vaccination subsidy scheme - centre for health protection neurological conditions that can...
TRANSCRIPT
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2017/18
(Overview of VSS)
Vaccination Subsidy
Scheme
Briefing on 25 & 28 August 2017
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2017/18 VSS – Seasonal Influenza
Vaccination (SIV)
Target groups for SIV:1. Pregnant women
2. Children (6 months to less than 12 years old)
3. Elders aged 65 or above
4. Persons with intellectual disability
5. Disability allowance recipients
Subsidy level for seasonal influenza
vaccination is $190 per dose
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Target groups Checking eligibility
Pregnant women Confirm the pregnancy
status by the attending
doctor in the Consent Form
Children (aged 6 months to
under 12 years or attending
a primary school)
Above 12 years : student card /handbook
Elders (aged 65 or above) i.e. Birth year =1952 or earlier during 2017
Persons with intellectual
disability (PID)
• Registration card for Persons with
Disability (Intellectual disability)
• Medical certificate
• Certificate issued from designated PID
institutions
Disability allowance
recipients
Valid letter of Notification of Successful
Application issued by Social Welfare
Department
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Seasonal Influenza Vaccine for 2017/18
Both trivalent and quadrivalent inactivated influenza vaccines are recommended for use
Recommended trivalent vaccine contains: A/Michigan/45/2015 (H1N1)pdm09-like virus;
A/Hong Kong/4801/2014 (H3N2)-like virus;
B/Brisbane/60/2008-like virus.
Recommended quadrivalent vaccine contains: above three and B/Phuket/3073/2013-like virus
Trivalent vaccine could prevent the majority of influenza cases, quadrivalent vaccine may provide additional protection against influenza B
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Pneumococcal Vaccination
Ongoing since commencement in Oct
2009
23-valent pneumococcal polysaccharide
vaccine (23vPPV) for elderly aged 65
years or above who have not received
pneumococcal vaccine before
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New Initiatives on Pneumococcal
Vaccination in 2017/18
Add13-valent pneumococcal conjugate
vaccine (PCV13) for elderly with high-
risk conditions
Subsidy level for PCV13 is $730 per
dose
Subsidy level for 23vPPV is $190 per
dose
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Pneumococcal Vaccination for
elderly (2017/18)
Elderly aged
65 years or
above
Who have not
received
pneumococcal
vaccine before
Who have
received 23vPPV
before
With high-risk
conditions
One dose of
PCV13 follow by
one dose of
23vPPV one year
after
One dose of
PCV13 one
year after the
previous
23vPPV
Without high-
risk conditions
One dose of
23vPPV
No Pneumococcal
vaccine needed
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List of high-risk conditions
for subsidised PCV13 history of invasive pneumococcal disease, cerebrospinal fluid
leakage or cochlear implant
chronic cardiovascular (except hypertension without complication),
lung, liver or kidney diseases
metabolic diseases including diabetes mellitus or obesity (Body Mass
Index 30 or above)
immunocompromised states related to weakened immune system
due to conditions such as asplenia, HIV/AIDS or cancer/steroid
treatment
chronic neurological conditions that can compromise respiratory
functions, the handling of respiratory secretions, increase the risk for
aspiration or those who lack the ability to take care of themselves
Perform clinical assessment, confirm elderly has
high-risk condition and sign on the consent form
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Before providing vaccination –
prepare recipients and vaccines
(Cold chain maintenance)
Check vaccination history
Communicate on type of vaccine (TIV/ QIV, 23vPPV/ PCV13 ) provided
Explain about the vaccinations (Information leaflet)
Conduct health assessment for suitability for receiving vaccination
Contraindications and precautions
Consent to Use Vaccination Subsidy form is completed and signed
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Before providing vaccination –
checking
Read carefully the product information
of the vaccine: the route of
administration, dosage for children &
adult and expiry date
3 checks and 5 rights
3 checks: when taking out vaccine from
storage, before prepare vaccine, before
administer vaccine
5 rights: client, drug, dose, time, route
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During or after vaccination
Infection control practice and vaccine
administration procedures
Documentations
Recipients’ self-held immunisation card
Medical record/ clinic record: recipients’ identity,
vaccine type/ date/ expiry date/ lot number of
vaccine, etc)
Advise return for second dose for children as
appropriate
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Vaccination at Non-clinic Settings
(Doctors’ Guide)
It is the prime responsibility of all doctors to ensure
safety and quality of the vaccination service provided
to vaccine recipients.
