORDER FORM FAX your order to your assigned pick up location

VCH CDC Jan 2013

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Pharmacy Address Phone Fax

Client Information Last Name First Name Female Male

Personal Health Number (PIN)

Birthdate (dd/mm/yyyy)

/ /

Address (#/Appt/Street/City/Postal Code)

Phone # home phone cell phone

/ /

Client has been informed that the following immunization information will be provided to Vancouver

Coastal Health to be entered into the VCH immunization database.

Vaccines Administered (report all vaccines provided except influenza)

DD MM YYYY Vaccine Name Lot # Site

Comments

Client consent is required before reporting to public health. Complete one form per client and fax to your local community health centre following immunization. This information is collected under and is subject to the provisions of the Freedom of Information and Protection of Privacy Act.

PHARMACIST REPORT OF CLIENT IMMUNIZATION ≤ 19 years of age

Vancouver Community Health Centres (CHC) CHC Address Fax CHC Address Fax

Evergreen 3425 Crowley Dr 604.871.0174 Raven Song 2450 Ontario St 604.872.5223

Robert & Lily Lee 1669 E. Broadway 604.253.2460 South 6405 Knight St 604.321.2947

Pacific Spirit 2110 W. 43rd

Ave 604.261.7220 Three Bridges 1292 Hornby St 604.734.5918

VCH CDC Jan 2013

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Download a copy at: http://www.vch.ca/your_health/health-topics/communicable_diseases/for_health_professionals/for-pharmacists/for-pharmacists