1. CATCH-UP SCHEDULES 25 th February 2016

2. Process  You have blank Catch up schedule worksheets  You are playing FREEBIE BINGO  You have to fill in the squares  First scenarios  Children over 10 years  Table 2.1.12  Copies on your table

5. SCENARIO 1 Joe Blogg DOB 23 April 2001 presents with his dad to the clinic to receive vaccines. He has never been vaccinated but his Centrelink payments are about to stop in March because of the ‘no jab no pay’ policy.  What vaccines would you provide now?  When would you advise dad to return to the clinic for Jimmy’s second doses of vaccines ?  What future vaccines will Jimmy need to have to be fully vaccinated?

8. SCENARIO 2 Sue Song is now 12yrs of age (DOB 12 Feb 2004). Her mum Josie has brought her to your clinic as she has now changed her mind about vaccines and wants her daughter to be up-to -date with her immunisations before they go overseas to visit relatives in China later this year. Sue has received some vaccines in China.  12 April 2004 – received DTaP, Hib; oral Polio; Prevenar 7, Hep B  17 July 2004- received DTaP, Hib; oral polio; Prevenar 7 and Hep B  18 April 2005 – received Hep B and MMR Has had no vaccines since.  Develop a catch-up schedule for her  What vaccines would you give at this visit?

12. SCENARIOS FOR UNDER 10 YRS  Table 2.1.6 Number of vaccine doses that should have been administered by the current age of child. pg 49 Imms Handbook  Table 2.1.7 Minimum acceptable dose intervals for children <10 years of age. pg 50 Imms Handbook  Table 2.1.8 Catch-up schedule for Hib vaccination for children <5yrs. Pg 54-55  Table 2.1.9 Catch-up schedule for 13vPCV (Prevenar 13) for children <5yrs pg 56-60

15. SCENARIO 3 John Depter comes to your clinic with his twins- daughter Boo-Boo and son, Pistol (DOB 24/1/2014). He states that they have come from a foreign country far away and the only vaccines recorded in their records on the 26/4/2014 are:  Pentacel (Dtap/IPV/Hib)  PCV13 (Prevnar 13)  Menjugate (MenC) They are both healthy and born term over 8lb each  Develop a catch-up schedule for both children

19. SCENARIO 4 George Jensen was recently adopted and has never been immunised. DOB 25 th Feb 2015. His mum (Rosie) is keen to have his immunisations up-to-date before they go to the UK to visit relatives. Rosie requests to have as many vaccines at the first visit as possible as she heard there has been recent large outbreaks of measles, chicken pox and some cases of Meningococcal disease in her village in the UK that they will be visiting in 4 mths time. George is healthy and was term with a birth weight of 3400gr *You only have Menitorix available in your clinic  Develop a catch-up schedule for George that maximises protection against VPDs before he travels  What vaccines could you give at the first visit  What other vaccine would you suggest to provide in view of the outbreaks in her village- when would you give it?

23. RESOURCES  AUSTRALIAN IMMUNISATION HANDBOOK, PAGES 38 – 64  IMMUNISE AUSTRALIA www.immunise.health.gov.au www.immunise.health.gov.au  NATIONAL CENTRE FOR IMMUNISATION RESEARCH & SURVEILLANCE www.ncirs.edu.au www.ncirs.edu.au  SOUTH AUSTRALIAN IMMUNISATION CALCULATOR FOR CHILDREN <7yrs  CATCH-UP WORKSHEETS  HELPFUL CATCH-UP HINTS HANDOUT

24. THINK:  Is the child <5yrs old?  Check Table 2.1.8 pg 54-55 for Haemophilus Influenza type b (HIB)  Check Table 2.1.9 pg 56-60 for 13vPCV (Prevenar13)  Is the child Aboriginal/Torres Strait Islander and less than 5yrs old?  Check Table 2.1.10 pg57-60 for 13vPCV (Prevenar13)  Check Hepatitis A (funded for Ab/TSI up to 5yrs old)  Is the Child <2yrs and has a medical condition associated with an increase risk of pneumonia?  Check Table 2.1.11 pg59-60 for 13vPCV (Prevenar13) and 23vPPV (Pneuomav23)

25. Progress towards a whole of life vaccination register

26. Australia’s National Immunisation Registers- Current State  Australian Childhood Immunisation Register (ACIR)  National register administered by the Department of Human Services (DHS) on behalf of the Department of Health.  Up until 31 December 2015, recorded all children under seven years of age in Australia.  National Human Papillomavirus Vaccination Program Register (HPV Register)  Operated by the Victorian Cytology Service (VCS) on behalf of the Department of Health.  HPV vaccine given to 12 – 13 year olds in school. 6 June, 2016 26