The enrolled doctor is overall responsible for the
vaccination activity
Vaccines should be prescribed by the doctor
All doctors should observe the Code of Professional
Conduct
Suitable vaccination environment (e.g. safety)
Inform the Vaccination Office 2 weeks before the
activity
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Vaccination at Non-clinic Settings
(procedures)
Doctor supervise the vaccination activity and
the trained staff
Administer the vaccination by qualified health
care professionals
Maintain cold chain of vaccines
3 checks and 5 rights
Observe infection control practice
Handle sharps and wastes according to EPD
guidelines
Have sufficient trained staff, protocol and
emergency kit to manage anaphylaxis
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VSS 2017/18 – commencement
date
Seasonal influenza vaccination
Start date: tentatively on 18 October 2017
End date: until Stocks of vaccines expire
Pneumococcal vaccination for elders
23vPPV: ongoing
PCV13 start date: tentatively on 18 October
2017
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Doctors’ Guide (will be updated)
http://www.chp.gov.hk/en/view_content/45838.html
2017/ 18
2017/ 18
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Cold chain maintenance
Importance of cold chain maintenance
Cold chain breakage decrease vaccine potency and reduce
effectiveness
Prevention cold chain breakage
Equipment: fridge, thermometer, socket,
Procedures: routines and contingency plan
Take appropriate actions if temperature is out of
recommended rangeReference: Hong Kong Reference Framework for Preventive Care for
Children in Primary Care Settings – Module on Immunisation.
http://www.pco.gov.hk/english/resource/files/Module_on_Immunisation_Ch
ildren.pdf
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Prevention of cold-chain breakage
Cold chain and store vaccines between 2-8°C
Bar refrigerators should not be used
Purpose-built vaccine refrigerators (PBVR) are
preferred
Domestic fridge: water bottles to keep the
temperature stable
Regular checking of current, maximum and
minimum temperature, twice daily
Follow vaccine manufacturers’ recommendation
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Prevention of cold-chain breakage
Not store vaccines in the door of refrigerator
Power supply: to prevent somebody pulling it
out / switch off accidentally; label “do not
disconnect”
Maintenance: for proper functioning of fridge,
thermometer, socket, etc.
Order appropriate levels of stock
Long holiday: plan and schedule supply
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Follow-up actions if temperatures are
outside recommended range
If vaccines are exposed to temperatures outside
recommended range
Label “do not use”, proper storage
Consult drug company and provide time period
and temperature range, for advice on use
Follow-up with patients and assess need for re-
vaccination
Find out cause and rectify, prevent from
recurring
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Follow-up actions if temperatures are
outside recommended range
Inform the Vaccination Office if
VSS clients involved, and
Manufacturer replied that vaccines exposed
to out-of-range temperatures are not effective
Vaccination Office would follow-up
proper records of vaccinations and
recipients are important
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Quality improvement in
vaccination service of the Scheme
VSS doctors to provide temperature records and photo
of the refrigerator when required
Vaccination Office to liaise with doctors for follow-up actions
if required
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PCD Enrolment and CME
Requirement
Starting in the 2018/19 season, VSS/RVP
doctors have to be enrolled in the Primary
Care Directory (PCD)www.pcdirectory.gov.hk for information
For maintenance in the PCD, need CME
Specialists: included in Specialist Register;
Non-specialists: satisfy CME requirements
(yearly CME certificate or qualified to quote the title
“CME-Certified”).
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Contact us
Vaccination Office
Tel : 2125 2125
Fax : 2713 9576
Email : [email protected]
Address : 2/F, 147C, Argyle Street,
Kowloon
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THANK YOU