27. Whole of Life Immunisation Register Approved 6 June, 2016 27

28. Expansion of Australia’s Immunisation Registers Stage 1: Australian Childhood Immunisation Register Expansion  1 January 2016: capture records of vaccinations given to individuals aged up to 20 years (if the vaccinations were administered after 1996).  Supports implementation of ‘No Jab, No Pay’; stronger immunisation links to family payments and removal of vaccine objection exemptions.  Providers can report to the ACIR using existing notification channels.  ACIR due/overdue rules and the secure site reports search function have been extended to 0-19 year olds.  Links to MyHealth Record. 6 June, 2016 28

29. Expansion of Australia’s Immunisation Registers Stage 2: Australian Immunisation Register  September 2016: the ACIR will expand further to become the Australian Immunisation Register (AIR) to capture all vaccines administered throughout a person’s life (birth to death), given through General Practice and community clinics.  A record will be created in the AIR for individuals of all ages once they are registered with Medicare. 6 June, 2016 29

30. Expansion of Australia’s Immunisation Registers Stage 2: Australian Immunisation Register  “Whole of life register” to support Shingles Vaccination Program for 70 year olds (catch up program for 71-79 year olds) from November 2016.  All National Immunisation Program vaccinations and privately funded vaccinations given through general practice will be recorded.  Consumers can access their vaccination records via MyGov, Medicare Express App or phone.  Missed school vaccinations given by a GP can be reported to the AIR and will be shared with the ASVR.  Links to MyHealth Record. 6 June, 2016 30

31. Expansion of Australia’s Immunisation Registers  From the 2017 school year, the HPV Register will be expanded to become the Australian School Vaccination Register (ASVR), which will capture all adolescent vaccinations given through school programs:  HPV;  DTPa (whooping cough) booster; and  Varicella (chickenpox) vaccines. 6 June, 2016 31

32. Expansion of Australia’s Immunisation Registers 6 June, 2016 32

33. Checking Immunisation Records

34. 3.1 Where to find immunisation records? 3.1.1 If you are a vaccine service provider Personal health record (PHR) or child health book (In Queensland it is commonly referred to as the ‘red book’.) Parents are provided with a PHR for a newborn prior todischarge from hospital. The PHR includes a section to record immunisations. Parents should be encouraged to bring the PHR to each immunisation appointment. ACIR VSPs can access ACIR’s secure site to view a child’s immunisation history. Refer to Appendix 11 and 12 for information about how to access. A VSP can print this history for a parent/guardian. VSPs can call ACIR to obtain a history. Public health unit (PHU) VSPs can contact their local public health unit to obtain a school immunisation history. Public health units may be able to provide childhood immunisation histories upon request. Staff at public health units are not able to give immunisation histories to parents/guardians. HPV Register (for HPV immunisation histories only) VSPs can telephone the HPV Register on 1800 478 734 Refer to Appendix 14 for information about the HPV Register

35. 3.1.2 If a parent requires an immunisation record for their child Personal health record (PHR) Parents are provided with a PHR (in Queensland commonly referred to as ‘the red book’) for their baby prior to discharge from hospital. The PHR includes a section to record immunisations. Parents should be encouraged to bring the PHR to each appointment Medicare/ACIR Parents/guardians of children aged less than 14 years can obtain a copy of their child’s immunisation history by: 1. Using Medicare online accounts at www.humanservices.gov.au/customer/services/medicare/medicare-online- accounts 2. Requesting a statement at www1.medicareaustralia.gov.au/ssl/acircirgcert. This will be sent in the mail. 3. Visiting their local Medicare office 4. Calling ACIR on 1800 653 809 Parents/guardians of children older than 14 years can contact ACIR on 1800 653 809 to request information. ACIR also sends history statements to parents/guardians of children aged 18 months of age and 5 years of age.

36. Schedule Changes  18 month pertussis booster any day now  DTaP or DTPa vaccine… (high dose)  Tripacel or Infanrix  18 month now  Dtap  MMRV  Zoster vaccine … October  70 years and a catch up to 79 years

37. Miscellaneous Issues  Register with ACIR  Request to sign letters refusing consent to vaccinate children  Request for blood tests  Gardasil concerns  Premature Ovarian failure  Postural Orthostatic Tachycardia Syndrome  Chronic fatigue  PREGNANCY